djmatte

djmatte ADN, MSN, RN, NP

Member

  • Content

    1,248

  • Visitors

    11,970

  • Followers

    3

  • Likes

    961

All Content by djmatte

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

    djmatte replied to rauscht's topic in Advanced Practice

    Lol "always" is a pretty finite statement in a world that's always changing. And it's not a shock that a hospital would try to cut corners because they can't find people actually certified in that...

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

    djmatte replied to rauscht's topic in Advanced Practice

    Your state also at one time likely forced NPs to be supervised by an MD in every facet of their job. There was also a time when FNP (and maybe crna) was the only advanced certification you could get...

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

    djmatte replied to rauscht's topic in Advanced Practice

    I have my feelers out to a range of job boards in Ohio and Michigan (I live in the area) and the majority of regular emails I get from Ohio are looking for ACNPs for hospitalist roles. That's where...

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

    djmatte replied to rauscht's topic in Advanced Practice

    Exactly. And this isn't new. There's a reason Ohio is in desperate need for ACNPs. They adopted the concensus model and need hospitalists. Your choice in clinical rotation outside primary care won't...

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

    djmatte replied to rauscht's topic in Advanced Practice

    Exactly. And this isn't new. There's a reason Ohio is in desperate need for ACNPs. They adopted the concensus model and need hospitalists. Your choice in clinical rotation outside primary care won't...

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

    djmatte replied to rauscht's topic in Advanced Practice

    Except your exam certification is geared toward primary care across the lifespan. What kind of education are you getting if you aren't getting clinicals geared toward pediatric, adult/geri, and...

  7. Does it matter where I get my MSN-FNP?

    djmatte replied to allstarnurse1's topic in Student Nurse Practitioner

    I'll defer on what was gonna be typed here. Good luck with that AD position with all of 1.5 years of actual medical experience. Sounds like they are getting a stellar

  8. Does it matter where I get my MSN-FNP?

    djmatte replied to allstarnurse1's topic in Student Nurse Practitioner

    Coming from someone who has never once worked in or stepped foot into the role of an acute care RN tells me all I need to know about your opinion of "good fit" for the job. Do us and your employers a...

  9. $200,000 salary as a RN, it's true

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

    https://tenor.com/ot4u.gif

  10. Does it matter where I get my MSN-FNP?

    djmatte replied to allstarnurse1's topic in Student Nurse Practitioner

    What matters to employers is gonna be depending on the situation. My employer was exceptionally interested in my RN experience because it easily translated to prescribing recommendations that are...

  11. $200,000 salary as a RN, it's true

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

    Temperate *

  12. $200,000 salary as a RN, it's true

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

    SF is a pretty temperature climate year round. Very few

  13. Does it matter where I get my MSN-FNP?

    djmatte replied to allstarnurse1's topic in Student Nurse Practitioner

    Some do. many don't. Name recognition could get you in the door. Though there are many here who look down on a range of for profit online MSN NP degrees. I went to an online program (frontier), but...

  14. Strange prescribing practices

    djmatte posted a topic in Nurse Practitioners, NP

    I work at a group that has it's fair share of opiates being prescribed. Newer providers are slowly working this out, but as with most places there's still a long way to go. We have one provider who...

  15. New Grad OB/GYN Seeking Advice

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

    Most of the skills in that area are things you will need to learn. Just be up front with them about that and the need for further training. I've known many FNPs who work mostly in women's health and...

  16. Oversupply of Nurse Practitioners

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

    Serious truth on your ability to differentiate yourself. I spent the majority of my RN career in Periop services working PACU/PreOp. That background was awesome if I wanted to just stay there for my...

  17. Oversupply of Nurse Practitioners

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

    It's a mixed bag. In some aspects, we may be looking at wage reductions if saturation hits numbers that are projected in the next 5 years. Even in areas I feel NEED providers as of last year (note...

  18. Oversupply of Nurse Practitioners

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

    Go where you think you are going to be happy first and foremost. Don't make this decision for money or solely regarding saturation. Saturation will happen in many aspects of APRN work by pure...

  19. Strange prescribing practices

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

    I can't help but think a smart way would be to break up the chronic illnesses while still accounting for the monthly meds. Month 1 focus on diabetes and pain, month two cholesterol and pain, etc. Thus...

  20. Mildly Threatening Comments

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

    Contract law would be my guess. Though you can look through your own contract to see if there is anything that could hold you to this standard. Odds are there won't be, but employers don't always do...

  21. Mildly Threatening Comments

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

    I would certainly get a lawyer involved. Also consider reading your contract to see if there is anything that suggests you need to provide any form of follow up

  22. Strange prescribing practices

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

    Looked into a recent example. He is billing a 99213. Just pushing 30+ PPD and trying to further dilute what should be an opiate refill with fluff to make it appear better (as he

  23. Strange prescribing practices

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

    I haven't looked deep in his previous charts on what codes are being billed. But wouldn't be shocked if that's what's happening. You got enough boxes in epic and it will automatically bill a certain...

  24. How NOT to Recruit an NP

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

    Sounds to me like the vast difference between primary care and specialties. Noting you mentioned seeing a colonoscopy. I generally like my primary care clinic and while they are expanding and getting...

  25. Strange prescribing practices

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

    He honestly believes it looks "better" from an opiate perspective because he's one of the highest prescribing providers in the practice. Annoying when he's out and others have to pick up his load....