[NPInfo] NP salary vs RN

Tue Feb 13 09:09:25 PST 2007

Perhaps some of the Psych NPs can comment on the strong influences of
sibling order, an adult child's need for continuing parental approval, etc.
on career choices.
;>)

----- Original Message ----- 
From: "Melissa True" <trtrue at yahoo.com>
To: "NP Info" <npinfo at nurse.net>
Sent: Monday, February 12, 2007 6:13 PM
Subject: Re: [NPInfo] NP salary vs RN

> Deb,
>
>   I currently work in rural Minnesota and I made 92,000 last year as a RN
in the emergency room however I did work my fair share of overtime.  I am
currently enrolled in a DNP program and I am asking myself that same
question?!  Why?!  I can work as a RN and make just as much if not more than
a NP.  Actually I plan on staying PRN some where when I am done with school
and work as a RN some times to keep up those skills too.  Sorry this is so
disappointing but I'm dealing with the same issues.
>
>   Melissa from Minnesota
>
> debcfnp at aol.com wrote:
>   Dena and Christine, where do you work/live? If I am reading you both
right, Dena, you were making $97,000 per year (47.00 per hour x 2080 hours
full time) and still underpaid compared to registered nurses in your area.
And Christine, you were making $114,000 per year (55.00 per hour x 2080
fulltime) and you too were still making considerable less than nurses in
your area? IF that is the case I need to relocate and work as an RN again.
For those wages I could sacrifice my Masters degree and autonomy. I would
even be willing to wipe butts again. God knows I wiped my fair share in the
past and for a whole lot less. It is always so discouraging to hear that RNs
are making more than NPs, and typically as hospital nurses, they are are
also getting far better benefits!
>
> Please tell my why I am considering a DNP???
> Deb
>
>
>
> -----Original Message-----
> From: galdena at sbcglobal.net
> To: npinfo at nurse.net
> Sent: Thu, 8 Feb 2007 9:26 PM
> Subject: RE: [NPInfo] Retail Clinics.......Chapter Two
>
>
> Tomorrow is my last day at my job... As a Master's prepared NP for almost
> 14 years, with two national certifications, almost an entire life-time in
> nursing, and over three years in my current position with 3% performance
> eval raises each year, I make $47/hr. I am making $20-22/hr less than the
> AND/BSN RNs (who have no certifications) that I am expected to train,
> educate, and work with in my role as Neuroscience Clinical Coordinator.
The
> nurses are not only unionized but also have a career ladder. Being in an
> "administrative" position, I don't qualify for either. It has been an
> extremely frustrating situation for me and, because there was no
resolution
> in sight (despite many promises the past year), I have been forced to
leave.
> Interestingly enough, my position is now being split into two separate
> positions-- CNS and Stroke Coordinator. They wouldn't pay me any more for
> all the work I did for them, but they'll now be paying TWO people to do
the
> job that I did alone. And good luck finding TWO people who will be stupid
> enough to work for what they were paying me!! LOL
>
> My "Mother Company" (the hospital chain I work for) has started a chain of
5
> retail clinics and is paying NPs $45/hr. I noticed the ad ran in the San
> Francisco Chronicle for many weekends in a row. I like to think they had
> difficulty finding takers for that salary .
>
> My new job will be paying me $17,000 more a year, with much better
benefits,
> and it is based on my education, years of experience, my certifications,
and
> on all the accomplishments listed on my past three annual performance
> evaluations from my current job (I sent the new employer copies). Although
I
> still won't be making as much as I could if I went back to work as a staff
> nurse, it is so nice to finally be recognized for my accomplishments,
> experience, and education.
>
> But I will certainly miss this job terribly...
> Dena Galler
>
> -----Original Message-----
> From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
> Of Christine Smith
> Sent: Thursday, February 08, 2007 5:16 PM
> To: NP Info
> Subject: Re: [NPInfo] Retail Clinics.......Chapter Two
>
> I think compensation for NPs/PAs is ridiculous too. I make $55 per hour
and
> cannot comprehend making less unless my job is lots less stressful. The
> first 4 hours I see uninsured patients as the sole provider in my clinic -
> last night I saw 23 patients in 4 hours. Mostly BS complaints, but still
> require documentation, my time and faking some sympathy for yet another
> snotty nose. The second 7 hours I worked in the ER, seeing more BS and
some
> acute pts that actually deserved to be in the ER. I bill an average of
$480
> per hour and this is only for my time. It does not include what I bill for
> the hospital, including meds and supplies. It only includes the time I
spent
>
> on the patient, the skills I did include lac repair, I&Ds, monitoring,
