djmatte

djmatte ADN, MSN, RN, NP

Member
  • Content

    1,233
  • Visitors

    11,442
  • Followers

    3
  • Likes

    935

All Content by djmatte

  1. We Must Demolish NP Diploma Mills

    Beside manner doesn't even register in these schools. They have no minimum of nursing experience required. Many can move straight from their RN degree without showing any form of patient competence outside the bare minimum NCLEX pass.
  2. We Must Demolish NP Diploma Mills

    For a select few that is the case. But problem is these schools churn out crap on the regular. Many hiring organizations have caught on and won't entertain the idea of hiring them. These schools also entrap many into student loans they may never ge...
  3. We Must Demolish NP Diploma Mills

    Let's try arguing my points rather than throwing around diagnoses you aren't prepared to make. (BTW this is actually against forum rules, but since you have the reactionary maturity of a child I won't opt for moderation). 1. They don't publish...
  4. We Must Demolish NP Diploma Mills

    Many do. But many struggle to pass boards or even finish at these schools. There is an understanding that these for profits operate on the likelihood many won't make it through it will not b made it through in a timely manner. They take in thousands ...
  5. We Must Demolish NP Diploma Mills

    At the end of the day, the quality of the for profit schools is demonstrably poor and the fact that they exist only suggests their accrediting bodies are either poor in their standards or complicit in pushing out crap NP education. They also know if ...
  6. We Must Demolish NP Diploma Mills

    As evidenced by the quality produced by the Walden's et al, it's clear those accrediting institutions aren't as rigorous as you purport. Even ACEN recently enacted a requirement for providing preceptors. None of the for profits are hitting that metri...
  7. Odd Work Letter Request by Patient

    Any time spent working outside business hours is money lost unless actively seeing patients. No additional work or tasks performed past the allotted time is accounted for or made up. If you own the business, then maybe you are doing well to ensure p...
  8. NP Salary/Pay Let's Be Transparent

    Some of that comes down to what you want and what you believe you can be best prepared for. When I got my FNP, I wanted to with in preventative medicine. I never worked with mental health before and couldn't see myself working in that environment. Th...
  9. Disagreeing with your supervising doctor

    Not all places or groups use the same terminology. I grew into my own where mid level was a standard acceptable term. APP. MLP. They're standard catch all phrases that people truly need to stop losing sleep over. It's different terminology, utilize...
  10. Disagreeing with your supervising doctor

    If this is the policy, then this is how you deal with said situation. Let that doc take over care and move on.
  11. Already Burnt out

    "Investment" is debatable. When I got my ADN, it cost me 4500 a semester. Granted this was when it was easier to get a job with an ADN. But I used to cringe when I saw university of Michigan BSN students spending $20k plus a year on a license that c...
  12. Already Burnt out

    I will say there are a few things here that are concerning regarding potential for fraud. Especially with things like unnecessary testing and procedures like ultrasounds or unsupported treatment of bacteria (likely through the attached pharmacy). But...
  13. This is why...

    We need to advocate for equity of pay for the percentage of what we bill. Doctors are making money hand over fist for simply "supervising" mid levels. They can literally not bill for what's their salaries justify, yet continue to make money off our o...
  14. This is why...

    I'd argue the clinic owners (often MDs) are making that number. many of those posting are corporate employees being asked to supervise or be collaborators within the system, but not specifically seeing that profit. Though it's my anecdotal experience...
  15. This is why...

    He arguably just asked the question. And as expected and is characteristic someone decided to jump down his throat demanding he do some research. It's reasonable to suggest that doctors have been held liable for their own, or the work of clinicians t...
  16. Are more letters after your name better or ridiculous?

    If they're just looking at this website for context, I just added the different degrees and fields as I obtained them through a 14 year career in nursing. So it definitely looks weird here. ?
  17. Other Options

    They could easily teach at an undergrad nursing level if they had a solid background in nursing. At least two of my undergrad instructors were FNPs who found out they preferred to stick with nursing.
  18. NP Salary/Pay Let's Be Transparent

    Keep on pushing for better. My first company offered me 10k less than my asking and 5 days less in PTO. they met my negotiation easily. God knows what the women were lowballed in a clinic run by men who gave our female mid levels zero respect in my...
  19. The "Elite" NP

    I call a spade a spade. Though I'm shocked this latest retort wasn't as long and ridiculous as every over response you take personal offense to. Send to be a common thread. 🙄
  20. The "Elite" NP

    People aren't irked because you challenge. They're irked because your idea of "substantial" is long winded professional equivalents of mansplaining about things most of us professionals are acutely aware of. Every. Single. Response. Is characterized...
  21. The "Elite" NP

    The guys essentially pushing a direct primary care model. Not exactly new or groundbreaking. It's definitely something I'll consider depending on where the military takes me. He's got a model he thinks works and is selling it. He's literally followin...
  22. They are but they aren't. BC is authorized for ANCC certified while C accounts for AANP. They are not interchangeable and misrepresents your certification to those who care.
  23. NP Salary/Pay Let's Be Transparent

    Few people here are ignorant to *how* salaries are determined. We certainly don't need another long winded post about the why for most of these topics. Clinics are paid on reimbursement. While we aren't "sales people", we are cthe revenue generators ...
  24. NP Salary/Pay Let's Be Transparent

    The military is a completely different and unrelated pay structure. It's not reality in terms of what actual clinics face in terms of pay and function. Doctors sometimes get paid more as they will come in as higher ranks and certain fields that are i...
  25. NP Salary/Pay Let's Be Transparent

    Not a single person here is suggesting NPs are equal to physicians. Even reimbursements account for the education disparity. With a 15-25 percent premium, that is the "value" afforded the education and experience. There's no sliding scale in the ey...