djmatte ADN, MSN, RN, NP

Decent education isn't expensive. Comparatively, convenient education is more expensive. And unfortunately the for profit convenience warehouses are pumping out thousands a year which becomes a huge source of income for our regulating bodies. They se...

first off you lost your petitioning credibility when your stopped being a nurse and decided to become a doctor. We thankfully govern ourselves in most states. We can't get our governing bodies to mandate guaranteed clinical rotations. At the ...

The title adds context for sure. And at the end of the day it's still trolling behavior that this profession neither needs nor appreciates. I'm sure there are plenty of doctor forums eagerly awaiting to par you on the back for jumping ship.

When you do that on a forum for nurses and nurse practitioners, it's the definition of trolling.

Perspective is fine until it gets to the point of unsolicited "advice" and putting down of our chosen profession. Which has been done here in the past. We don't invite doctors to openly talk down to us. But because this person used to be a nurse the...

Are you taking hospital or clinic residency?

Nothing odd about it. It's the same system that supported you before you decided you felt you were better than our chosen career. Maybe there's a good doctor from you can go bury your woes in the state of medical affairs. I hear r/noctor may be more ...

APRN "residencies" aren't that in the classic sense. Most of them are taking a pay cut for a more educational and therefore lighter schedule. But I'm fairly certain they are still billing as providers as they have their license at that time. At the e...

Despite our realistic views of our profession, why are you still here? Still enjoy slumming it with the less thans or just can't quite fit in with your new crowd? We're here to push and promote our own profession. Clearly you haven't displayed the ...

We're arguable already there.

It's a mixed bag. I think most want tighter standards/expectations. But Heaven forbid we challenge the quality of someone's questionable school or education quality out of mills that see thousands of graduates annually in a single field. Those thousa...

Billing on time IMO is a slippery slope, but it's becoming the norm. The point of it is to allow for the flexibility to Bill for that random patient they turned into a 40 minute visit despite the patient not being super complex from a diagnosis persp...

DNP if you have any inkling to teach at the collegiate level. Past that, there is zero benefits for clinical practice. You don't command more pay nor reimbursement.

Not psych. That’s why I’m asking the question. But also curious based on how patient visits are set up. In primary care, most of us are seeing 15-20 in appointments. Many people do charges for time. While newer roles allow it, I generally question th...

Genesis is essentially a different version of powerchart. I actually find it superior to epic because they take smart phrases to a different level. Where epic relegated them to dot phrases, Genesis allows any combination of letters or punctuation to ...

How do you charge for both? What do your appointment times look like? Sounds borderline fraudulent.

EHRs can be a double edged sword. They’re really only as good as the information they collect and grant access to. Unfortunately that data can be vast and can even hit a point of negative gains. Many of these newer systems could be exceptionally intu...

I valued my ability to choose. Albeit my school hassle a profound list of providers in every state they had an active contract with our previously worked with in the past. All of them vetted with site visits before and during clinical rotations. When...

In my opinion.

IMO clinical placement can be a double edged sword. It’s helpful to the students but even if poor quality schools started doing it, I wouldn’t trust the quality of their choices. They’ve already proven inept at validating choices students are doing o...

Probably helps to gauge appropriate pay. If you know what they’re bringing in, you know what you can ask for.

I’m presuming you don’t Bill by time. You Bill by complexity. You will also add a S9088/3 if non-Medicare and CPT code for any procedures. In primary care, we can more easily Bill for time on any pre charting or chart evaluation before or afte...

If you actually read that article, then you’re just being intentionally obtuse. (Note the one about the Virginia republicans awarding a doctor for his “courageous treatment”. That’s the political garbage. That is where this got political. I just poin...

The problem I think many have is that the resume is exceptionally subjective in what is considered “correct” or “appropriate” (both in formatting and included information). What I as the writer might understand as applicable may not be the same for t...

The only “lawmakers” calling this “his ‘courageous’ treatment of critically ill COVID-19 patients” are far right wing nut Republican hacks. Completely politicized by republicans trying to stand out in a party who has completely lost its way. A...