djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Prescribing Medical Marijuana

    djmatte replied to iriska_meller's topic in Advanced Practice

    That meta analysis wasn't exactly Earth shattering as I mentioned earlier. And I don't think anyone here is low key shaming anything. We're being practical in our practice of medicine. I don't...

  2. NP vs MA vs MD power struggle

    djmatte replied to Ria21's topic in Nurse Practitioners, NP

    All of those are tasks that fall under a mid-levels (or MDs) purview. Those are tasks an RN really can't do. Those are specific tasks that you can bill for. But the things noted here are ancillary...

  3. For Primary Care, can an NP ever be as skilled as an MD?

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

    Few to No NPs in any climate will be *happy* to make 80 to 100k. By the time the next generation is in this spot cost of living alone will make this career financially worthless if pay goes down like...

  4. For Primary Care, can an NP ever be as skilled as an MD?

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

    Lower costs except that most np organizations are doing more than fighting for expanded practice. They're fighting for equal pay for equal/similar work. Which means in the long game we won't be...

  5. Navy or Air Force nurse and religious beliefs honored?

    djmatte replied to Crsumanti's topic in Government, Military

    I recall in basic training accommodations being made for a range of religions. But that was on the enlisted side in a situation where your life was easily regulated and therefore accommodations could...

  6. NP vs MA vs MD power struggle

    djmatte replied to Ria21's topic in Nurse Practitioners, NP

    When you say "see patients with the doctors", what exactly do you mean? Are you seeing the same patients in conjunction with them or are you seeing and charting your own case

  7. NP vs MA vs MD power struggle

    djmatte replied to Ria21's topic in Nurse Practitioners, NP

    I'd say explaining what you *should* do is part of it. At the end of the day, you are a revenue generator and not support staff. Anything you do that doesn't involve seeing patients is revenue loss...

  8. Epic Provider Tips and Tricks

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

    Order preferences were always a huge help for me. Especially on the favorites side of the

  9. Epic Provider Tips and Tricks

    djmatte posted a topic in Nurse Practitioners, NP

    I am starting this thread as a spot for provider level NPs to share tips and tricks in using epic. Things like smart phrases, lists, or other things we are doing to make our lives easier as we...

  10. Elevated H/H, very low Folic Acid/B12

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

    Definitely remember smokers can have an elevated

  11. Epic Provider Tips and Tricks

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

    So after thinking about it, I decided to check out other smart lists that I knew were doing this. Turns out there is an option to separate options by "and", "or", "sentence", "paragraph", etc....

  12. Credentialing as FNP

    djmatte replied to HhnurseNP's topic in Advanced Practice

    They won't give you the official results until the official transcripts are sent. So that card verifying you passed and are certified is held until then. My school had a final class that was...

  13. Epic Provider Tips and Tricks

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

    Sweet. I'll play around with it sometime today. We can create smart lists where you can choose one or multiple options from a menu. But as I noted they all show up in a single paragraph vs separating...

  14. PMHNP prescribing questions

    djmatte replied to Joebird21's topic in Nurse Practitioners, NP

    You don't need more of us to get access to someone who can easily collaborate with you and get patients on appropriate meds and effectively monitor the patient. We on the other hand don't have the...

  15. PMHNP prescribing questions

    djmatte replied to Joebird21's topic in Nurse Practitioners, NP

    I think most would if presented to them in a collaborative manner. especially if they started to see things like a1c start to go up. I see this often in notes sent to us indicating the plans they...

  16. FY 20 Navy Nurse

    djmatte replied to Nels605's topic in Government, Military

    New numbers can't come fast enough. Finished my package just before they pulled all the np billets last year. Told my recruiter if it doesn't happen this year I'll be into other

  17. Safety of Indian Health Reservation job?

    djmatte replied to nurselove757's topic in Nurse Practitioners, NP

    So. Much.

  18. where and how can i learn to do a pelvic exam

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

    Debatable. I question why an ANP doesn't feel confident in the first place. They are technically qualified to treat patients who are 13 and above. This includes a range of primary care and women's...

  19. Oversupply of Nurse Practitioners

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

    Everytime my wife says she wants to Florida, I remind her it would be career suicide for me. It's one of the few states I would only move to of it granted full practice authority. Passed that no...

  20. FY 19 Navy Nursing

    djmatte replied to LvLI-ICU28's topic in Government, Military

    That 6 year Ascension bonus is certainly interesting. Just need the to open the spots back

  21. Discharge due to non-compliance?

    djmatte replied to nurselove757's topic in Nurse Practitioners, NP

    Comes down to company policy. If the company determines they don't want to keep patients for whatever bar of compliance they want, that's their call. If you are operating more independently and see...

  22. New Grad NP feeling Overwhelmed, Scared

    djmatte replied to dolgre411's topic in Nurse Practitioners, NP

    Our school had hour limitations and minimums. No more than 40 a week. But by all appearances the op is wanting to do it outside the regular semesters which would place the legalities on the

  23. Seeking job hunt advice; new grad FNP

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

    What part of

  24. FNP pay, splitting reimbursements from insurance?

    djmatte replied to lovely07's topic in Advanced Practice

    If I was a new provider at a practice, I'd never work per patient. I would need a higher percentage unless there were factors like health insurance, malpractice, cost of ma/facilities,

  25. What's your best "podcast" for increasing your knowledge base especially for PMHNP. Here's mine...

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

    I'm actually a big fan of doctor radio. There's a broad mix of topics and most of the hosts are well