djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Will you get your DNP

    djmatte replied to DannyBoy8's topic in Advanced Practice

    To be fair, it is literally the difference of 1 year of education in most schools. For new students requiring it, it's negligible. The concern most of us who have finished our NP have is that it...

  2. Navy FY2020

    djmatte replied to Rizzo02481's topic in Government, Military

    Packet for FNP and MEPS clearance have been done for 6 months. Just waiting for the numbers and the

  3. What are most lucrative specialties for an NP?

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

    I believe I have seen an NP here either ask or suggest those procedures could be done in the past. But not something I will take the time to look for. I only remember because I specifically asked an...

  4. What are most lucrative specialties for an NP?

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

    RFA is certainly a procedure I would never perform as an np and I might draw the line at steroid joint injections. Especially working in pain management as an RN and watching those doctors learn to...

  5. What are most lucrative specialties for an NP?

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

    What you describe is very common in pain groups. A colleague of mine told be about it years ago. One of the biggest reasons he liked working at the VA in

  6. Navy FY2020 nurse practitioner accession

    djmatte replied to djmatte's topic in Government, Military

    Ghost town here. Spoke to my recruiter last week and she still has no word on new numbers. Hard to believe we are into september and FY20 hasn't been solidified. Anyone else hear anything? Any...

  7. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    ?

  8. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    Reiterating for posterity. Because the next student or prospective fnp that comes here looking for info needs to know the full breath of where their choices bring them and the long term...

  9. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    But again as previously noted, the ENP role was created to specifically address the shortcomings of a primary care focused FNP in an emergency department. Things will and are changing. It should be...

  10. Bonus based on RVU. How do I earn the practice $ with only 85% reimbursement for RVUs?

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

    How your work equates to the value of an RVU will vary and depend on what they equate to the cost of overhead, which includes your salary/benefits. At 18ppd, from what I could gauge from CMS, a clinic...

  11. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    Your certification is inadequate. Just because your joke of a program let you train wherever you wanted doesn't change that. The test you took had nothing to do with the job you do. You are certified...

  12. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    This isn't about being "brighter" or even making anyone feel a certain way. It's about understanding your training and the scope of your role. It's about patient safety and protecting our profession....

  13. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    Truth. And most IM docs I've come across are adult only. In our clinic, all of the FNPs have to use the same collaborator who's FP because all the rest of the docs are adult only IM docs. These...

  14. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    I'll say any school that authorizes inpatient for FNP clinical is garbage all day till sunday. Some get away with a 20% marker in ED or other, but not requiring outpatient for the majority of...

  15. Would you be willing to walk away?

    djmatte replied to Rnis's topic in Advanced Practice

    The place I work does regular "chats" regarding numbers, revenue, and cost. They do this quarterly. Albeit I do think they over estimate what the overhead is. They claim my salary, benefits, and...

  16. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    You did all your FNP rotations inpatient which tells me your school clinical program is garbage and imo didn't train you at all to be an

  17. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    Pretty much sums it up. As the saying goes... You can lead a horse to

  18. ACNP vs FNP: My Summarization of the Great Debate

    djmatte replied to rauscht's topic in Advanced Practice

    The point is things are changing. Your hospital will take anyone as they likely don't get enough acnp applicants. That will change and it's smart for new NPs to certify and work in areas they are...

  19. Primary Care Nurse Parctitoners in the Military?

    djmatte replied to RNeuro's topic in Government, Military

    If it isn't listed as a specific specialty in their recruiting info, they likely won't take you. They get specific about job

  20. Any FNPs in the Air Force Reserve?

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

    I'm not sure about the reserves, but I believe for both the cutoff is 40. The theory is you need to be able to complete 20 years of service before the age of 60. I'm 49 now and going back in. But the...

  21. Prescriptive Authority

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

    I would be getting the heck out of that state with those

  22. Where are NPs most/least in demand?

    djmatte replied to Aliens05's topic in Nurse Practitioners, NP

    Speaking for Michigan, more remote areas are most in demand. The upper peninsula, parts of northern Michigan and probably in the thumb. There's also always an opening on Beaver island. But you must...

  23. Specialize as an NP ??? Which one??

    djmatte replied to momofm1998's topic in Nurse Practitioners, NP

    I'm wondering what is this hang up regarding specializing vs as you call generalizing? Internal medicine or family medicine docs don't believe for a second they are somehow lacking because they don't...

  24. Specialize as an NP ??? Which one??

    djmatte replied to momofm1998's topic in Nurse Practitioners, NP

    What kind of NP are you? There isn't "just an NP". You should already have some specialized training be it adult-geri, family medicine, women's health, etc. That's where you start in promoting...

  25. Psychiatry question - Must I provide Therapy too?

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

    And sadly we wonder why veterans don't get the access they need. I loved my time working at the VA and got to do a lot on my own setting up their pain clinic. I still go there for care, but it is...