Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Taking AANP *AND* ANCC?!

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

    I could give a rip about my credentials and most often only use NP. Unless there is an employer preference, which in my experience I have not encountered, it sounds like overkill to take both. I did...

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

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

    Yeah I should have just written this which sums it up

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

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

    In high school I did not have family support or encouragement to pursue something other than a menial job. I was too immature and hard headed to be future oriented. Unfortunately I was too old by the...

  4. Tampa ARNP-one yr post grad still no job!

    Jules A replied to Agriffin2's topic in Advanced Practice

    We all need to be aware of this and working to get the accrediting bodies to take a long hard look at this problem. Two well respected facilities in this area have recently said 1. New NPs aren't...

  5. Liquor Licenses for Nursing Homes?

    Jules A replied to tnbutterfly - Mary's topic in Nursing News

    I agree. As a provider I get and would shy away from the liability especially falls but as a human being I don't see any value in not living life to its fullest at that stage even if it hastens my...

  6. I hate night shift

    Jules A replied to Wrangler156's topic in General Nursing

    Sadly I'd believe it because a solid background as a competent RN is no longer required before the one pharm course that allows NPs to start diagnosing and prescribing

  7. What do I do now that I've graduate LVN school?

    Jules A replied to wandwaving's topic in LPN, LVN Corner

    Have you found another career? Are you now physically unable to work as a nurse? I'd be hesitant to let my license lapse unless I was certain I'd will never want to work as a LVN again. Good luck with...

  8. Resigning: Counter Offer Advice?

    Jules A replied to RG-RN2014's topic in General Nursing

    Interesting and thank you for sharing. I always appreciate the pearls. I'm not sold on #1 and #2 but worth considering and I agree 100% about #3. I have seen #3 in play more than once although it...

  9. "Fixin' to die"

    Jules A replied to ktwlpn's topic in Nursing News

    Trust me there have been more than a few times when I posted something I was certain would have my peers lining up in support and much to my surprise my opinion and point fell completely flat or even...

  10. Resigning: Counter Offer Advice?

    Jules A replied to RG-RN2014's topic in General Nursing

    It sounds like you are a valued employee which unfortunately seems rare to get that recognition these days, kudos! My guess is HR is just HR and somehow missed your previous requests so if the offer...

  11. "Fixin' to die"

    Jules A replied to ktwlpn's topic in Nursing News

    What a great holiday time article. It is nice to read about a family so appreciative of a nurse's care. I have only cared for one pediatric stroke patient and had no idea it was so prevalent. Good...

  12. Resign in orientation

    Jules A replied to AJ1980's topic in General Nursing

    Your post here was insightful and articulate so perhaps bring these questions/concerns to your manager and charge nurse to see what they suggest? If you can work together to come up with a plan that...

  13. Lawsuits

    Jules A replied to nursingstudent01600's topic in General Nursing

    Notify your malpractice insurance and they will guide you. Hopefully it won't come to fruition and you can go on about your business putting this behind

  14. Make more $$ and Work Less.

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

    ROFL! I love any well played tampon reference so this made my

  15. NP Salary for PA, NJ, DE, MD Area

    Jules A replied to Bteti20's topic in Nurse Practitioners, NP

    Personally I don't think it is rude at all for us to share our incomes in an effort to be transparent and support good wages for our profession so kudos however your best indicator will be the NPs you...

  16. Urine Drug Screen ....surprise!

    Jules A replied to casias12's topic in Advanced Practice

    Sounds reasonable, I'm guessing you calculated and she didn't run out because she was taking too many. Hopefully she's amenable to non-pharm interventions. Good

  17. Tatts and HIPAA

    Jules A replied to ShockMe's topic in HIPAA Challenges

    Depends on your location possibly in Chicago where you are from it might be enough to ID a patient but in Florida not nearly specific enough,

  18. prescription drug addiction

    Jules A replied to shedevilprincss's topic in General Nursing

    And the truth is no matter what the variety they are all in legitimate pain. Addicts often get to the point where they are not getting high any longer or if they are its for very brief periods of time...

  19. Experienced NPs

    Jules A posted a topic in Nurse Practitioners, NP

    For those of you who have say 5+ years experience as a NP what is your opinion on our profession now? Has it changed from when you were planning to become a NP? As I've mentioned here many times...

  20. Experienced NPs

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

    My guess is because you sound so conscientious that you probably are better than you are giving yourself credit for or at the very least not unsafe, kudos. It sounds like your facility culture is more...

  21. prescription drug addiction

    Jules A replied to shedevilprincss's topic in General Nursing

    The big problem as I see it is that opiates are not effective long term for pain control of chronic conditions. They can result in adverse changes to brain chemistry making pain and mood worse. What I...

  22. Psych NP or Family NP

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

    I believe all NP tracts are becoming saturated so my advice which actually hasn't changed in light of that is to pursue the area you have RN experience, a talent for and

  23. Urine Drug Screen ....surprise!

    Jules A replied to casias12's topic in Advanced Practice

    Speaking only for myself if a patient is tox positive for benzos when I'm prescribing opiates or vice versa that is reason enough for me to discontinue, with taper if indicated, whatever I'm writing....

  24. Urine Drug Screen ....surprise!

    Jules A replied to casias12's topic in Advanced Practice

    Sounds like a well run practice,

  25. Required to stay at hospital with no pay

    Jules A replied to Brdnfrd's topic in General Nursing

    I'm guessing you are a new nurse? I've never been forced to remain at the hospital except a few times when a state of emergency was called and no one was allowed on the highway but that was instituted...