Do Nurses Earn Big Money? You Decide.

The members of the public who are convinced that registered nurses earn huge salaries are like shrubs on the outside looking in because they do not know how much sweat and tears we shed for our educations, and they are unaware of the hazards many of us face during the course of a day at work. Nurses General Nursing Article

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  1. Do Nurses Earn Big Money?

    • 4743
      No
    • 553
      Yes
    • 344
      Not sure

5,640 members have participated

"You're rolling in the big bucks!"

Am I the only one who becomes at least mildly irritated whenever a random individual finds out that someone is a nurse and proceeds to say, "You're rolling in the big bucks!"

To keep things honest, I'll recall a few observations about the people who generally do (and don't) broadcast their feelings about nursing pay. In my personal experience, no doctor has ever told me to my face that I'm earning 'big money.' No engineers, attorneys, pharmacists, speech language pathologists, or other highly educated professionals have hooted and hollered about the supposedly 'good money' that nurses make once they discover that I am one. On the other hand, bank tellers, call center workers, clerks, and others who work at entry-level types of jobs have loudly made their feelings known about the incomes that nurses earn.

I was employed at two different fast food chains while in high school, and during my late teens, I worked a string of dead end jobs in the retail sector. From ages 20 to 23, I maintained employment at a paper products plant in high cost-of-living southern California as a factory worker and earned an income of about $40,000 yearly with some overtime. Of course I thought that nurses earned handsome salaries during my years in the entry-level workforce. After all, the average RN income of $70,000 annually far exceeded my yearly pay back in those days. Keep in mind that I paid virtually no taxes as a fast food worker because my income was so low. Also, I paid relatively little in the way of taxes as a retail store clerk.

Awash With Cash

Do nurses earn "big money"?Many of the certified nursing assistants (CNAs) with whom I've worked over the years have fallen into the trap of believing that the nurses are awash with cash. However, the ones that pursue higher education and become nurses themselves eventually come to the realization that the money is not all that it is cracked up to be. For example, Carla* is a single mother to three children under the age of 10 and earns $11 hourly as a CNA at a nursing home. Due to her lower income and family size, she qualifies for Section 8 housing, a monthly food stamp allotment, WIC vouchers, Medicaid, and childcare assistance. Moreover, Carla receives a tax refund of $4,000 every year due to the earned income tax credit (EITC), a federal program that provides lower income workers with added revenue through tax refunds. Much of Carla's CNA income is disposable.

Carla returned to school part-time, earned her RN license, and now earns $25 hourly at a home health company in a Midwestern state with a moderate cost of living. She nets approximately $3,000 per month after taxes and family health insurance are deducted as she no longer qualifies for Medicaid. She pays the full rent of $900 monthly for a small, modest 3-bedroom cottage because she no longer qualifies for Section 8. She pays $500 monthly to feed a family of four because she no longer qualifies for food stamps or WIC vouchers. She spends $175 weekly ($700 monthly) on after school childcare for three school-age children because she no longer qualifies for childcare assistance. Carla's other expenses include $200 monthly to keep the gas tank of her used car full, $300 a month for the electric/natural gas bill, a $50 monthly cell phone bill, and $50 per month for car insurance. Her bills add up to $2,700 per month, which leaves her with a whopping $300 left for savings, recreational pursuits and discretionary purposes. By the way, she did not see the nice tax refund of $4,000 this year since she no longer qualifies for EITC. During Carla's days as a CNA most of her income was disposable, but now that she's an RN she lives a paycheck to paycheck existence. I'm sure she wouldn't be too pleased with some schmuck proclaiming that she's earning 'big money.'

The people who are convinced that nurses earn plenty of money are like shrubs on the outside looking in because they do not know how much sweat and tears we shed for our educations. They remain blissfully unaware of the daily struggles of getting through our workdays. All they see are the dollar signs. I'm here to declare that I worked hard to get to where I am today and I deserve to be paid a decent wage for all of the services that I render. Instead of begrudging us, join us.

Further information to help readers decide...

 

ok, DoGoodThenGo brings up a good point. So I change my answer to $70k a year is good money in most places. In truth, back home I wouldn't consider anything less than $135k a decent wage. $74k in NYC must be rough...

My workplace does not like to schedule four 12-hour shifts per week because they do not want to pay the overtime (time and a half) for the fourth shift.

Fair enough. But I thought that if it is in the hiring papers (Not contract, but I forget the name) then it isn't called overtime until hour "49"

Maybe that's just here though. Or I could have just as easily misinterpreted something. Happens...

sam, i will have to agree with you here.

i was surprised, that during 30+ years of nursing, my starting income was not much bigger 30 years later.

also,

if i moved from one state to another,

and had to start all over as new employee,

the starting pay there

was not much bigger at all

than the starting pay i got decades before.

*sigh*

That's what I mean. In bigger scheme of things, it's really not that great of an income in terms of growth potential, unless you take one of the paths to which I previously referred. Many of those in other fields have far advanced that progression.

