Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. MA rant

    You can count on that I would comment via email to have it documented what a waste it seems "in hindsight" to have let an established, skilled, valuable staff member leave over money and now be forced...
  2. Poor orientation with a retail clinic

    I keep wondering what this orientation thing is that people speake
  3. Do FNP's really make 80k to 90k a year?

    I love that your specialty still requires actual experience and acknowledges you can't learn everything necessary in our brief programs. What a shame the NP wages are so low in such a complicated and...
  4. First I think you need to have some money of your own that you are willing to throw down to show you are putting your own purse in the mix. Second instead of investors why not look for partners? That...
  5. Do FNP's really make 80k to 90k a year?

    Whoa wait a minute bite your tongue! On this side of the pond we have magic pills for every ailment negating the need for therapy, coping skills, exercise, moderation or maturity. Said in jest as...
  6. Collaborative Physician Issues

    When we needed it the physicians who were our collaborators were usually someone we worked with so they had a vested interest in the responsibility of overseeing us. The other scenario I have heard of...
  7. NP Salary

    I definitely agree with your first comment and have seen the negative effect on wages due to uninformed NPs accepting low rates as well as being willing to do RN or admin duties. How unfortunate but...
  8. weight loss clinic?

    You seem scattered with the places you are interviewing. I know schedule is an issue for you but please consider what your preferences are and try to find a job in an area that appeals to you and you...
  9. Experience for PMHNP

    The real truth is those APNs had stringent experience and admission requirements prior to getting accepted into a program there is likely to be a much different outcome going forward. The other truth...
  10. Experience for PMHNP

    Are you a psychNP or psychRN? Again it blows my mind that people actually believe our short NP education is meant to take someone from zero to competent in two years with only one or two pharmacology...
  11. FNP working in psych inpatient

    I agree although I wouldn't go to the interview without clarifying what role they were interested in filling. It will save everyone a lot of time if it is psych
  12. Been to two NP plus DNP and found them to be annoying and often not useful but definitely not difficult. As evidenced by all the NP graduates now, how difficult could it
  13. FNP working in psych inpatient

    Did you think to ask if it is medical management or psych management? That would be your answer. As you alluded to always remember many employers could care less if we working within our scope so it...
  14. First Job, Unsure of Role

    It sounds like your options are insist on a MA with a full load of patients or get stuck trying to beg someone else's MA to help you which will suck and probably will be long term. This wouldn't be an...
  15. Please find a way to get some time in on an inpatient psychiatric unit. There are too many FNP or new psych NPs with no formal psychiatric experience screwing up diagnostics and medications
  16. Oversupply of Nurse Practitioners

    I'm sure there are locker room conversations about any group's incompetence however this has been something I have noticed lately also. It used to be the excellent RNs who aspired and were admitted to...
  17. I agree however and somewhat OT but in my opinion, which I know is not shared by many, if said students were seasoned RNs they would have planned and networked to secure sites prior to jumping into a...
  18. CCNE Releases New Standards

    Where are the measurable
  19. Who here thinks it will actually be
  20. Anyone not have an MA?

    You mean she chose to? Unfortunate for her and the rest of us
  21. Huge red flag if you are taking on patients knowing they were recommended for a higher level of care. To be fair if you are saying you are taking on patients that you don't have the training to...
  22. You are wise to recognize the fatigue and attempt to do something about it before you crash and burn. If you want things to change you are going to have to set some immediate and firm boundaries both...
  23. Anyone not have an MA?

    My opinion and experience regarding ancillary staff and really everything is if the physicians have it I have it. If there are no MAs or nurses depending on the specialty and in the cases of small...
  24. First job woes

    Ohhhh, if you are looking to get out of Florida anyway and really want ICU this would be an excellent opportunity. I think Baltimore is a great city with plenty of hospitals should you decide to move...
  25. First job woes

    Ok but doesn't explain why it would make sense to move 1,000 +/- miles from your home and professional contacts to work for a similar