Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. New grade salary

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

    Depends on the specialty. What are your colleagues making? Thats the best indicator. Last I heard DC was paying in around $110,000+ for FNPs. Psych NPs should be in the $150,000+ range. Unless they...

  2. Bad online review

    Jules A replied to karenCPNP's topic in Advanced Practice

    Brilliant! In psychiatry due to the large number of substance use disorders I'm attempting to treat my patient satisfaction level is probably inversely proportionate to the quality of care I'm...

  3. PMHNP-low stress?

    Jules A replied to Flo.'s topic in Advanced Practice

    As more and more FNPs think they are able to "do psych" especially due to the higher pay rates I suspected this might happen. You are very insightful as there are actually no medications with FDA...

  4. Dangerous to be psych NP

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

    Be very careful because in my experience those who think they are able to "talk them down" are often the ones who overestimate their therapeutic skills when in fact with a psychotic or antisocial...

  5. Sport Physicals for the Under Served

    Jules A replied to SWalker,CPNP-PC's topic in Advanced Practice

    You should be able to bill for anything reimbursable through medicaid. I'd contact schools to see if they wanted to set up a sports physical clinic. I agree sports are amazing for all kids but the...

  6. Seeking Advice: Direct Entry Blues

    Jules A replied to mk989's topic in Nurse Practitioners, NP

    Or save up for school then work while getting your degrees? As someone who worked the entire time from my LPN to MS and post masters I seriously can't fathom justifying that amount of money for a...

  7. "Noctor?" Offensive title?

    Jules A replied to Breathing16's topic in Nurse Practitioners, NP

    I happen to believe I am a mid-level provider, don't take offense to term and agree with the poster who mentioned this has nothing to do with RNs being "low level" as they are the top of their field....

  8. Seeking Advice: Direct Entry Blues

    Jules A replied to mk989's topic in Nurse Practitioners, NP

    My thoughts would be there clearly must by a typo in that figure. I'm wondering if predatory university practices might be the next controversy to hit our country's

  9. Questionable practices?

    Jules A replied to stickit34's topic in Nurse Practitioners, NP

    Personally I always follow my gut because it has been shown to be solid. I'd do soul searching to consider the validity and rationale of your husbands opinion, unless he's just an orifice and in that...

  10. accurate information on scopes of practice

    Jules A replied to Confusedstudent7383's topic in Student Nurse Practitioner

    I'm currently contemplating between becoming an NP or an MD (leaning more towards an MD though), but finding accurate information is SO difficult because both professions are so insecure about scopes...

  11. Can PsychNPs administer ECT treatments?

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

    This is my understanding also and it would be an excellent topic to address with support of your state's NP organization. I'm sure it depends state to state but it has been my experience the BON...

  12. Seeking Advice: Direct Entry Blues

    Jules A replied to mk989's topic in Nurse Practitioners, NP

    That is exactly what I believe and being able to triage like an ED RN is valuable in any specialty, imo. My psychiatric RN experience was absolutely invaluable. I spent years seeing the diagnoses,...

  13. Seeking Advice: Direct Entry Blues

    Jules A replied to mk989's topic in Nurse Practitioners, NP

    I don't believe any new grad should be expected to perform like a seasoned professional although my case load from day one was the same as it is today. What I believe is a minimal orientation to the...

  14. Seeking Advice: Direct Entry Blues

    Jules A replied to mk989's topic in Nurse Practitioners, NP

    I think dragon might be the nicest thing you've ever called me. :) Excellent point however the 3 year residency is still their school, they are not considered full vested employees at that stage so if...

  15. Bad online review

    Jules A replied to karenCPNP's topic in Advanced Practice

    That's lousy but the age we live in. I'm forever thankful all this media wasn't available when I was an impulsive adolescent or my life would have likely been very different and not in a good way. I'd...

  16. Seeking Advice: Direct Entry Blues

    Jules A replied to mk989's topic in Nurse Practitioners, NP

    Gee imagine employers expecting that educated, highly paid professionals are prepared to start work with the ability to practice to the full scope of their licensure without an extensive orientation?...

  17. Passed boards now what?

    Jules A replied to 1TraumaNurse's topic in Nurse Practitioners, NP

    Totally agree but would also urge those in your situation to take the schools to task. It is ridiculous that they have taken what I can only assume to be thousands of your hard earned dollars and...

  18. If you don't have to be (insert job) before becoming a PA, why become an RN before NP?

    Jules A replied to nightingale4me's topic in Nurse Practitioners, NP

    Ahhh yes but there are many that only require the degree with zero requirements to ever have worked as a RN so although technically correct rather irrelevant with respect to the original intention of...

  19. PMHNP-low stress?

    Jules A replied to Flo.'s topic in Advanced Practice

    Physically it is easy, actually boring although there are always the few instances of assaultive behavior or extreme paranoia leading to threats. For me out patient is mentally exhausting and far more...

  20. Psych NP Health Assessment

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

    All the programs I'm aware of require it. For billing you will be adding components of a physical exam also even if totally

  21. Urgent pls help!

    Jules A replied to entrepreneur_np's topic in Advanced Practice

    Seeing kids and addictions would be a reasonable expectation of all outpatient PMH-NPs that are boarded in family. I haven't ever had a patient load that wasn't filled with both. I'm surprised OP...

  22. Glassdoor vs Salary.com real market value-have to let them know by the end of the day!

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

    Ok since you put it out there I have never been in a position where I had to make a decision by the end of a day and suddenly started scrambling for advice so that put me off from answering when I...

  23. Dr. denigrates NPs, cites low IQ etc

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

    Looking at our syllabus' would be enough to get the idea of our rigor (or not) but regardless this just isn't true and adds unnecessary fodder for physicians who are antagonistic toward our...

  24. Dr. denigrates NPs, cites low IQ etc

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

    Best totally ignored. I have always felt our over the top outrage tends to solidify the assertions that we are a bunch of hysterical girls which is a shame in the instances where something really...

  25. Recommendation for pharm ceu’s? Preparing to recertify

    Jules A replied to SoundofMusic's topic in Advanced Practice

    I do all physicians conferences because I love the trip write off and feel the material is more in depth and delivered by highly regarded physicians in the specialty. The free food and hotel discounts...