Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. I'm no more skeptical about DE grads as the trend to go straight through without ever practicing as a RN and I'll be the first to admit of course there are good and bad in all groups. My biggest...
  2. I also admit that a majority of my complaints are my own bias based on how valuable I feel my RN experience was for my specialty. Perhaps it can be said that I'm not the sharpest knife in the drawer...
  3. While I agree with you I find this contradictory to your repeated support of DE programs. So you only approve of primary care DE programs? Totally not trying to pick a fight just not sure I'm...
  4. It would possibly serve to challenge the repeated statements that those complaining about DE aren't even NPs. This is one: You might want to re-read because I was only referring to my NP...
  5. Has anyone actually counted the various responses on this and similar threads? It seems there are plenty of NPs who feel their RN experience was necessary. Everyone is entitled to their opinion and...
  6. One semester to go. And
  7. I'm gonna say
  8. VA Nurse Practitioner

    Have you thought about getting a peer group together and discussing? I bet it would propel VA NPs out of the dark ages, especially with full practice authority, and likely attract bright new talent. I...
  9. VA Nurse Practitioner

    Tony1790 do you know if there is any talk of VA NPs separating from nursing and becoming classified as medical staff? A majority of civilian hospitals do it that way because we really are more medical...
  10. optimistic assertion
  11. On-Call contract negotiations

    You have two different things to consider. The weeknight call portion plus the weekend onsite work plus call which in my opinion should be compensated at a higher rate. I don't shy away from it...
  12. Multiple masters?

    I'd agree to wait until you are ready and get NP but also wanted to add that it is refreshing to learn there are actually new nurses who enjoy their RN job and value the experience it will provide....
  13. Its been years for me also but it was a good experience. The number of patients each nurse had was embarrassingly low but acuity was high, similar to the inner city acute units which I loved. Plenty...
  14. I'm sure it does vary by location. Why you think outpatient jobs would be less likely to require actual psych RN experience? Even the well known meat market clinics that could care less who they hire...
  15. From what I hear in the Baltimore/Washington DC metro employers are getting wise to the lack of psych RN experience and inability to reasonably practice independently upon graduation. The medical...
  16. Whatever happened to just CRNP or APRN? Nursing's love of alphabet soup is not only confusing but also seems insecure to
  17. Probably simplistic and based on personal experience n=2 but I'd guess this is a large teaching hospital with a fancy name. They love the new grads with alphabet soup as their title who they can pay...
  18. Income woes - take a new job?

    I get what you are saying and agree the OP should move on but also feel there should be some ownership. OP took a part time offer, didn't understand the contract and now is complaining about the lack...
  19. Income woes - take a new job?

    I would also recommend knowing the nuances of the contract before you accept this time
  20. Charting only under an MD

    No autonomy, minimal responsibility so not a bad thing if you are ok with it. I would hope that as he becomes comfortable with your skills he will allow more autonomy because he isn't utilizing you to...
  21. Delegating To MA

    I'd get with your state's NP organization and BON for clarification but it is my understanding that no, NPs can't delegate to MAs. Not that it isn't done all the time but I don't think its
  22. VA Nurse Practitioner

    I am totally bottom line oriented. :) I don't know how solid your information is but in my experience it was extremely difficult to obtain tuition reimbursement as a RN at VA and also I don't think...
  23. Is this still in the works? I appreciated that my FNP program was clear about this on day one of orientation. That so many believe they are able to do anything is concerning especially with the...
  24. VA Nurse Practitioner

    I can't speak for NPs but as a RN inpatient psych we had the lowest patient load of any job I ever
  25. VA Nurse Practitioner

    The rates have definitely gone up. In my area a grade 4 step 13, not sure how long you have had to be a NP to get that rate? is $143,000. Still unfortunately more than $40,000 less than my yearly...