> reading x-rays, etc. The patient gets two bills, one from me and one from
> the hospital. My average pt gets billed at $269 (yep, snot noses cost a
lot
> if you go to the ER).
>
> Many of the RNs make more than I do and that is distressing to me. I do
not
> get night shift or weekend differential though I work minimum of two
> weekends a month and every single night (6pm until at least 2am). The docs
> get a shift differential on nights starting at 7pm but they voted against
> giving NP/PAs a shift differential even though many nights I am there
until
> 5am saving their ass because the ER is inundated with patients. They just
> started giving us a holiday "bonus" if you work on Thanksgiving, Xmas or
New
>
> Years - $150 per shift. That is not even time and a half like the hospital
> staff gets. The docs all make over $150 per hour. They also get huge
> compensation pay for being on various committees - several thousand per
> month. I get my hourly pay only.
>
> It is unfair and I am not sure how to fight it. I work my ass off, I
> generally have the highest productivity in the dept every month, both in
> billing and in patients per hour. Sometimes it does not seem worth it.
> Interestingly, I could quit my job as a NP at my facility and come back as
> an RN (I know they would hire me in an instant) and be making far more
> money. A PA who I work with is talking about doing this. He is an RN too.
> We wondered if it would send a message to our company that contracts with
> our hospital. Would they care, would they reconsider? Very sad that we are
> not valued by so many of our employers - we are seen as cheap labor.
>
> Sorry, but Megs letter got me going. I am so burned out from seeing every
> runny nose and fever in the county in the last month.
>
> Christine Smith
>
>
>
> ----- Original Message ----- 
> From:
> To:
> Sent: Wednesday, February 07, 2007 6:33 PM
> Subject: [NPInfo] Retail Clinics.......Chapter Two
>
>
> > Retail Clinics....Chapter Two
> >
> > Tracy Klein's article on Medscape addresses many of these issues and
more
> > through a series of tough questions and answers....I have always
> > maintained these clinics need providers with a solid background in
primary
>
> > care, family practice and/or Emergency Dept....then.. skin cancer (etc)
> > won't be missed and appropriately referred to a dermatologist in the
area.
>
> > A good business sense and legal savvy would be helpful as well when one
> > considers being employed by a retail clinic corporation. Review of one's
> > contract before signing is equally as important; Carolyn Buppert helped
> > our group work out details and changes in a contract. Her insight is
> > invaluable.
> >
> > Compensation for these retail clinics is lower then I had expected and
> > with a seasoned provider working alone for 12 hours, $45-$50 per hour is
> > very reasonable (higher compensation needed for weekends and Holidays)
> > (pay scale: $34-$38 is usual)...consider: if one sees 4-6 people per
hour
> > at $59 per visit (baseline)....leaving $300 for the corporation's
coffers
> > (+) (-). The clinic overhead is about $100,000 (or so) (probably higher)
> > per year (salaries, equipment, supplies, rent, etc). I also believe
> > compensation across the board for nurse practitioners and physician
> > assistants in many settings is, in a word, embarrassing. Seasoned
> > providers working for $32.50 a hour ( in many clinic settings) when the
> > clinic bills out $600 (+) per hour is intolerable.
> >
> > I think David Mittman has some very valid and serious concerns providers
> > ought to be troubled about with the proliferation of these retail
clinics,
>
> > how we are being portrayed and the value these concerns should be for
all
> > of us.
> >
> > http://www.medscape.com/viewprogram/5982
> >
> > Meg (Portland, OR)
> > _______________________________________________
> > NPInfo mailing list
> > NPInfo at nurse.net
> > http://lists.nurse.net/mailman/listinfo/npinfo
> > *****************************
>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net
> http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
>
>
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net
> http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
> ________________________________________________________________________
> Check out the new AOL. Most comprehensive set of free safety and security
tools, free access to millions of high-quality videos from across the web,
free AOL Mail and more.
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net
> http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
>
>
>
> ---------------------------------
> It's here! Your new message!
> Get new email alerts with the free Yahoo! Toolbar.
> _______________________________________________
> NPInfo mailing list
> NPInfo at nurse.net
> http://lists.nurse.net/mailman/listinfo/npinfo
> *****************************
>
>