Jules A

Jules A MSN

Family Nurse Practitioner

Member
  • Content

    8,864
  • Visitors

    52,523
  • Followers

    4
  • Likes

    188

All Content by Jules A

  1. Excellent information and I admire that you are an organized business woman! Kudos. It is probably one of my biggest pet peeves about nursing in general is that we tend to whine and tolerate horrible...
  2. Will there be too many NPs?

    Interesting point, very similar to lawyers with regard to the glut, which according to this article has finally started to level off a bit. "The National Association for Law Placement reports that...
  3. How old is too old to safely practice?

    So sorry my opinion or lack of legal savvy is frightening you. I'm not sure why as I'm in no position to hire or fire anyone. Its simply my guess that if the airlines are forward thinking enough to...
  4. How old is too old to safely practice?

    Absolutely agree that people can be incompetent at any age but disagree that it is illegal to expect certain professions to be able to prove their ability to function safely after a certain age and to...
  5. How are you saving for retirement?

    Thank you for sharing your life lessons especially with regard to how quickly things can change. I agree 100% about savings accounts and even CDs being fairly useless which is why I sink a majority of...
  6. How old is too old to safely practice?

    I would say absolutely for physicians, nurses, professional drivers etc. Perhaps start at 62 then every 3 years? If one is competent although an annoyance I think they should be willing to undergo an...
  7. I agree 100% with your comment about negotiating but being unwilling to assist coworkers so they know where the bar lies is unfortunate and will likely bite you in the butt at some point, imo. As in...
  8. How are you saving for retirement?

    Seriously? If so, very
  9. How are you saving for retirement?

    Great topic! We've always lived fairly simply and now that I make a really nice salary are quite comfortable, and will be able to retire in early 60s, knock wood. 1. 403B or 401K-add full amount that...
  10. How old is too old to safely practice?

    Most of us can't even begin to fathom what you are going through and yet there but for the grace of God go I. Again I am so appreciative that you shared your story with those of us who can't help but...
  11. How old is too old to safely practice?

    This has been a fantastic thread and I applaud your continued attempts to rein it back in to a conversation that isn't largely emotional.
  12. How old is too old to safely practice?

    That was quite a while ago, 1991? In any event I have to disagree with and the PhD you quoted that there aren't cognitive changes as part of a healthy person's aging process. There are plenty of MRI...
  13. I am shocked there are so many clinging to the antiquated idea that discussing salary is gauche especially because it is exactly why women and minorities have been historically paid less than white...
  14. 200k independent contractor

    I think all that needs to be considered. Just because your spouse has benefits doesn't mean the employer is of the hook for the thousands of dollars another employer would be willing to kick in for...
  15. 200k independent contractor

    Nice little tool. I usually guesstimate around 15% for the 1099 tax implications but also consider the lack of health benefits/PTO etc because these are items an independent contractor is not getting...
  16. FNP care compared to MD

    Interesting point for states with a collaborative requirement and I guess depending on the Doc there might be some helpful oversight. How was your collaborating experience? My collaborating physician...
  17. Clinicals....how do you do it?

    I did a majority of mine with a physician in the ED so almost all evening, overnight or weekend hours. I will never understand those who are able to justify quitting work. I was making over $80,000 as...
  18. 200k independent contractor

    Excellent question and one that so many NPs are clueless about until they get their whopping tax bill. Google the implications of
  19. FNP care compared to MD

    While I agree with you about the learning curve for all professions please remember that MDs during their residencies/fellowships are still in school and not functioning as independent practitioners...
  20. How old is too old to safely practice?

    Heck I really wish we were wrong and that my 50-something year old @$$ still looked like it was
  21. How old is too old to safely practice?

    Very well said and an important topic that deserves more consideration than a shallow blanket statement insisting someone who might be having a cognitive decline will actually have the insight to...
  22. Artane (Trihexyphenidyl) vs Cogentin (Benztropine)

    If giving it as eps prophylaxis for prn use due to agitation or psychosis in most cases I prefer Benadryl. Similar protection but a bit more sedating which can be a welcome
  23. How old is too old to safely practice?

    Thank you for sharing your story. I'm so sorry this happened to you. There are no guarantees in life and those who act as if exercise and mental stimulation is enough to ensure a long, healthy life...
  24. How old is too old to safely practice?

    Although I believe we all should attempt to retire before it is clearly time I don't think this is about minimizing experienced nurses and it seems the policies are more geared toward physicians right...
  25. How old is too old to safely practice?

    Its coming but for now looks like its more facility wide rather than state. My guess is nursing won't be far behind. Personally I'd be in favor of having no set retirement age if older clinicians were...