Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Yes I remember that and it makes me sad. The truth is I do know a few excellent, skilled clinicians who still continue to teach despite the wages being poor as compared to what they are making as a NP...
  2. The hospitalist dilemma

    Very cool, it sounds like you are a bad ass! The reason, imo, to get the the acute care BC is to protect yourself should you ever be sued and also possibly give yourself more employment options in the...
  3. New NP, embarrassing salary offer!

    I'm not sure I could have been gracious about that offer. I have a friend who is lovely, sweet and soft spoken she said with the most ladylike southern drawl "why then you will most certainly be...
  4. So while to the naked eye this might appear impressive what I would like to know is do any of these accrediting bodies do one single thing to monitor these programs once the curriculum with fancy...
  5. It sounds like this will be an excellent fit for you however I would still urge anyone considering this I would NOT to consider the federal loan repayment monies as part of your package. As I...
  6. I'm in close touch with people in decent positions at several universities in my area, department chairs and directors, and although I continue to address the concern of the masses with zero nursing...
  7. What do you consider "insane amounts of money"? Something to keep in mind is the rural placements who qualify for federal tuition reimbursement etc. are not paying any of that money out of their...
  8. Moonlighting Concern

    I can't comment on the patient load or travel implications but the "only wiling to pay" comment makes me chuckle as that shouldn't even be a consideration. Uhh yeah well if they want me they would...
  9. Ummmm yeah thats how its looking from where I sit and this sister ain't
  10. PMHNP in an ACNP/FNP position?

    I believe it depends on your state. In Maryland it is my understand that NPs need to be certified in the specialty they are practicing in. COMAR 10.27.07.02C A nurse practitioner may practice only in...
  11. Although its too long to hold my attention, the questions aren't bad. I was anticipating a female driven, whiney expectation that our workplaces be nurturing. The short version is I find being a NP...
  12. Unfortunately in my area two decent size hospitals I know of are now backing off hiring NPs in an independent role due to an onslaught of new grads who are not prepared to practice after graduation....
  13. Meh, don't fall into the trap and give him the satisfaction of considering you yet another histrionic nurse. He's entitled to his opinion and while I have to say I'm also dismayed by the large number...
  14. Challenging specialities

    Yeah peds is a whole different
  15. Challenging specialities

    I have exactly 2 adult patients, on stimulants, and I inherited them both on the meds. They work, haven't ever "lost their prescription" or had their car broken into "with the brand new bottle inside"...
  16. On call pay

    Yeah per night 5pm-8am, lol. My weekend rate for rounding only not including the overnight call is $150 an hour as an
  17. Challenging specialities

    Agreed. That Suboxone is coming our way has me considering it although I'd need to find a clinic with a similar philosophy as I object to what I see coming out of the MAT clinics in my area. Short...
  18. Challenging specialities

    On rare occasion inpatient. I'll verify continue or taper, never
  19. Helping patients kill themselves

    I'm all for you exerting your right to protest, attempt to institute change or whatever especially in the matters of ethical issues however the bottom line is, at least in my state, we are employed at...
  20. America, party of 2

    I'm guessing this isn't too far out. My impression, no data so don't ask, is that when there is a member involved things seem to be approved, developed etc. with more gusto than female things but...
  21. America, party of 2

    So Gents, definitely veering off a bit but curious to know since you aren't in favor of this type of surgery being covered what about other expensive items that are presently covered and yet in some's...
  22. America, party of 2

    I actually worked while in school, paid for my CC degree, relatively inexpensive, and with that ADN made over $80,000 a
  23. Helping patients kill themselves

    Yes if that is the change that is approved and now considered part of your job as with any other new policy that might come about uninvited. Unfortunately there are times when we have to leave a job...
  24. Challenging specialities

    Unfortunately yeah we do it all the time in psych. Easiest to start by asking about their baseline pain score, which is always high even on the handfuls of pills so many are prescribed, discuss the...
  25. Yeah, benefits such as additional income and additional clinical knowledge/skills. Why is that too much to ask in exchange for thousands of your hard earned dollars and several years your precious...