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Jules A

Jules A

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  1. Jules A

    Exciting Changes Coming To allnurses

    So sad I just found this and mine are gone. Most of you probably don't remember Joyce but I had some from her Daytonite.
  2. Jules A

    Do not understand scheduling issue

    It probably isn't about how the OP is presenting and maybe its different for CRNAs? NPs can call themselves whatever they want including "doctor" if the facility allows but it will not put them on par with a physician. The hospital where I work calls us something else which I can't even remember what but it groups NPs and PAs together under physicians. I really don't care what they call me because I have no delusions that my education or knowledge is anywhere near the level of a physician.
  3. and no RN experience with meds or presentations.
  4. Jules A

    New work pay formats

    These aren't great, imo, unless you are doing a very high volume. My RVU pay is in the $29 and change. It averages out to a minimum of $90 an hour but my volume is heavy. Like OMH said you will have to crunch the actual numbers and see what will be the best for your style and financial goals.
  5. It seems they also don't cover BPD vs Bipolar, Delirium vs Schizophrenia, Malingering or drug seeking at all....but lots of polypharmacy and erroneous diagnoses.
  6. Jules A

    New work pay formats

    For me although I am efficient I have no interest to do 10 minute appointments on an OP basis. My focus has always been the bottom line so I would need to know the actual numbers for #1 and #2 to estimate my possible income. Is health insurance factored into either of those options also? Everything has a dollar sign you can assign to it so that is what I would do and then look at the likely gross. I'm attracted to #2 as much for the name as anything and also because I work well with an incentive. I work this type scenario inpatient which I like because there are follow-ups and uncomplicated consults I can blow through quickly and the times I get slowed down by a particularly complicated case or getting collateral doesn't throw off my overall numbers.
  7. Jules A

    Do not understand scheduling issue

    Physicians are more valuable and higher on the food chain than we are simple as that. If you also work for RVUs you might consider changing jobs as this seems to be the writing on the wall. If in fact she has difficulty keeping patients I would wonder if she will ever fill up or you will be stuck with her sloppy seconds indefinitely?
  8. Jules A

    Oversupply of Nurse Practitioners

    It is a reality in psychiatry and now the psychiatrists who used to be NP friendly are not so much both due to the tightening up of opportunities and the low quality of the new graduates. Why would a clinic hire a psychiatrist for 2xs the money if they can use NPs?
  9. Jules A

    Oversupply of Nurse Practitioners

    I'm guess this was said tongue in cheek? Because I can tell you exactly how it will go. Why would anyone pay you $200,000 a year when a bright, shiny new DNP, who hasn't worked on day as a nurse or actually anything else, is willing to do it for $100,000. And as you know employers could are less if the person is competent as long as they have the credentials.
  10. Jules A

    Profanity in the workplace

    I agree and there are times when I feel my foul language is getting excessive but as you point out I usually decide I'm fine with it and carry on status quo. I probably won't change my ways but it does give me pause when I realize there are those who are truly offended by it because that is never my intent.
  11. Jules A

    Oversupply of Nurse Practitioners

    Pay attention to this folks it is the truth. The last experienced NP hired in my department is making $40,000 a year less than myself and a colleague who started when I did and $10,000 a year less than the last new grad hired. Sorry I don't have their pay stub to compare to mine so no actual proof. Although I can't think of a reason I'd be motivated to lie about it. Make it your business to find out what other NPs are making and don't put yourself in a position where you are desperate for work. This is the truth and its simple math not even the complicated stuff.
  12. Jules A

    Profanity in the workplace

    It is one of my all time favorite words. I use it often although not directed at others or knowingly in ear shot of a patient. Cursing is like scrubs one of the few perks of being a nurse.
  13. Jules A

    Psych no salary/pay

    Best wishes. Please let us know how things work out.
  14. Jules A

    Psych no salary/pay

    $53 an hour is a terrible rate in my opinion even for a FNP. I would be more proactive than just telling them you were offered $95 an hour as 1099 and also include the rate it would take to hire me. Note to others: Don't back yourself in a corner and wait until your job is unbearable before starting to explore other options. Coming into negotiations from a position of desperation is never a good starting point.
  15. Jules A

    I Make Less Than a Brand New Nurse, Why?

    Excellent points and unfortunate although I tend to avoid the whole discrimination thing. It is business and their job is to get someone for the lowest rate and there are factors that go into who is more desirable regardless of actual legalities. I also suspect right from the start OP presents as one who will take whatever they offer since it has happened previously. They mentioned multiple reasons why they won't try to find another job or insist on a rate matching their peers so in this case it sounds like both parties are getting their needs met. It is unfortunate but if someone is willing to work for low rates the employers are happy to oblige. If they aren't willing to walk away from a job or refuse one with a terrible offer there's that.
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