NP making six figures? - page 8

Hey all, The general salary figure I hear for NPs disappoints me as I'm sure it disappoints the NPs!! I mean an NP providing primary care which includes prescribing medication, diagnosing... Read More

  1. by   frann
    I've been reading these posts, and I'm a little discouraged. I've been a hosp. RN for 12 years now. I'm 37. I don't do weekend s or holidays anymore. I like my hours-mainly 9-5 and no call. this is very tiring though. most days are terrible. I love the people i help. Its very rewarding. Buuuuuuut I'm not sure how much longer I can push these carts (stretchers etc) I was thinking of going back to finish BSN, but I could also finish something else-say computer science degree or accounting. God those sound boring though.

    SO it seems that NP's make just a little more than RN's.
    How about the stress level? Are your feet and back tired at end of day. Bathroom breaks? Lunch breaks? You'll taken them?
    Just wondering.
  2. by   msmith
    I am not an NP but I work with a PNP in a large peds office and I think she has got it pretty good. She only works part-time, but she sets all her own hours. No holidays EVER. And she works an occasional saturday from 9-12pm. And I think she gets paid pretty well.

    Also, I work in a large teaching hospital that employs tons of NPs and they have it pretty good here too. They don't work any weekends or holidays. The residents take call during that time. I know they are busy, but I think their job is pretty cool.

    That's just my input.
  3. by   piper_for_hire
    Um ... if you go back for anything, don't go back for a computer science degree - well, unless you're just interested in it. The job market is awful and it gets worse every month. Millions of jobs are being "outsourced" which makes the jobs here very unstable. The grass is definitely not greener on the computer science lawn.

    -S
  4. by   psnurse
    Yes you can make 6 figures as an NP. Started my first NP job recently making that with full benefits package. Working ED in Tennessee and the job is fantastic.
  5. by   Southwind
    Quote from EastCoast
    hi ruby,
    FNP girl made me remember how bad my last semester was...
    i stopped going to lectures completely and only attended my clinicals. by graduation they wanted to make me repeat the semester but in fact they couldn't as there was no lecture attendance requirement and i still was on the deans list.
    It is grueling but only sometimes....if someone hasn't walked the same path it is hard to understand how incredibly 'tired' you feel.
    Hang in there. Find someone to commiserate with and think of it as a treadmill. It will stop sooner or later. Also take a day or even half a day a week to just do nothing just for you. You deserve it.
    Good luck.

    Hi Eastcoast, I'm new to the site and I just wanted to say that I enjoy your upbeat post........Thanks
  6. by   ucmicurn
    All that time, effort and education and only 70-80K as an NP....that really sucks.

    As an agency Rn I make 95k/year working only 3 12's a week!!

    `c
  7. by   foxyhill21
    How long have you been an RN? What type of experience do you need to work for an agency?
  8. by   NP4KIDS
    I am a NP working in pediatric orthopedics. I have been working for a year, and this is my first job. I am in the low $70,ooo. We are an extremely busy ortho practice, hospital based. I work in clinic but also round on the in-patients, write all the orders, do discharges, etc.....the only thing I don't do is the surgery/OR. I was told that I would have the opportunity to do first assist when I was hired in, but have now found that that was false. NP's can do first assist, but they have to take the course. The one I was going to take was National Institute of First Assist (NIFA), and they will train RN's, NP's, etc for the position.
    I am a family NP, but the peds hospital had no problem with it.
    I agree that the payscales really need some modification!!! The amount of responsibility we hold does not match what we are paid.
    I know of 1 FNP who started with a salary around $100,000/yr. He started in adult ortho and learned all kinds of injections and procedures, etc.....it's all about high billing!!
  9. by   traumaRUs
    Also - this thread is 3 years old - consider that too - maybe you would want to start another thread for more updated info?
  10. by   core0
    Quote from NP4KIDS
    I am a NP working in pediatric orthopedics. I have been working for a year, and this is my first job. I am in the low $70,ooo. We are an extremely busy ortho practice, hospital based. I work in clinic but also round on the in-patients, write all the orders, do discharges, etc.....the only thing I don't do is the surgery/OR. I was told that I would have the opportunity to do first assist when I was hired in, but have now found that that was false. NP's can do first assist, but they have to take the course. The one I was going to take was National Institute of First Assist (NIFA), and they will train RN's, NP's, etc for the position.
    I am a family NP, but the peds hospital had no problem with it.
    I agree that the payscales really need some modification!!! The amount of responsibility we hold does not match what we are paid.
    I know of 1 FNP who started with a salary around $100,000/yr. He started in adult ortho and learned all kinds of injections and procedures, etc.....it's all about high billing!!
    The problem that you have is that you are not bringing any income into the practice. The model for orthopedics is that your first assist fees cover your salary plus and the clinic time increases downstream revenue for the surgeon. Also remember that because of the amount of medicaid Pediatric specialties usually pay less than adult specialties depending on the state. In addition there are a less long and complex procedures in pediatrics that will reimburse for a first assist.

    David Carpenter, PA-C
  11. by   ucmicurn
    Quote from foxyhill21
    How long have you been an RN? What type of experience do you need to work for an agency?

    Foxyhill,

    With two years experience you should be ok to do an agency gig. However, having said that..."let me aghhh say this aghhh about that"....it really depends on THE experience you have.

    If you really want to be economically viable, you need ICU/ER experience. I started with 1 year experience out of a CVICU and have been agency for 13 years now. Currently I am contracted into a 25 bed high acuity MICU.

    I would not trade it for any staff job in the world. I now own two agencies and sub-contract to hospitals, or through other agencies.

    If you want to work your butt off (which I don't) you can pull over 130k per year.

    ~c
  12. by   NP4KIDS
    Quote from core0
    The problem that you have is that you are not bringing any income into the practice. The model for orthopedics is that your first assist fees cover your salary plus and the clinic time increases downstream revenue for the surgeon. Also remember that because of the amount of medicaid Pediatric specialties usually pay less than adult specialties depending on the state. In addition there are a less long and complex procedures in pediatrics that will reimburse for a first assist.

    David Carpenter, PA-C
    Actually, you are incorrect about the procedures/surgeries in peds being less revenue/shorter. My surgeon does very complex cases including spinal fusions, total hip replacements etc.... I believe he brought in (we only have the one doc right now and a resident in addition to myself) well over 3million $$ to the hospital last year. In addition to this he can bill for my in-patient consults and clinic patients more than if I were a PA and he does not ever have to see the patient.
  13. by   caldje
    Quote from NP4KIDS
    In addition to this he can bill for my in-patient consults and clinic patients more than if I were a PA and he does not ever have to see the patient.
    Please explain how he can bill more for you because you are an NP than he could for a PA...


    p.s. for those who don't know, Im asking this because it is impossible.

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