djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Vaccine controversy

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

    There are successful methods when pandemics hit. Emotion has a funny way of swinging back when everyone around you is suddenly falling victim to vaccine preventable diseases. Maybe we should just pull...

  2. Opiates Are Not for All Pain

    djmatte replied to soliantony's topic in Advanced Practice

    Most assumptions were related to as you pointed out the limited information provided. But most of its see these issues so regularly, it's easy to validate the OP concerns and thoughts about what is...

  3. VENT- Entitlement gone amok

    djmatte replied to AngelfireRN's topic in Advanced Practice

    Doesn't look like any personal info was shared and judging by the fact that the op owns the clinic, I'm sure the risk has been calculated. Man do I wish I ram my own show to lock doors a half hour...

  4. Thoughts on doctors and management styles

    djmatte replied to SoundofMusic's topic in Advanced Practice

    My first thought is "how young are you?" I'm not going to validate or invalidate how you "feel"about your job or your feelings of value as an employee, but I find it strange that you are inclined to...

  5. My Pain clinic was raided by DEA

    djmatte replied to linevasel's topic in Advanced Practice

    The above nailed all the answers you need. And this reinforces the real necessity to protect yourself at all costs. If you aren't actively searching and utilizing all tools at your disposal, showing...

  6. FY 19 Navy Nursing

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

    Official medically cleared. Woohoo! Now comes credentialing. I believe all of my information had been turned in. I remember my recruiter talking about some form of interview process. Anyone hear...

  7. Please help!!! New NP Dilemma :(

    djmatte replied to ColumbiaNP's topic in Advanced Practice

    Protect your license and only write prescriptions for patients you personally see and have a relationship with. Next, only write scripts you can professionally justify in a note with a clear...

  8. Opiates Are Not for All Pain

    djmatte replied to soliantony's topic in Advanced Practice

    You'll get it when that opiate you prescribe causes respiratory depression/hospitalization/death and the family sues you over it. People who think we are "under treating" aren't inheriting or forced...

  9. Opiates Are Not for All Pain

    djmatte replied to soliantony's topic in Advanced Practice

    A topic worthy of its own discussion I'm

  10. Opiates Are Not for All Pain

    djmatte replied to soliantony's topic in Advanced Practice

    Quoting for posterity. Prescribe what you're comfortable with and what you feel your license can risk. 90 is pushing it for opiate therapy and I'd argue gabapentin may be tough as well. How she isn't...

  11. NP Jobs still looking pretty good.

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

    If memory serves, you are a PMHNP? Which the discrepancy in your case of pay on what you could make to what they pay isn't shocking. The VA is pretty notorious for grouping people and to them, an NP...

  12. Please Help!!! New NP Dilemma

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

    What you needed first and foremost is an office policy and operating structures regarding pain medication administration. First and foremost, having an honest discussion about expectations pre...

  13. Patients who don't meet inpatient status

    djmatte replied to smalltownNP's topic in Advanced Practice

    I thought you said the SoA resolved and she dropped 12#s with the lasix drip? Once that's clear and without any other lab elevations, not sure the benefit of keeping her

  14. Is being a pediatric NP easier?

    djmatte replied to Guest1059175's topic in Student Nurse Practitioner

    Imo no. Peds imo have their own unique assessment and treatment hurdles. While adults can be more complex, even with their complexities their management is more cut and dry. Peds you can't use...

  15. FNP program passing grade

    djmatte replied to Guest1059175's topic in Student Nurse Practitioner

    Frontier had two passing requirements. Needed an 80% to pass the class and also had an exam average of 80%. So if your exam average was 79.9%, you fail even if you write an awesome paper or had an...

  16. NP Jobs still looking pretty good.

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

    I know one opportunity in Redding was offering me 110k. I'm not from Cali so can't speak to the affordability of the region, but have family there who love the

  17. Patients who don't meet inpatient status

    djmatte replied to smalltownNP's topic in Advanced Practice

    Hospital/insurance policies I'd imagine. If the patients symptoms were relieved by a lasix gtt, then there's no need to keep her. Incidentally I was just at a conference that was advocating for...

  18. NP Jobs still looking pretty good.

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

    there is typically a mix of the job requirement to the experience/degree level of the provider. When I worked at the VA in Michigan as an RN, my salary range started at 68k when the scale was 49-89k....

  19. Shockingly low NP pay !

    djmatte replied to Jm0136's topic in Nurse Practitioners, NP

    Why do people talk around these notorious for profit schools here? They always mention things they hear or see, but never call the school out by

  20. NP Jobs still looking pretty good.

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

    Please note the actual pay scale there is Salary $87,003 to $151,354 per year. While there's a vague possibility that a np could hit the lower end, most people start somewhere in the middle. Also...

  21. Can I take ANCC boards with an action against my RN license?

    djmatte replied to jordans's topic in Advanced Practice

    Exactly. Your ability to certify has no correlation on your ability to get licensed. States control that

  22. Who will do CNS role?

    djmatte replied to anewsns's topic in Advanced Practice

    Even when a cns role is confusing to some, the role/rationale confusion of a CNL makes my brain

  23. NP Jobs still looking pretty good.

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

    To be fair, while I generally agree, the bulk of what I see in primary care is diabetes, htn, and a range of diseases that cross those lines. 60% of my patients there is a clear discussion about...

  24. Pain patients being denied their medication!

    djmatte replied to hppygr8ful's topic in Pain Management

    I don't criticize patients (and note I never did here). But I will criticize poor prescribing practices all day till

  25. Who will do CNS role?

    djmatte replied to anewsns's topic in Advanced Practice

    The CNSs I've had the privilege of working were experts in and champions of important hospital agendas that were paramount in improving patient outcomes. They lead initiatives that managers were too...