Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Ordering controlled meds, then refusing prescription?

    Jules A replied to mystory's topic in Patient Medications

    This sounds very reasonable however raises two questions for me. Exactly how long have they been getting IV dilaudid? There is an estimated time to dependence. Secondly how do these lay people even...

  2. Job offer..Is it worth the commute??

    Jules A replied to nursebetty24's topic in Nurse Practitioners, NP

    I have commuted but I add the drive time into my hourly rate. My expected commute is a min of 15 minutes each way so I take off 30 minutes from a job with a longer commute and if for example I was...

  3. Patient Cheeking Meds!

    Jules A replied to Mamachels's topic in Patient Medications

    What a shame administration isn't addressing and supporting a safe policy for what now a days is a very common occurrence. My personal policy as a provider is zero tolerance. If staff tells me someone...

  4. Salary and Negotiation

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

    Most of the time I have primed the pump and told the physician who contacted me about the job that I make bank as a NP so it isn't a surprise going in and usually if a physician wants you on the team...

  5. Salary and Negotiation

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

    I hate those salary websites my area comes up between $89,000 and $120,000 the least I have made since getting my NP license is $160,000 with my second year $180,00 and over $200,000 since. In my...

  6. Should DNP's be able to practice on their own? How do you feel about midlevel encroachment

    Jules A replied to curiousobserver's topic in Advanced Practice

    Makes me shudder but I think the saving grace is that the physician's organizations who watch us like a hawk aren't even aware of the shoddy standards that are common now, the public adores NPs...

  7. Forced to resign after 7 weeks

    Jules A replied to porkdumpling's topic in First Year After Licensure

    Sorry about that meant tick mark. An old term indicating the line/dose you are aiming for? Hopefully I'm using it

  8. Keeping up?

    Jules A replied to sskhh's topic in Psychiatric

    I don't really have any advice because when I was a psych nurse I mostly just researched the current somatic issues we were seeing on the floor at the time. I mostly just wanted to say that your...

  9. I want to help people not hurt them

    Jules A replied to julesjameson3333's topic in Psychiatric

    Also worth noting as a psych NP the focus is almost 100% medication management. You will see patients for med checks lasting between 15-30 minutes back to back. If you aren't largely into prescribing...

  10. What to do?

    Jules A replied to Theone40's topic in General Nursing

    I just love those rotten kiddos but do think an opportunity in the ED would greatly expand your skill set. Is either salary significantly higher? I'm all about the money.

  11. Salary and Negotiation

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

    Yeah the NP market saturation is happening here big time too. I'm about as uppity of a chick as you are going to find but I have to agree that in many cases the gender wage disparity is self...

  12. Salary and Negotiation

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

    Awww thanks. :) Your retirement contribution and paid health benefits prop up your big picture

  13. Forced to resign after 7 weeks

    Jules A replied to porkdumpling's topic in First Year After Licensure

    Not a stupid question but I once had a new CNL orientee who felt she was far superior as compared to my lowly associates degree. When I was showing her how to give her very first injection (note...

  14. Experienced Nurse Still Has Frequent Self Doubt, advice?

    Jules A replied to BettyBoopsRN's topic in General Nursing

    So while I don't think the anxiety you describe after 10 years of what sounds like an excellent track record as a RN is a common experience to this extent I do think there are likely significant...

  15. $29/hr--why am I still in this job!?

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

    I am usually the one to bring up compensation before I even get to the formal interview phase but to avoid a hijack of this thread I'd recommend a search of the NP forum so you get a well rounded view...

  16. RN Specialty to different NP Specialty

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

    Please keep in mind rounding with them as a member of the social work team is not the same as working as a RN where you will be administering medications which allows you to learn first hand...

  17. Forced to resign after 7 weeks

    Jules A replied to porkdumpling's topic in First Year After Licensure

    This! Yes! Its not about trying to be harsh. I'd dare say we have all been there/done that and are hoping to share our experiences in an effort to assist a colleague avoid repeating the

  18. Salary and Negotiation

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

    Can't you do a little better than this for us? I make >100,000 too but that doesn't give a clear picture.

  19. Salary and Negotiation

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

    Please include specialty! City/State: Outside Washington DC Years in current position: 5-psych Salary: $185,000 base but I work weekends, holidays and part-time elsewhere for a higher rate and...

  20. Forced to resign after 7 weeks

    Jules A replied to porkdumpling's topic in First Year After Licensure

    Only 1 in 53 years? Must've lived a charmed life and yeah homework on the topic might be helpful in this case, rofl. I am in no way insinuating I want my preceptees to be afraid of seeking me out for...

  21. Forced to resign after 7 weeks

    Jules A replied to porkdumpling's topic in First Year After Licensure

    Please don't think of it as a bitter pill but just something that is worth considering and heck we could be totally wrong. If we are right better to hear it and internally address it now rather than...

  22. Forced to resign after 7 weeks

    Jules A replied to porkdumpling's topic in First Year After Licensure

    This is excellent advice and yet another area our schools are severely deficient in now, don't even get me started on the NP fiasco. It seems all the new nurses were taught ad nauseum how important...

  23. Conference suggestions?

    Jules A replied to I see you RN's topic in Advanced Practice

    I can't recommend a conference for you but would suggest you consider conferences geared toward MDs in your specialty. I have found them to be more comprehensive than the nursing conferences and I've...

  24. Emotionally unbalanced supervisor?? Please help!

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

    Uhhhh yeah OK. It sounds like you have this all figured out so best of luck to

  25. Forced to resign after 7 weeks

    Jules A replied to porkdumpling's topic in First Year After Licensure

    To be brutally honest my guess is you tend to talk too much, I do also so not picking on you, just pointing out that you may need to temper your presentation. To me a new RN who is so anxious that she...