djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Oversupply of Nurse Practitioners

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

    It's hard to clarify why many pursue fnp over other options, but for many it's the most appropriate option for RNs. Especially those who don't wish to work in a hospital. Specialty nursing by and...

  2. Internal Medicine vs specialty (pain management)

    djmatte replied to islandsyndrome's topic in Advanced Practice

    Internal medicine all day every day. Not eager to top out on the Michigan top prescribers of opiates

  3. Gave up DNP

    djmatte replied to LookForward's topic in Advanced Practice

    Not about being bitter. But the reality is the degree forces prospective NPs to shell out more money for letters that neither increases their expertise, nor more adequately prepares them for...

  4. First Job, Unsure of Role

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

    My first inclination is to get the MA and get those numbers up fast. But on that note, if they're really wanting you to do things without an MA and they feel you only going 5 patients a day for the...

  5. CCNE Releases New Standards

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

    Exactly. I know it was tough finding preceptors and when it got down to the wire, my RCF managed to find me three in key spots. While I'll admit, the process can improve, I do think the school does...

  6. Surgical NP

    djmatte replied to Alicia777's topic in Nurse Practitioners, NP

    Generally I'd say no. If you're interested in working in surgery as an np, your best bet is acute care

  7. CCNE Releases New Standards

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

    I'm not a Walden supporter... But they still have the "Defacto" badge regardless. I went to frontier. The only mark they don't make on this standard is in finding a clinical site. But their record...

  8. CCNE Releases New Standards

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

    Be careful what you describe as "second rate". Particularly when the "rate" was set well before CCNE is adopting these new standards and they are part in parcel responsible for the predicament the...

  9. CCNE Releases New Standards

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

    It's been my experience that these organizations use the time before mandate to allow schools the option (some were likely prepping on the old system) while the new requirements only becoming...

  10. Domestic violence

    djmatte replied to ehcaseyAPRN's topic in Advanced Practice

    It certainly isn't an absolute. But I do try to mix it up as best as possible. I have seen instances where people open up more without a spouse there and equally some where spouses volunteered...

  11. Domestic violence

    djmatte replied to ehcaseyAPRN's topic in Advanced Practice

    You treat him like a completely independent person as of the two never knew each other. You screen him for the things you should screen for and treat the conditions he needs treatment for. You don't...

  12. Oversupply of Nurse Practitioners

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

    While I appreciate your experience and perspective, I did disagree with some of your anecdote and comparisons. You do work in acute care and probably do see a slew of NPs from a range of colleges and...

  13. Oversupply of Nurse Practitioners

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

    What exactly are your credentials that are criticizing the backdrop of online NP education? Are you an NP? Have you ever gone through an NP clinical? Because I have worked in clinical rotations that...

  14. Oversupply of Nurse Practitioners

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

    Exactly. I went to frontier and had a broad range of "in class" requirements that were far more involved than simple self study. Topped with in person check offs before we were allowed to start...

  15. FNP working in acute care

    djmatte replied to npmm's topic in Advanced Practice

    Be careful what you presume about grandfathering. Because Ohio is going to that model on a hard line and isn't grandfathering

  16. MA training problems

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

    Sadly one of our locations, the ma is a free for all and they act as a pool. Everyone shares. They room after the patient is marked here. anything we need is marked on a board and we pray someone...

  17. FNP and hospital rounding

    djmatte replied to algae1492's topic in Nurse Practitioners, NP

    1) Depends on the state and whether they follow the Consensus model. 2) If they follow the consensus model, FNPs would only be limited to clinic duty...no hospital rounding or privileges. 3) Depends...

  18. Acute Care Nurse Practitioner (ACNP)

    djmatte replied to theturk90's topic in Student Nurse Practitioner

    Best bet is to contact the school directly as each will have their own definition or entrance

  19. Working with transgender in primary care

    djmatte posted a topic in Nurse Practitioners, NP

    At the practice in which I work, there is a patient who is transgender (female to male). The patient had gone to a regional health system in the past for testosterone, but is unable to travel that...

  20. Working with transgender in primary care

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

    The problem we've run into is that no endocrinologist in the region will take the case because they are all Muslim and don't agree with it (all referrals have done this route sadly) University of...

  21. FNP working in acute care

    djmatte replied to npmm's topic in Advanced Practice

    While you technically can provided the hospital and the state bon had no restrictions on it, it is increasingly frowned upon. As an FNP, your training and even your boards don't certify you to work...

  22. Do FNP's really make 80k to 90k a year?

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

    I don't discount that the possibility is that healthcare workers aren't paid as much. But when I see an RN clears 45k (starting) and an NP clears 80-85k (likely starting), that is an appropriate pay...

  23. FNP to PA?

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

    To be more positive, I would honestly focus on primary care to get your feet wet and to really hone your practice. While primary care certainly is broader, it's a good option to get used to clinic...

  24. FNP to PA?

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

    Few people qualify for this. And going forward as consensus model becomes more standard, fewer states will let an fnp near a hospital regardless of RN background. but that is a whole other

  25. Do FNP's really make 80k to 90k a year?

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

    Regional cost of living is often a factor in