ACNP Salaries

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I do moonlighting for a hospitalist group and a critical care/pulmonary doc outside of my primary job in an ICU. For the hospitalists, I take ER call and hospital call for a very large hospital plus three outlying LTACHs. I was working 8hr shifts but they would like me to convert to 12hr shifts.... a considerable difference given there are numerous admissions during that extra 4hr span.

As of now, I am paid $87.50/hr for those eight hours (and we have a call room during down time). However, for twelve hours, I'm thinking at least $100/hr or $1,200/shift. My colleague says $1,500 per shift. I'm now thinking $1,200 plus $60 for every pt. admitted after the first five. Keep in mind that we are taking the place of the physician...we dictate level 4 H&P, write note, write orders, etc in addition to hospital call. Average 10-13 admissions per shift. ER docs around here are paid around $150 to $200/hr.

Also, I do rounding for the other physician. I am paid $45/pt. However, he would also like me to do procedures prn on these patients....placing central lines, PICC line, quinton dialysis catheters, arterial lines, chest tubes. Any idea of what you would charge for such procedures? Clearly more than $45.

Thanks!

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Specializes in ACNP-BC, Adult Critical Care, Cardiology.
Also, I do rounding for the other physician. I am paid $45/pt. However, he would also like me to do procedures prn on these patients....placing central lines, PICC line, quinton dialysis catheters, arterial lines, chest tubes. Any idea of what you would charge for such procedures? Clearly more than $45.

I work with an ICU service where we do those things already. We don't get paid per procedure, rather, we get a salary as employees of the hospital. It's way more than $45 an hour but I'm in San Francisco where most everything cost way more as well.

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May I ask what city you are in in Texas? Did you negotiate your pay? What kind of pay should I expect as a first year ACNP hired by a hospital group? I have a lot of questions for you! I will complete my ACNP program in 2015. I plan to work very hard like you, just had some questions about your pay and how you schedule your shift. Any information you could give would be appreciated! Thx!

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Juan de la cruz, may I ask what an average ACNP new grad would make in the bay area? I've been accepted into a program but on the fence about it lately... and one factor is if it's worth the tuition investment vs working as a staff RN in the bay area.

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TexasACNP, I'm curious, how much do you get paid/hr on your regular ICU job? Sounds like you stay very busy!

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Specializes in ACNP-BC, Adult Critical Care, Cardiology.
Juan de la cruz, may I ask what an average ACNP new grad would make in the bay area? I've been accepted into a program but on the fence about it lately... and one factor is if it's worth the tuition investment vs working as a staff RN in the bay area.

Couple things to say...

It depends on where you will be working. The SF/Bay Area is always going to be a goldmine for RN's working in hospitals. The unions are strong and RN's do command the highest salary in the entire country. That said, don't be surprised to hear some anecdotal accounts of NP's making similar or less than RN pay.

ACNP's work in many settings from hospitals to private practice with physicians. I have always worked as a hospital employee. In the Bay Area, the major hospitals have NP's - UCSF, Stanford, CPMC, SFGH, Kaiser, and the VA's, all have NP's as employees. UCSF's pay scale is online and searchable. NP's are either hired as Nurse Practitioner II (union) or Clinical Nurse VI (non-union). I am a union employee and my salary is predetermined based on the union contract. I am happy with my pay and it is more than many of the RN pay mainly because I also have many years of total nursing experience (RN and NP combined).

Kaiser NP's make a ton more than any other hospital (maybe with the exception of SFGH) - I know this because I've seen their union contract and know a few NP's who work there. It's hard to get in unless you already work for them as a bedside nurse. CPMC and VA are both on the lower end. SFGH's pay scale is great and also searchable online. VA's post the pay on the job posting itself. I have no figures as far as private practice goes - I think that's where there are a lot of low-balling and/or surprisingly sweet deals.

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