djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    Negative. It gives a clear instruction on when to reassess and when the second dose *should* be given. 1 hour after administration of the first. 1-2 q6...second dose 1 hour after. The ONLY written...

  2. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    I'm not "confusing" anything. I'm taking a clear instruction as it's stated. Two parts in a single sentence : 1. Reassess in one hour 2. Give second dose of painful. I literally had this discussion...

  3. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    "give one and if pain not controlled after an hour, give another." It literally says when to reassess and to give

  4. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    Just because it doesn't prohibit doesn't mean the nurse gets permission. It says how frequent the med is allotted (every 6 hours) and a clear instruction on when to give the second dose. Give it...

  5. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    The order later clarifies the exact interval I when to give the second dose. It literally means you can only give one dose (regardless of pain score) and the second dose needs to be given one hour...

  6. Seasoned Nurses VS Newbie Nurses

    djmatte replied to Alexx_xox's topic in General Nursing

    In your shoes, I would perform things as your preceptor encourages and roll on. If you have a different way of doing things, ask them what they think first rather than go on a rant about "in school...

  7. a little stupid incident with a patient ..

    djmatte replied to liluiass's topic in General Nursing

    Think about it from this perspective. That phone may be the difference of him reaching out to those he needs for comfort. If the patients pillow was on the floor and you were the first he asked,...

  8. Does Hepatitis C survive laundering?

    djmatte replied to nursebuttercup18's topic in General Nursing

    You'd be surprised how hard it is to spread many of the blood borne pathogens we routinely worry about. Hep b is certainly among the easiest, but all of them need a series of "right" situations to...

  9. 100 mile commute. Worth it?

    djmatte replied to indomie23's topic in General Nursing

    What one person needs or doesn't need in compensation is their own deal. Some people have benefits through a spouse or might be prior military and they prefer to have the extra cash. What's clear is...

  10. Confusion over pain med administration

    djmatte replied to HarmonyStewart's topic in Pain Management

    The order itself is faulty and can be problematic for the patient. If you gave a single dose now and gave the second dose 5 hours later, there is confusion as to when the next dose is given....

  11. Diabetes Management in Phase II Recovery

    djmatte replied to AnnoyedNurse's topic in PACU

    I don't see any "right" or "wrong" here. The standard of care here is whatever your facility deems important enough to warrant performing. In a few hospitals I worked, any diabetic was absolutely...

  12. Can Pain Be Prevented?

    djmatte replied to Lane Therrell FNP's topic in General Nursing

    Oh yeah I tend to forget to mention those therapies...but they are absolutely in our regular

  13. Can Pain Be Prevented?

    djmatte replied to Lane Therrell FNP's topic in General Nursing

    I find this interesting because it has always been my impression that places like Europe focus more on "toughing out" acute pain versus inoculating it from us. Hence the significantly lower number of...

  14. 100 mile commute. Worth it?

    djmatte replied to indomie23's topic in General Nursing

    If it's PRN, I'd just take the long commute. I worked 3 12s (not prn) traveling 45 miles one way early in my career. You work when you want...wear down the care when you

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

    djmatte replied to Fnp9090's topic in Student Nurse Practitioner

    I'd hate to suggest putting yourself into more debt, but if you aren't currently working then that might be the easiest option. I worked as an RN through my NP. So never was without once boards were...

  16. NP pay mid-career

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

    Ltc it certainly is norm. My wife for instance is always involved in her job. Consistently managing her nurses as those facilities are 24/7. The trade off is the pay, travel money, and flexibility...

  17. NP pay mid-career

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

    Obviously location is highly impacting on this, but the only RN I've ever met making near 90k is my wife who has a ADN at 103 (plus travel). But that's after working years at management level of a...

  18. NP pay mid-career

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

    To be fair though, 100k is a substantial pay bump for someone who's been an RN for years. As you stated they will pay just enough to get you or keep you, but until you have a few years under your...

  19. Fired for Falsifying Documents. What to expect

    djmatte replied to LPNewbie's topic in General Nursing

    At this stage, I'd be more concerned about explaining to the next job about why you got fired and what you intend to do to remedy it in the

  20. Audio resources during school

    djmatte replied to Texas nurse here's topic in Nurse Practitioners, NP

    Yup!. I must have listened to the apea material 3 times driving to and from clinical. Also for something less structured, Dr radio on Sirius xm has some good

  21. Audio resources during school

    djmatte replied to Texas nurse here's topic in Nurse Practitioners, NP

    As Jules suggested...recording lectures. Also if you get one of the review course audio CDs/MP3s, those could be helpful in both general knowledge and board

  22. 60 day notice

    djmatte replied to fnp15's topic in Nurse Practitioners, NP

    Unless your a federal worker or have some kind of union backing, he can hold you to whatever standard he wants. Unless that contract says that once leave is granted they are obligated to stand by

  23. Fired Due to Not Being Able to Get to Work

    djmatte replied to Studentworker's topic in General Nursing

    Why exactly are you posting here

  24. Parents will kick me out if I don't drop my nursing dreams...

    djmatte replied to Guest1031502's topic in General Students

    I tend to agree. And anyone who wants to be a nurse THAT bad would probably make a phenomenal doctor presuming they have the aptitude for

  25. Did your school's reputation affect getting hired?

    djmatte replied to laRN1's topic in Student Nurse Practitioner

    I don't doubt there are some places that will look at where you went to school and place you a notch above others. If someone has the money to throw at Ivy League schools or others like it, it MIGHT...