djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. FNPagnpFNPFNP....no it's AGNP

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

    I will say that many physicians really don't know or understand the differences in np training. They likely have encountered fnps more commonly in the past and it's just a bad habit. You are good to...

  2. FNPagnpFNPFNP....no it's AGNP

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

    The consensus model has nothing to do with advocating for or against specific specialties. It advocates for ensuring specialties are working within the parameters of their respective training....

  3. My future is muddy

    djmatte replied to friendlylark's topic in Student Nurse Practitioner

    The simple answer to this question is Yes. Advancing your career is absolutely more stress and because of that, in most cases it is justifiably more money. Equally, how you manage that stress will...

  4. What made your first year of NP difficult?

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

    I spent most of my career working in Peri-Op settings (preop and PACU). Last two years while finishing school, I was an in patient pain

  5. Head hunters be like...

    djmatte posted a topic in Nurse Practitioners, NP

    Pretty much nails the bulk of emails I get from a range of

  6. Head hunters be like...

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

    It is frightening the amount of RN positions I get when my resume and every online profile clearly says I'm a

  7. Question About Working For The VA

    djmatte replied to WinterWolf90's topic in Nurse Practitioners, NP

    Generally no. To work at the VA as a nurse in any capacity, you need to be licensed in any state in the US. There may be situations where there is a need to relocate your license, but I have never...

  8. Duke NP graduates.... worth it?

    djmatte replied to StephaAnn's topic in Student Nurse Practitioner

    I generally have a less than favorable opinion on most nursing schools in regards to them being a "big name". Specifically at the nursing entry level where I see University of Michigan graduates...

  9. What is acceptable?

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

    I can't speak to not having a MA as being "unsafe". I can't think of a single task that an MA does that can't be done safely by a clinician. More like unprofessional, inefficient, or unsustainable...

  10. Can I work with specialist as FNP or should I pursue AGNP

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

    No. But it might beat out an agnp in primary care or urgent care that needs someone who covers the life span. I could be mistaken, but I'm under the impression they were wondering about more...

  11. Commute to your job?

    djmatte replied to Power2020's topic in Nurse Practitioners, NP

    I'm down 50 pounds this year from diet alone. Since then, I've found a new appreciation for cardiovascular exercise and prefer to set an example for my patients. If I'm talking to them about...

  12. Commute to your job?

    djmatte replied to Power2020's topic in Nurse Practitioners, NP

    I commute about 40 minutes. I live in a city, so while everyone's coming here, I have mostly easy traffic during rush hour going the opposite direction. I work 9 to 5. Am up every morning at 5am for...

  13. Need help deciding between job offers

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

    As a new grad, I wouldn't want to float. I would want to be in a position where I can develop steadily and get a solid patient panel. 2 per hour is a dream by most primary care standards. But...

  14. What did you wish you knew as a new grad NP?

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

    5 minute clinical consult has been a great resource for me. I adopt A lot of their plan info into my notes. Easy to quickly reference. Also use lexicomp for medication reference and have this...

  15. Acute Care Nurse Practitioner residency/fellowship

    djmatte replied to buttercup9's topic in Nurse Practitioners, NP

    I generally encourage residency for anyone who can stomach the pay cut. (Though the ones I've looked into paid 75k which is right about what I made as an RN) I think in today's environment, it...

  16. FY 19 Navy Nursing

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

    Found out the other day my credentialing cleared. One more interview and the package should be done. Then we wait to see if and when new fnp billets drop. Meantime, I have contract discussions...

  17. New work pay formats

    djmatte posted a topic in Nurse Practitioners, NP

    My place of employment is going to be rolling out new pay schedules and is already trying some with a few providers. They are essentially going with a bonus structure RVU model with three different...

  18. New work pay formats

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

    Here are the per visit pay outs if you did tier 2: 99212: $23.00 99213: $25.00 99214: $27.00 99215: $30.00 99391-99393: $19.75 99203: $32.00 G0439, 99394-99396: $32.00 Hospital Follow Up/TOC:...

  19. New work pay formats

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

    If memory serves, the rough numbers were overhead of $240,000 was for option 1. 4800 patients a year on option 3, though those numbers change as they factor in their cost estimates on your...

  20. Oversupply of Nurse Practitioners

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

    The majority that are in deep debt I found were RNs who took loans for RN school, quickly moved on to NP school and loaded them across. I met one who during clinical who was having to pay each of her...

  21. Oversupply of Nurse Practitioners

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

    I will say this, she has the luxury of hanging her own shingle where in most states an NP will need a collaborator for the foreseeable future. Even in states where there's truly independent...

  22. Any graduate or current student @ Univ of Phoenix MS FNP program

    djmatte replied to aiker31's topic in Student Nurse Practitioner

    For the record and despite it's "accreditation", it has always been the laughing stock of most higher education. It literally set the standard of modern pay-for-degrees. I'd even go so far as to...

  23. Any graduate or current student @ Univ of Phoenix MS FNP program

    djmatte replied to aiker31's topic in Student Nurse Practitioner

    Can't speak for the school specific questions, but if you want anyone to take you serious as a professional and provider, I'd change my attention elsewhere. You will struggle to find clinicals and I...

  24. Can I work with specialist as FNP or should I pursue AGNP

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

    If you don't want to work with peds or wh, then absolutely go agnp. Not gonna lie, but there's few things more frustrating in clinical practice where people start throwing down what populations they...

  25. Can I work with specialist as FNP or should I pursue AGNP

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

    AGNP won't be better or worse than an FNP education. There's nothing about either that would be inhibitory to working in a specialty. The only concern is with specialties that require hospital work....