Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Independent contractor advice

    Jules A replied to Quedeezy's topic in Advanced Practice

    I believe you should always have your own policy anyway. As for the 1099 since you will be paying the entire amount of FICA/self employment tax and no benefits I would require a significant rate...

  2. Disclosing mental health information to employr

    Jules A replied to mangotango1313's topic in General Nursing

    No and don't. Congrats on your new

  3. Take a pay cut to go to office

    Jules A replied to AJ1980's topic in General Nursing

    That might not be the only way. :) Sure when they are cute and cuddly its more rewarding perhaps but a close friend worked full time when her's were little and cut back when they got to the pre-teen...

  4. New RN/inexperienced nurse considering nurse externship

    Jules A replied to MarshaRabbit's topic in General Nursing

    Do you have any idea how many hours of residency and fellowships MDs have before they graduate and are cut loose? How about NPs? I'm not being snarky just asking. Its a huge

  5. New RN/inexperienced nurse considering nurse externship

    Jules A replied to MarshaRabbit's topic in General Nursing

    In fact a couple of years ago I heard directly from a faculty member of a well known, highly respected brick and mortar school in the Baltimore area that their goal was nothing more than retention....

  6. Take a pay cut to go to office

    Jules A replied to AJ1980's topic in General Nursing

    Remember although your larger checks due to OT are taxed higher it is unlikely they are pushing you into a higher tax bracket so its all the same at the end of the

  7. Take a pay cut to go to office

    Jules A replied to AJ1980's topic in General Nursing

    I am motivated by money more than any creature comforts so take this as coming from that perspective. Are you getting OT at your present job? If not and you are putting in those hours the 10 grand...

  8. New RN/inexperienced nurse considering nurse externship

    Jules A replied to MarshaRabbit's topic in General Nursing

    Brace yourself to actually hear this in person also as it is not a secret or issue that professionals, not just nurses, in practice are tiptoeing around. I absolutely would have the courtesy to tell...

  9. New cna cert being threatened

    Jules A replied to dmom85's topic in Medical Assistant, CNA/MA

    All other issues aside you sound very unreliable. Seriously calling out for a sinus infection, lack of child care and oversleeping as a new employee? I'm not sure they have anything to report you to...

  10. Cant apply to other nursing schools because of different pre req requirements!

    Jules A replied to angel1312's topic in Pre-Nursing Students

    I'd be more concerned the failed math and retake might interfere with admission? I'm not sure but I thought some schools were cracking down on people who repeated classes to improve their grades. In...

  11. Best Specialty for an RN before becoming an FNP?

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

    Ok, I was simply trying to give you a heads up because it does sound patronizing and the fact that you are defending your position and that you don't understand NPs are RNs is likely to result in some...

  12. Best Specialty for an RN before becoming an FNP?

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

    I personally think ED is a great place for RNs to learn the FNP trade. I'd watch the "just a regular RN" line. Although it might seem benign and I'm sure you didn't mean to be patronizing its...

  13. Gave a med I shouldn't have given... worried about repercussions

    Jules A replied to tired_panda's topic in Patient Medications

    I agree there needs to be clarification for all involved. I'm in no way blaming you or any RN who accidentally makes an error and in this case its hardly even an error, imo however, your statement...

  14. Stop the preceptor madness!

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

    You bring up some interesting points that might be helpful for other new NPs to consider as they move forward. It is not uncommon in my experience for NPs to tend to continue a totally inappropriate...

  15. 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

    Excellent query and I'd love to know these figures. I'd bet they are very high. In my state there are only 2 brick and mortar psych NP programs and they do not require any psych experience which, imo,...

  16. Tips for Psych NP student

    Jules A replied to Spunj13's topic in Student Nurse Practitioner

    Nice you will be head and shoulders above your peers who haven't ever seen the difference between delirium and psychosis. So you do know that for the most part you will be hired for medication...

  17. 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

    Of course I have but the fact is they aren't hitting the ground running, they aren't getting paid physician wages they are still in school. I hear what you say about the doom and gloom but this trend...

  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

    I don't understand why we are ok with this. Why should a licensed professional not be expected to be ready to work in their field with only a minimal facility specific orientation? Employers in my...

  19. Tips for Psych NP student

    Jules A replied to Spunj13's topic in Student Nurse Practitioner

    Do you have adult acute psych unit

  20. Stop the preceptor madness!

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

    How exactly are you certain she is an excellent prescriber? Not saying she isn't but as someone who isn't a psych RN, NP or psychiatrist and who I can only assume hasn't reviewed charts or seen...

  21. NP Pay

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

    Yes in addition to all the above, a huge part of the problem lies with US! Your line about the NPs being happy with $95k makes me cringe because I know its true. I bet many haven't even figured out...

  22. Pennsylvania CRNA vs NP

    Jules A replied to Nursepennsylvania's topic in Advanced Practice

    Yup and I think it would be an excellent idea to add additional education to APRN requirements if it offered anything clinically worthwhile but we've agreed to disagree on that before. :) It sounds...

  23. Eating after eve/noc shift

    Jules A replied to Mascosa's topic in General Nursing

    I used to have a light breakfast type meal. Egg sandwich, cereal or oatmeal and fruit. If I didn't eat anything I'd wake up in about 4 hours starving and wreck my sleep but if I ate too heavy like a...

  24. 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 wish NPs were still required to have experience before being given prescribing rights that is no longer the case and more the exception than the rule in today's climate. Residencies are a...

  25. Telemedicine for NPs

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

    Know the insurance requirements. I have heard, unverified, that there are entities who require the offsite provider be located in the