Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Clinical failure for something I couldn't help?

    Jules A replied to teachable's topic in General Students

    But the problem as I see it is you painted yourself in a corner by allowing the first two avoidable things happen. If you didn't have those strikes against you the third would have only been a...

  2. Can you work while in nursing school?

    Jules A replied to KaliNurse19's topic in General Students

    In my experience they will say absolutely NOT as it is in their interest to have you focused solely on school. From their perspective it makes sense because grades can suffer if someone is...

  3. Easiest/quickest online MSN-DNP program

    Jules A replied to ClayH's topic in Post Graduate Students

    I have done research under the direction of my department and I did not enjoy it. I picture DNP as basically writing papers about how superior I will be when I'm a "Dr". I can not justify the...

  4. Easiest/quickest online MSN-DNP program

    Jules A replied to ClayH's topic in Post Graduate Students

    Lol, yeah you aren't going to short change patients imo because much to my dismay the DNP really doesn't offer anything in that regard as it stands now. Interesting that you don't care about...

  5. Is the Baby Boomer Generation not going to get good care?

    Jules A replied to Cola89's topic in Patient, Colleague Relations

    Lol, I'm picturing a T-shirt slogan.

  6. Working while sick

    Jules A replied to Nurseratchet789's topic in General Nursing

    I always work with a cold but not with fever, GI or flu which I rarely have anyway. When I have a cold as soon as I noticeably sniffle or cough I say "please excuse me I have bad allergies" and in my...

  7. Can you work while in nursing school?

    Jules A replied to KaliNurse19's topic in General Students

    It definitely depends on the person, their unique situation and their discomfort threshold. I have a high discomfort threshold so I worked approx 30 hours a week through LPN and ADN programs, more for...

  8. Independent practice for APRN's, unfair to MD's.

    Jules A replied to MikeFNPC's topic in Advanced Practice

    "Physicians and the general public do not have a full concept of the education and training of nurse practitioners," said Linda McIntosh who works as an APRN in a clinic in Searcy. And if they...

  9. To Tell or Not To Tell

    Jules A replied to MiAmorPickles's topic in General Nursing

    I'm not sure I understand this. Other than insisting the RN with the information report what part would nurse 2 have played and why would anyone care? OP this is actually a very interesting

  10. To Tell or Not To Tell

    Jules A replied to MiAmorPickles's topic in General Nursing

    Although since you didn't insist she report and tell her you would, and her name would be cited as the second hand source, if she didn't I'm not sure your obligation has been

  11. Is the Baby Boomer Generation not going to get good care?

    Jules A replied to Cola89's topic in Patient, Colleague Relations

    I agree with the above regardless of how it might be financed. I don't take pot-shots at less affluent because I grew up less affluent, many of my family members and almost all my patients are less...

  12. Is the Baby Boomer Generation not going to get good care?

    Jules A replied to Cola89's topic in Patient, Colleague Relations

    Ahhhhh my favorite

  13. To Tell or Not To Tell

    Jules A replied to MiAmorPickles's topic in General Nursing

    I diffuse situations like this because the person who told you this is cowardly and drug you into something you had no business having to deal with. I'd have dumped right back in her lap during the...

  14. Is the Baby Boomer Generation not going to get good care?

    Jules A replied to Cola89's topic in Patient, Colleague Relations

    I didn't interpret KatieMIs post as unkind or judgemental rather fairly matter of fact. Since you asked I'd also guess she isn't too keen on financing wars or financial bailouts either but then again...

  15. Is the Baby Boomer Generation not going to get good care?

    Jules A replied to Cola89's topic in Patient, Colleague Relations

    You are very wise! Or are like minded which I think is very wise, lol. I did my first "living will" which is what it was called way back when at 23yo. The Karen Ann Quinlan case was a hot topic when I...

  16. Oh no! Prohibited to Practice Letter

    Jules A replied to Nurse Nanobot's topic in General Nursing

    I agree if there isn't anything you can think of that would prohibit you from practicing like failing NCLEX or a criminal history I would recommend bringing the letter to work Monday and discuss with...

  17. Adult NP practicing in BH/psych?

    Jules A replied to Sailrmar9's topic in Nurse Practitioners, NP

    Absolutely and my opinion is as long as it isn't a specialty with a board certification then have at it if someone will train you...and charge a pretty penny because all specialties should be making...

  18. Is the Baby Boomer Generation not going to get good care?

    Jules A replied to Cola89's topic in Patient, Colleague Relations

    OMG! If my family ever tries that nonsense my last effort to "communicate" will surely be to reach out with my gnarled, bony fingers and snatch them bald

  19. Have you left the VA for a private-sector position?

    Jules A replied to CEEdge's topic in General Nursing

    In my experience although the VA had a lighter work load, offered more paid time off and a slightly better 401k type vehicle FERS my health benefits at 2 teaching hospitals have been comparable. I...

  20. Is the Baby Boomer Generation not going to get good care?

    Jules A replied to Cola89's topic in Patient, Colleague Relations

    I'd prefer a premature, hard ending over wilting

  21. Is the Baby Boomer Generation not going to get good care?

    Jules A replied to Cola89's topic in Patient, Colleague Relations

    The affluent have it easier especially when it comes to lifestyle and preventative care but I'm not sure their outcomes are much different. It seems the prevalent sentiment is that everyone can plan...

  22. BSN To CRNA Program

    Jules A replied to missklaas's topic in Student Registered Nurse Anesthetist

    Get RN experience! Bless the CRNAs for continuing to attempt to ensure only high quality nurses with an appropriate background enter the

  23. Salary and Negotiation

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

    [quote=brista;9346553 Can you clarify these terms for those of use who are new to the business aspects of the field? What do you mean by what you said above? She earned $160,000 but her take home was...

  24. Pennsylvania CRNA vs NP

    Jules A replied to Nursepennsylvania's topic in Advanced Practice

    I agree. The exception is those who are skilled and confident enough to open their own practice but if it were me I'd still employ a physician. Although I worked very hard to obtain independent...

  25. IM injection gone subcutaneous?

    Jules A replied to Psychrn6685's topic in Patient Medications

    Yes and there is definitely a consideration when someone has been on a medication with positive effects long term. I'm almost never in favor of trialing a change in these cases however if providers...