Continue as FNP or train in Cath lab?

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I'm currently working my first year as FNP doing GI rounds. I see approximately 30-40 follow up inpatients daily and then new Consults. 8-5 Mon-Fri and every other vs every 3rd weekend rounding too (12 days straight is a norm for me). Overtime is a norm but my salary at 93k. I am beyond tired and the hours vs pay is silly ($42 hourly after overtime is figured). 

I'm seriously debating a Cath lab RN training that’s been offered. I feel like there is better pay, and marketability in it. Any thoughts? 

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Specializes in Occupational Health.

How are you seeing that many pt's and new consults in a day? Doesn't sound feasible. What were you told when you accepted this position? Which, btw, sounds terrible from what you've described. 

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So I am running my tail off, 10 min lunch, 10k steps daily...I was never told how many patients daily and my docs rotate every Monday so some are more helpful then others w consults and follow ups. I have told them I am worn, so I m getting 2x 1/2 days off during a 12 day stretch. 
making Cath lab look appealing! 

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Sounds to me like you need a new job. You aren’t making anywhere near what you are likely billing for on those hours or volume.  You need to either renegotiate your base or get a new job. 
 

This is the kind of situation we warn against for people who falsely claim oversaturation doesn’t hurt wages or our job opportunities.  I don’t care what part of the country you work, these wages are garbage for the work expected. 

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I think they're taking advantage of you. As others have said, renegotiate your contract or find a new FNP job. I wouldn't take the cath lab job because you'd still be legally liable as an FNP. Your highest education/skill will be the standard you're held to so it's not worth it. Get a job where you'll be paid your worth for your FNP skillset. Good luck to you.

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Just now, NurseBlaq said:

I think they're taking advantage of you. As others have said, renegotiate your contract or find a new FNP job. I wouldn't take the cath lab job because you'd still be legally liable as an FNP. Your highest education/skill will be the standard you're held to so it's not worth it. Get a job where you'll be paid your worth for your FNP skillset. Good luck to you.

That’s not entirely accurate. You’re legally obligated to the level you’re credentialed. So long as she isn’t doing NP work she’s not credentialed for, then she has nothing to worry about.

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12 minutes ago, djmatte said:

That’s not entirely accurate. You’re legally obligated to the level you’re credentialed. So long as she isn’t doing NP work she’s not credentialed for, then she has nothing to worry about.

OK. I stand corrected. I still personally wouldn't do it though.

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It’s difficult to negotiate pay after a contract is already initiated and when the NP market is so saturated. The RN market for cath lab just seems more secure and flexible . 

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Mind me asking where you live, as in what state? Not all markets are saturated but there are pockets in the country where it's definitely far too many NPs.

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Specializes in oncology.
4 hours ago, chulada77 said:

. I see approximately 30-40 follow up inpatients daily 

5 to 6 hours every day?

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9hr days, 30 + patients and Also incoming new consults due to Emergency call 

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