djmatte

djmatte ADN, MSN, RN, NP

Member

  • Content

    1,248

  • Visitors

    11,973

  • Followers

    3

  • Likes

    961

All Content by djmatte

  1. FNP to PA?

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

    Debatable, but possibly. My pain management and RN experience came in handy landing my first job. Being able to talk to it in the context of problems primary care providers are experiencing with the...

  2. NP Commission Pay

    djmatte replied to npjuju's topic in Advanced Practice

    Absolutely. Though I would contest that new NPs are entering a role as a provider they never experienced before outside of clinical rotations. A board certified physician had years after med school...

  3. Iffy Patient Education on Hypertension

    djmatte replied to Lady_Leijing's topic in General Nursing

    I wake up every morning and check my bp where I am technically "fasting" and this is when its lowest. Never heard of fasting increasing blood pressure, but I imagine profound fasting (or any states...

  4. Verifying Medications in PACU

    djmatte replied to kevinjen2's topic in PACU

    We always have override authority on specific drugs that are Pacu specific. But if there was something pressing like pain, I used to just petition the CRNA to cover it during

  5. NP Commission Pay

    djmatte replied to npjuju's topic in Advanced Practice

    True. But I don't consider a NP fresh out of school near comparable. That's why I advocate for mandatory residencies. An np with a 1-2 year active residency could easily operate to the top of (or...

  6. NP Commission Pay

    djmatte replied to npjuju's topic in Advanced Practice

    I don't know if I'd call it dumbing down. I think it's dealing with reality. A newly minted physician couldn't work a full load out the gate. Sure they are capable of practicing medicine. But...

  7. NP Commission Pay

    djmatte replied to npjuju's topic in Advanced Practice

    I don't disagree that it is practice dependent. But we go on and on here about the quality of nursing education and the reality that brew NPs aren't prepared well enough. We also frequently hit home...

  8. NP Commission Pay

    djmatte replied to npjuju's topic in Advanced Practice

    The only concern I'd have is being both a new grad and new employee. This works against you from two avenues.... Establishing yourself as a competent and efficient provider as well as building your...

  9. ACNP and Phmnp

    djmatte replied to TelemetrytoBSN's topic in Student Nurse Practitioner

    Not bashing. Just explaining to you the realities of care. Those physicians who can dual board easily operate in both capacities and in many cases can keep up competencies easier. They also can bill...

  10. ACNP and Phmnp

    djmatte replied to TelemetrytoBSN's topic in Student Nurse Practitioner

    I'd argue against this when it comes to psych just as where acute care (justifiably) mandates inpatient experience to get in at most schools. Psych nursing absolutely prepares you by seeing and...

  11. ACNP and Phmnp

    djmatte replied to TelemetrytoBSN's topic in Student Nurse Practitioner

    At this moment and the foreseeable future, you are rarely gonna find ACNP our pmhnp jobs scarce. They're among the two fields significantly low in numbers and as consensus model goals become...

  12. ACNP and Phmnp

    djmatte replied to TelemetrytoBSN's topic in Student Nurse Practitioner

    The reality is you are rarely paid as an np with multiple certs to perform both roles. Most will perform in one or the other at a time. Yes the multiple certs broadens your knowledge, but keeping...

  13. ACNP and Phmnp

    djmatte replied to TelemetrytoBSN's topic in Student Nurse Practitioner

    I wouldn't go for that combination and given the nature of care and billing I would never dual cert. Pick one and go for it. Because you'll rarely find a situation where both are utilized and...

  14. Read my story and tell me if I should become an NP.

    djmatte replied to RomaniGypsy's topic in Student Nurse Practitioner

    Too many points or questions to realistically answer. So I will keep this simple. Find something in life that you can live happily and comfortably with. Set up a plan of attack. Then do it. With...

  15. New York/Collaborative Practice Law

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

    A quick Google search found me this: Many NPs work for 2 or more health care providers or at a facility with patients who are being cared for by several different physicians. SED does not necessarily...

  16. Np calling in an Rx?

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

    Michigan we have electronic options(at least using epic). Requires a pass code for verification and a second identifier through a personal cell phone. I can actually validate a script off my Apple...

  17. First Job, Unsure of Role

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

    I would probably not comment on their communication skills at lunch. I would be appreciative of the opportunity and talk up your ambitions for patient care and improving the clinic by what an APRN...

  18. First job woes

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

    Not always the case even with non-union. Hospitals have operating budgets. At least two of the four systems I've worked only based pay on experience and didn't budge in

  19. Working with transgender in primary care

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

    Found that after I posted here. Looked legit, but didn't want to blindly take information from a Google search. Still interested in others experiences though.

  20. My first contract!

    djmatte replied to ddzdenise23's topic in Nurse Practitioners, NP

    Sounds like you countered with exactly what I would have. Pain experience even as an rn is huge. Also knowing Spanish can be worth that part bump alone in some parts of the country. They will likely...

  21. Terminal diagnosis

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

    This is a case in point on why I emphasize on telling my patients lab results I'm aware of even if I didn't order them. No you are not at fault for them failing to make their appointment, but as...

  22. How many years of experience necessary to be psych NP?

    djmatte replied to lakekio12's topic in Nurse Practitioners, NP

    I'm not a psych np, but judging be what I read here it would probably be good to get at least a year in a good psych unit that can expose you to the broadest range of clinical diagnoses you can

  23. Prescribing Medical Marijuana

    djmatte replied to iriska_meller's topic in Advanced Practice

    It's schedule 1, so deemed to have no medical value. Fairly certain even an md wouldn't be able to legally prescribe

  24. Prescribing Medical Marijuana

    djmatte replied to iriska_meller's topic in Advanced Practice

    That's generally my stance as well. Also Marijuana isn't FDA approved to treat any medical condition. I view it under the same lens as a supplement you buy from GNC. There is no validation or...

  25. Standardization of NP Education

    djmatte replied to RN-dancer's topic in Nurse Practitioners, NP

    I think if residency was a standard part of the routine (regardless of the pay deficit), I would be OK with it since the end-goal is a more experienced provider. The problem is it isn't set up this...