Hourly NP and pay

Never make a habit of working for free and never take anything home with you. Work on becoming efficient in charting. Do you have an EMR or paper? I've worked various specialties, but have always made it a point to complete and close every chart. Nearly always the chart is done before the patient even walks out the door. My initial training was in ER. So, it was a must to stay on top of everything at all times.

If you are required to go over labs, make phones calls, etc...then time should be allotted to accomplish this. Otherwise you need an awesome system in place to have a lab/call ready to go during any brief break you have between patients. A good support staff would be key for this.

I agree with all of you. I graduated in the last 1.5 years and am pretty good at managing my time (definitely still have room for improvement but so much quicker than I used to be). But I just wonder if I'm seeing patients back to back on busy day, how can I do a thorough hx, assessment, write Rx, order labs in needed, and close my charts in that small time period. Plus I am in pediatrics so it isn't as easy as adult care when they cooperate:) If I work a full day I am charting during my lunch and not being paid for this. If I see 20-30 patients in a day I can close quite a few charts but definitely not give great care and close all of them. And most days I work part time, so I feel like I am always waiting for xray or lab to call me back with results and then managing care from home after work hours, even if it is just 15 min here and there.

Plus I am only paid when I am seeing patients, so I still wouldn't be paid for staying later at work and finishing my charting. Thoughts on how to proceed or how to agree on this with the practice?

You definitely should be getting paid for time you are working even if you aren't seeing patients. I would approach it like this- so they are scheduling you on average 25 patients a day. They are probably billing $150/patient. That's $3750 of revenue and I'm going to say you make $50/hr. So your salary per day is $400 and they aren't paying you benefits or PTO.

Just approach them with the numbers and be matter of fact that you are making them a lot of money. You need to be paid appropriately for the work you are doing. They are abusing you because they are treating you like a salaried worker.

Great i appreciate your response! Plan to talk to them about this concern soon. Good points