Hiring an RN into private practice

Nurses General Nursing

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Hello everyone! I am a psychiatrist and in the process of starting my own practice, it will deliver transcranial magnetic stimulation, an FDA approved treatment for major depression. It's very safe, well tolerated, and only in extremely rare cases can be associated with a seizure during a treatment. Only 25 or so documented cases of the tens (maybe hundreds) of thousands treatments to date. Some were in people actively drinking heavily and others were from the experimental days of TMS when the treatment intensity was too high. So the likelihood of seizure is very low. I'm looking for advice on how to recruit 1-2 RNs to deliver the treatment. It is a very chill job description, just apply the coil and deliver an 18 minute treatment to the patient (no IVs, draws, nothing). It will be first shift, 0800-1600 and the rest of the time is spent answering the clinic phone, following up phone calls, medical records, etc. I won't be able to offer benefits and the hourly wage I can really offer is $20/hr, for working 50 weeks a year, that is 40k. However, there is a bonus that I am thinking of offering for each billed patient encounter, of $3. I'm projecting about 45 patient encounters billed a week, that's an extra 11k or so and as the practice grows, so does that bonus. Anyone have any input on what population may be interested in this type of opportunity and how I can market this? I have no idea how to find well qualified nurses (good sites to post the listing, or maybe good places to find nurses who are interested in a more chill job description but maybe less competitive pay) and especially someone who can be reliable since the treatments are 5 days a week. There is also the bonus that the nurse can have flexibility in their hours too. Thank you for all the input!

4 minutes ago, lifelearningrn said:

That's wonderful! Thanks for the update and congratulations. 

Thanks! It's only 2.5 years old and was just me. Now there's a total of 10 providers. We more than quadrupled our suite. And we're teaching students here too. We're all super grateful and thank you to all of you guys who followed the thread :)!!

6 minutes ago, curiousMD said:

Thanks! It's only 2.5 years old and was just me. Now there's a total of 10 providers. We more than quadrupled our suite. And we're teaching students here too. We're all super grateful and thank you to all of you guys who followed the thread :)!!

Congrats and thanks for all the work you guys are doing in helping people. ? I remember seeing so many lives changed with TMS and obviously your other services are life changing for many. Cheers and keep it up! 

On 7/1/2021 at 8:32 AM, curiousMD said:

It's definitely gone down. In my area it tends to be 10k at the most but a lot of insurances have brought it down to 3-5k for the full 36 sessions.

CuriousMD 

Thanks so much for your response.  I know you started from scratch.  Please any advice for a start-up like me? Any advice at all - you can pm me if that would be better.  Truly appreciate your help.

On 7/1/2021 at 12:31 PM, dirtyrice said:

Hey no problem! Yeah usually more like $9000-$12,000 er patient after insurance does the fee schedule adjustment writeoff. Most companies reimbursed on the lower end of that. 

Dirtyrice,

Thanks much for your response.  I have met so many depressed people, I would love TMS to be part of my practice. It changes lives. Thanks for sharing. Please any tips you can share will be greatly appreciated.   

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On 4/21/2018 at 2:49 PM, Nurse Beth said:

I've seen this done at Cedar Sinai with a doctor present at all times. The clinic is run like an efficient, safe outpatient surgery clinic. Consents are signed, NPO prior is confirmed, allergies checked. IVs are started on patients for sedation and emergency access. Discharge instructions are given. A crash cart is nearby as are ACLS trained staff.

I'm just surprised at what you are describing.

As am I. Does not sound safe to me to be "available by phone" during any treatment or even after given the potential side effects/risks.

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