Independent Nurses providing medical care? - page 3

This may be a dumb question, but how can a nurse be an independent care provider as so much of what we do depends on physician orders (IVF, meds, certain procedures, etc.)? Do you collaborate with... Read More

  1. by   laserRN
    Hi Nrs. LaLa-Land
    I have a website you may be interested in:
    www.AMEN-usa.org
    We have formed a National Organization for Medical Esthetic Nurses!

    LaserRN

    Quote from Nrs. LaLa-Land
    I am an RN interested in Aeshtetics. I have searched various educational programs regarding Medical aesthetics. I am in So. Calif. and would be interested to know about the training program you went through (LaserRN). If you could answer any questions regarding what kind of licensure and certification you have and what you did to achieve them, I would greatly appreciate it!
    I am currently signed up for a medical aesthetics mileu 2-day course in orange county. I am also considering the botox/dermal fillers course as well and probably the laser course too. What kind of laser course would you recommend. Is a one-day class enough training? Pretty expensive but I am prepared to invest in myself.
    Please..any help or suggestions would be wonderful!
    Thanks in advance!!
    Nrs. LaLa-Land
  2. by   NRSKarenRN
    Quote from laserRN
    I went to the website and it only refers to 'employed nurses'. Not self-employed nurses. If you have any info to add we would sure appreciate it!
    Thank you,
    Kathy
    This organization has insurance for self employed, partnership, corporation and sole proprieter available (pulled out my policy) It my early homecare days, I was independent contractor and still had them as my malpractice insurnace company. Contact via website email or call 800-593-9230 Central Time.
  3. by   NurseKimberley
    Hi all,
    I am really interested in getting in on the botox and fillers stuff...Anybody know of anything closer to Colorado as far as training?
    Thanks!
  4. by   KSKIMBER
    Presently, I am working as a travel nurse. Recently, I have begun to do research in order to become an indep. contractor.
    I have several questions it would be great if I could get some help.

    Is it better to form a corporation or act as a sole proprietor? How do you determine the fees that are charged? How do you obtain a copy of a sample contract?

    As an agency nurse I feel I am out of the loop regarding contracts. I know what my contract b/w me and my agency consists of, I would love to know what the standard contract is b/w my agency and the hospitals I contract with.

    Any help will be greatly appreciated.

    Kimber
  5. by   MadelineGlass
    I am very curious to here what you learn.please keep posting

    Quote from KSKIMBER
    Presently, I am working as a travel nurse. Recently, I have begun to do research in order to become an indep. contractor.
    I have several questions it would be great if I could get some help.

    Is it better to form a corporation or act as a sole proprietor? How do you determine the fees that are charged? How do you obtain a copy of a sample contract?

    As an agency nurse I feel I am out of the loop regarding contracts. I know what my contract b/w me and my agency consists of, I would love to know what the standard contract is b/w my agency and the hospitals I contract with.

    Any help will be greatly appreciated.

    Kimber
  6. by   NedRN
    I have compiled a Frequently Asked Questions thread on becoming an independent contractor agency nurse that should answer all these questions, and has resources listed for further research. Look here:

    http://forums.delphiforums.com/trave...es?msg=47834.1
  7. by   sherryg0
    Dear Retired:
    I have done the leg work of becoming an independent, but I haven't had any luck promoting myself in my area. Do you have a sample letter that you send out or do you contact each nurse manager directly?
    Thanks
    Sherryg

    Quote from retiredusaf
    I too am an "Independent Nurse". I got tired of all the OR call, politics, and lack of quality of life (because of all the call... 2 weeks a month of beeper AFTER the regular work day.) We also had a new DON. Before she came, it had been approved that 2 of us not on call could leave early when everything was done, still be paid, and HAVE A LIFE! IF we were slow during the day, and 4 of us did not always need to be there till the clock struck 3pm,we could take care of personal things that needed to be done, like a car repair, going to Walmart, seeing a ball game our child was playing in a nearby town, etc. Being able to do these thing ONCE IN AWHILE helped morale so much that we did not mind the 15 days a month we could not even swim, cut the grass, take a shower without wife listening for phone, etc. You need to know that the closest mall is 2 hours away, and Walmart is an hour. Well a new DON put a stop to it all! So as a Dept. we offered to take a $5000 a year pay cut EACH to be able to continue what we'd been doing. Well, the cut in pay was looked at in some ridiculous way as a PAY increase over our hourly rate (less than $20. hr I might add with 20 yrs as a nurse and a BSN!) They did not add in all the Call pay we earned during the year. (1.25 an hour.) Her other concern was ,"What will the other nurses think?" "It won't be fair to them!" That was the stupidest thing we ever heard! That is comparing apples to oranges! Other nurses in this town are OFF when they are not working. They are not called back in. They did not pull call. Well, within 3 months..... 3 out of 4 of us OR nurses quit, and we had over 50 yrs experience between us!!!! Do you think they asked us how they could keep us? NO! Was there an EXIT interview? No.
    That was over 2 yrs ago. Do you think they have REPLACED us with nurses? No, they did replace one of us with an OR tech, but she too is gone. They have hired TRAVELERS and are continuing to do so!! Think of all the money they have spent......all because we asked for some "time" to go home early if we were not on call, and IF the work was done ,yet make enuf money to support our family and call this time "comp" time. .. and take advantage of the daylight hours, knowing the next night we had call and that weekend too. THAT IS WHEN I became independant!!!

