Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Psych no salary/pay

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

    Sorry but unless this was in Florida or as an employee and included a sweet benefits package yeah you failed your negotiations miserably. I might be mistaken but I thought Locums companies kept...

  2. Opiates Are Not for All Pain

    Jules A replied to soliantony's topic in Advanced Practice

    I have seen many patients obtunded on only po

  3. Psych no salary/pay

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

    So you aren't a psych NP? I'd make sure your state will allow you to work in psych without the certification. I would need $110 an hour plus benefits if I was making $130 as a

  4. Advice for working floor with "attacks" (anxiety?)

    Jules A replied to Aliens05's topic in General Nursing

    SSRIs are standing order, check with your provider to see if this would be appropriate for you. I'm guessing most who posted here aren't being treated by an actual psychiatrist. I am surprised to read...

  5. Second Thoughts on leaving Bedside for NP role

    Jules A replied to Babyboss 19's topic in Nurse Practitioners, NP

    Maybe it is just me but I can't imagine why anyone would take on the education time, expense and liability if there wasn't a significant increase in compensation. Check out the APRN Medscape 2018...

  6. Second Thoughts on leaving Bedside for NP role

    Jules A replied to Babyboss 19's topic in Nurse Practitioners, NP

    This isn't guaranteed and with the way supply vs demand in the very near future is headed ie OPs target retirement date probably unlikely imo. While there are definitely plusses and minuses to justify...

  7. What are Psych NP/CNS's looking for in Salary/Benefits

    Jules A replied to dmarie82's topic in Nurse Practitioners, NP

    You might want to pass on the latest Medscape NP salary estimates. Perhaps there should have been additional instructions I know someone who thought their yearly salary was the gross of their part...

  8. Non-Clinical RN to NP

    Jules A replied to Foreveryoung17's topic in Student Nurse Practitioner

    You seem to have made up your mind so I am unclear as to what feedback you are

  9. What are Psych NP/CNS's looking for in Salary/Benefits

    Jules A replied to dmarie82's topic in Nurse Practitioners, NP

    I'm not sure your experience is the norm or at least not at a well run clinic. I see 14-16 patients in an 8 hour day and rarely have gaps. If a patient cancels they can usually bring someone in from a...

  10. What are Psych NP/CNS's looking for in Salary/Benefits

    Jules A replied to dmarie82's topic in Nurse Practitioners, NP

    Are you plugged in with your state's NP organization and local psych NPs? That is really where you will get your best first hand information and contacts. Find out how much they are making, how much...

  11. What are Psych NP/CNS's looking for in Salary/Benefits

    Jules A replied to dmarie82's topic in Nurse Practitioners, NP

    So if its not the rate what could it be? You know what we bill and how much it would cost to hire a psychiatrist so I would reconsider what we are saying although it sounds as if our experiences...

  12. What are Psych NP/CNS's looking for in Salary/Benefits

    Jules A replied to dmarie82's topic in Nurse Practitioners, NP

    In the Baltimore/DC area psych NPs should be making $150k as new grads and around $180-190k for experience. Everything else looks good but your rate is too low. You could probably do away with the...

  13. Resignation, What To Do With Accrued PTO??

    Jules A replied to J89Mike's topic in General Nursing

    Yeah I'm not sure why the uproar about the tax difference. It all comes out in the wash. I have a CPA because I have rental properties. I feel it is worth the money to have assistance with that and...

  14. PA: State Cites WilkesBarre General "Systemic" Failure to Provide Adequate Nursing Staff

    Jules A replied to NRSKarenRN's topic in Activism, Healthcare

    Hopefully we will see more of this. Kudos to the nurses for reporting rather than simply accepting unsafe conditions as so often seems to be the

  15. Any Pmhnps here? I have a couple of questions?

    Jules A replied to kenwill162's topic in Nurse Practitioners, NP

    The job market largely depends on your area and contacts. Although some, who don't work in this specialty, will insist there are millions of openings for high salaries based on the spam emails they...

  16. Fourfold dilemma- Primigravida, domestic violence, substance abuse and refusing assistance

    Jules A replied to Subby317's topic in Advanced Practice

    In psych we say you can't want it more than the patient. Continue to provide support and offer options, especially a therapist, but ultimately it is on

  17. Thoughts on doctors and management styles

    Jules A replied to SoundofMusic's topic in Advanced Practice

    Sorry for the hijack, OP, but I'm curious about this and it might be worthy of a new thread. I'm assuming the new psych NP was problematic? "ugly details". If so, I'm wondering why it was turned back...

  18. Thoughts on doctors and management styles

    Jules A replied to SoundofMusic's topic in Advanced Practice

    I'm fortunate to work on a small team where the physicians treat the three NPs like colleagues and friends. We rarely deal with administration but if that wasn't the way it went as long as I was being...

  19. Opiates Are Not for All Pain

    Jules A replied to soliantony's topic in Advanced Practice

    I thought it went without saying the patient had been assessed for pain considering that was a caregiver

  20. Opiates Are Not for All Pain

    Jules A replied to soliantony's topic in Advanced Practice

    Psychiatry also and rarely have I found the person bitterly complaining about "The War on Drugs" not to be seeking an inappropriate, unsafe combination of

  21. Veterans disability exams (Compensation and Pension exams)

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

    What a shame and how could they expect to attract quality psychiatrists or NPs? Not the VA but I had a friend who worked at a clinic with this set up. Its sad there are those among us who tolerate...

  22. Opiates Are Not for All Pain

    Jules A replied to soliantony's topic in Advanced Practice

    My first thought was who really wants the

  23. Suboxone treatment clinics

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

    I'm skeptical of the for profit methadone and suboxone clinics and do feel they can be like the unscrupulous pain management practices, not all but certainly enough. I believe bup is one of the most...

  24. Veterans disability exams (Compensation and Pension exams)

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

    Thank you for your thoughtful response. Please accept my apology and know that I am in no way blaming victims. I believe there should be zero tolerance for sexual misconduct. I am glad to hear you...

  25. Suboxone treatment clinics

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

    It is a lot of extra BS imo. There is the contract, the close follow up, the labs and liability when someone starts using again as many do. Their perceived need for polypharmacy with psychiatric...