djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. NP pay mid-career

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

    I get that and like I said, you are factoring in shift food and probably some form of pay bump because it's a highly specialized area plus a float position. You're also working a shift many won't....

  2. Direct-Entry NP Success Stories

    djmatte replied to arockenhaus1's topic in Nurse Practitioners, NP

    I've based my opinion on my own anecdote like most people here have. Even reading those articles doesn't sway my overall thought that RN experience is invaluable in forming the np experience be it...

  3. Direct-Entry NP Success Stories

    djmatte replied to arockenhaus1's topic in Nurse Practitioners, NP

    You've read these forums and responded to my previous posts. So while your attempt here is clearly to somehow make me look/feel unqualified to have an opinion, I won't bitte. But thanks for playing....

  4. Looking to start in sub-specialty

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

    It had nothing to do with people suggesting start with a to get to b. It has everything to do with getting experience. Any evidence that you are capable of working as a nurse practitioner to a degree...

  5. Direct-Entry NP Success Stories

    djmatte replied to arockenhaus1's topic in Nurse Practitioners, NP

    I read the studies posted earlier. None talk to patient outcomes our patient satisfaction. All of them are about ability to get through school and pass boards which were about equal aside from those...

  6. Looking to start in sub-specialty

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

    So you know the answer to your question. Suck up working as an np in primary care, go to urgent care.... Then to ed. Why is this so hard? Nobody wants your emergency experience and they all think it...

  7. Direct-Entry NP Success Stories

    djmatte replied to arockenhaus1's topic in Nurse Practitioners, NP

    Nothing of what I consider valuable to patient access or

  8. Direct-Entry NP Success Stories

    djmatte replied to arockenhaus1's topic in Nurse Practitioners, NP

    There are no studies that show actual patient outcomes (be it actual or satisfaction) in regards to whether de or experience based are superior. So without that most of us understandably have...

  9. Need advice for starting FNP program

    djmatte replied to kelsBSN's topic in Student Nurse Practitioner

    You need to go in when it is right for you and you are sure about it (not back and forth on the idea). FNP school is no walk in the park and requires dedication. I can state personally that coming...

  10. Looking to start in sub-specialty

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

    ACNP combined with FNP. While you need fnp for peds, working in a hospital you should hand an acute care cert as well. As for ENP, I didn't know it was fellowship based. I presumed there was a...

  11. Looking to start in sub-specialty

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

    You probably want your ENP or ACNP to go along with your fnp. Past that, get experience in primary care, use that to get into urgent care, and on to emergency. Unless you find an urgent care willing...

  12. Looking to start in sub-specialty

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

    What kind of np are

  13. NPI help

    djmatte replied to rnBSN223's topic in Nurse Practitioners, NP

    I applied for my own npi and left the employer info blank. No problem. DEA may or may not need an instate controlled med license first. Dependent on state rules. Mine

  14. Accepted my first position!

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

    This is in Michigan. Job market here is tight and I was lucky to find it. At the time I had multiple options in various stages of negotiation across the country. My tips are be willing to relocate,...

  15. Accepted my first position!

    djmatte posted a topic in Nurse Practitioners, NP

    Still kind of in shock over it, but they were practically offering me a job before I got out the door of the first interview. This was my first offer (which makes me kind of nervous) and while I have...

  16. Seasoned Nurses VS Newbie Nurses

    djmatte replied to Alexx_xox's topic in General Nursing

    You don't need catchy to get a response around

  17. Any advantages to being a male np?

    djmatte replied to nurse2bnoob101's topic in Nurse Practitioners, NP

    Clinic job means no longer being the go-to heavy lifter in the hospital? I kid.

  18. RNs being employed in primary care clinic

    djmatte replied to go-for-it's topic in General Specialties

    Our VA uses RNs in their primary care team-lets. They do mostly telephone work and handle the lab/medication/etc reviews for patients with chronic conditions such as DM. Where they see problems or...

  19. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    Our policy is to reassess for medication side effects and pain response... not redosing. An hour is appropriate for noisy PO opiates and much sooner for iv push meds. But I'm not here to discuss the...

  20. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    At the end of the day, it comes down to practice standards of the hospital. If the op can identify what the in house rules are through their safety rep, then that's how they should approach the...

  21. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    No later than one hour after administration of any pain med. Nursing judgment based on onset of action. Also during normal

  22. About to graduate or new graduates who are waiting to take boards

    djmatte replied to Fnp9090's topic in Student Nurse Practitioner

    Or there's that. lol I don't have that good of a poker

  23. 100 mile commute. Worth it?

    djmatte replied to indomie23's topic in General Nursing

    You literally called anyone who takes a job sans benefits a

  24. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    forgot to address the first part. Our hospital pain policy states to reassess pain no more than 1hr after any pain medication administration. I suspect most hospitals have some form of policy...

  25. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    JC had no problem with range orders. They had a problem with interval of re-administration. They wanted specific parameters for second doses in any range orders. So MDs needed to provide PRN with...