FNP2B1, BSN, MSN, RN, APRN, NP 8,785 Views
Joined: May 4, '10;
Posts: 129 (77% Liked)
; Likes: 401
The CRNAs did it. We should follow their example.
That really sucks and I hate to hear that. Unfortunately your story is becoming the norm and not the exception. Some on here will tell you go west and work in a rural clinic. Most new NPs can't just pick up and move to the middle of nowhere to start a new job. Those that can have already started to do so and this just pushes wages down as the flood of new grads accept any job at any wage to just get experience. As a whole, the leaders of NP schools have destroyed us by flooding the market with an overabundance of new NP graduates. I expect NP wages to equal or be below RN wages within 3 to 5 years across the country with the continuing mass production of NPs. It's simple oversupply vs demand.
On the streets the average NP will tell you wages are going down due to oversupply of NPs.
AANP - Number of Nurse Practitioners Hits New Record High
More reasons to be worried about making a living as a NP.
I recently received a published form from the State of Florida showing that ARNPs increased 22% over the past two years. RNs only increased by 7.4% If you are a new grad wondering why you can't find a position here is your answer. Our NP mills have pumped out too many graduates for the demand of society. I don't have the data to back it up but if this is happening in Florida I would assume it is happening around the nation.
I'm licensed in Florida but moved to California years ago because I could see the tsunami of new graduates slowly starting to erode the wages of established NPs. It's now happening here in California and I have been directly affected. I can count at least another dozen of my NP colleagues around the nation who are complaining of wage deflation happening because new grads will accept a position at almost any wage. Starting wages are below those for RNs in some cases.
For those of you thinking of becoming a NP think and long and hard before you commit your money and your time. The job is enjoyable but the return on investment is declining year after the year with the flooding of the markets. Maybe one day the leaders of our nursing schools will open a book on economics and understand the relationship between supply and demand rather than stuff another useless nursing theory down our throats.
I love being a NP but get bored of the day to day clinic work. I decided to do something totally different and acquired my United States Coast Guard Captain's License. I'm now certified to pilot up to 100 ton yacht/ships. I do it for fun on the weekends and when I'm on vacation. I have my own yacht as my personal residence but I always enjoy driving somebody's else large vessel if they are paying for the fuel. They also appreciate that I can perform life saving interventions on any of the party people while we are away at sea.
Wow. I have friends who are lawyers who are suffering with sub par $100,000 wage who went to great law schools. It's simple economics about supply and demand. I don't have any printed evidence to show you that wages are coming down. My evidence consists of going to local CANP meetings and talking to other seasoned NPs who tell me whats happening at their clinics. It's happening at mine. It's happening at theirs. I can be the best NP in the whole world but it doesnt' make a darn bit of difference to the bean counters at corporate who writes that script for HTN. If they can find a new warm body NP who will work for half of what I will guess who they are going to hire. It's not rocket science If it is happening to me in a rural area with a population of 2,000 it will happen to you.
We are all replaceable for a lower cost.
Its going to get worse. Those who don't believe this have their heads in the sand. It's simple economics. This is a prime example of a new grad trying to take any job she can get and any pay grade. I get it that we all need positions but the glut of new grads just brings wages down for all NPs.
You can make great money with Medicare Advantage housecalls as a new NP. I would look up MedXM which is now part of Quest. They pay you around $100 per housecall and can usually get you 5 to 6 clients a day on average. If you are persistent you can get more. I did this when I was first out of NP school and demanded they get me 9 to 10 which they did initially but later they ran out of patients for me to see. United Health Care also does house calls as does a few other companies. It's not the best job but its going to pay you more than what these other outfits in OC are looking to pay you. You deserve more $
Neither, keep looking Both jobs are paying way undermarket for your skill set. You would starve trying to live in Aliso Viejo or San Clemente in south Orange County at 108k per year. At $100k in LA you are doing even worse with the high cost of living. DaVita will run you ragged. Keep looking. There are better jobs out there even for new NPs
I run into this daily, multiple times a day in my rural clinic. I start by asking my patient's how would their lives change if they went blind and then listen. I then ask how would they feel if they lost their feet. For men I ask how would you feel if you never got an erection again. After listening to their answers I tell them all of these things can happen if they don't take their insulin daily as prescribed, change their diets and lifestyles. 80% of the time it works especially with men if you talk about never being able to get it up again. The feet thing works fairly well with women as Ive yet to meet a woman who doesnt like to wear a nice pair of shoes. No feet/no shoes. Get used to having lots of patients like these in rural communities The Hispanic community where I work in So Cal views insulin injections as a death sentence. It's just a cultural thing you have to overcome and you will.
The oversupply is here. Even where I work in an extremely rural area wages are starting to decrease because of "warm bodies" who will accept any job. It's just a matter of time when NP wages will be equal to or less than RN wages as an average. That time is in matter of less than a decade. Hold on, it's going to be a bumpy ride.
These days with a NP school on almost every corner, if you can pull a 2.0 GPA, have a pulse and the $$ to pay for school you can pretty much get a spot. It's sad what has happened to a once noble profession.
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for thyroid dysfunction in nonpregnant, asymptomatic adults.
Just to throw you a bone, if the patient is asymptomatic I personally would not treat a TSH of 6. I would run the labs again as the recommendations are to treat if symptomatic and two TSH panels show abnormalities.
For future reference I would use uptodate.com to answer your questions or the US preventive task force website if you have basic questions that you would like answered anonymously.
If I'm billing the insurance companies at 85% of what a MD does then I expect to be paid accordingly. Unfortunately most NPs are not because they are ignorant on how to negotiate or just refuse to do so.
If a family doc MD brings home $250k then I should be paid $212,000 for the same type of work.
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