Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Nursing or Vet Tech LVT/BSN

    Jules A replied to Cbugsharpe's topic in Nursing Career

    A handful plus one. :) I've seen both first hand and it would take a dozen human hospital employees to complete what a single vet tech does in a

  2. Nursing or Vet Tech LVT/BSN

    Jules A replied to Cbugsharpe's topic in Nursing Career

    The human hospital would be a good segway into meeting professional contacts who will benefit you down the road and often times they will give preferential hiring consideration to a current employee....

  3. VA Nursing Proficiency

    Jules A replied to #RNLife's topic in General Nursing

    If you are asking what I think you are asking, find someone who has challenged the step process and ask if you can see their proposal. I was fortunate and had a nurse manager who was proficient in...

  4. Adult NP practicing in BH/psych?

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

    Contact your state's board of nursing, and get it in writing. This will vary and in addition to short changing your patients in many states you will put your license in jeopardy for practicing outside...

  5. Medscape career satisfaction survey

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

    Yep I'm wearing down and accepting that I'm not in the majority and at this point I think the pendulum has swung too far to actually correct. In the big picture I have less than a decade left to work...

  6. Medscape career satisfaction survey

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

    Nope the sad truth is I had what sounds like a very typical NP education experience at a well respected, brick and mortar school as I've mentioned usually listed in the top 10% in the country. Then I...

  7. I quit the PA rat race.

    Jules A replied to Non Sequitir's topic in Pre-Nursing Students

    No worries and absolutely no reflection on you personally but if you can pay the tuition you are in!

  8. The Decline of Physicians: Do we really need them anymore in Primary Care?

    Jules A replied to AAC.271's topic in Nurse Practitioners, NP

    I'm in between 2 large metropolitan areas with a bazillion universities and although this won't satisfy anyone's need for hard data anecdotally the RNs I know at the 4 hospitals where I have...

  9. Medscape career satisfaction survey

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

    Congrats! And I am proud of where I am also but my point is more that after my LPN and ADN the rest of nursing school was so underwhelming I'm not only surprised I have the privilege of diagnosing and...

  10. Independent contractor advice

    Jules A replied to Quedeezy's topic in Advanced Practice

    I agree there is a plus to having your own patients but I have that as a W2 also and keep in mind you will never be devoid of all the headaches that come from being an employee working for an...

  11. I quit the PA rat race.

    Jules A replied to Non Sequitir's topic in Pre-Nursing Students

    I agree about the job market but OPs point about the the ability to get into PA school which is highly competitive as compared to NP school where anyone with the funds can get in is both true and also...

  12. New RN/inexperienced nurse considering nurse externship

    Jules A replied to MarshaRabbit's topic in General Nursing

    Unfortunately apparently much to my disappointment the DNP is not a clinical degree there are no additional clinical requirements above the masters and they actually count the capstone project thing...

  13. Preceptor From Hell-Need Advice

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

    And in my experience the supervisors know who is a good preceptor and who isn't anyway. Perhaps there was a last minute call out or emergency which resulted in OP being assigned this less than stellar...

  14. Good Hospital Bad Unit, or Bad Hospital Good Unit?

    Jules A replied to maraacaitlinn's topic in General Nursing

    As someone who lives between 2 large metropolitan areas with many highfalutin "magnet" hospitals and a ton of community hospitals its just not that impressive especially imo because their rate of pay...

  15. NP for child psych?!

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

    Also in general peds isn't what many normally think of when they think psych. Peds is ADHD, anxiety, trauma, the sequela of inutero exposure, horrible parents and sometimes depression. On occasion you...

  16. Medscape career satisfaction survey

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

    It won't be long before it will simply be average: "Between academic years 2003–04 and 2013–14, the number of master's degrees conferred increased by 34 percent, from 564,300 to...

  17. Stop the preceptor madness!

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

    I very much appreciate in a strange way that you continue defending your stance although what I was interpreting as your concrete thought process and inability to consider other view points was...

  18. The Decline of Physicians: Do we really need them anymore in Primary Care?

    Jules A replied to AAC.271's topic in Nurse Practitioners, NP

    All anecdotal, I agree 100%, but things are drastically changed from the studies you reference and I do not believe, again anecdotal, that NP outcomes or employer satisfaction will fare as well over...

  19. Preceptor From Hell-Need Advice

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

    Although this sounds horrible there is no way I'd go to management about a peer at this

  20. New RN/inexperienced nurse considering nurse externship

    Jules A replied to MarshaRabbit's topic in General Nursing

    Hmmm this must have been way back when a nice finger-painting done at pre-school had a place of honor on the refrigerator but wasn't nominated by your Mommy for The Carnegie Art Award,

  21. NP programs for child psychiatric nursing

    Jules A replied to Terra_RN's topic in Psychiatric

    Duplicate thread, please ask admin to

  22. Stop the preceptor madness!

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

    I'm also weary and have in fact spoken with two Deans and an associate Dean who I know at 3 local universities and bent the ear of every faculty member I cross paths with, trust me they are sick of...

  23. New RN/inexperienced nurse considering nurse externship

    Jules A replied to MarshaRabbit's topic in General Nursing

    No matter because apparently according to a majority of Universities there is no value in being a RN prior to taking 1 or 2 pharm courses and prescribing medications to someone's kid. (My favorite...

  24. Independent contractor advice

    Jules A replied to Quedeezy's topic in Advanced Practice

    It sounds like you know the nuts and bolts. What I can add as you have already acknowledged in another post is that most times you don't "work for myself" in my experience its almost exactly the same...

  25. New RN/inexperienced nurse considering nurse externship

    Jules A replied to MarshaRabbit's topic in General Nursing

    Are you in some way insinuating my 1 diagnosing course, 8 pharmacology credits and 600 clinical hours, much of which was doing therapy BS, isn't comparable to most med school educations? FWIW folks...