Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Nurse Practitioner Contract Negotiation

    Jules A replied to Combative's topic in Advanced Practice

    Keep in mind there are likely a whole host of what we consider insignificant items the nurses are required to notify the provider for such as abnormal blood sugars or BP based on parameters. I take a...

  2. Urgent care setting new grad

    Jules A replied to Dbb82's topic in Nurse Practitioners, NP

    Do you have a solid ED background? Most of the hard core ED RNs I know would be more than capable, imo, of starting in an urgent care

  3. Ordering controlled meds, then refusing prescription?

    Jules A replied to mystory's topic in Patient Medications

    Are there really that many people who after one procedure or hospitalization demand continued benzos or opiates? I tend to become suspicious the more agitated or insistent they get. When I discuss...

  4. Ordering controlled meds, then refusing prescription?

    Jules A replied to mystory's topic in Patient Medications

    That was my question and even so if the dc includes a few days of opiates or benzos in most cases that would be sufficient. I applaud your physicians for being judicious with the schedule 2 meds they...

  5. DNP vs MSN

    Jules A replied to susie6785's topic in Nurse Practitioners, NP

    Totally cool that you are enjoying your courses and no doubt most anything we learn is a positive experience. I just continue to wonder about the cost vs benefit and general self-inflated state of...

  6. DNP vs MSN

    Jules A replied to susie6785's topic in Nurse Practitioners, NP

    I have legit had two, old chicks btw, tell me they did it for "personal enrichment". I don't have a very good poker face but did my best to shove an entire roll in my puss so I could resist expressing...

  7. DNP vs MSN

    Jules A replied to susie6785's topic in Nurse Practitioners, NP

    But I don't think it would be silly if for example in my field I was able to do clinical hours that expanded my practice knowledge, skills and abilities which I would welcome and anticipated when I...

  8. DEA license, apply now or when offered a job?

    Jules A replied to flipper628's topic in Nurse Practitioners, NP

    Get it as soon as you

  9. Nightmare on Night Shift

    Jules A replied to Happynurse2222's topic in General Nursing

    I'm doubtful that hospitals have a goal in place to undermine new grads in an effort to get rid of them and start all over again but we can agree to disagree on that. As for floating in my experience...

  10. Do NPs get training?

    Jules A replied to EagerToBeFNP's topic in Advanced Practice

    In a complicated specialty like nephrology where it would be unusual for any NP to have come out of school with much exposure it makes sense although 4-5 months of orientation sounds delightfully...

  11. Do NPs get training?

    Jules A replied to EagerToBeFNP's topic in Advanced Practice

    I did not receive any orientation what so ever for my clinical role as a new NP or a patient load reduction. Fortunately I had years of psych RN experience and excellent MD preceptors so I was white...

  12. How to get un-barred

    Jules A replied to emb92250's topic in General Nursing

    Nothing against the OP because it sounds like she was young and would do things differently now but wow do you really feel not giving the expected notice as a nurse should be turned back around on the...

  13. Advice for newbie RN

    Jules A replied to Chem101's topic in General Nursing

    What an excellent. excellent post. I can't like it enough and wish it could be made into a sticky or plaque we could give to our new RN colleagues. OP smart thinking to get a job where you already...

  14. DNP vs MSN

    Jules A replied to susie6785's topic in Nurse Practitioners, NP

    I thought so too until I realized they aren't actually clinical hours as approximately 1/2 are spent doing that capstone thing. If I did a DNP program my masters clinical hours would count toward the...

  15. Telehealth vs. Travel Nursing for living abroad

    Jules A replied to mlg0331's topic in General Nursing

    I'm not sure in the RN capacity but I have heard, unclear if true, that providers are not reimbursed by many insurers if they are not providing the service from within the

  16. RN to PA

    Jules A replied to RNPA93's topic in Advanced Practice

    Now that would be a

  17. Billing new grads for not completing orientation?

    Jules A replied to Pachinko's topic in General Nursing

    Absolutely and with the expectation of the length of orientation that new nurses seemt entitled to now I can imagine why the hospital would want something in return if they are horrible or leave...

  18. DNP vs MSN

    Jules A replied to susie6785's topic in Nurse Practitioners, NP

    Very savvy financial move on the parts of the schools and the icing on this crap cake is that many are now also increasing retention by not only not requiring RN experience but by encouraging students...

  19. PMHNP Program Admission Tips

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

    ROFL! I talk about my gift of ESPN all the time! We might have run in similar circles at some

  20. PMHNP Program Admission Tips

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

    Seriously get some. There is no shortage of new psych NPs who have no freaking clue as to how to diagnose or prescribe for mental health patients which is a grave disservice to this vulnerable...

  21. Nightmare on Night Shift

    Jules A replied to Happynurse2222's topic in General Nursing

    Look it sounds like a challenging shift and I totally get being new or even not new and overwhelmed but seriously I'd reflect on your expectations also. If you were oriented to day shift at a facility...

  22. Why have you decided to become a NP and not a Doctor?

    Jules A replied to Lightning90's topic in Nurse Practitioners, NP

    Prior to reading BostonFNP's comment I didn't respond because I second guessed whether my idea of an acceptable cost for a BSN was out of date. Speaking only for myself no debt was acceptable. I...

  23. Nurse Practitioner Contract Negotiation

    Jules A replied to Combative's topic in Advanced Practice

    LOVE this!!!! As unbelievable as it probably sounds to TSWaller there are actually NPs who do not think to calculate their hourly rate. I'm not just blowing steam I have personally had this...

  24. Student needing guidance

    Jules A replied to Amber98's topic in Pre-Nursing Students

    I was making just over $80,000 a year with my RN not $160,000. Maybe it is area specific? In my area although BSN is preferred there are plenty of ADN jobs and yes even the high falutin magnet...

  25. For The Love Of All That Is Holy . . . .

    Jules A replied to Ruby Vee's topic in General Nursing

    Lol, 1st you freaked me out, I almost never use my credentials and couldn't remember so I checked a recent cover letter. Phew, yes I added the comma behind my last name and the few letters I care to...