Jules A

Jules A MSN

Family Nurse Practitioner

Member

  • Content

    8,864

  • Visitors

    52,521

  • Followers

    4

  • Likes

    188

All Content by Jules A

  1. Nurses Eating Nursing Students

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

    Maybe a bit off topic but in my experience this is inaccurate. The reason so many NPs have difficulty finding preceptors is because they have zero professional contacts. The schools are now churning...

  2. 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

    In no way directed at you or your skills however if the point of allowing NPs to go through a short program based on the criteria in some states to have supervision it is concerning to me that this...

  3. 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

    But unfortunately at many schools there is no longer a requirement to actually work as a nurse prior to becoming a prescribing

  4. Leaving Psych

    Jules A replied to Mandychelle79's topic in Psychiatric

    Congratulations on the new opportunity. I have known some who are quick to return and others who never look back but I hope this is what you are looking for with regard to a positive change. I'm sure...

  5. Nursing During The HIV/AIDS Crisis

    Jules A replied to DoGoodThenGo's topic in General Nursing

    This was a bit before my time but my elders described having an influx of young acutely psychotic patients with no clear psych diagnosis or history which later was found to be a HIV psychosis process....

  6. ER rushing patients to the floor

    Jules A replied to freckles23's topic in General Nursing

    Excellent point. We attempt to have some control over our admissions so although the psych unit is a bit unique because we typically don't take anyone too physically fragile we absolutely manage our...

  7. Maternity leave length dictated

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

    You have asked and answered your own question, if you piss your boss off, even legally it can make things difficult for you. Not saying its fair or that you need to make this decision solely based on...

  8. Nurses Eating Nursing Students

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

    Because they are doing all your work for you for free, right?

  9. How much of a pay cut is too much? Personal opinion

    Jules A replied to raecudzy1's topic in General Nursing

    Your new rate is actually higher, imo. My time isn't free so I add in my drive time into my hourly calculations when it exceeds a reasonable commute to another job. For example in your case I would...

  10. would you take a job with a mean doctor?

    Jules A replied to mmccool719's topic in Patient, Colleague Relations

    I agree that it makes a difference as to what "mean" means. One of the most brilliant physicians I have worked with for years can be a total ass but is consistent and everyone knows what will cause...

  11. Nurses Eating Nursing Students

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

    Darn shame this got moved and won't be viewed by all.

  12. Feeling Forced to Stay Late?

    Jules A replied to Kooky Korky's topic in General Nursing

    So at my jobs we were expected to stay although could only work a maximum of 16 hours in a row if I recall correctly. As others have noted their idea, philosophy or work place might have different...

  13. How much of a pay cut is too much? Personal opinion

    Jules A replied to raecudzy1's topic in General Nursing

    For me that would be zero dollars and zero cents unless I was so miserable I was at risk of losing my license. Worth noting I don't place a high value on the whole life balance thing and don't mind...

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

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

    Can you provide a link? This seems strange as I thought EDs have a chest pain protocol which includes diagnostics that would hopefully avoid this type of tragedy. I would like the link as it is...

  15. "Nurse Bedside Shift Report" Survey

    Jules A replied to kangoshichie's topic in General Nursing

    Yeah there are some rumblings of this monstrosity heading our way. My short answer is in my opinion and specialty is a waste of time and resources. In psych a room full of people staring at a...

  16. Nurses Eating Nursing Students

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

    Are you a BSN? If so this is a strange introduction into our group here with an inflammatory title but in any event if only taking your experience at face value your statement about falling "into the...

  17. Forcing patients to attend groups?

    Jules A replied to femaleRN's topic in Psychiatric

    This is very common on inpatient units and I agree they are also sick. Imo a general acute inpatient psychiatric unit isn't the best place for them. Some of the larger hospitals have separate units...

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

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

    For now. I remember when psych NP programs required inpatient psych experience but somehow that valuable experience is no longer valued in the grand scheme of nursing school finances. I agree with you...

  19. Forcing patients to attend groups?

    Jules A replied to femaleRN's topic in Psychiatric

    Of course forcing groups in itself isn't going to result in major change but it might perhaps be a step toward maturing. For people with substance abuse issues it could possibly result in them...

  20. Do you invest?

    Jules A replied to William2's topic in General Nursing

    I'd disagree about the blanket statements of which funds to purchase, Roth vs employe 401K or to avoid purchasing individual stocks. It sounds like an excellent strategy for you but not necessarily...

  21. Feeling Forced to Stay Late?

    Jules A replied to Kooky Korky's topic in General Nursing

    I'm far from a Pollyanna who is willing to be taken advantage of by my employs but I always tried to help out for unexpected sick calls etc when I could, for OT of course. To me it is part of being a...

  22. Average DNP loans

    Jules A replied to Ashtimus Prime's topic in Doctoral Nursing Degrees

    Although you as a psychiatrist will be in a far better position than a NP in psychiatry. Everyone is jumping on the bandwagon and its becoming saturated at this point which is projected to get worse...

  23. Locum tenens for 3 mo as first PMHNP job?

    Jules A replied to spooner2014's topic in Advanced Practice

    It might becoming more available now that employs are realizing many NPs are not able to practice on a basic level upon graduation although in my experience there were few places that didn't expect a...

  24. It seems like everyone but nurses make more money

    Jules A replied to rearviewmirror's topic in General Nursing

    My last RN job was at a large university medical center who had started making things difficult on the employees with seniority, read older, higher salaried RNs. Like you mentioned they started...

  25. Obsessed with Scrubs

    Jules A replied to Longleggedstar's topic in Scrubs, Uniforms, Gear

    I always wonder what kind of germs someone might be tracking around when I see people out in public in scrubs just assuming they are on their way home from