I realize hospitals have to keep costs down, but it seems to me nurses could be better compensated for their long-term experience and commitment.

Until the world lost it's mind and things fell apart there were few if any jobs in the NYC area that paid persons with a two year technical degree (ADN) a starting salary of $70K or more per year. With shift differential and or over time even an ADN nurse around here could easily pull at or close to $100K/year, again not to shabby for a two year degree.

What is happened with the recent fiscal crisis and other factors is nurses around here (and one assumes elsewhere as well) aren't able to pick up hours either via agency, second job, etc as easily. So if you were planning on adding to the kitty as per usual by putting in extra hours that may not happen as much if at all, thus one's household budget takes a hit.

The glut of RNs caused by the closing of over ten NYC area hospitals in the past several years coupled with hundreds of new grads entering the workforce every six to twelve months means whatever advantages the "nursing shortage" brought have evaporated.

Of course NY/NJ/Conn being high cost of living states nearly one third of one's wages are gone to taxes, especially local taxes. OTHO various credits and incentives from both federal and local goverments can offset some of that burden, but it is worth noting that nurses along with fireman, policemen etc are often mentioned as part of the middle class here that is being priced out because of the unaffordablity.

Can well remember back in the 1980's and 1990's when new grad's started at or around $18K to $22K per year and even after several years experience you pretty much were still in the mid-twenties or if lucky low thirties. Adjusted for inflation at least in NYC metro area RN's wages have out paced inflation.

Are nurses rolling in the money? As with everything else that is a highly subjective thing. Know plenty of NYC nurses who live pretty well including driving nice cars and or living in beautiful homes. However their standard of living may have much to do with their marital and or parental status. Gay or straight they are all single and or married couples without children.

ok, DoGoodThenGo brings up a good point. So I change my answer to $70k a year is good money in most places. In truth, back home I wouldn't consider anything less than $135k a decent wage. $74k in NYC must be rough...

It is hard to make that sort of linear equation because at some point earning higher wages affects one's marginal tax rates. So yes you are making more money in theory on paper but much of it can and probably will be taken in taxes so at some point persons decide why bother. Then there is the question of what happens as household income increases to cause one to lose any tax *breaks*. If you are married at some point one spouse's higher wages throws a wrench into joint filing status as well.

I don't think this is "New topic" worthy, so please forgive me going off topic for just this last one. Why is it that I see so many posters (in other topics as well) say they only work 3 days a week? are hours that hard to come by, I mean is it really that bad? why isn't the average schedule 4 days at 12 hrs a day. I was under the impression 48 hours a week was the norm in Nursing. Is it not? Is it fairly easy to pick up that extra shift. I just assumed 48hrs was standard, like Paramedics.

The way hiring is going for nurses in many places right now, you will be lucky if you get 18-24 hours. I clearly remember when we all worked 48 hours per week and greater, but mostly that was by choice. 72 hours per pay period was standard, even when I got out of nursing school. They were basically just starting the move toward getting rid of 8 hour shifts. Now it also depends upon what sub-department you work in. For example--many same day procedure units or PACUs will do 10 hours shifts--rotating. EDs do 36 hour shifts, with rotating, varying start and finish times. ICUs mostly do 12 hour shifts, and managers and employers go out of their way to limit overtime. Back when I started, you could get as much OT as your heart desired. In fact people fought over the OT.

Now, I hate so say it, but hospitals have hiring freezes for a number of reasons, but mostly economic dump and the fact that the cost reality of what healthcare changes will end up costing them for employees is an issue. Hence, a number of them are only hiring PT, if that. Also, BSN is the standard for hiring, especially if the hospital is a Magnet hospital or if it is a university type setting--in my humble experience, where I have gained most of and variety of clinical experiences.

I guess what annoys me is that as someone else as said--maybe you, I don't remember--nurses are treated more as blue collar workers--even though they are expected to have increasingly greater levels of education, certifications, and continuing education units--even though they function on committees and employ a lot of patient teaching and such--even if they are legally and ethically responsible for best practices and people's lives to a very significant degree--and even if they have to juggle all kinds of crazy dynamics, kill their backs and legs, and watch even the tiniest of things they are monitoring or administrating.

I just don't think nurses that have stayed through the long haul get compensated adequately enough. It's kind of messed up.

You must not know a lot of highly educated folks who have liberal arts degrees. As a new grad nurse, I'm out-earning my mother who has a Masters degree and has been teaching for 35 years in private schools. We make decent money. Are we a top earning career? No. But despite the current economy we still have a great deal more stability, flexibility, and employability than many professionals who out-earn us. And those folks who out earn us often have larger educational debt and also pay more in taxes.

If Carla spends a couple hundred thousand on law school, she'll wind up paying several hundred a month in loan repayments, will have to pay her dues for years of 60 hr weeks...if she can get a job at a private law firm. If she winds up in the public sector she'll be paying big lawyer loans back on a pretty modest salary.

