Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

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

    I agree 100% about the value of therapy but what many don't realize is that unless you are going to open your own practice a PMHNP almost never does psychotherapy, it doesn't pay. Its med management...
  2. I'm fairly convinced of it. I can't count the number of times a PCP or nursing faculty has said to me "what are we supposed to do? There isn't enough providers." Ummm not accept shoddy care???? They...
  3. I could be mistaken but this doesn't sound like the cream of the crop will be churned out there
  4. The next decade will be the litmus test as the numbers of NP grads explode. Old data when NPs historically had RN experience and a majority went to brick and mortar schools vs what we got now is not...
  5. Judging the quality of a school by the rate of students who pass the boards, although it is the standard we have to work with, is sad imo. This does little to actually demonstrate clinical competence....
  6. Regret leaving the bedside?

    Although I thoroughly enjoyed my years working as a floor nurse I have zero regrets since becoming a NP. My experience has been excellent with regard to my treatment, compensation and being welcomed...
  7. Regret leaving the bedside?

    A bit of a hijack but what a great point and exactly why I intend to retire in my early 60s. Its difficult to stay current and so sad to see older prescribers of all disciplines who aren't able to...
  8. Good for them! I have no clue which schools they aren't interested in hiring from but have to applaud someone for finally deciding we need better standards. The lack of admission criteria, lack of...
  9. What the heck is an NP 1 vs. an NP2, etc.

    I will never understand why NPs would take on the additional responsibility and liability without making significant more
  10. What the heck is an NP 1 vs. an NP2, etc.

    Psych. Thats my base, I make more because I pick up weekends, holidays and call. I'm in a decent paying area, have great connections and no problem asserting my worth. I know what I bill, know what...
  11. What the heck is an NP 1 vs. an NP2, etc.

    I'd probably take a hit there. I'm one of those who talks their way into a higher salary, although in my specialty I have been the first NP in both physicians groups so not exactly screwing anyone...
  12. What the heck is an NP 1 vs. an NP2, etc.

    Any feedback on Kaiser? I hear their pay for MDs is excellent and benefits package is amazing but there is talk of the golden handcuffs? Productivity requirements increase greatly every
  13. What the heck is an NP 1 vs. an NP2, etc.

    University of California San Francisco posts their pay grades, not sure if union or not, which look decent and considerably better than the big names in this area, unless it takes a million years...
  14. What the heck is an NP 1 vs. an NP2, etc.

    That sounds like the labels given from the large, teaching hospitals who in my experience rarely pay a decent wage. Probably to pigeon hole someone into a lower starting salary. The reason this is...
  15. I feel the need to clarify, I was venting my frustration with the the current state of NP education and to the OP I was in no way attempting to be snarky in response to your question which was legit....
  16. One would hope especially since NP education was created and our brief education considered acceptable with consideration of our RN experience but unfortunately this isn't true any longer. OP if you...
  17. Thoughts on this NP job offer?

    I'd counter with whatever number you want to make to leave your present position. As for the 401k and how are you supposed to save for retirement; you save for retirement by saving there are many...
  18. Negotiate or walk?

    Negotiating does not have to be stressful or contentious. In fact I rarely negotiate and instead give employers my required income and let them decide if they want me or not. If not, thats cool, I...
  19. Do nurse practioners round with doctors?

    I don't ever. I have admitting privileges, carry my own patient load and round
  20. Private Practice- maternity leave?

    One who covers for me is already at the same practice the other one was paneled by my secretary so I'm not sure how difficult but I do know that process takes a while so you might not be able to get...
  21. Private Practice- maternity leave?

    Good idea, in my area we either get a friend-colleague to cover us for our time off or hire a
  22. NP Psych: Hard to get into School?

    I actually LOL when I read the title of this old thread. Sadly the above advice although right on back in 2011 at this point for most programs all that is needed is a pen and checkbook. If you can pay...
  23. How do you manage ADHD in your clinic?

    But this doesn't necessarily mean they require a stimulant medication. According to this source only 1.7% of the adult population would be considered as having severe ADHD. Care to guess the...
  24. Equal work for Equal Pay

    I agree 100% about requiring fellowships and/or a minimum of time working as a RN prior to getting on the NP fasttrack. The whole outcome thing trips me up. How is that actually determined with any...
  25. Doctor's negative view of NP / Psych NP

    Love your user name. Its excellent that you like your NP but sometimes it seems the extra time spent and empathetic nature of NPs can act as smoke and mirrors for a clinician who is less than skilled....