Jules A

Jules A MSN

Family Nurse Practitioner

Member

  • Content

    8,864

  • Visitors

    52,376

  • Followers

    4

  • Likes

    188

All Content by Jules A

  1. NP vs PA Education

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

    I felt more prepared for my psych np because that was where my experience was heavy as a RN but still felt shortchanged by my well respected brick and mortar state university. In addition to the...

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

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

    I guess it depends on the quality of the research we are hanging this hat

  3. From medical staff to nursing

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

    This is a facility generated policy change and related to safety and quality of care not

  4. From medical staff to nursing

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

    Thank you for posting this information. Cochrane certainly carries some weight. To assist me with understanding did this study level the playing field with regard to acuity? Are CNMs able to do...

  5. From medical staff to nursing

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

    Thanks djmatte for your comments. It is a reduction in my privileges and value. We do perform the same duties as physicians in psychiatry. This is a new issue at my facility, unsure if it is due to...

  6. From medical staff to nursing

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

    All my patients also have be seen by and have a physician assigned to them which adds liability to my psychiatrist colleagues and reduces my value. They have to sign off on my discharge prior to the...

  7. From medical staff to nursing

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

    Unfortunately even if I'm a high end revenue generator, which I am, if they are paying Newgrad Nancy NP 50% of what I'm making I'm not sure that will matter. Yes showing my displeasure with my feet...

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

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

    Without a doubt and yes exactly as well as knowing physicians received a far superior education as compared to

  9. From medical staff to nursing

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

    I can't imagine being under nursing will do anything for my rates as instead of being considered a bargain compared to physicians now they will be looking at my salary which is 2-3xs higher than the...

  10. From medical staff to nursing

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

    Thanks Juan we must have been posting simultaneously. I wish we were unionized here. Do you think it minimizes our value? I'm unable to be objective due to embarrassment that medical staff realized we...

  11. From medical staff to nursing

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

    It is messy although a plus is the NP leader is a practicing NP and while he answers to the CNO they have a long term working relationship so hopefully no major issues there. The chairs are physicians...

  12. National Conference for Nurse Practitioners in Acute Care (NPAC)

    Jules A replied to Brenda F. Johnson's topic in Advanced Practice

    This looks excellent! I hope the turnout for these valuable sessions is strong. And while you are at it, consider organizing a task force to insist CMS reassess and remove the requirement that all...

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

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

    It does. I admire your sentiment with regard to being a CRNA but as a NP now I'm embarrassed. Hopefully CRNAs won't sell out to the As Seen On TV, no experience or admission criteria required...other...

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

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

    Disgraceful and yet I have seen it also more than once. How embarrassing that facilities are recognizing this now although I guess in the long run it will help our patients and eventually right the...

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

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

    I wonder if the CRNA seems a bit more cut and dry than other specialties? Hi I'm Dr. A, I'm a psychiatric mental health nurse practitioner, it sounds awkward to me and again I rarely hear it in its...

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

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

    Dramatic much? Perhaps my patients aren't as savvy as some or many of the DNPs I know just rarely add the full on 10 minute diatribe of their title and credentials prior to introducing themselves as a...

  17. NP program with low gpa

    Jules A replied to SchoolRN2018's topic in Student Nurse Practitioner

    Am I the only one who finds this

  18. NP vs PA Education

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

    Seriously jealous and while I have no experience with ACNP programs the highly regarded state universities I attended for my PMH-NP and FNP were both light. If I were doing it to work in any other...

  19. Shockingly low NP pay !

    Jules A replied to Jm0136's topic in Nurse Practitioners, NP

    It makes no sense to me but neither does all those who are deluded to think they will be physically or mentally fit to function into their 70s in this business. Sure, there are some who can but most?...

  20. Collaborative Physician Issues

    Jules A replied to nbtw's topic in Advanced Practice

    That may have been her duty when you worked for her but it isn't after the relationship ended. I'm not sure why a credentialing department would be insisting on seeing your evaluations. I have...

  21. Legal Consulting Fees--Yippe!

    Jules A replied to Alicia777's topic in Nurse Practitioners, NP

    Are you going to be testifying as a medical expert? Not to burst your bubble and I haven't done this type of work but would recommend significant research of risks vs benefits prior to the champagne....

  22. Shockingly low NP pay !

    Jules A replied to Jm0136's topic in Nurse Practitioners, NP

    I can't imagine the high ticket undergrad degrees either especially now that they are serving the kool aid that everyone should go on for their DNP but I don't think getting through most or even all...

  23. Shockingly low NP pay !

    Jules A replied to Jm0136's topic in Nurse Practitioners, NP

    I can only speak for my area and specialty where new grads are devaluing our profession by accepting lower than average rates. It is also rare in psychiatry to get any orientation. We usually start...

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

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

    Agreed. I look at it like this: I earned the degree not the title they are two different

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

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

    This is my preference even more so now that I know first hand how light the DNP is. I also don't believe we should call PsyDs, psychologists, speech therapists or the maintenance personnel who now all...