Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. How old is too old to safely practice?

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

    Ehhhh but sadly plenty do and it scares me to death. Imo its sort of like cancer, if you live long enough.... From: https://www.alz.org/downloads/facts_figures_2014.pdf An estimated 5.2 million...

  2. How old is too old to safely practice?

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

    While I agree there are definitely a few 70yos who are still capable the problem is things have to get rather dangerous before someone will actually have the nerve to tell an old timer they need to...

  3. How old is too old to safely practice?

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

    Just guessing as I have no first hand experience with either one but I'd think it would be easier to safely fly an airplane on auto pilot than put someone to sleep and do

  4. How old is too old to safely practice?

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

    Excellent points but I still think the extra old providers or nurses are outliers. I wonder just how accurate the anecdotal stories are about so-and-so who practiced into their 80s when it is coming...

  5. How old is too old to safely practice?

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

    Excellent thread. I personally think that mid 60s is really pushing it for most people who are prescribing. Speaking only for myself when I consider my age related losses over the past 10 years my...

  6. FNP care compared to MD

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

    I feel the same way which is why I believe it is so important we have our nursing experience in a similar specialty to at least provide a bit of a background and MD preceptors. There are plenty of...

  7. Locum Tenens Rates

    Jules A replied to PG2018's topic in Nurse Practitioners, NP

    OMG and don't stay home for $50 an hour

  8. Chiros depending on NPs for their new practice model: watch out!

    Jules A replied to urbanrn328's topic in Nurse Practitioners, NP

    Interesting decent idea, I wonder if it wouldn't be cheaper and quicker to find seminars? Cococure, I'd push your school to line up a speaker to give your class some pointers. The most important thing...

  9. Inpatient NPs-What's a typical yearly raise?

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

    Its difficult especially if you are in a large system which again is why it is important not to set the precedent of being naive and working for peanuts from the start. I know employers are skilled at...

  10. Chiros depending on NPs for their new practice model: watch out!

    Jules A replied to urbanrn328's topic in Nurse Practitioners, NP

    Kudos, this happens all the time and to think people in our pay range are willing to take a similar job compared to a peer for $25,000 less a year is unfathomable and embarrassing. The pay spread I...

  11. Chiros depending on NPs for their new practice model: watch out!

    Jules A replied to urbanrn328's topic in Nurse Practitioners, NP

    Sure. My opinion is that many nurses? women? tend to have little interest in treating their career like a business. They have minimal knowledge of how businesses operate, how to negotiate and even...

  12. Regret leaving the bedside?

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

    Excellent point and hopefully insight the new grad NPs, especially those with no RN experience, will also have as they enter

  13. Chiros depending on NPs for their new practice model: watch out!

    Jules A replied to urbanrn328's topic in Nurse Practitioners, NP

    "these nps" and so many others. Thanks for the reminder that we reap what we

  14. Inpatient NPs-What's a typical yearly raise?

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

    We got 3% the last couple of years. In my experience getting more than what everyone else gets is difficult in large hospital systems which is why in my opinion it is so important to negotiate the...

  15. Texas is driving me crazy!!!

    Jules A replied to MikeFNPC's topic in Advanced Practice

    What are you guys doing to increase NPs rights in Texas? Your state's NP organization needs to get on it, push your lobbyist, attend legislative meetings. It takes time but NPs are in high regard...

  16. What do you guys think?

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

    Especially for someone who doesn't want to practice as a NP. For me there is no financial incentive and the lack of additional practical, clinical knowledge makes the DNP as it stands now would be...

  17. Asking For A Raise

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

    I've asked for and gotten many increases but I work several jobs so most times I've piggybacked on the next job I get which always pays more than the previous one. When I tell them I'm making more at...

  18. Taking phone calls and calling Patients on days off

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

    Then you need to rein in your office staff. Set reasonable, measurable, appropriate parameters with them and if that doesn't reduce the non-urgent calls I'd speak with the Doc. Good

  19. Current Adult psych CNS, want to take adult psych NP exam

    Jules A replied to dmarie82's topic in Advanced Practice

    This isn't what you were asking but please don't attempt to shorten our already dismally inadequate pharm education especially if its been a while since you actually had any formal pharm

  20. Taking phone calls and calling Patients on days off

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

    Outpatient they only contact me during business hours when the clinic is open of course and are fairly well screened. On the inpatient units where I work we rotate overnight call so its rare that I...

  21. Taking phone calls and calling Patients on days off

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

    Agree, and it of sounds like......??? Physicians! If we want to play in the big league there are sacrifices along with the perks. I cringe when I read posts from prospective NPs who think NP jobs...

  22. Taking phone calls and calling Patients on days off

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

    There are two separate things that stick out here. First is that yes at least in my opinion they are your patients and you need to deal with their care whether you are at the office or not. Note to...

  23. PMHNP, FNP, or Psy D/LPC?

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

    Yikes thats low. The % of billing folks here are getting 80% now from what I hear, physicians 85%. I agree with you and prefer hourly for OP but will do productivity on an inpatient

  24. PMHNP, FNP, or Psy D/LPC?

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

    Interesting, I haven't heard of that option around here. Any idea how much she's making? It doesn't make financial sense to me. I know there is no way my clinic would pay me over $100 an hour when a...

  25. PMHNP, FNP, or Psy D/LPC?

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

    Its all med management but so is FNP,