Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Adult NP practicing in BH/psych?

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

    The amount of psych, OB or peds you get in FNP, and I know because I'm a FNP also, is so minimal compared to the specialty tracks that I can't believe any states or NPs feel they have received a...

  2. Compensation for Call Pay

    Jules A replied to Alicia777's topic in Nurse Practitioners, NP

    You can not be serious. Who would agree to that? My compensation isn't especially pertinent here but OMG I get between $300-$500 and many nights I end up thinking that's not nearly

  3. IM injection gone subcutaneous?

    Jules A replied to Psychrn6685's topic in Patient Medications

    On a side note for your own knowledge do some research on the neurotoxicity of Haldol vs neuroprotective features of SGAs. Broke my heart to accept that my beloved Haldol could be partly responsible...

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

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

    I'm fairly certain none of us are guaranteed anything and it never ceases to amaze me that the usually affluent people I encounter who seem to expect to live until they are 90 and are horrified when...

  5. Salary and Negotiation

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

    You already said you are taking this job so its a moot point but yes it absolutely is too late to attempt to renegotiate unless you have another offer in writing to attempt to use as leverage. You'd...

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

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

    I hear ya but believe being realistic even if its uncomfortable is far better than living in denial and having things taken out of our control because we didn't plan for the what ifs. No easy answers...

  7. DNP enquiry

    Jules A replied to Edisonaidor's topic in Doctoral Nursing Degrees

    . Yes, to their credit CRNA programs are still particular about experience unlike NP programs where most admit anyone who can pay the

  8. Importance of floor nursing experience for PMHNP

    Jules A replied to rr0416's topic in Student Nurse Practitioner

    No unfortunately you don't. Schools will admit anyone who can pay the tuition however that does not mean our brief, superficial NP education is sufficient to teach the subtleties necessary to...

  9. Adult NP practicing in BH/psych?

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

    Dang an amateur making us look bad, lol. I think TSH might be somewhat stress sensitive because its not uncommon to have elevation upon acute admission but upon recheck with free T4 :) its usually...

  10. Salary and Negotiation

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

    There are many threads in this section where those of us willing to disclose our salaries have added the actual numbers. Try a search to get the most

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

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

    My guess is more and more unlicensed personnel will be added to do the basics. The majority of young-ins I'm in contact with don't seem to have any interest in being an actual nurse Personally I'm not...

  12. Adult NP practicing in BH/psych?

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

    Excellent question and this would be a great thread. There are several things I would suggest and I also attempt to work this in reverse for my mental health patients who do not have a pcp. 1. Make...

  13. FNPs don't let me down!!! Where's the Money?

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

    Legit LOL. It sounds like you have the total package, money and a schedule you love. Me too and I don't think we could hope for more than

  14. Adult NP practicing in BH/psych?

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

    The therapy component is huge kudos. If there was access to decent therapists a majority of my patients would have very little need for me other than a brief stabilization period as therapy starts...

  15. New grad RN, don't think I can do this

    Jules A replied to becmcg's topic in General Nursing

    Wow that sounds like a lot and I bet anyone would have been overwhelmed. Its wonderful to hear that your peers are supportive which also lends me to think that you indeed did a good job based on their...

  16. Adult NP practicing in BH/psych?

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

    I think much of it has to do with the fact that there is a Psych specialty track so therefore those who don't have it and are attempting work solely in psych have not received what is the established...

  17. Salary and Negotiation

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

    Thanks for sharing. Is the $105,000-$110,000 extrapolated out to what traditional full time wages per year would be? I think thats an important clarification. I recently had a friend tell me her...

  18. FNPs don't let me down!!! Where's the Money?

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

    Appropriate compensation, a pleasant work place and providing much needed care to an underserved population are not mutually exclusive. Its discouraging that NPs continue to cite these reasons as...

  19. What age is "too old" to switch from RN to APRN?

    Jules A replied to WestCoastSunRN's topic in Advanced Practice

    But please keep in mind that for now you are blessed and able. Having a positive attitude certainly shapes someone's perception of what is happening in their life but not everything is "mind over...

  20. Nurses need to stick together

    Jules A replied to Tcarvan1's topic in General Nursing

    It is problematic and widespread. I have worked hard and lived very simply in an effort to never be beholden to an employer or a romantic partner for that matter. I have always had enough money...

  21. Sincerity amongst collegeaues

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

    This is such an important component to be in a position where we don't allow ourselves to get in a jam and therefore have to jump at whatever scrap someone is willing to toss in our general direction....

  22. Is this Fraud?

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

    Although you are underpaid for a NP she isn't allowing you to work as a NP so I guess not a bad rate for a glorified RN? My guess is its more about controlling the practice than the money and since...

  23. Is this Fraud?

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

    I hope you have that in writing from the Board of Nursing as in my state when the guard changes the rules sometimes change and I would think monitoring the diagnoses a NP assigns would be as important...

  24. Sincerity amongst collegeaues

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

    My guess is they saw they didn't have a push over on their hands and realized if they didn't make a respectable offer a decent clinician was going to go bye-bye. I've had a couple of places actually...

  25. Aspiring NPs running out of time to get an MSN?

    Jules A replied to Guest 1006423's topic in Student Nurse Practitioner

    Make sure you are aware of the market and are comfortable with area trends before you invest your time and money. In Maryland and DC the pay is dropping and positions are not nearly as plentiful as...