Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Moving to Baltimore, MD

    Jules A replied to Penycata1's topic in General Nursing

    There are several hip and relatively safe inner city neighborhoods but none that I am aware of are inexpensive. My guess is unless you are willing to live in a studio you might need roommates. My...

  2. submitting an anonymous neglect report

    Jules A replied to fairdinkum's topic in Patient Safety Issues

    It absolutely needs to be done now to APS. I would call, fax and keep copies of it. It isn't up for you to determine whether it is abuse or neglect but if you have any suspicions you are mandated by...

  3. FINALLY!!!!

    Jules A replied to CharLovesRN2b's topic in General Students

    Congratulations!! This is so exciting. My advice would be to stay on top of your studies. The material isn't difficult but there is a lot of volume and if you get behind it can be deadly. This sounds...

  4. Overtime pay and taxes

    Jules A replied to JVoEDrn's topic in General Nursing

    And it is all the same in the end. As a general rule I don't want anyone holding my money for free so I usually have to

  5. How are you assessing alcohol withdrawal?

    Jules A replied to nj3456's topic in General Nursing

    Rural areas are using either tele-psych or phone consult liaison in many cases which is helpful for psych med regimens. When it comes to just alcohol or drug detox psychiatry shouldn't be needed as...

  6. How are you assessing alcohol withdrawal?

    Jules A replied to nj3456's topic in General Nursing

  7. Thinking of dropping Nursing school and doing Pre-Med

    Jules A replied to Confusedbeyondbelief's topic in General Students

    Changed my

  8. Per Magnet Directives, Nursing first Cleans Bodily Fluids, then Housekeeping

    Jules A replied to taraytara's topic in Patient, Colleague Relations

    I like that you are questioning things that don't sound correct however, and while I don't really have an opinion on this topic either way, if you feel you "cannot raise our voice" then nothing will...

  9. Thinking of dropping Nursing school and doing Pre-Med

    Jules A replied to Confusedbeyondbelief's topic in General Students

    Not sure where you are but at my hospital I am an attending and do the exact same job as a physician. There is no different role, responsibilities or job description. Unfortunately my education was...

  10. Prescribers vs Providers

    Jules A replied to Mavrick's topic in Advanced Practice

    You don't even want to know what my guess would have been on the meaning of this word, lol. Thank goodness for

  11. Thinking of dropping Nursing school and doing Pre-Med

    Jules A replied to Confusedbeyondbelief's topic in General Students

    I'm confused, did you do both med school and

  12. Thinking of dropping Nursing school and doing Pre-Med

    Jules A replied to Confusedbeyondbelief's topic in General Students

    The only thing I agree with here is that being a physician is no joke. I'm friends with several physicians and yes they have worked hard and invested a lot of time and money but they are very...

  13. Cheating in nursing school

    Jules A replied to direw0lf's topic in General Students

    Are you asking me to explain why someone who cheated and didn't learn the information required to graduate from nursing school might be harmful to future

  14. Fate of the CNS degree

    Jules A replied to ExploringNurse's topic in Advanced Practice

    I have heard there is talk of pharmacists prescribing in the near future

  15. Cheating in nursing school

    Jules A replied to direw0lf's topic in General Students

    Its possible I'm just a busy body but I can't stand people cheating especially not in a program like nursing which is supposed to be somewhat morally driven. While I'm not going to make myself crazy...

  16. Teacher accusation

    Jules A replied to MilieuRN's topic in General Students

    I also just skimmed but if it is as you presented it she sounds rather odd. Hopefully she will let this drop. Moving forward I would be very wary of doing anything involving her that also doesn't have...

  17. Is this true? Salary Question

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

    Love reading things like this! Kudos to you and the savvy FNPs you work with. When I hear of NPs willing to make less than $100,000 it frustrates me. I work like a dog to break $200,000 but at least...

  18. Where do you get clinical updates?

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

    I also don't tend to run immediately to the latest and greatest new med unless the patient has clear failures on everything else available. And I love Risperdal also but in all seriousness the long...

  19. Insurance advice for nurses practicing in multiple areas

    Jules A replied to cdillingham's topic in General Nursing

    RiskManager, we love you! Thanks for adding your sage

  20. How are you assessing alcohol withdrawal?

    Jules A replied to nj3456's topic in General Nursing

    This. It frustrates me to no no end that RNs, especially in psychiatry where we see this all the time, are so resistant to give adequate doses of benzos despite being clearly instructed that in...

  21. Cheating in nursing school

    Jules A replied to direw0lf's topic in General Students

    I'm not certain the repercussions fall solely within the instructor's power as some have posted. No clue how it went in my school but as an instructor I do know there is extreme pressure to keep all...

  22. CLinical Nurse Expert

    Jules A replied to Pprwrk's topic in General Nursing

    Never

  23. Encouragement needed - Frustrated and insulted by hourly rates

    Jules A replied to kemansha1's topic in First Year After Licensure

    Although anecdotally from what I have learned since becoming a NP is there absolutely is a reluctance to insist on top wages. There seems almost a badge of honor among those working for peanuts in the...

  24. Where do you get clinical updates?

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

    I like UpToDate also and if you work at a hospital check to see if the medical library offers monthly data base searches. Mine will send a list of new articles based on the criteria you give

  25. CLinical Nurse Expert

    Jules A replied to Pprwrk's topic in General Nursing

    While I agree that it is a cheap walk around I am so irritated with the multitude of nursing degrees, titles and initials that most of us can't even figure out that if I thought this would be an...