1st NP job offer

  1. 1
    hi,

    looking for some job advice. got my first np offer at the place where i currently work as an rn, boston area. ft 40 hrs, one eve. shift/week, sat/sun rotation q 3 weeks. no call, open all holidays and will rotate with current staff. several midlevels and lots of doc's. seeing 16 pts per day with lots of follow up calls, labs etc. zero admin time alloted in workday. cme $1200.00/yr, time off is earned time, no actual week off for cme etc.
    pay is 75k, non-negotiable. i've been an rn for many years and make 20k more than that now.
    advice whether i should just take the job and shut up or try for something with better conditions/pay?
    i'd appreciate any advice!

    thanks!
    practionner likes this.
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  3. 11 Comments so far...

  4. 1
    Hi,

    I'm an NP in the Boston area and that salary seems kind of low. When I graduated last year most places were offering low 80s to low 90s, with both time and $$ allotted for CME. Some questions to ponder..... Will this place pay for your malpractice and DEA #? Do you like working there and feel you'll be challenged and supported? Is the work schedule acceptable for you? The patient workload seems pretty reasonable. Is this all short visits or will you be doing complete physicals too? Is charting on paper or on EMR? If it's EMR, can you chart from home? If not, will you end up putting in more than 40 hours per week on site? Will your role change from RN to NP be comfortable for both you and your co-workers, or will you always be viewed as an RN, cause that's what staff are used to?

    I think it's certainly worth looking at what else is out there, just for comparison, if you haven't already done so. There's a lot to consider. You already have a job, so you do have the luxury of not having to find something right way. IMHO, the most important thing in a first NP job is having support and a mentor, so you can become comfortable with your role. $95,000 a year isn't worth it to me if no one has your back.
    dragonballz likes this.
  5. 0
    thanks for the reply. i would be comfortable as i currently work inpatient and this is outpatient, so not the same staff etc. i know some mid-level support is there, docs can be a little vicious to newbies like myself as it's a teaching institution. emr and can do some from home but it will be more than 40 hrs/week. schedule is at least 1/2 time doing complete and complex pe's, really fills the schedule. malpractice is paid but i wondered if i need to keep my own as well? dea reimbursed. schedule does not bother me at all, i'd actually do more eve's if they were available. i think the salary is truly low but wonder what recourse do i have. indeed i do have a job already that works well while i search. wondering if you had any advice of local places that may be supportive and have opportunities.

    (boston, north ideal)

    thank you!!!
  6. 0
    I'm south of Boston and work in a community health center in primary care. The pay is on the low end, but I'm eligible for loan forgiveness through the National Health Service Corp. That effectively adds $25,000 to my salary for 2 years. If you have substantial student loans, I would highly recommend going that route. I'm sure there are health centers in places like Lynn, Lawrence, or Lowell that are NHSC eligible. You can look at their website (I think it's NHSC.org) to find job openings. The populations you work with present many challenges, but I have learned so much in the year I've worked. I haven't paid too much attention to positions on the North Shore, but I seem to remember North Shore Med Center always looking for NPs. I'd also try looking at www.indeed.com or on Craigslist. I actually found my job on the MA Dept. of Unemployment wesite!!
    Best of luck to you!
  7. 0
    i would get a higer pay jobs... however, remember build on the experience. may be work part time at your main RN job, and full time at this or other jobs, because many facilities, and institution are looking for NPs with experience.. so the key word is experience! once you get that experience then you can pick and choose...
    Last edit by greatgirl123 on Jul 8, '10 : Reason: spelling wrong
  8. 0
    Quote from jlrobi
    hi,

    looking for some job advice. got my first np offer at the place where i currently work as an rn, boston area. ft 40 hrs, one eve. shift/week, sat/sun rotation q 3 weeks. no call, open all holidays and will rotate with current staff. several midlevels and lots of doc's. seeing 16 pts per day with lots of follow up calls, labs etc. zero admin time alloted in workday. cme $1200.00/yr, time off is earned time, no actual week off for cme etc.
    pay is 75k, non-negotiable. i've been an rn for many years and make 20k more than that now.
    advice whether i should just take the job and shut up or try for something with better conditions/pay?
    i'd appreciate any advice!

    thanks!

    so they don't consider ur rn experience? well in the hospital where i work at they consider the rn experience into the np salary... however if i work somewhere outside the hospital, they might not consider my rn experience... they all want experienced nps... . i know it seems discouraging... i hate to say it but depends where you go, nps don't make more than rns...
    good luck
  9. 0
    I am in the Nashville area. My first NP job paid $36 hr part time (which is what $75,000 breaks down to), my second paid $39 and now I'm up to $43/hr with beneifts... My side gigs (no benes) I usually get paid $50/hr. It seems that once you get the first job after a few months it is easier to get the second.
  10. 0
    90K a year as an RN? What was your job? Are you union?
  11. 2
    no union. i was a staff rn in a suburban hospital. i was there 8 yrs or so. i left a job in boston as this one offered me more $ and less traffic etc. i worked 40 hrs/ 5 8's. i did finally settle on an internal med np position for mid 80's with a generous sign on bonus with good work/life balance.
    favthing and traumaRUs like this.
  12. 0
    Money is not everything when you are trying to secure your first job out of school. Look for a good working environment, a good preceptor for at least one year. Try not to specialize your first job, unless you want to stay there for a long period of time. Education, DEA, and liability insurance, I would get in you.


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