djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Low Salary @ the VA as NP

    There's layers of "correct". That 60k may be result of NPs falling under the nursing pay system. Odds are the pay would be higher especially if not currently a VA employee. Now on your situation,...
  2. Prescribing Medical Marijuana

    Here are the points that stick out and reinforce that there is still too much anecdote surrounding the issue. "Few of these studies, though, followed a controlled clinical trial. This is considered...
  3. Work-life balance?

    What charting system? We are on epic and setting up my own smart phrases cuts back on my charting tremendously. In a year, I've made 86 that I can easily access in a manner that cuts back time. I've...
  4. You could probably get away with ANP or FNP. FNP would give you better access to peds who do have their fair share of derm issues such as eczema. But might be fine with ANP. What I would suggest is...
  5. Acute Care vs FNP, advice needed please

    Didn't your state nursing organization in Ohio adopt the consensus model? Meaning only ACNPs can work in an inpatient hospital role and mandate inpatient FNPs add
  6. NP Wikipedia Article

    Why the hell are you even here if what you read is nothing more than mid level propaganda? You hear there's some great need for more physician oversight by the same lobbying bodies that are trying to...
  7. NP Wikipedia Article

    Possibly compared because they are the comparable part of the profession that is actually seen at the bed side regularly Who are actually writing the notes and developing plans. Not just tagging a...
  8. NP Wikipedia Article

    #golfclap
  9. Exploding Demand for Family Nurse Practitioners

    Please place this in the np student section where it
  10. NP Wikipedia Article

    First point misleading and "few" is perspective. Point two...a physician is a physician after four years of medical school whether they go for an additional 3 years for residency or not. They can in...
  11. Interested in Oncology nursing

    The fact that direct entry acute care tracks exist is concerning and a huge disappointment. Regardless of your end goals, you absolutely should work as an RN in acute care before going into an acnp...
  12. RN vs NP Quality of Life

    Most of my answer depends on what aspect of nursing we're comparing to and how we interpret quality of life. Compared to my years as a pre-op/pacu RN, it's a vast improvement because my role as a...
  13. Interestingly enough I've never dealt with this yet in over a year of practice. But generally I'm professional in every interaction, treat them exactly how they deserve as a patient, and am Frank in...
  14. Is getting your DNP worth it?

    Different states have different requirements on titles in specific settings. In some, only medical doctors can use that title in the clinical setting regardless of you as an np are doctorate...
  15. Will you get your DNP

    Be careful the. The VA does pay more for for a DNP if you have it upon hire. If you get it after the fact, you are at the mercy of their internal promotion system where you not only have to have the...
  16. Middle Tennessee has no Midlevel jobs

    I had her for my OB/GYN/WH rotation. I can't remember for sure though if she was an FNP working at a OB/GYN center or a
  17. Middle Tennessee has no Midlevel jobs

    It's crazy because one of my former preceptors just moved there. She got tired of Winters up north and made the move because she was seeing chatter about a good job situation there. 20 years...
  18. NP Salaries

    PC. No acnp school worth their salt would accept an RN without
  19. Why did you become a NP?

    I can't say my place is all bad. The providers looking to make changes out number tho ones who don't. And the owners of the practice who started doing this 35ish years ago are seeing much fewer...
  20. I have made a complaint against an NP

    Clearly you're just jealous. /Sarcasm On an aside, I can recognize the importance of stopping drugs where there are physiologic reasons. Eg renal or liver failure or concerning lab abnormality. But...
  21. Why did you become a NP?

    Man I wish Triptans were the worst of my problems. Try that 60 year old on 90 Norco a month for *insert ailments of the day* and 60 Xanax to boot. While I've gotten good at convincing to deescalate,...
  22. Diploma Mill DNP Programs are a problem?

    Maybe some qualifiers on the original post should have noted to validate who it benefits. It's absolutely valuable to those who work for institutions who value the degree. But to most clinicians who...
  23. Diploma Mill DNP Programs are a problem?

    DNP in and of itself is a problem. The fact that it has no clinical value only allows certain online institutions the opportunity to take advantage of it and flourish. But neither online or brick and...
  24. MAT program

    People offer positions all the time because to many employers an np is an np is an np. But there are real liabilities to consider with how you are trained to the job you plan to do. It wouldn't take...
  25. MAT program

    You asked if as an acnp is out of their scope in an out patient drug treatment practice. I supplied reasons why you might be depending on the state and local rules. Buprenorphine and other long term...