djmatte ADN, MSN, RN, NP

Any group worth their salt recognizes a new grad will need a ramp up and their initial salary may not reflect the actual revenue. Not to mention the complete lack of billing knowledge often lowers the amounts new grads tend to bill for (taken from m...

Understand your EMR inside and out. Use automation to power through your notes. If there are smart phrases, have a series of common diagnoses, assessments, and plans to document the most likely things you will discuss or assess.

If anything, the best way to avoid a conflict is to perform one job at a completely different facility where you are not credentialed as an NP. that way you literally won’t be allowed to work to your full licensure. Either way I still find the idea ...

25-30 was the norm in my last job. Even you were maxing numbers, they still wanted you to see more. It’s the biggest thing that pushed me back into the military. Now we get 20 min appointments with a lot of latitude in whether we need to extend the v...

Lots of wrong choices made by the op in this thread and maybe by a few responders. I’ve never been relationship perfect during my first 34 years of life, but I sure as sh@t made sure my marital choice and I were cool when I finally tied there knot. W...

The level of relationship aggression and self preservation I see here in this thread is eye opening and kind of disturbing. If you need to “check” your spouse, you made a wrong choice. If you need to educate your spouse or correct your spouse on your...

Sometimes we need to look into the mirror when communication with others isn’t working as well as we hope. First thing I noticed was your lead in topic. “How to educate spouse…”. You’re neither her teacher nor her provider. But you’re topic and sta...

Someone technically could. I called in a script for a patient who needed access to a medication halfway across the state. It wasn’t a narcotic and as noted that method would never fly. Thankfully most people don’t understand the ins and outs of how w...

I had an associates for years before doing an RN to MSN program. What I recommend is getting any experience you can while you’re in school on top of clinical. My last Summer before graduation, I landed a nurse residency program where I worked with a...

Many of these things will vary by location. But having these questions at an interview may impress your potential employer. As a provider, you are the revenue generator for your clinic presuming you are working in private practice. That means the re...

It doesn't hurt to look into CME courses to further expand your knowledge in that area. Especially if you haven't done much work here. At the end of the day, your license qualifies you to work in women's heath fields, though schools have vastly dif...

Probably depends on the school. Our college level courses were called AP. We had college level education which surpassed regents requirements (NYS) and were essentially college level courses. I wouldn’t say they were “junk”. They were good options fo...

Most of these are considered AP courses. They are typically taught in high school, but you receive both college and high school credit. It’s up to individual colleges on what they are willing to accept. Makes sense if you have the aptitude for advan...

After 2.5 years of trying to get back into the service, I officially swore in as a Captain in the USAF yesterday. We are in the process of going to my first duty station as we speak with the plan to attend OTS in the near future. Ready to get this ch...

Even in full practice states, many insurance companies still require a collaborator. I believe Medicare included. One of the biggest reasons I would opt for a direct primary care model of I ever went independent. No insurance. Pay a monthly fee of $5...

That’s not entirely accurate. You’re legally obligated to the level you’re credentialed. So long as she isn’t doing NP work she’s not credentialed for, then she has nothing to worry about.

Sounds to me like you need a new job. You aren’t making anywhere near what you are likely billing for on those hours or volume. You need to either renegotiate your base or get a new job. This is the kind of situation we warn against for pe...

People recruit there. It’s good to have a solid profile. But never personally gotten s job through there despite lots of people reaching out.

Another consideration given your personal preferences. Consider pharmacy school. Lots of research and md level of care. Not so much on the patient interaction or crazy hours side.

Sometimes a change in function may be more appropriate than continuing on to role change. Not all nursing areas are the same and some might be a better fit. I might recommend PACU. While it’s task oriented, you will likely only have 1-2 patients at a...

There are a few presumptions in here that I don't necessarily agree with. Particularly with my personal experience. 1. I used to work in Flint, MI. I negotiated up for my pay, but saw multiple mid levels to include PAs and NPs who took whatev...

Though an MSN there can be everything from FNP to education to management.

Another thing to consider is the USnews ranking. They have 574 total masters nursing schools and 330 DNP schools which to my understanding has some online and brick and mortar schools. I only presume this because FNU has placement in both their overa...

Online environments definitely allow a school to get more students. The question is really at what point do outcomes suffer. My school FNU awards about 800 degrees a year spread across MSN FNP, WHNP, PMHNP, and their DNP students. They publicly disp...

There’s a lot to unpack here and I don’t have a ton if time this morning. But you do raise good points of a few areas. Finding our own preceptor imo isn’t the worst thing in the world so long as there is a rigorous evaluation in place. My schoo...