Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Denied PTO for my marriage

    I have no qualms putting work before family because without work my family is not going to survive. IMO the new buzz words work life balance are as overrated as EBP and
  2. PMHNP work/ life balance

    OP, sorry for the hijack but I'm curious about how well this works. I've been tempted to do it as I have offsite computer access but invariably either something comes up during the day that I...
  3. $29/hr--why am I still in this job!?

    Or is narcissistic and delusional but in any event I am willing and able to put my money where my mouth is at least for
  4. If we aren't splitting hairs I kind of think the two are definitely along the same lines. Chronic emotional instability would certainly raise a red flag for an underling mental health diagnosis in my...
  5. Independent contractor or not?????

    Sounds like you are aware that not having a contract and then attempting to back pedal later isn't a good thing. Chalk it up to a learning experience. :) I'm doubting your boss would be the only one...
  6. Independent contractor or not?????

    Working as an independent contractor or 1099 absolutely has rules and it doesn't sound as if your position qualifies although the truth of the matter is most 1099 positions don't actually qualify if...
  7. $29/hr--why am I still in this job!?

    My guess is because it pays off more often than not and that is on us! There is a fine line between being a victim and a volunteer. I'm very well paid in my geographic area as well as my specialty...
  8. Switch Shifts?

    Ahhhh this is a tough one! I'm all about the money and good coworkers. My personal preference is off shifts weekends, evenings, overnights to avoid all the annoying ancillary happenings on days....
  9. Pennsylvania CRNA vs NP

    It sounds like you have the background for CRNA and so there would be no comparison imo. CRNAs, so far, have been far smarter than NPs who have lowered our standards and schools are accepting anyone...
  10. Input on DNP vs MSN

    Got it, thanks for responding. Although I'm a fan of planning you are putting the cart way before the horse. Trust me the information you might get now will not be relevant in the time it takes you to...
  11. RN Specialty to different NP Specialty

    It happens all the time but in my opinion, not that there aren't outliers, in psych the ones who are the rock stars usually have an extensive RN acute inpatient psych experience. It doesn't make sense...
  12. Input on DNP vs MSN

    In my experience a more expensive school does not in any way ensure a better education. At least in my area/specialty DNPs working as NPs don't make 1 penny more than NPs with their MSN. FWIW I...
  13. Unfortunately I have seen more than my fair share of unhinged health care professionals both peers and management. Is there any way to work around this nurse? Can you can do your job without involving...
  14. Compensation for Call Pay

    So that's a tough one because if I understood they are still going to have to pay a Doc to be on call also and take surgery cases? In psych because I do exactly the same as the psychiatrists when on...
  15. Denied PTO for my marriage

    Yeah July vacations especially only 6 months in advance can be tough to secure. First I would try to get someone to cover-- in writing. Its only 3 shifts hopefully some of your colleagues will pitch...
  16. $29/hr--why am I still in this job!?

    Too much risk for me. Prescribing and diagnosing are areas of high liability so I want to be well compensated regardless of if I'm wearing a business suit or my jammies.
  17. Nurse Practitioner Contract Negotiation

    Yikes well hopefully that dude was the exception and not the rule! Although with the BP you can't really fault him for doing his job and imo that parameter should have been
  18. $29/hr--why am I still in this job!?

    Congratulations on your new job! I hope you gave your present employer the option to match your new offer especially since it sounds like you enjoy working there and have a feeling of loyalty to him....
  19. DNP vs MSN

    If you decide to offer practical proposals on how to improve the quality of NPs who are admitted and graduating I'd be all over supporting you in doing this research-email me when the time comes. I'll...
  20. $29/hr--why am I still in this job!?

    I'm just not that attached to anyone, relatives included, to work for such low wages. The remote places should pay more because most people don't want to live there and yet somehow they seem to...
  21. DNP vs MSN

    Nice someone actually spit out the Kool Aid, lol. Seriously though thank you for sharing your experience and view
  22. DNP vs MSN

    Excellent suggestion however why the heck aren't they required as part of our
  23. Valuable Experiences During School

    Or someone with BPD or
  24. What age is "too old" to switch from RN to APRN?

    I appreciate your candor and warning to those who are blindly assuming they will be the picture of health and working well into their 70s. Not that there isn't that rare 80 year old still driving...
  25. Nurse Practitioner Contract Negotiation

    Which is one of the reasons certain specialties, especially this one, should demand premium wages. Not only is it time consuming, multiple morbidities with fragile patients but many providers aren't...