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

    Exactly. That would require both AANP and ancc to develop stricter guidelines. Neither of which is motivated to with the money they bring in for exams and membership of quickly growing

  2. Tearing my hair out over noncompliant DM2 patients!

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

    There are few things in science that are "firmly understood". I've seen people calorie count and show me detailed logs who don't lose an ounce. And personally handled their labs to verify there's...

  3. Tearing my hair out over noncompliant DM2 patients!

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

    I do think access to quality whole foods is important. But the problem isn't legislation. It's that grocery stores won't go into those poor neighborhoods to set up shop. In downtown Detroit, the only...

  4. Timing on advancing to NP role

    djmatte replied to Riles241's topic in Student Nurse Practitioner

    IMO the sooner you make the leap, the better for for you. You can keep up with CME's all day long, but employers will be harder pressed to hire you the longer you wait. Couple that with the real...

  5. Spanish

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

    Michigan.

  6. Spanish

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

    The first sentence and the last are why many places won't even allow hospital staff to translate anymore...there's a huge liability risk. So far every place I've worked in healthcare over the past 8...

  7. optimal RN job for FNP student

    djmatte replied to jensfbay's topic in Student Nurse Practitioner

    Stick with what you're doing. The last thing you need during np school is to simultaneously learn a new job. ICU provides ample opportunity to practice your physical exams and access to a broad...

  8. Tearing my hair out over noncompliant DM2 patients!

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

    A whole generation is teaching their kids their bad habits. At this point the focus should be less than 5 and even that's debatable. There is a lot that needs to change about food from how it's...

  9. FNP getting psych certification

    djmatte replied to Cindy-20's topic in Nurse Practitioners, NP

    I will say this, if you feel your options will be more open with psych, then by all means make that leap. But it's unfortunate that you wasted the time on an advance degree only to find you...

  10. Tearing my hair out over noncompliant DM2 patients!

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

    I'm fairly certain that is rather simplistic for a complex thing. We are finding more and more it isn't just calories in and out. There are combinations of therapies that work better and worse for...

  11. Fellow ship (as in MD kind) good idea?

    djmatte replied to Tony1790's topic in Nurse Practitioners, NP

    What these programs tend to do is offer a greater degree of training and experience in the chosen path which given the nature of many clinical requirements, I'm sure it's not a bad thing. I view it...

  12. Tearing my hair out over noncompliant DM2 patients!

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

    Quoting for posterity on probably one of the most reflective and accurate posts I've ever read. I'm thankfully down 35 pounds and going but still could stand to get to the gym. But it's taken a whole...

  13. Best job during FNP school?

    djmatte replied to mary.thomas's topic in Student Nurse Practitioner

    That's a tough call. While there is no doubt working at the bedside offers important knowledge of patient care, care managing will give you more insight into the provider world and the complexities...

  14. Opinion on "direct entry/immersion" NP programs for non-nurses?

    djmatte replied to simcc's topic in Student Nurse Practitioner

    To be fair though, I don't think many fnps are looking at pmh because primary care "took a dive". Many are considering it for the thought (albeit misguided imo) of practice incorporation knowing...

  15. Anyone use ExamEdge for PMHNP

    djmatte replied to PCTerrific's topic in Student Nurse Practitioner

    I can't speak to PMHNP exam, but I had a slew of exam prep options for my FNP studying. Board vitals is an impressive suite. And while this may be a benefit, they actually go way above what actually...

  16. FNP after PMHNP

    djmatte replied to SDStudent1's topic in Nurse Practitioners, NP

    I'm not gonna lie, when I graduated FNP school I entertained the idea of adding a PMHNP cert. But when I saw the reality of working in primary care, I wouldn't anticipate getting any particular pay...

  17. Don't trust my FNP

    djmatte replied to KalipsoRed21's topic in Nurse Practitioners, NP

    There's a lot going on here and probably outside the scope of what people *should* comment on in this forum. Anytime you lose confidence for any reason in your provider, it is probably better to seek...

  18. FNP versus PMHNP?

    djmatte replied to booney123's topic in Student Nurse Practitioner

    I would definitely not get a psych job as an fnp. You will find few to none hiring you and the extent of your training and realistic expectations are you might be in the position to start patients...

  19. What would you do if nursing staff refuses do carry out your request?

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

    Well to be fair, RNs have from my experience never been common in the outpatient settings. LPNs are far more common and in most cases that I have seen, they are used in far less RN roles outside of...

  20. What would you do if nursing staff refuses do carry out your request?

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

    I'll agree that the state law absolutely supersedes the facility requirement. But I have yet to see any state that separates nursing duties based on the type of facility they work in. They don't...

  21. What would you do if nursing staff refuses do carry out your request?

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

    While the provider is ultimately responsible for this assessment, providers rely on nursing assessments all the time in their decision making like you noted. Nurses take verbal orders all the time...

  22. Psych/FNP Scope -Need Your Help!

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

    As noted, the bon would be the best bet. If you are prescribing anything outside of the psych scope, you are likely outside your scope. If there is another provider prescribing treatment though and...

  23. NP move from NYC to GA. Need advice

    djmatte replied to ZenNurse2016's topic in Advanced Practice

    I've never heard of a state that requires an in state address to get a license. If you are serious about a job, it's a good idea to have a license in that state ahead of time or in the process....

  24. What would you do if nursing staff refuses do carry out your request?

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

    The problem is ticks are fairly obvious and if you live in a region that has them then it is something that will stick out for even the most novice nurse. As a provider, we're expected to know the...

  25. What would you do if nursing staff refuses do carry out your request?

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

    I would argue doing assessments (skin or other) is well within any RNs scope of practice no matter what practice environment or state they work. Doctors rely on educated nursing assessments in many...