    I started a business for tax purposes, incorporated and am president of the company. I can advertise myself as indep. or as an agency depending on what the hospital wants to work with!! Some hospitals will not touch an indep. nurse, they want to go thru an agency. Others are tired of the high price of agencies and want to negotiate a lower price with an indep. contracted nurse, and in either case I bring in over $50 an hour and $8 hr for call. And this is LOW sompared to what agencies charge in other places. I have worked in WY., close to home, am home on weekends and the hospital gives me an apt. free!! ( Since our towns are so far apart, I have to travel. Other indep. nurses can continue to live at home, and contract with a hospital for a designated period of time.) I can depreciate my truck, I pay workman's comp, I have all the liability insur to protect me, I pay my own payroll taxes too, and I can deduct my medical and life insur. as a business expense. I follow all the State rules for a corp. in WY.
    I plan to travel with my motor home in the next 2 years and finish seeing the US. Yes, it is hard not being in my home, but because I am treated so well and paid what I am worth, and pull less call, I really like it. My attitude is: "I am part of the solution, not the problem".
    Indep. nurses are not employees of the hospital... and the IRS has guidelines for indep contractors. Think of yourself as a construction worker with your own business. You make up a contract that you will complete this job by the safety standards, codes, etc. and you will be on the job for X amount of time and for X amount of money. You are trained and do your work for the sake of the project being the best it can be. You state the terms you will work under, and they sign your contract (written by a lawyer).you submit an invoice weekly, monthly, and they pay you. You pay your own taxes and your benefits yourself. You pay your own training, drug screenings, etc. You are not an employee of that firm. That is the philosophy to take as an indep. contractor/ nurse.

    I hope this helps clarify what we do. Please think outside of the box, and help nursing be what it should be. Be happy with your job, either stick together for better benefits and conditions, or branch out like we did. By the way, out of the 3 that left, 2 of us are doing this! My friend works 6 months of the yr, takes the rest of the yr off!
  8. by   sherryg0
    In my state you contact your local insurance agent. If you have car or house insurance, he can give you a quote since you are already a customer.
    Thanks
    Sherryg

    Quote from julie schultz
    I,m also practicing aesthetic skin care independently in a salon environment. I perform microdermabrasion, chemical peels and use the lam probe. I graduated from a certified school of aesthetics, passed the state boards, but have choosen to work under my RN as I have found clients have more confidence in someone with a medical background. However, it is not easy finding medical malpractice insurance. If anyone has any suggestions I'd apprecaiate them. Thanks.
  9. by   nightingale
    Quote from sherryg0
    Dear Retired:
    I have done the leg work of becoming an independent, but I haven't had any luck promoting myself in my area. Do you have a sample letter that you send out or do you contact each nurse manager directly?
    Thanks
    Sherryg
    I contacted the person who dealt with "the Vendors"; you can then send your "package" that includes contract rates and what you are willing to commit to. To me, it is much better to deal directly with the person, either in person or on the telephone.

    Your letter would be a confirmation of what you discussed and thanking them for reviewing your services.
  10. by   hazydaz
    Quote from renerian
    I have had alot of professionals tell me lately in Ohio they cannot find cases as independent providers and have to go back to agency work. Let us know what you find out.

    renerian
    I currently work in Columbus, IP and the patients are getting tight, unless you want to work night shift. There are many of those posted. I am thinking it is time to become medicare certified in order to get cases directly from the hospital and be able to take cases other than waiver. I am good with full time cases now but at any time that could change. God has been good to me in this area but I have been thinking expanding prospects for cases would not be a bad idea.
  11. by   pthalg
    Can anyone tell me approx how it is for malpractice insurance for an independent contractor?
  12. by   nightingale
    Quote from pthalg
    Can anyone tell me approx how it is for malpractice insurance for an independent contractor?


    See Pg 2 and 3 of this post for further info on your question.

    The Search Toggle (3rd toggle from right to left) provides a wealth of info.
  13. by   hazydaz
    Quote from pthalg
    Can anyone tell me approx how it is for malpractice insurance for an independent contractor?
    I continue to pay $89 a year. I got a notice from NSO that my rate would go from $89 to $300 so I looked around and found better on the internet. In fact, it was the company I first had insurance with before I thought NSO would be a good idea. NSO hounded me about their magazine, life insurance and all kinds of insurance. I am hoping the sales pitches will quit hitting my mailbox soon.

    By the way, I've had a license for 14 years and nothing against it yet. No reason to raise the rate!

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