djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. What happened to the post masters certificates?

    djmatte replied to nursetim's topic in Nurse Practitioners, NP

    My school offers post masters options.

  2. Be careful people.

    djmatte replied to MikeFNPC's topic in Nurse Practitioners, NP

    I would question the operation of any “pain clinic” that is run by Just two clinicians. Despite their Stated mission, if they don’t have an array of pain management options to include physical...

  3. Drug confirmation results not clinically relevant

    djmatte replied to brdbat416's topic in Pain Management

    I’m actually curious how pain clinics are doing with thc becoming more legalized. Is that still a factor when considering passion and opiate contracts? Our primary care clinic will stop care for...

  4. Is the PACU floor a good start for a new RN grad?

    djmatte replied to Mr.Mrs.RN's topic in PACU

    I started as a new grad and did half my RN Career there. I don’t believe experience is something you need so long as they train you. While the old adage is its where ICU nurses go to die, I find...

  5. Navy FY2020 nurse practitioner accession

    djmatte replied to djmatte's topic in Government, Military

    Per my recruiter, navy is not looking good for fnp 2020. This could be 2 years in a row they recruit zero

  6. Air Force Nurse Boards October 2019

    djmatte replied to Noypi47's topic in Government, Military

    I was just told by my recruiter they did not review FNPs for this last board (might be different from HPSP recruits). As of yesterday, there are still 5 billets open for

  7. HUGE step forward for NP's!!!

    djmatte replied to MikeFNPC's topic in Nurse Practitioners, NP

    20% MAX Of my daily load have those problems. Urgent care on the other

  8. HUGE step forward for NP's!!!

    djmatte replied to MikeFNPC's topic in Nurse Practitioners, NP

    Exactly. There’s few things I consider basic in primary care. Most of what I see in flint Michigan are complex cases surrounded by socioeconomic instability and generations of poor health outcomes....

  9. HUGE step forward for NP's!!!

    djmatte replied to MikeFNPC's topic in Nurse Practitioners, NP

    Pushing for equal pay isn't saving the healthcare industry anything. Owning your own clinic isn't saving anyone any money either as you are now charging for your own overhead and your own payments....

  10. Any NPs have scribes?

    djmatte replied to nursetim's topic in Advanced Practice

    Sadly our providers they don’t. Most of them are in school with minimal experience. Most of the mds that use them don’t even know how to use epic much less monitor what they’re writing. And...

  11. HUGE step forward for NP's!!!

    djmatte replied to MikeFNPC's topic in Nurse Practitioners, NP

    While I agree that it is probably going to be good for us, things like this are a gut punch to doctors. I can understand the 85% clinician reduction because my training and experience are...

  12. Any NPs have scribes?

    djmatte replied to nursetim's topic in Advanced Practice

    Edited for

  13. Any NPs have scribes?

    djmatte replied to nursetim's topic in Advanced Practice

    With a scribe I could see that many. I refuse a scribe anytime it’s offered. I clear 20ish ppd on my own and I think that’s acceptable for my pay with room for growth in my pay. I don’t trust a...

  14. Navy FY2020

    djmatte replied to Rizzo02481's topic in Government, Military

    Yup. But to be fair my package and meps didn’t finish until the beginning of the year. We knew a few weeks into Fy19 they zeroed out fnp from 12

  15. Navy FY2020

    djmatte replied to Rizzo02481's topic in Government, Military

    I'll take two at this point. Last year was a big fat zero for NPs. And I'm ready for

  16. Navy FY2020

    djmatte replied to Rizzo02481's topic in Government, Military

    Exceptionally disappointing. Actually I see nothing listed for FY20. Only FY19

  17. Navy FY2020

    djmatte replied to Rizzo02481's topic in Government, Military

    Two boys ended up in the navy. Wife kind of wants to be coastal. I don’t want to end up somewhere like minot nd. just spoke to my recruiter and she’s pessimistic about fnp jobs opening in 2020....

  18. New NP - Balancing What I Know and What I Don't Know

    djmatte replied to OncRN2015's topic in Nurse Practitioners, NP

    If the diagnosis is clear and they’re in for something they’ve been in for a million times, then I make sure I look things that are foreign to me up before I enter the room. Sometimes I have a...

  19. Starting 2020 NO MORE LOCUMS IN CALIFORNIA

    djmatte replied to guest416560's topic in Nurse Practitioners, NP

    I believe that would be a stretch. Cali is the hotbed of the tech industry and where the on-line on-demand service model was more or less created. Those are the companies they are targeting as more...

  20. Will you get your DNP

    djmatte replied to DannyBoy8's topic in Advanced Practice

    Much like the previous "by 2018" deadline? That didn't happen. This will likely not happen. What we will see is more schools make their curriculum a DNP baseline before accrediting agencies...

  21. Starting 2020 NO MORE LOCUMS IN CALIFORNIA

    djmatte replied to guest416560's topic in Nurse Practitioners, NP

    I've never worked locums or as a travel nurse, but I was always under the impression locums jobs were considered employees of the locums company. Meaning the hospital pays a company for access to...

  22. Navy FY2020

    djmatte replied to Rizzo02481's topic in Government, Military

    Air force will be my next stop if things don't look better Navy-wise. I did 9 years in the AF and wanted a

  23. Probable HIPAA violation. How to proceed?

    djmatte posted a topic in Nurse Practitioners, NP

    At my group of clinics, we have a person trying to get new policies in place. In this effort, a compliance email was sent to all employees with a list of patients, their MRN, if an employee called the...

  24. Probable HIPAA violation. How to proceed?

    djmatte replied to djmatte's topic in Nurse Practitioners, NP

    First name, last name, clinician being seen, and date of

  25. Probable HIPAA violation. How to proceed?

    djmatte replied to djmatte's topic in Nurse Practitioners, NP

    Makes sense. I think it might meet that standard. But can you compile that kind of information and send it out company wide like that? Providers and MAs have need to know on patient information. But...