Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Advance Practice Preceptorships - Should students find their own preceptors?

    Jules A replied to husky171's topic in Advanced Practice

    I agree and although I went to a brick and mortar school that would have lined up preceptors, mostly NPs with minimal experience who just graduated from that program, I was relieved they let me secure...

  2. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    This was how I rolled also. I created my own excellent clinical experiences and fostered relationships that are still serving me well today. For as much as I was bitterly disappointed by the...

  3. Experienced NPs

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

    Good point and I would also guess your specialty is somewhat insulated as well as attracting those with a serious desire to work in a complicated, real medicine, specialty. Hmmm so maybe you are...

  4. Chances of being accepted into grad school

    Jules A replied to Derek21's topic in Student Nurse Practitioner

    Unfortunately based on nothing other than if you can pay the tuition=

  5. Experienced NPs

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

    Thanks! And yeah right there with ya. Its unlikely my income will remain sustainable with all the equivalent of Walmarts and BJs popping up across the street. To remain solvent I'm probably going to...

  6. Experienced NPs

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

    I meant to include the opinions of experienced RNs also as the eyes and ears on floor RNs are second to none.

  7. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    That makes sense, thank you for replying. Do you mind disclosing your rate? My guess is at that low volume and with lack of focus on billable time its probably at the low end? In my area, Washington...

  8. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    And I would bet more able to identify the signs a baby is going south much sooner than someone who hasn't cared for thousands of babies on any level. The different treatments she has witnessed over...

  9. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    They technically get their RN on the way to MSN or DNP although the schools are so hell bent on retaining their captive audience they discourage them from taking time off climbing the ladder to...

  10. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    Well my focus absolutely is almost solely a correct diagnosis and appropriate medication. Your example although I'm sure it makes you feel very thorough and holistic is classic for nursing and imo...

  11. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    Actually didn't you do a brief stint in psych? And you also have ED as well as corrections experience so it isn't as if you haven't ever seen a range of blood pressure readings or psychotic...

  12. Which Level? Extending What?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    No worries I find it equally ridiculous that PsyD's call themselves doctor and Physical Therapists now that seriously cracks me

  13. Which Level? Extending What?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    Maybe kind of sort of. In the hospital where I work it is frowned upon for anyone other than a real doctor, my words, MD to introduce as Dr. So and So. My guess is at some point there will be a policy...

  14. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    It makes me sad also but knowing how inferior our education is as compared to the knowledge a physician graduates with there is no way I'd consider a NP or PA when I can see a MD for the same price. I...

  15. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    You bring up an interesting point. Personally I feel I do provide medical care. Like psychGuy said I have nurse in my NP title but thats about all. I'm in a role identical to my psychiatrist peers and...

  16. My professor told us NPs have no future...

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

    Ahhhh both objective and scholarly...makes me so proud, lol. I simply posted what has actually happened in my area with regard to unprepared NPs not working out at two local facilities so I'm not sure...

  17. "smart enough" for DNP program?

    Jules A replied to pinkiepieRN's topic in Doctoral Nursing Degrees

    How disappointing that our doctorate programs which graduate supposed clinicians who will be attempting to diagnose and prescribe medication, often to children, have this as their main

  18. Is age just a number?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    I can't believe this is acceptable actually regardless of the person's age and yet another reason my family doesn't see NPs for their medical care. What a shame the schools have become so money...

  19. Which Level? Extending What?

    Jules A replied to B52Bomber's topic in Nurse Practitioners, NP

    I could care less what anyone calls me. There are far more important things to attempt to change especially with the current climate where anyone who pays the tuition can start calling themselves...

  20. Any pmhnp' working for the military?

    Jules A replied to mavienoire's topic in Advanced Practice

    I wish he was willing to talk salary. Back when I was a new grad the VA paid terribly compared to the private sector in my area. The last I heard their top wage for a NP was around $130,000 so no...

  21. Misdiagnosis

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

    That is just one of the problems and it isn't so much the number of preceptors as the quality. My biggest complaints about nursing education once I got past my Associate's degree are lack of hard...

  22. My professor told us NPs have no future...

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

    While I agree with much of your post in my experience many brick and mortar schools with excellent reputations are also churning out NPs with plenty of nursing fluff courses, zero nursing experience,...

  23. Misdiagnosis

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

    A starting point for NPs would include a solid nursing background and an appropriate educational experience taught by skilled clinicians which imo many NP programs are lacking. In psych I also prefer...

  24. My professor told us NPs have no future...

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

    Oh how I wish this was still the truth. The sad fact is there are almost no NP programs any longer that require experience in the specialty or even any RN experience at all prior to becoming a...

  25. Graduation to practice

    Jules A replied to Nolagrace1202's topic in Nurse Practitioners, NP

    I graduated in May and started working as a NP at a hospital in July. I also applaud you for getting on the stick now as imo every week I was making RN wages instead of NP wages it was costing me...