Jules A

Jules A MSN

Family Nurse Practitioner

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All Content by Jules A

  1. Multiple preceptors

    Jules A posted a topic in General Nursing

    There seem to be a lot of mention of multiple preceptors as a reason new grads have not been successful at orientation. How do you feel about it? I've always had multiple preceptors, even as a new...

  2. Exciting Changes Coming To allnurses

    Jules A replied to Joe V's topic in News, Announcements

    So sad I just found this and mine are gone. Most of you probably don't remember Joyce but I had some from her

  3. Do not understand scheduling issue

    Jules A replied to SoundofMusic's topic in Advanced Practice

    It probably isn't about how the OP is presenting and maybe its different for CRNAs? NPs can call themselves whatever they want including "doctor" if the facility allows but it will not put them on par...

  4. Getting my Psychiatric mental health certification.What comes next?

    Jules A replied to auchip2's topic in Advanced Practice

    and no RN experience with meds or

  5. New work pay formats

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

    These aren't great, imo, unless you are doing a very high volume. My RVU pay is in the $29 and change. It averages out to a minimum of $90 an hour but my volume is heavy. Like OMH said you will have...

  6. Getting my Psychiatric mental health certification.What comes next?

    Jules A replied to auchip2's topic in Advanced Practice

    It seems they also don't cover BPD vs Bipolar, Delirium vs Schizophrenia, Malingering or drug seeking at all....but lots of polypharmacy and erroneous

  7. New work pay formats

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

    For me although I am efficient I have no interest to do 10 minute appointments on an OP basis. My focus has always been the bottom line so I would need to know the actual numbers for #1 and #2 to...

  8. Do not understand scheduling issue

    Jules A replied to SoundofMusic's topic in Advanced Practice

    Physicians are more valuable and higher on the food chain than we are simple as that. If you also work for RVUs you might consider changing jobs as this seems to be the writing on the wall. If in...

  9. Oversupply of Nurse Practitioners

    Jules A replied to guest416560's topic in Nurse Practitioners, NP

    It is a reality in psychiatry and now the psychiatrists who used to be NP friendly are not so much both due to the tightening up of opportunities and the low quality of the new graduates. Why would a...

  10. Oversupply of Nurse Practitioners

    Jules A replied to guest416560's topic in Nurse Practitioners, NP

    I'm guess this was said tongue in cheek? Because I can tell you exactly how it will go. Why would anyone pay you $200,000 a year when a bright, shiny new DNP, who hasn't worked on day as a nurse or...

  11. Profanity in the workplace

    Jules A replied to Emergent's topic in General Nursing

    I agree and there are times when I feel my foul language is getting excessive but as you point out I usually decide I'm fine with it and carry on status quo. I probably won't change my ways but it...

  12. Oversupply of Nurse Practitioners

    Jules A replied to guest416560's topic in Nurse Practitioners, NP

    Pay attention to this folks it is the truth. The last experienced NP hired in my department is making $40,000 a year less than myself and a colleague who started when I did and $10,000 a year less...

  13. Profanity in the workplace

    Jules A replied to Emergent's topic in General Nursing

    It is one of my all time favorite words. I use it often although not directed at others or knowingly in ear shot of a patient. Cursing is like scrubs one of the few perks of being a

  14. Psych no salary/pay

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

    Best wishes. Please let us know how things work

  15. Psych no salary/pay

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

    $53 an hour is a terrible rate in my opinion even for a FNP. I would be more proactive than just telling them you were offered $95 an hour as 1099 and also include the rate it would take to hire me....

  16. I Make Less Than a Brand New Nurse, Why?

    Jules A replied to Nurse Beth's topic in Career Advice Column

    Excellent points and unfortunate although I tend to avoid the whole discrimination thing. It is business and their job is to get someone for the lowest rate and there are factors that go into who is...

  17. Psych no salary/pay

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

    If you are the first NP that might work to your benefit. Jeez so non psych NPs are practicing and PAs are also working in psych in your state? Thats unfortunate. We rarely see that here which also...

  18. Psych no salary/pay

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

    I wouldn't approach it as letting them know they lowballed you, because there are clueless NPs out there willing to work for embarrassingly low wages so who knows how they came up with that figure....

  19. Psych no salary/pay

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

    Trust the $130 an hour isn't causing me any confusion. That would be my established rate. It is unfortunate you are willing to give up on that opportunity as it relates to your next job. In my area a...

  20. Psych no salary/pay

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

    Add the numbers. I would imagine the extra $158,400 per year might make up for the lack of

  21. Psych no salary/pay

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

    First and most importantly why on earth would you even consider working for $53 an hour when you are making $130 an hour? Good benefits will never make up for such a terrible annual rate. Keep in...

  22. Dual DNP/PhD programs: what's most important?

    Jules A replied to coffee&scrubs's topic in Doctoral Nursing Degrees

    I know this sounds snarky but from where I sit this latest, greatest dual whatever is yet another cash grab for the universities. That our fellow nurses, the nurse educators, are participating in the...

  23. Psych no salary/pay

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

    I work both inpatient and at a local clinic. My rates are consistent, the job with benefits pays $30 an hour less than the job without benefits. I'm decent at what I do and well known but only a rock...

  24. Oversupply of Nurse Practitioners

    Jules A replied to guest416560's topic in Nurse Practitioners, NP

    In the hospital where I work the ACNPs are competing with PAs who for multiple reasons are more highly regarded in this particular system. My guess is regardless of the culture PA vs NP as more and...

  25. FNP Oversaturation

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

    Lol I initially read this as the universities will seemingly let any applicant into their NP programs to simply bolster their numbers but either way is