Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. NP Locum/travel pay

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

    You know thats where I am also and frankly I could give a hoot if it sounds arrogant this is the equivalent of our benefitted W2 position with a little bump for the inconvenience. Personally I think...

  2. Average DNP loans

    Jules A replied to Ashtimus Prime's topic in Doctoral Nursing Degrees

    I guess I'm old school, paid for my education by having some savings and working the entire

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

    Jules A replied to Agriffin2's topic in Advanced Practice

    Totally agree and hope the OP is MIA due to being so busy with their first NP gig although casias12, APRN advice is sound for all NP hopefuls, imo. It never ceases to amaze me at the number who seem...

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

    Jules A replied to Agriffin2's topic in Advanced Practice

    What I don't understand is rather than leave why don't you work on making change happen? Its frustrating to me as someone who works hard on the local and state level to advance NP practice when I see...

  5. Do you ever wish you were a doctor?

    Jules A replied to adventure_rn's topic in General Nursing

    I do and wish I had the maturity and family support as a younger person to even have considered med or vet school. That said although nursing is positively cringe worthy sometimes I loved being a...

  6. NP or MD

    Jules A replied to HIstudent808's topic in Student Nurse Practitioner

    I agree 100% and only wish the nursing schools would look past profits and consider the product they are churning

  7. New AGNP-C seeking career advice

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

    Personally I wouldn't throw any more cash on this bonfire just yet. I'll write more later but definitely explore nursing homes, even consider doing some PRN work as RN to get your face in the door and...

  8. Adolescent Psych RN

    Jules A replied to Nurseladyt's topic in Psychiatric

    My hat is eternally off for psychTechs. They have kept me safe, been my eyes and ears all while bringing a sense of caring, friendship and humor into our challenging shifts. Bless

  9. Way too many NP programs and grads!

    Jules A replied to momofm1998's topic in Nurse Practitioners, NP

    My preference would still be to have at least 2 years full time experience in the specialty you are attempting to start prescribing in. Although I have repeatedly heard a board exam is an easy method...

  10. Adolescent Psych RN

    Jules A replied to Nurseladyt's topic in Psychiatric

    It seems the drug seeking behavior comes in clusters probably because one or two gets the bright idea that being high is the way to go and the rest follow suit. In those cases I recommend secluding...

  11. Adolescent Psych RN

    Jules A replied to Nurseladyt's topic in Psychiatric

    I LOVE adolescent psych, have worked inpatient, RTC and adolescent detention however times have changed over the years and this is now an even rougher crowd. These units are often fraught with staff...

  12. Time for hospice referral?

    Jules A replied to casias12's topic in Advanced Practice

    Please keep in mind there are some people who have absolutely no interest in trialing curative care to "keep on living". It is a personal decision between the patient and their family. To act as if...

  13. On the chopping block? Need some encouragement

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

    Rough situation for both sides and unfortunate they are turning it on your performance if in fact you are practicing competently. My guess is they were in a jam and the part-time hours now are...

  14. CE's

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

    Yeah all psych.

  15. Way too many NP programs and grads!

    Jules A replied to momofm1998's topic in Nurse Practitioners, NP

    Yes because the admission criteria for the DNP program is so very rigorous and that Capstone Project thing on HandWashing which replaces actual clinical experiences is crucial to

  16. NP's answering to Nursing Management?

    Jules A replied to ohiosam2's topic in Nurse Practitioners, NP

    Although I find it unfortunate the NP wasn't savvy enough to have insisted on being medical staff from the beginning I applaud your insight and willingness to make this happen. Kudos, you sound like...

  17. Time for hospice referral?

    Jules A replied to casias12's topic in Advanced Practice

    If this is what the patient wants but there is also no reason why providers should push for treatment if the patient isn't interested in prolonging their

  18. Too early to apply?

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

    I'm all for getting a jump on things which is why I always recommend honing in on a prospective employer when selecting your clinical sites. That way you can essentially have a prolonged job interview...

  19. CE's

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

    Dude I will hook you up with my glitz and glamour conference list for good times, excellent eats and 20+ CEUs. Looking forward to eventually seeing those nice

  20. Time for hospice referral?

    Jules A replied to casias12's topic in Advanced Practice

    This is really all we should be concerned with unless there are APS issues. Again I wonder why at 84 this person doesn't already have an advanced directive in

  21. CE's

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

    I do conferences as much to take a mini-vaca with tax write off and network with physicians, note I don't attend NP conferences unless I'm presenting. The average for a 3 day conference has been...

  22. Time for hospice referral?

    Jules A replied to casias12's topic in Advanced Practice

    So the caveat is that I'm ready to have my and my family members above the age of 60's plug pulled anytime going forward with little more than pain medications. I think all patients and their families...

  23. The right decision??

    Jules A replied to APRNgrad's topic in Advanced Practice

    This. I made over 80k as a ADN so there is no way I'd take on the extra liability for that amount. If they aren't offering benefits as a W2 employee for my part time jobs at this time I'm making about...

  24. Nurse practitioner vs Medicine turf war?

    Jules A replied to Infofreak411's topic in Nurse Practitioners, NP

    I think I want to "like" your post but haven't had enough of my Starbucks yet this am to be sure I'm following you. If you mean NP schools need to be way more selective in who they admit and that if...

  25. NP's answering to Nursing Management?

    Jules A replied to ohiosam2's topic in Nurse Practitioners, NP

    At the three hospitals where I have privileges the psychiatrists and NPs are employees of the hospital's medical staff. I wish we were part of a provider