Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Best RN experience for new grad FNP?

    Jules A replied to ladybug95's topic in Student Nurse Practitioner

    Hi Nickie, Your ED RN background will serve you well. I'd be inclined to do the peds ED because that peds exposure will be invaluable. Consider trends in your area because right now in my area they...

  2. New grad residency, is this a good opportunity?

    Jules A replied to aok7's topic in Nurse Practitioners, NP

    It sounds like an excellent opportunity to get in on the ground floor of something promising. How long is it and what is the pay increase after the residency is over? Definitely make sure that is in...

  3. FNP Oversaturation

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

    Being willing to walk has made me over six figures. A majority of my jobs have started with me presenting my required rate, them saying no way, me saying ok thanks hanging up and getting phone call...

  4. FNP Oversaturation

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

    I like the surveys because they are much more accurate than looking at the job search site information which as I have said many times is grossly under what I make even when looking specialty...

  5. Evaluation and Treatment of Mental Illness in Primary Care

    Jules A replied to MJC2118's topic in Nurse Practitioners, NP

    But why start with a benzo + SSRI combo? I do this at times but probably not more than 30% and only when someone is in significant distress or in the rare case on initial interview when I'm not...

  6. MSW to PMHNP?? AT A CROSSROAD AT AGE 41

    Jules A replied to janjan23's topic in Student Nurse Practitioner

    If at 41yo you have yet to establish your social work career and have invested the time to get your masters it would probably be best to continue that course at least for a couple of years. If you...

  7. FNP Oversaturation

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

    Yup my interest lines in my gross income and ability to support my family which are being destroyed as new people come in willing to work for less than established rates. I'm good at what I do but not...

  8. FNP Oversaturation

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

    There are no sure answers to that but I would not bet thousands of dollars, my time and future career on this being an easy fix to an overall glut in NPs. While there is not the competition for jobs...

  9. Evaluation and Treatment of Mental Illness in Primary Care

    Jules A replied to MJC2118's topic in Nurse Practitioners, NP

    I hear that and appreciate your sentiments. There is a such thing as an early referral. It is simply making a psych referral/appointment to get your patient on the 4 month or whatever waiting list...

  10. I need a hug. <slightly off topic>

    Jules A replied to OhioBPH's topic in School

    Sending a hug! I believe inner peace comes from being your own champion. Many congratulations on your upcoming

  11. Schools that require you to find a preceptor (rant)

    Jules A replied to Telenurse1990's topic in Student Nurse Practitioner

    This is already the case in with regard to employers. They are covered by hiring someone licensed with the expectation they are competent due to said licencure which as we all know isn't always the...

  12. Is finding a preceptor always hard?

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

    Or a collection of recent new grad NP alums who have no experience and are still finding their way. This was and still is the case with the highly ranked brick and mortar state school I attended. You...

  13. Benefits over passion?

    Jules A replied to KJCnango's topic in General Nursing

    Crunch the numbers. The blind adoration for a state or federal position, I had it once too, might not be so rosy when you total the actual gross and consider the cons that go along with working for...

  14. Schools that require you to find a preceptor (rant)

    Jules A replied to Telenurse1990's topic in Student Nurse Practitioner

    Add to your rant and consideration of what is presently being seen in many areas and has been predicted to be an upcoming saturation of the NP market. "In 2025, no state is projected to have a...

  15. FNP Oversaturation

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

    What would you consider evidence? The salary reports that are published vary by such large degrees that I don't feel they are worth the time to even read and they aren't based on real time data. If I...

  16. New NP gift?

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

    Not especially exciting but the gifts I appreciated, and utilized the most, were the books colleagues gave

  17. FNP Oversaturation

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

    I'm confused not too because it is my understanding there are caps on the number of midlevels one physician can supervise in certain

  18. FNP Oversaturation

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

    Did you check out the link? My finger count is probably not 100% accurate but I counted #80 new residency programs listed for Family

  19. Is 54 too old to get a doctorate degree?

    Jules A replied to Nurse Beth's topic in Career Advice Column

    Thank you NurseBeth for a thoughtful and practical approach to a question that seems to get weighed down in rose colored glasses and or countertransference. Of course age should be a consideration,...

  20. FNP Oversaturation

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

    Maybe not so much. There are 22 new psych residencies in the making which is something I have never seen before....

  21. Mandatory co-author?

    Jules A posted a topic in Doctoral Nursing Degrees

    Have you heard of schools who require the DNP capstone faculty mentor to be listed as co-author on the final product when it is submitted for publication? What is your take on this

  22. Evaluation and Treatment of Mental Illness in Primary Care

    Jules A replied to MJC2118's topic in Nurse Practitioners, NP

    The only ire is toward those initiating benzos and stimulants then turfing them off when it becomes a problem. Start the referral early and there will be less lag time in getting in with psych....

  23. Evaluation and Treatment of Mental Illness in Primary Care

    Jules A replied to MJC2118's topic in Nurse Practitioners, NP

    Yeah we love getting patients from the PCP who started them on the magic pills and then turf off to us. If no indication of Bipolar why not start a SSRI, maybe vistaril prn and if ineffective refer?...

  24. How much did NP school prepare you?

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

    I agree with your and Elk's comments about seeking quality and it sounds like things are exponentially worse now that the As Seen on TV Universities are clamouring for our money. I also wonder if your...

  25. CCNE Accreditation Comments

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

    While I disagree with his advice particularly with regard to being a big vs little fish it is clear that he respects you and still has some regard for our profession. He has probably worked with...