Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Advice?? Having trouble finding NP job.

    Jules A replied to seibeb2012's topic in Nurse Practitioners, NP

    I'm not really seeing as many NP jobs being posted as compared to a few years ago and from what I know the reasons places aren't hiring new grads includes that the majority have not been prepared by...

  2. Advice?? Having trouble finding NP job.

    Jules A replied to seibeb2012's topic in Nurse Practitioners, NP

    My guess is you did nothing wrong other than to buy into the hype that there is a shortage of NPs when in fact the number graduating and attempting to practice are increasing in numbers such there is...

  3. Scope of Practice - Acute NP vs FNP

    Jules A replied to ICURNPA92's topic in Nurse Practitioners, NP

    Great timing. Carolyn Buppert's tip of the month is about practicing within your credentials. I enjoy her stuff and she cites a case where a FNP is dealing in psych poly pharm which goes bad. It is...

  4. NP Informed Consents in Pennsylvania

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

    This makes perfect sense, could it be that there is something in our legal system, that I both understand and also seems reasonable?

  5. NP Informed Consents in Pennsylvania

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

    It is a very interesting topic. Do you live in PA or did you just come across it? If you live there I'd advise becoming active or at least getting to know some of the key players in your state's NP...

  6. NP Informed Consents in Pennsylvania

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

    What is your state's NP organization doing about this wording? My guess is the intention is "provider" must do the informed consent so I would suggest getting your lobbyist on that and push to have...

  7. Really on the fence about pursing MSN...

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

    Overall regardless of the setting, unless you open your own practice and are willing to work for reduced reimbursement to do therapy, the role of a PMHNP is medication management only. Something to...

  8. Resume for Preceptor

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

    I know a few who do it when asked to precept to see if they feel they are able to provide the prospective student with the clinical experiences they will require. Usually that translates into finding...

  9. Are you a nurse practitioner without any nursing experience?

    Jules A replied to bethymaester's topic in Advanced Practice

    I like your points but would ask where in the hundreds of NP schools that are admitting and graduating anyone who can pay tuition are the rigorous programs and really how could a mere 500 clinical...

  10. Don't like my first NP job

    Jules A replied to 2bNotAnotherMaleNurse7's topic in Nurse Practitioners, NP

    I suspect we will see more posts like this as the numbers of graduating NPs continues to increase. There seems to be a lack of preparation to practice not only with regard to diagnosing and...

  11. Do you ever feel like you 'settled' for being an APNP instead of an MD?

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

    Unfortunately this is nursing propoganda at its finest. Holistic care isn't exclusive to nursing and to act as if physicians don't consider the "entire patient" is insulting to the many fine...

  12. Needing encouragement: I think I regret being an FNP

    Jules A replied to Trilldayz,RN BSN's topic in Advanced Practice

    Ethically I couldn't agree more and from a practical standpoint while there used to be a shortage of PMH NP that is no longer the case at least in my area of Baltimore-Washington DC. The numbers who...

  13. Do you ever feel like you 'settled' for being an APNP instead of an MD?

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

    I don't know when I look at the "poor suckers" I work with I'm left thinking that with only a few additional years of superior education they are making $120,000-$200,000 more every single year than I...

  14. Do you ever feel like you 'settled' for being an APNP instead of an MD?

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

    What I regret is not having the support or insight as a young person to have even considered med school. I loved being a RN and now NP however I do wish I had the superior education afforded MDs. I...

  15. How to approach

    Jules A replied to Jade_47402's topic in Nurse Practitioners, NP

    As a student I have to wonder if this would be better to discuss with your school contact? I'm surprised a student was given this task and hope you understood what you were reporting and were...

  16. Needing encouragement: I think I regret being an FNP

    Jules A replied to Trilldayz,RN BSN's topic in Advanced Practice

    Its true most places and I don't think you are being inpatient or asking a lot. Unfortunately, you are in the same boat as many other NPs who drank the university KoolAid served up to undergrads who...

  17. Psych Mental Health NP- Competitive?

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

    Well you seem to have it all figured out so hopefully you won't be erroneously diagnosing children and adolescents with bipolar disorder and putting them on antipsychotic drugs because they are...

  18. Psych Mental Health NP- Competitive?

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

    If you can write the tuition check you can get into any NP program your little hearts desire. Thankfully in my area the Johny Come Lately's with no psych RN experience are now on the radar of...

  19. Fellow NPs: What's your strategy for retirement?

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

    Do primary care docs routinely do MMSEs or MOCAs, which I believe to be superior for mild cog deficits? Funny that you mentioned derm because there is one in this area who graduated over 40 years...

  20. Fellow NPs: What's your strategy for retirement?

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

    This isn't just directed at you because I know a lot of people feel this way but how does one know when their own mind is no longer sound enough to safely practice? I don't think its so cut and dry...

  21. Fellow NPs: What's your strategy for retirement?

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

    The big problem with regard to mental soundness is that when we are no longer sharp we don't realize the extent, or think we can confabulate our way around the deficits, which is why I believe its...

  22. How much RN experience?

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

    You seem rather sharp and have significant experience so it is a shame it has come to this. Your state's NP organization needs to band together and demand appropriate wages. I'd agree that there is...

  23. How much RN experience?

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

    I've heard that also and then thats what I'd be doing because I have no interest in the increased liability or responsibility without a significant increase in pay. I'm sure others will disagree in...

  24. Fellow NPs: What's your strategy for retirement?

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

    Excellent topic! I am frustrated by 70-80 year old doctors and nurses who continue to practice long after they are relevant or competent. I will be damned if my colleagues or the board will have to...

  25. Recently met a FNP grad from Chamberlain

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

    Passing boards doesn't impress me in the slightest. Although it is the main measure of certification in my opinion the ability to pass boards is only an indication the person has mastered NCLEX style...