Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Doctor's negative view of NP / Psych NP

    Jules A replied to Granted Fal's topic in Advanced Practice

    I'd agree 100% there are good and bad NPs and MDs I just take it more personally when it is a NP. But yes some of the psychiatrists I have seen are horrific. Anecdotally many of the new grad psych NPs...

  2. Psychiatric emergency nursing

    Jules A replied to Ladysin21's topic in Emergency

    Be very careful especially if you think they might have pulled a bit of a bait and switch on you. Something people often forget is that just because you are hired for a position doesn't mean you will...

  3. Psychiatric emergency nursing

    Jules A replied to Ladysin21's topic in Emergency

    Aren't you going to be diagnosing? I'm not sure how that would work for someone with no psych or ED experience. What kind of nursing have you done? There aren't many CNSs in my area any more but we...

  4. Equal work for Equal Pay

    Jules A replied to AAC.271's topic in Nurse Practitioners, NP

    I'll refrain from outing anyone by name but a couple come to mind. Lol the first one actually isn't even a NP. Go

  5. Should I quit if the job doesn't fit??

    Jules A replied to RoadRN's topic in Advanced Practice

    No clue that wasn't my experience as a RN. Exactly the problem. My guess is there will be residency requirements in the future. Two administrators from two different jobs I work recently mentioned...

  6. MD gossip

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

    Excellent advice, although I always recommend MD mentors. OP, this sounds like an amazing opportunity and having access to that many speciality physicians in a large city hospital will benefit your...

  7. Equal work for Equal Pay

    Jules A replied to AAC.271's topic in Nurse Practitioners, NP

    You can't be serious. Our education is superior? Have you been to NP school? Superior at diagnosing? Keep telling yourself this and you will miss opportunities to learn from skilled physician...

  8. Equal work for Equal Pay

    Jules A replied to AAC.271's topic in Nurse Practitioners, NP

    Excellent point and as you point out two totally different areas of interpretation of the OPs post. I absolutely agree NPs should bill and be reimbursed the same as physicians for the same billing...

  9. Should I quit if the job doesn't fit??

    Jules A replied to RoadRN's topic in Advanced Practice

    Yeah I'm not feeling your analogy. I agree 100% and that is the root of the problem. That you seem indignant that our colleagues and employers would expect us to know how to assess, diagnose,...

  10. Should I quit if the job doesn't fit??

    Jules A replied to RoadRN's topic in Advanced Practice

    I'd have to disagree that physicians don't immediately start practicing with little more than being oriented to the computer system which is the reason it hurts our credibility with MDs when new NP...

  11. 40 yr old with GED. Is a MSN even possible?

    Jules A replied to shamis's topic in Pre-Nursing Students

    My guess is not patient

  12. Should I quit if the job doesn't fit??

    Jules A replied to RoadRN's topic in Advanced Practice

    But why? Why shouldn't we come out of school prepared to practice independently to the full scope of our license? Although a supportive environment would be ideal I don't think it should be expected....

  13. Thank you VA!

    Jules A replied to MikeFNPC's topic in Advanced Practice

    Hopefully this means they are actually paying a competitive wage? Last I checked I was making $50,000+ a year more than the highest NP pay

  14. Travel NP starting hourly rates

    Jules A replied to f14chris's topic in Nurse Practitioners, NP

    FNPs in my area make significantly less than psych right now usually $100,000-$125,000 year and no clue about ACNPs although based on the acuity they deal with I'd hope they are making serious bank!...

  15. Eliminating Physicians/Medical Schools

    Jules A replied to AAC.271's topic in Nurse Practitioners, NP

    Meh. Some decent articles but they are all too old to be considered relevant now especially with the large numbers of NPs with minimal nursing experience being cranked out each year by all schools,...

  16. A Newly Defined Type of Constipation: Opioid Induced Constipation

    Jules A replied to Brenda F. Johnson's topic in General Nursing

    You can't seriously be comparing the two? Clozaril has been around since the mid 70s so not so new and agranulocytosis is an acute medical emergency that has the potential to quickly kill your...

  17. Do your Doctors wear lab coats?

    Jules A posted a topic in Psychiatric

    All the inpatient psych units I have worked, toured or know people who work on in the Baltimore/Washington DC area have the Doctors and NPs wearing white lab coats. On the NP section someone just...

  18. Contributions of Master's Prepared Nurses

    Jules A replied to esokitty's topic in Advanced Practice

    Very true in the provider world NPs are the lowest rung which I think is unfortunate. I have worked tirelessly to elevate my practice to the level expected of physicians and be a positive...

  19. Not working during nursing school?

    Jules A replied to Infofreak411's topic in Pre-Nursing Students

    And your tone is pure sweetness, lol. I love that you feel entitled to decide how much of my wasted money I might notice. As I originally wrote I have no problem with people who truly need public...

  20. Contributions of Master's Prepared Nurses

    Jules A replied to esokitty's topic in Advanced Practice

    I recently had a FNP tell me "the reason NPs are better than doctors is that we are willing to take the time to sort through the fine details". I attempted to keep a straight face but would guess...

  21. Pregnant and asking pts to wear masks

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

    Overall I do think the OP got well rounded replies. I especially liked yours and thought it offered excellent, practical advice but I think there is still room for other view points. I don't...

  22. Contacting patient after discharge

    Jules A replied to lvoro001's topic in General Students

    Kudos for asking before you acted on this. I'm rarely a fan of self disclosure. It is often done by inexperienced staff as a way to connect but what it does is take the focus off the patient and puts...

  23. Has anyone ever created a poster presentation?

    Jules A replied to klone's topic in General Nursing

    Congratulations.

  24. Has anyone ever created a poster presentation?

    Jules A replied to klone's topic in General Nursing

    I just threw up a bit in my mouth at the memory. I personally think they are the stupidest things I have ever had to do as an adult and that hospitals actually convince nurses to do them for free...

  25. Aging Nurses - Where do we go?

    Jules A replied to TamDar429's topic in General Nursing

    Where did you get this from? Whats going on is the natural aging process. By the age of 50 there absolutely is a decline in multiple systems. I'm not saying its the end of the road but as an early 50s...