Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Retirement at what age, and how much $$ will you will need to retire "comfortably"?

    Jules A replied to Horseshoe's topic in General Nursing

    Thank you for sharing your story. It sounds as if you were sensible and so when the unfortunate happened you were prepared. I hope things go smoothly for you and you remain comfortable and happy for...

  2. New grad, First NP at clinic

    Jules A replied to missdeevah's topic in Nurse Practitioners, NP

    Thanks for adding this, I forget psych isn't the only game in town. :) In psychiatry we have to be careful we aren't billing for things such as therapy that our therapists then can't bill for...

  3. Opinion on "direct entry/immersion" NP programs for non-nurses?

    Jules A replied to simcc's topic in Student Nurse Practitioner

    Search in the Advanced Practice and NP forums this topic has been chewed on and spit out too many times to

  4. New grad, First NP at clinic

    Jules A replied to missdeevah's topic in Nurse Practitioners, NP

    That is unfortunate. You will have to get in contact with the local heavy hitter NPs in your area. Find out their salaries, benefits and use that data when you present your proposal. What have other...

  5. New grad, First NP at clinic

    Jules A replied to missdeevah's topic in Nurse Practitioners, NP

    Most important of all is that we discuss our salary with colleagues. Not sharing that information only serves the employers and I don't want someone new coming in driving the rate down. I strongly...

  6. Psych/FNP Scope -Need Your Help!

    Jules A replied to NHGN's topic in Nurse Practitioners, NP

    There is no way I'd take this on the authority of a colleague(s) especially because this is stepping outside of your formal training and expected practice. The one time I needed clarification of...

  7. Psych/FNP Scope -Need Your Help!

    Jules A replied to NHGN's topic in Nurse Practitioners, NP

    Prior to getting my FNP I didn't initiate or make dosage adjustments on any prescription meds that were not psych oriented. Have you checked with your BON? That is the place to get confirmation, in...

  8. Pros & Cons of Physician-Owned Clinics?

    Jules A replied to missdeevah's topic in Nurse Practitioners, NP

    I prefer a physician owned practice provided they treat NPs like a colleague and not a glorified nurse or their assistant. The biggest perk I have found is they have ancillary services set up to allow...

  9. What would you do if nursing staff refuses do carry out your request?

    Jules A replied to Saflanut's topic in Nurse Practitioners, NP

    OP is this one of your RNs? lol As far as I read there was no talk of asking the RNs to remove ticks and a visual assessment for skin abnormalities is within a RNs

  10. Is anybody else tired of the nurse practitioner craze?

    Jules A replied to WillRegNurse's topic in Nurse Practitioners, NP

    Just curious, although I wasn't sure who your post was responding to your optimism sounded in keeping with a NP

  11. Annoyed by commercial

    Jules A replied to jodispamodi's topic in General Nursing

    Yes but if more patients are in the ED the nursing supervisor overrides and insists we take additional

  12. What's going on with this job?

    Jules A replied to Coffee Nurse's topic in Nursing Career

    In my experience PRN jobs can take forever although I rarely do the HR only route so there is usually inside info coming my way. If you want the job, I'd call one more

  13. Annoyed by commercial

    Jules A replied to jodispamodi's topic in General Nursing

    Although one of the units I work on has a manageable, not generous mind you but manageable, staffing allotment however on a near daily basis it is overridden by management due to patients who "aren't...

  14. What would you do if nursing staff refuses do carry out your request?

    Jules A replied to Saflanut's topic in Nurse Practitioners, NP

    I would seek clarification with management and the RNs because that is well within their duties. Maybe it was them being uncomfortable alone with a naked patient and should have been suggested as a...

  15. New DNP mandate

    Jules A replied to Rocknurse's topic in Nurse Practitioners, NP

    Re supervision: Both but it is a known requirement that PAs are supervised by physicians. Re extended new grad orientation: Only NPs. I haven't heard nor encountered a memorable instance of new...

  16. Is anybody else tired of the nurse practitioner craze?

    Jules A replied to WillRegNurse's topic in Nurse Practitioners, NP

    Your experience as? Prospective NP student? Current NP student? or practicing

  17. FNP after PMHNP

    Jules A replied to SDStudent1's topic in Nurse Practitioners, NP

    This. It doesn't make sense to cover both without 2xs the appointment time and pay. If you are working inpatient psych having FNP or ACNP also is important to be able to make minor adjustments on...

  18. Annoyed by commercial

    Jules A replied to jodispamodi's topic in General Nursing

    How about a rebuttal commercial. Narrator: Did they really advocate "At the expense of your loved ones vote for unsafe staffing to save healthcare billions"???? Exactly, contact your elected...

  19. Annoyed by commercial

    Jules A replied to jodispamodi's topic in General Nursing

    In some regard we have only ourselves to blame. I have watched over the years as the responsibilities have increased and the supports have decreased and yet we continue to slog along like dutiful...

  20. New DNP mandate

    Jules A replied to Rocknurse's topic in Nurse Practitioners, NP

    Hospital 1: Requirement for new grads to complete a 6 month orientation program with no responsibilities at reduced pay. Although some might feel this is a good thing as a direct response to ill...

  21. Retirement at what age, and how much $$ will you will need to retire "comfortably"?

    Jules A replied to Horseshoe's topic in General Nursing

    Excellent advice and this is where I have finally allowed myself to be. I know my 50s-60s will be the best health I will be in until its curtains so now is the time I'm starting to enjoy the fruits of...

  22. Retirement at what age, and how much $$ will you will need to retire "comfortably"?

    Jules A replied to Horseshoe's topic in General Nursing

    I have read intelligent arguments either way but for the me the bottom line is two fold: 1. How much money, time and research do you think was done before offering this "bonus" to those who wait? I...

  23. New DNP mandate

    Jules A replied to Rocknurse's topic in Nurse Practitioners, NP

    And our reputations as droves of ill prepared new grads hit the streets. There are two hospitals in my area now that have practice restrictions on NPs. One is aimed at new grads and the other is...

  24. Retirement at what age, and how much $$ will you will need to retire "comfortably"?

    Jules A replied to Horseshoe's topic in General Nursing

    Excellent point and why I have an iron clad advanced directive. If it happens I'm headed to the cheapest, most awful nursing home where I hope to quickly get septic and die without anything more than...

  25. New grad, First NP at clinic

    Jules A replied to missdeevah's topic in Nurse Practitioners, NP

    This will be delicate and while I appreciate their inclusion of you I suspect they anticipate you will be nurse silly rather than business savvy. Be very careful about putting something out like the...