How many ER APNs do we have????

Advanced Practice Columnist / Guide · Jul 23, 2008

Hey TraumRUs! Unfortunately, of the NP's I know that work in ER, none work in a strictly triage capacity but I know a few who work in fast track ER's and urgent care settings. A co-worker NP in our ICU group moonlights at an urgent care center for a national ER physician staffing group and is paid $60/hr with no benefits. Another group of NP's I know of works at a hospital ER with full benefits and are paid in the mid 40's/hr. I did a clinical with this group when I was in school. I don't know of any ER NP who is not paid hourly but I'm sure there are some out there. The settings I described are all suburban centers.

Trauma Columnist · Jul 23, 2008

Thanks much - I think MI wages are similar to IL wages - higher in the big cities, ie Detroit, Chicago and lower as you go out further. So...I do think $60/hr sounds fair as I too don't need benefits. Thanks again.

ANPFNPGNP · Jul 24, 2008

ok here is the story in a nutshell: went to the er with a family member recently and was offered a job in the er by a doc that i worked with in the big hospital where i worked for 10 years. i am currently on vacation and he wants to talk with me after i return next week. he is the president of a physician practice of 17 mds (all boarded in em and some are dual-boarded). i am considering a total of 8 hours per week to work in triage and develop an apn role there. i plan to look into my nurse practice act to see if this is okay as far as scope of practice (some pts wouldn't see an md). however, i am kinda stymied as to pay. he is willing to do salary versus hourly. however, for now, hourly would suit me better i think. it is a small community hospital that turfs the "sick" people to the big hospital. they see approx 23,000 visits/year. so...i have 2 years experience in nephrology as an apn and 10 years as an er rn - can someone give me some ideas as to hourly pay that i should ask for? i currently make approx $40/hour and was offered $40/hour for a pt occ health position that i didn't take.
help!! and thanks much....
gotta add - this doctor is not at all concerned that i can see only adults which is one thing i was concerned with. btw - i have kept my cen, acls instructor, cpr instructor, enpc instructor, etc.., so all of that is current.

i get paid $50/hr working at an urgent care clinic. a good friend who used to work with me there went to work in the er and she gets paid $65/hr and she only has to work 9 ten hour shifts per month in order to get excellent benefits (401k, medical, dental, malpractice, etc).

i'm surprised that you're only getting $40/hr an hour working in a specialty. that sounds more like "primary care" pay!

Advanced Practice Columnist / Guide · Jul 24, 2008

Unfortunately, not all states are experiencing an economic boom like Texas...and that is not an insult. State to state differences in salaries are affected by many factors.

Trauma Columnist · Jul 24, 2008

Yes indeed - wish we were more marketable in central IL but this is a small area and I am literally one of the best paid APNs in the area. As an experienced RN (14 years) - I made $25.46/hour so $40 is quite a jump.

JALEXSHOE · Jul 25, 2008

In Florida, for that setting, I am getting quotes of 45-50 dollars an hour right out of school. I would think this could be a little higher with experience.

In fact, I know a ARNP, that is making significantly more than that with 10 years experience. Her pay puts her almost near 200K annually.

I think this is due to the fact of the employment longevity, negotiated incentives, and annual raises, more than it being the norm though.

Good luck.

Stef