Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Tatts and HIPAA

    Jules A replied to ShockMe's topic in HIPAA Challenges

    First, I love that you spelled HIPAA correctly, thankyou. I'm not sure why you think the police would need to be notified unless the patient was a gun shot victim or something else that requires...

  2. I have to have heart surgery...now what???

    Jules A replied to itsalexk's topic in General Nursing

    I'm sorry this is happening to you but appreciate that you aren't in denial and are attempting to face the what ifs head on. Having a plan B and plan C is crucial especially as we age. Hopefully your...

  3. prescription drug addiction

    Jules A replied to shedevilprincss's topic in General Nursing

    Do you have statistics to support that often these moms were initially prescribed narcotics? Again just anecdotally but this has not been the case with the consults I have

  4. New NP, embarrassing salary offer!

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

    When a poster specifically thanks those who told them what they wanted to hear it speaks volumes so the following isn't surprising. If you were looking for a job for an entire year with no offers...

  5. To tell or not to tell?

    Jules A replied to nursingRN123's topic in General Students

    This is correct, many of the questions on Quizlet are from the test banks. I have no clue how they get there but again the exact test questions. OP I can't tell you what to do but I appreciate your...

  6. Urine Drug Screen ....surprise!

    Jules A replied to casias12's topic in Advanced Practice

    You are a seasoned provider and I have no doubt you would wrap this up appropriately however for those who aren't well versed in this arena I'd be careful about blowing this off as someone else's...

  7. Urine Drug Screen ....surprise!

    Jules A replied to casias12's topic in Advanced Practice

    My biggest issue with this is the likely possibility of benzos with opiates and the implications that combo could present so that discussion should hopefully flesh out which of the above scenarios...

  8. prescription drug addiction

    Jules A replied to shedevilprincss's topic in General Nursing

    The fact that people have the expectation of 0 pain is unbelievable to me. I was treating a patient with SUD and after having a major abdominal surgery they complained bitterly about the way their...

  9. Post job-offer physical, new graduate nurse

    Jules A replied to SentinelTruth's topic in General Nursing

    Or if it is in your urine that you have a script. :) This is an interesting topic. I don't get my physical until I have a written offer in hand and would probably not disclose a health condition like...

  10. Make more $$ and Work Less.

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

    You are correct and supply is increasing at a breakneck speed. Also consider what in my experience indicates a lack of business savvy and negotiation skills on the part of many who are coming out of...

  11. prescription drug addiction

    Jules A replied to shedevilprincss's topic in General Nursing

    Esme, that sounds so horrible, I'm praying you have some relief

  12. prescription drug addiction

    Jules A replied to shedevilprincss's topic in General Nursing

    While I can't speak for the poster but my guess is it has something to do with the JC coming out with the push for pain as the 5th vital sign. Joint Commission Statement on Pain Management | Joint...

  13. prescription drug addiction

    Jules A replied to shedevilprincss's topic in General Nursing

    I agree with most all of your post but wonder if there is data to support that the problem started with poorly managed chronic pain patients. Speaking only anecdotally a majority of the patients I see...

  14. Why the NP degree will be the next MBA with 7 simple, quick reasons

    Jules A replied to chillnurse's topic in Advanced Practice

    Although as the years have gone on it certainly seems to me as if many of these points are coming into

  15. New NP, embarrassing salary offer!

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

    I thought I participated, wonder if I got tossed out as outlier? The figures seem very low to me but other than that I thought the topics were excellent. I would have liked to see salary comparison...

  16. Experienced NPs

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

    My guess is his wallet is actually what trumped all. I heard there is an online psych NP program with rolling admissions and according to someone who applied they will admit on probationary status if...

  17. Experienced NPs

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

    While I agree it doesn't need to be exactly the same I disagree that we shouldn't have similar expectations with regard to our knowledge and preparation for practice upon graduation. I'm not sure of...

  18. Gun Owning Nurses

    Jules A replied to hppygr8ful's topic in General Nursing

    Yeah and imagine the outcome if someone attempted to harm my beloved

  19. First med error...Advise..please.

    Jules A replied to Joanie49's topic in General Nursing

    They happen and like others have said they happen to everyone. Don't let this shake your confidence but keep it in mind as you go forward and try to figure out what you might have done differently to...

  20. Experienced NPs

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

    Not to be too grandiose but in a way I'm flattered to think we possibly have attracted more than one. Mods might want to check the ISPs it seems like the last couple of months were heavy with "new"...

  21. Keeping your maiden name

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

    Similar to TraumaRUs. I was established professionally, mine is long, his is longer, I figured why bother? If he truly had a preference I probably would have changed it or at least considered...

  22. Part time employment

    Jules A replied to Practnp's topic in Advanced Practice

    What I have going on now is about 20% higher for no benefits but it is as an employee not 1099 so the FICA is still

  23. Experienced NPs

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

    Use..........'s much? This is priceless, a classic example of what I was referring to and it appears to me to have been written by a 12 year old. I was inclined to totally skip it because "Grammarly"...

  24. New NP, embarrassing salary offer!

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

    I think its a disgrace that NPs accept these low paying

  25. Experienced NPs

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

    Do you feel your RN experience contributed to your experience and expertise as a NP? What do you think of the current climate where RNs stay in school without ever working at the bedside before...