I have worked as a solo nurse in a very busy single-doc practice in OH. In 1992 I was paid $18/hr. Was offered a position in 2005 to be RN for one doc in a 10-12 doc practice for $15/hr in VA. Was offered a solo RN job for a solo specialty practice just establishing which required out of town conferences, traveling, marketing, luncheons, and presentations on my own along with insurance work, gov't statistics, estab support groups, and, oh yeah, the actual clinical nursing part of the job, too. It was a mgmt job (salary) that I turned down at $25/hr, it was worth about $30 min in this market for that level of commitment. That was not an "office nurse" job, it involved much much more. Know what the job actually entails. 6 mo later the practice was transfered to another arm of the corporation and I was offered the same job for $18/hr. Point is, the SAME job in the SAME town in the SAME year fluctuated from 18 to 25/hr. And THAT is WITH office experience and over 20 yrs RN experience in that particular field of medicine (and recent medical marketing experience). You will find a few smart docs that will hire hospital nurses they know and trust and match their hospital pay because after a time they realize a good nurse in the office is worth the pay. We can make their life so so much easier, and high turnover (for all staff) in offices are very common. You really have to know how to read the doctor, know when to stop pestering the doc make a decision on your own and when it's appropriate to put it in his/her lap. You have to love teaching. I found office work to be MORE demanding physically than the floor and much more hectic and stressful! There is an incredible urgency and time factor in a busy office; angry patients, distressed ones, dirty ones, pitiful ones, wild children, etc. I loved the work and learned so much so quickly.There is a certain predictability to look forward to, but I still advise a new grad to get some basic hospital experience. It will give you a foundation of organizational skills, time management, and confidence. It will help when you counsel patients in the office, too, as many of them will end up in the hospital for surgery, procedures, etc. I have worked alongside a number of nurses who have always worked in offices and now are orienting to a hospital position and the majority have an extremely difficult time transitioning. The transition from hospital to office is much smoother, but anticipate you will sacrifice the pay. Money isn't everything. Also, working at the hospital can give you ideas of who has reputations of being hard to work for, or great to work with! Quietly getting the word out that "if you ever need another office nurse, Dr. Snedly, you let me know!" may not lead to a job with Dr. Snedly, but if you develop a good rapport and reputation with him, he may refer you to a colleague. And those jobs are the ones that the doctors are more likely to offer you a higher salary for.