djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. First job woes

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

    Clearly a "patently false"

  2. First job woes

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

    Okay....

  3. First job woes

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

    Figure that most nurses don't typically have negotiation options in hospitals. Some they typically have a pay scale based on years of experience, that is what you'll get paid. Ability to negotiate is...

  4. First Job, Unsure of Role

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

    I think you did some right steps here in exploring further and setting expectations. Stick to it. But also be constructive. If a dedicated MA isn't available, share one with another md (the new hire...

  5. How often are you asked for opiates?

    djmatte replied to bryanleo9's topic in Nurse Practitioners, NP

    I'm at a clinic with providers who have a long history of prescribing opiates and anxiolytic meds at higher than currently recommended doses. New mid level providers here have been reining them in and...

  6. Standardization of NP Education

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

    Not necessarily. Some of us are envious of that model because of the flexibility of options and the broader education they receive. Beside independent practice (which is still not happening in most...

  7. Standardization of NP Education

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

    I think many schools have features that make them worthy in some areas and less than stellar in others. Frontier excelled in their clinical requirements and student skill requirements/tracking,...

  8. Standardization of NP Education

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

    Because the entry requirements, training, and clinical requirements of PA programs are typically far more rigorous than the majority of np programs out there. They even need to recertify by...

  9. Standardization of NP Education

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

    Regardless, the problem exists within program quality and not whether it's full or part time. That factor isn't an implication of quality

  10. Standardization of NP Education

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

    Not a matter of accommodating as a profession. NPs lose nothing when someone chooses part time school over full-time. You still have the same requirements to pass boards, go to clinicals, pass your...

  11. Standardization of NP Education

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

    Schooling full time in most cases is a non starter. Might as well push for de only np grads because few to no RNs with work experience will be able to get into advance practice if they have to...

  12. Standardization of NP Education

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

    Absolutely on point. Though I tend to disagreed with the primary care side. While a "brilliant"person could probably do this job, I find the few people are truly "brilliant" regardless of their gpa...

  13. New NP pay

    djmatte replied to Guest1059175's topic in Advanced Practice

    Just reiterating here...that job is for an RN. Not an NP and certainly isn't reflective of NP

  14. Oversupply of Nurse Practitioners

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

    For the record though, that job is an RN position (even though they note they'll accept a nurse practitioner). Truth is though in that job you aren't acting as a NP. You're only doing infusions....

  15. Online furthering education courses

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

    I've been eyeballing that for some time since I have a 1 hour drive. Next year as this year's cme money went to a cme cruise.

  16. NP Salary vs. RN salary

    djmatte replied to Health-Nut's topic in Nurse Practitioners, NP

    I won't argue the money is a motivator in advance practice. I planned for and saw a 30k jump on my base pay. But primary care was something I envisioned long term when I first started down my...

  17. Pain patients being denied their medication!

    djmatte replied to hppygr8ful's topic in Pain Management

    Yup. Evidence be damned. But nurses. We love to cite evidence until it negatively affects our practice or we realize or treatment might be impacted. And we are striving to be recognized as a real...

  18. Pain patients being denied their medication!

    djmatte replied to hppygr8ful's topic in Pain Management

    Try being tasked with responsibility of managing opiate prescriptions in today's environment and act like somehow we aren't empathetic to the situation. Each of those problems with meds you listed off...

  19. Pain patients being denied their medication!

    djmatte replied to hppygr8ful's topic in Pain Management

    Well I'm not here to argue about what will or will not work for you, but I'm here to tell you straight up the guidelines don't support use of bid opiates for your pain no matter what your anecdote...

  20. HELP! New NP in MI - DEA, NPI...

    djmatte replied to PedsNP6119's topic in Nurse Practitioners, NP

    Sounds like everything. NPs in Michigan aren't allowed to have a csl. So they operate under their collaborating

  21. Pain patients being denied their medication!

    djmatte replied to hppygr8ful's topic in Pain Management

    To be fair, I have 9 years total working in settings where pain management was essential. My actual management experience was off of the past 2 years working in in/outpatient pain as well as now...

  22. Pain patients being denied their medication!

    djmatte replied to hppygr8ful's topic in Pain Management

    I've gotten pretty far managing chronic pain for an array of patients over the past 2+ years doing the exact things I described and reducing opiate use. Studies are backing CDC pushes to reduce opiate...

  23. Pain patients being denied their medication!

    djmatte replied to hppygr8ful's topic in Pain Management

    While I empathize with the situation, the reality is that evidence shows that opiate therapy isn't an effective option for long term pain management. Given the current climate, everyone from providers...

  24. How long did your DEA take?

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

    2 weeks

  25. Tearing my hair out over noncompliant DM2 patients!

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

    Nobody suggests that just adding access is the be all end all, but it is part off the equation. As your article points out "The cost of food - and people's habits of shopping and eating - appear to...