Jules A

Jules A MSN

Family Nurse Practitioner

Member

  • Content

    8,864

  • Visitors

    52,377

  • Followers

    4

  • Likes

    188

All Content by Jules A

  1. NPs who don't bill

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

    Nothing sketchy if they are seeing the patients to maximize billing. Not billing yourself is only problematic because you don't have a concrete way to indicate your value but that doesn't mean you...

  2. New NP pay

    Jules A replied to Guest1059175's topic in Advanced Practice

    That sounds very low for a speciality in DC especially because you didn't get a raise when you changed jobs. Unless there are extenuating circumstances making a lateral move is not

  3. Prescribing Medical Marijuana

    Jules A replied to iriska_meller's topic in Advanced Practice

    In my area it isn't prescribed. This is how it goes: No dose, no frequency, no type just whatever the patient and the clerk working the counter happen to decide

  4. Prescribing Medical Marijuana

    Jules A replied to iriska_meller's topic in Advanced Practice

    Enacted by politics not the FDA. I don't understand how it was allowed to happen and would much prefer they simply legalize

  5. Neuro NP??

    Jules A replied to ncal's topic in Student Nurse Practitioner

    To the best of my knowledge there isn't a specialty NP neuro certification at this time but NPs do work in neurology. The few I know are not especially independent and mostly have routine cases turfed...

  6. Functional Medicine/Trigger point injections

    Jules A replied to Cindy-20's topic in Nurse Practitioners, NP

    Their first NP? If so and you are still interested I'd ask to hang out with the chiro for a few hours. See how you get along with him and get a feel for the practice. Anything having to do with...

  7. Functional Medicine/Trigger point injections

    Jules A replied to Cindy-20's topic in Nurse Practitioners, NP

    I would think it is a red flag that you can't shadow someone already working there. Certainly the patient would have to be ok with it but I have had many NPs or NP students shadow me and rarely have a...

  8. Standardization of NP Education

    Jules A replied to RN-dancer's topic in Nurse Practitioners, NP

    Here's some potential money because we don't need to allocate more funds for more lame programs to churn out more unprepared nurses. Is there truly even a shortage? American Association of Colleges...

  9. First job woes

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

    Absolutely however in this instance it is the OPs first go round and she did a bang up job overall. I bet there are plenty of NPs still taking vitals and rooming their own patients because they were...

  10. First job woes

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

    After 5 years my increase amounted to about $7 an hour. I'm happy to accept it but if I hadn't gone in at the high end I'd be making squat. Your second point is important and depends on the person's...

  11. Taking call, do NPs get paid call pay?

    Jules A replied to mep7296's topic in Nurse Practitioners, NP

    How much and do you ever have to go

  12. First job woes

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

    Amazingly fast for a hospital. :) Definitely don't assume this. At the hospitals where I work there is a $30,000-$50,000 annual difference in psych NP rates. This is not experience dependent it is...

  13. First Job, Unsure of Role

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

    duplicate,

  14. First Job, Unsure of Role

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

    Sounds like you handled it beautifully and smart not to start doing RN duties now or that will never end. Many are hesitant to set boundaries initially due to not wanting to make waves or "be a team...

  15. First job woes

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

    Either way chalk it up to an excellent learning experience. Its important to go into these situations with an idea of your worth. Would you mind to share how it went with the counter offer...

  16. Standardization of NP Education

    Jules A replied to RN-dancer's topic in Nurse Practitioners, NP

    Please tell me you are kidding and if not what is it and where do I sign up? Despite accepting the fact that a smile and hair flip will no longer get me out of a speeding ticket it is clear my ego...

  17. How often are you asked for opiates?

    Jules A replied to bryanleo9's topic in Nurse Practitioners, NP

    Sometimes and the crush and float in water method is used for the known hoarded agents. Cheeking is a skill in its own as is swallowing then regurgitating and selling to your cell

  18. Gave up DNP

    Jules A replied to LookForward's topic in Advanced Practice

    I agree for outpatient it will be less of an issue in the near future. Even after the decades of hullabaloo LPNs are still working however they have very few job opportunities. Since you are young...

  19. First Job, Unsure of Role

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

    I'm always looking for something else but definitely don't bail on this without finding out what their plans are. This is a decent size organization so if they need to shift gears with regard to...

  20. Standardization of NP Education

    Jules A replied to RN-dancer's topic in Nurse Practitioners, NP

    Well then I need to add a few more alphabets to the soup behind my name. At this point I'm a AAAPN. Between master's, post master's and doctorate I have wasted serious time and money on that...

  21. First Job, Unsure of Role

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

    I would get on this immediately. It is possible the MA is incorrect but regardless if you have these questions clarification of your role is necessary. I try not to talk with anyone but the physician...

  22. How often are you asked for opiates?

    Jules A replied to bryanleo9's topic in Nurse Practitioners, NP

    Its not just those with substance use disorder asking for inappropriate medication. In psych its for more for benzos and stimulants but yeah its near constant. Maybe I'm fortunate in that I have a...

  23. Standardization of NP Education

    Jules A replied to RN-dancer's topic in Nurse Practitioners, NP

    Loved this, it is so true and that is a big part of the problem added to the population health, public health, community health, underserved health...how many names can they give the same course and...

  24. Standardization of NP Education

    Jules A replied to RN-dancer's topic in Nurse Practitioners, NP

    I see this in psych with the NPs who have zero psych experience and the gap does often lessen over the years however the big issue is regardless of where everyone ends up the early years, initial...

  25. First job woes

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

    Any other job offers you can mention? I would also share the information you know about the person who was offered $115 if you are sure its solid and can name the facility. I've done that in the past...