djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Or lack there of? My girlfriend and I are both RN's. I work in a hospital and her in a memory care facility. About a month ago she visited an ER due to some severe abdominal pain she had for...
  2. Insurance coverage for ER visit

    When I got home I looked it over. It was just a statement and said at the bottom it was not a bill yet...still pending insurance coverage. Will wait and see on that. Thanks for the input
  3. Insurance coverage for ER visit

    Gotcha. She's taking it in strides. Had it been me i would be blowing up phones. Will keep an eye out for
  4. As some of you recently saw, I picked up a position working for a pain service. Well suffice to say there is a LOT more involved in this job than I ever anticipated. With that thought in mind, I...
  5. UofM RN to MSN?

    I've heard this was around the corner for UMICH (supposed to start next year). I spoke to a school rep during an open house recently and she even verified for me this was happening. However, I have...
  6. Do You Hold Discharges for Change of Shift?

    We have had similar issues along these lines in the past. Policy here is that when a patient is ready to go, they can't refuse report on grounds of shift change. BUT at some point we did the same...
  7. discharge criteria for pacu patients

    First and foremost as stated, document the hell out of that. It varies with each facility, but if we feel a patient is less than stable then we contact the surgeon or residents (if the MDA doesn't...
  8. Nurse practitioner in pain management?

    Would I shoot for an NP target as a FNP for such a role or more toward an ANP? CNS is interesting, but not exactly an area I am necessarily shooting for because NP seems to me the more focused on the...
  9. Just thought I would ask here, through my journey into a new field of nursing, I have had primary focus in PACU and working for a pain service on the side. I've actually gotten quite used to working...
  10. Picked up a new job on a pain team

    Thanks for the book suggestion. Looks like I'll have to order it off the net (hate waiting on these things to ship). Reviews on it make it look worth while...so I'm stoked to give it a good look. As...
  11. I just got a nice contingent job on a Pain Management team at a local hospital. Its primarily focused on patients with epidurals and from what was explained will focus on rounding twice a shift...
  12. Circulators recovering

    We've had issues on occasion where the PACU nurses have full slots and a patient is brought out to clear out an OR. In these situations, the CRNA is expected to stay with the patient until a...
  13. ER nurse interested in PACU

    ER experience I imagine is pretty welcome in most PACU's. While many nurses are of the mindset that one needs ICU experience before going in, more and more PACUs are recognizing the benefit of...
  14. Considering a change to PACU

    I work 11a-11p in our PACU and think its truly a great shift. Security is always a concern where we are at and close parking is a premium, especially for that shift, but that varies with every...
  15. New Grad Med Surg or PACU?

    Some of the people I know in our hospital end up with patient loads upwards of 10+ patients on floors that are severely understaffed. IMO this doesn't constitute safe nursing and at that load, you...
  16. New Grad Med Surg or PACU?

    As someone who started in PACU as a new grad, I couldn't help but strongly encourage this environment. The only down side is the school issue. I would see if they would be flexible and give you 3...
  17. You might be a PACU nurse if...

    You might be a PACU nurse if...you develop a lingering fear the longer something takes to happen. -"I was told I have a patient coming and they're not here yet". --"How long ago was that?" -"Over a...
  18. Sinai Grace Working Conditions

    On many interviews, your employer often asks you where you see yourself in X amount of years. Under these circumstances, its not uncommon to say "I hope to be working in critical care or ICU level...
  19. Sinai Grace Working Conditions

    Honestly, you bring up an interesting point purple...new grads are just around the corner. That means the ability to get a new job is gonna be even harder. 23Nurse, is there something in you're...
  20. Sinai Grace Working Conditions

    I work in DMC at harper. While I can't specifically speak for Sinai, it does have some ideal things going for it. It is one of the few in DMC who have attained magnet status. While some may not...
  21. RN to MSN programs

    Hey all, I am kind of new around the michigan section here. A bit of background about me, I recently graduated with my Associates Degree Nursing and got my license in New York. I work currently at...
  22. There was a slight need for PACU nurses, but I also had a small amount of critical care experiencing from both my precept and an internship last summer; both in ICU environments. So far though since...
  23. I was a new grad when I was hired at DMC, but was just waiting for my board date to come through. DMC policy for new grads is they need to obtain their license within 90 days from hire. I'm still...
  24. RN to MSN programs

    I just found about the Wayne State one and will probably be looking into something like that. Will probably be working down at DMC for a while...so sounds like a good bet. Thanks for the
  25. VA Nurses (Detroit/ Ann Arbor)

    I was looking at the VA initially out of nursing school and was informed they don't accept GN's. Once you pass your boards, you look for openings there and apply at