djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Carrer options for an AP RN?

    djmatte replied to njxcrush18's topic in Advanced Practice

    I started in pacu and you just rattled off all the reasons I didn't want to be a crna. So many colleagues and crna's I worked with encouraged it

  2. Is this a lowball offer?

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

    Or office does a flat fee based on the patient visit if you choose to take that option. Though they tier it based on billing code. 213 to 215 are range from 25 to 30 PPT. New PT visits and annual...

  3. VA PACT RN vs Nurse Manager

    djmatte replied to JerseyGirl1213's topic in Government, Military

    While pact jobs can vary with clinic, the general idea is to alleviate provider load in a team environment. With my VA, the RN is responsible for care management of patients with chronic illnesses....

  4. Help- Minute Clinic or Planned Parenthood?

    djmatte replied to Stephgriffin6's topic in Nurse Practitioners, NP

    Your lack of education, understanding, and empathy clearly demonstrates

  5. Help- Minute Clinic or Planned Parenthood?

    djmatte replied to Stephgriffin6's topic in Nurse Practitioners, NP

    Seriously?! How about anyone who appreciates providing adequate access to healthcare?! For many, pp does far more than gyn and abortion services. For some, it's their only form of primary care. For a...

  6. Providers supposedly under prescribing

    djmatte posted a topic in Nurse Practitioners, NP

    https://www.usatoday.com/story/news/health/2019/04/24/opioid-pain-pills-crackdown-doctors-prescriptions-cdc-fda/3562373002/ Read through this the other day. What's everyone's thoughts on the opioid...

  7. FNP Air force loan repayment

    djmatte replied to nursebee1703's topic in Nurse Practitioners, NP

    If you are a reservist you could qualify. But not if you're a civilian employee working on a reserve

  8. Social media... Are you using this tool?

    djmatte posted a topic in Nurse Practitioners, NP

    Just thought I'd check here to see who if any one in advance practice is utilizing social media professionally? As a later gen x type, I've generally embraced it personally in small doses. ie...

  9. Applying for VA from NY to Seattle

    djmatte replied to babi517's topic in Nurse Practitioners, NP

    VA only requires a license within the US. The benefit is you can work at any VA location without transferring

  10. Clinical Question - What to say if you think a patient is dying?

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

    I have eol discussions with anyone who has a chronic illness who is in multiple stages of decline. Sometimes they are heading that direction while others suddenly turn a corner and get a second...

  11. How much did NP school prepare you?

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

    There is certainly a liability risk. Most schools won't allow you to work outside of their parameters because they don't just evaluate progress. They also check on safety of your practice which they...

  12. Does your EMR make you crazy?

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

    What's funny about epic is how much is in there but gate kept. Under our hpi, there's a forms tab for documenting. Mostly only useful for letting the chart help you code at the end. It will...

  13. Does your EMR make you crazy?

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

    Checked the usual places. Raised the question with our operations director. They removed the feature from our build during recent updates. Told me they would have it back in place by Tuesday...

  14. Does your EMR make you crazy?

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

    Our epic just randomly got rid of our results review tab yesterday. Been racking my brain to efficiently compare lab results with previous ones. Results review was super easy to search and scroll...

  15. APRN Dual Certifications Benefits?

    djmatte replied to N10SVFNP's topic in Advanced Practice

    I do think the biggest disservice we give both ourselves and the medical community is by fracturing NPs and in specialization. They do need to broaden NP education to be more encompassing. It would...

  16. Army or Airforce as ADN?

    djmatte replied to sk123's topic in Government, Military

    I can't speak to the army. But air force won't accept you as an

  17. FY 19 Navy Nursing

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

    They had slots last year and had about 6-8 this year. But across services, they are moving some jobs to civilian federal control as well as many hospitals. This year they unexpectedly pulled all...

  18. APRN Dual Certifications Benefits?

    djmatte replied to N10SVFNP's topic in Advanced Practice

    Only scenario I feel is worth it. Most people don't have the ambition to own their own clinics and the majority of states there are still huge hurdles to own

  19. FY 19 Navy Nursing

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

    Actively working as an fnp in family medicine is crucial. And not just prior experience. I was considering a new job in recent months while we await jobs to reopen. Even though I cleared...

  20. APRN Dual Certifications Benefits?

    djmatte replied to N10SVFNP's topic in Advanced Practice

    Exactly. There are ways to do both. But in the end the necessity to keep up two certs plus cost/cme time will be annoying. In a clinic where you aren't itemizing your billing or seeing specific days...

  21. Scope of Practice

    djmatte replied to CentralNJ's topic in Advanced Practice

    Ah I missed that part. My apologies about that as I presumed you were looking into it versus checking out someone else's credentialing path. Not angry. But annoyed when I hear about FNPs working...

  22. Scope of Practice

    djmatte replied to CentralNJ's topic in Advanced Practice

    Sorry but your "friend" is an idiot. Anybody worth their salt doing these procedures would take their time to get pain certified. "Stones and glass houses"?! Do you actually think about these...

  23. Scope of Practice

    djmatte replied to CentralNJ's topic in Advanced Practice

    That's the frightening thing. We have no formal training in a large array of medical procedures. Yet by simple "difference of opinion", some are under the impression in absence of official...

  24. Scope of Practice

    djmatte replied to CentralNJ's topic in Advanced Practice

    These are procedures that are performed by board certified pain medicine doctors. Typically anesthesia trained, pain trained, or both. As an FNP, you are about as far away from this world as you can...

  25. Best Medical App?

    djmatte replied to RN-ing's topic in Advanced Practice

    Imo the fastest and most concise I've used in a clinical environment is 5 minute clinical consult. I like up to date, but find you can get too into the weeds when you need something quick. I wish I...