Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Direct Entry NP Programs: Anti-Intellectualism/Bullying

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

    Up until recently most probably had hiring rates that high but does that actually mean someone is successful? There are many duds out there who are able to get and keep jobs. I would agree programs...

  2. Direct Entry NP Programs: Anti-Intellectualism/Bullying

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

    Unfortunate that you are already mentioning bullying. While I can't speak about these particular institutions the first thought that comes to my mind is money. If they are charging graduate level...

  3. So disappointed with on-line program

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

    I can't speculate about your fellow students but remember "success" is fairly subjective. One could be successful at getting a job or keeping a job neither which is a great feat,

  4. ACNP sans experience?

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

    Excellent insight and judgement. I wish you well with your nursing

  5. Oversupply of Nurse Practitioners

    Jules A replied to guest416560's topic in Nurse Practitioners, NP

    Important to know your source. The job websites are notoriously low as compared to what I have made even as a new grad. I get emails all the time from recruiting companies with salaries that mean...

  6. RN MGR Told me I'm too old.

    Jules A replied to gumbi_12's topic in Job Search, Interview, Resume

    I think it is important to be realistic. As an older person and also one without experience you are not going to be pick of the litter. Sorry but its true. I'm in my 50s, still very fit and yet I have...

  7. So disappointed with on-line program

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

    This is where I have the most concerns. The numbers of NPs who are graduating now is staggering and simply can't be compared to the minimal percentage of physicians who attended what might be...

  8. ACNP sans experience?

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

    I would have no problem with any of this if I felt our education was more stringent or the direct entry programs had additional requirements like the ACNPs mentioned above. And yet the accrediting...

  9. So disappointed with on-line program

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

    OMG yes, THIS! I'm quite certain I could study for a few months and pass any nursing board exam out there. If they made it a one time deal sink or swim that might actually do some weeding

  10. ACNP sans experience?

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

    Lets hope the word...yet... isn't inserted in this sentence. Psych programs also used to require psych RN

  11. ACNP sans experience?

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

    I would think the experience of having worked L&D would be invaluable to see the many ways things can go downhill and develop that sixth sense for the inkling that something just doesn't feel...

  12. So disappointed with on-line program

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

    No doubt there are competent APRNs and I'd even go so far as to speculate many who are as good or even better than some physicians however this doesn't make our subpar education ok. Nor is it...

  13. Revenue streams? Psych np?

    Jules A replied to ncaru01's topic in Nurse Practitioners, NP

    I haven't found it to be 4xs as hard but it is challenging, and usually lower rates because they are selling you in your PJs at home. My concern was increased liability due the multiple scenarios...

  14. ACNP sans experience?

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

    Thanks, I was not aware of that. I thought CNMs, CRNAs and ACNPs still had admission

  15. ACNP sans experience?

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

    No doubt but...

  16. So disappointed with on-line program

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

    I don't think it is limited to online schools. I believe our education is light and was thankful I had years of experience in the field before I became a NP, at a BM well known state university btw....

  17. Contract per patient rate

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

    To figure out how much you will need per encounter take your desired hourly rate and divide it by the number of patients you can see in an hour. Also consider the 1099 implications into the rate you...

  18. From medical staff to nursing

    Jules A posted a topic in Nurse Practitioners, NP

    I work at a hospital in a decent size city. The powers that be have discovered the ineptitude of many new graduate nurse practitioners. We can of course argue whether it is the university's...

  19. From medical staff to nursing

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

    You guys might be right and if this is the case I'd have no problem with it. I'm all about making the most money possible whether for my family or my facility. Why wouldn't they just say that instead...

  20. From medical staff to nursing

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

    They aren't required to be seen by physician first just at some point be seen and our dc summary signed off on. It is coming from medical staff being touted as standard of care not admin so I don't...

  21. From medical staff to nursing

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

    I think these ideas are excellent but the universities, who the the highest gross to gain, have a foot hold in our profession which I think is even stronger than the accrediting bodies. What freaks...

  22. From medical staff to nursing

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

    Great post, thank you for joining in. One of the big pluses for CNMs is that CMS does allow your patients to be seen by only you as opposed to NPs. Is that correct? My understanding is CMS allows us...

  23. Do you use the title "Dr."?

    Jules A replied to DreameRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Outcomes can be a broad, inexact measurement of quality. Since the many of the APRN nursing outcome studies I have seen have been luke warm please provide links to your "high-quality research" and I'm...

  24. Do you use the title "Dr."?

    Jules A replied to DreameRN's topic in Certified Registered Nurse Anesthetist, CRNA

    To answer your question it will require you also providing the articles you are referencing that support your comments for comparison. I'm sure for every positive NP article there is an opposing MD...

  25. Salary CO PMHNP

    Jules A replied to Malenurse12345's topic in Advanced Practice

    Smart choice. In my area new grads who are savvy are starting in the $150k range also. I don't place much stock in the salary estimates as according to glassdoor just now my annual salary, without OT,...