Specializes in Nursing Education, CVICU, Float Pool.
It is annoying when the comment comes from ignorance and jealousy. Especially from those who think i just hand out pills to walkie talkies. If it is so great than they can go do it. I have a few people like that in my life. I told them to go he a cna since in some metro areas they can make pretty good money and it offers some view into nursing. I was told , everytime, something about how they couldnt do a job like that ("ewww it is gross, changing diapers!"). Well then stop hating on my paycheck and designer purses and clothes. lol

Lolz! Tell 'Em!!!!!!!

The way hiring is going for nurses in many places right now, you will be lucky if you get 18-24 hours. I clearly remember when we all worked 48 hours per week and greater, but mostly that was by choice. 72 hours per pay period was standard, even when I got out of nursing school. They were basically just starting the move toward getting rid of 8 hour shifts. Now it also depends upon what sub-department you work in. For example--many same day procedure units or PACUs will do 10 hours shifts--rotating. EDs do 36 hour shifts, with rotating, varying start and finish times. ICUs mostly do 12 hour shifts, and managers and employers go out of their way to limit overtime. Back when I started, you could get as much OT as your heart desired. In fact people fought over the OT.

Now, I hate so say it, but hospitals have hiring freezes for a number of reasons, but mostly economic dump and the fact that the cost reality of what healthcare changes will cost them for employees is an issue. Hence, a number of them are only hiring PT, if that. Also, BSN is the standard for hiring, especially if the hospital is a Magnet hospital or if it is a university type setting--in my humble experience, where I have gained most of and variety of clinical experiences.

I guess what annoys me is that as someone else as said--maybe you, I don't remember--nurses are treated more as blue collar worker--even though they are expected to have increasingly greater levels of education, certifications, and continuing education units--even though they function on committees and employee a lot of patient teaching and such--even if they are legally and ethically responsible for best practices and people's lives to a very significant degree--even if they have to juggle all kinds of crazy dynamics, kill their backs and legs, and watch even the tiniest thing they are monitoring or administrating.

I just don't think nurses that have stayed through the long haul get compensated adequately enough. It's kind of messed up.

It has always been that way for the most part.

Historically nursing has been sold as a "pick up and put down" career. That is a young girl could enter the profession after high school (via ADN,diploma or BSN) work for awhile then either leave or reduce her hours upon marriage and starting a family. Please don't laugh because this advice was given to my Med/Surg I nursing class as advice by our classroom instructor to her "girls", and this was in the 1980's.

Because of the above and or nurses simply fed up with conditions on the ground you had a decent steady stream of turn over, thus few nurses reached upper levels of their pay scales. Those who chose to remain usually went in to administration/management (head nurses, supervisors, DONs) and got their wage increases that way. All and all nothing was ever luxurious and many staff nurses retired after >30 years making only several to perhaps ten thousand more than when they were new grads. Evidence of this can be found in nursing homes and other elder care facilities where you'll often find nurses living out their retirements barely out of poverty. As usual the ones who never married and or didn't marry "well" have the worst of things because there isn't a second income to fall back upon.

The major issue is that the average man/husband in the U.S. does not earn anywhere near $80,000 to $90,000 yearly (and never will). I know of many female nurses who are married to men with very low incomes (cooks, groundskeepers, security guards, tree trimmers). http://www.bls.gov/news.release/pdf/wkyeng.pdf
So if the average household income in the US is $40k ish, then a nurse (who may or may not be the sole household income earner) making $70k makes nearly 175% more than the average household. That's not too shabby.
Specializes in Nursing Education, CVICU, Float Pool.
Well call me liberal (I always thought of myself a conservative.) But, I don't begrudge those kids getting chips, or fed with food stamps, and I certainly wouldn't want to trade places with any of them, even if it meant a free home. I am perfectly happy to work for what I have, but It's cold outside tonight, and those children didn't ask to be born to system users and abusers. So that's how I live with the current system; I couldn't live with putting a child in the cold with nothing to eat- just to get one or two "sorry" people off the line. I know a single mom like this- and it's her children who I worry about, not her poor choices. I balk at the fact that I discharge people daily who are "wrecks" but can't get disability. If they have children, it's a horror story. So do I like the net and all it brings- NO could it run better- YES. Do I want it ended? NO. And by the way, to heavier regulate it would cost more tax dollars. I believe taking care of the weak in our society is what makes the USA Great.

Very good points.

Specializes in Med-Surg, NICU.
So if the average household income in the US is $40k ish, then a nurse (who may or may not be the sole household income earner) making $70k makes nearly 175% more than the average household. That's not too shabby.

The average nurse, to be fair, doesn't make that much except in places like California, New York...areas with high cost of living. The average household is bringing 50k while the average nurse pulls in just that much, but makes 20k more than the average American.