westcoastgirl 3,450 Views
Joined: Sep 17, '04;
Posts: 171 (21% Liked)
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10 year(s) of experience
they call me by first name or they'll say "doc" but when I correct them most will say yes yes I know you're a nurse practitioner but you're essentially my doc (I am a primary care provider). So they know I am an ARNP but basically don't have a quick way of addressing me. I do wish it'd be more common to have people say "NP Smith" but I guess it doesn't quite roll off the tongue for most people.
It is sad to me that nurse practitioners as a whole seem to be underpaid given the level of education and also responsibility.
I was in a similar situation as you where I liked the job and people and benefits were pretty good but I was significantly underpaid and given the same reason (pay freeze for everyone). Unfortunately this situation continued for several years and did not end until I walked away from that employer. I did research the pay of other similar jobs and so had the data in hand but they ignored it. I would do some homework and decide what you're willing or not willing to live with.
I currently work as a NP but in another state as I left California years ago, but am thinking of possibly returning.
Most of the salary data do not break down California into northern vs. southern and so I don't really know if there is quite a difference in pay, job market for nurse practitioners between the two regions. We have family in both part of California but nobody is in healthcare.
Anybody here with some information to share?
I am doing a bit of research into how I would obtain my NP license if I were to move to another state, I believe this is licensure by endorsement? Mainly it would be the west coast states CA, WA, OR. The CA BON information was rather confusing, would it be 'method two' via the application?! Another concern is I heard from some physicians I know who moved states (they did East Coast) that the process took 9+ months, fortunately for them the break in income wasn't an issue! They said to watch out for how long the ACTUAL paperwork takes and of course that's not listed on state web sites! I know it's a different license but their warning was about the process of endorsement of licenses in general.
If anyone has actually gone through the process do you mind sharing with me? PM is fine if you'd rather not post publicly.
you may want to google an article/survey about NP practice which I recall being posted within the last 2 years. They looked at many factors including scope of practice and assigned each state a letter grade for how 'good' of a place that state is for an NP to work in. Sorry I am in a rush right now and can't find it for you.
I distinctly recall Hawaii getting one of the lowest grades on that survey, a D or F! I can't remember all the factors but I think many restrictions on practice was one. I was looking at Hawaii information because that is a pipe dream of mine to eventually move there. Good luck to you!
compensation and scope of practice for nurse practitioners depend a lot on your geographic area, so I cannot speak to that since you didn't specify whereabout you live but you can certainly look it up, get a realistic sense by searching for jobs in your area and noticing the payrate.
As far as respect goes I used to be in the technology field and had a sterling resume there. most of the time it didn't matter since I am happy being an NP but sometimes the physicians I work with are frustrating because they forget this and act as if none of the PA/NP providers have any life experience beyond being a midlevel. I am not speaking about patient care but other administrative issues, organizational skills, many seemed to assume you have none of those skills at all regardless of your previous background.
Of course that could also be the fault of the midlevels themselves. The majority of them where I work do little to demonstrate initiative or leadership in spite of being there for decades. I do not mean they provide poor patient care, I mean they don't aspire to do anything more and seem to have brought no other life experience or skills to the role. Again this is particular to my workplace but it is likely different everywhere you work depending on the doctors you work with.
I agree with the poster that the key issue here seems to be how disorganized the employer is and the pay is secondary to that problem. I work at a very poorly run stingy place and even we have systems in place to cover for providers who aren't in the clinic that day.
I think you're better off focusing on finding a new employer the way you've described the place
they are definitely in demand on the west coast those grads have the easiest time finding employment and with great pay too. I don't know anything about South Dakota but if you move then you can't go wrong with psych NP route
Seattle is very saturated for that exact reason. too many nursing schools nearby. My friend believes the pay is depressed because of that too, and it's not a cheap city to live in either.
please PM me if you do, I have some urgent questions about their pay
you won't want to work at a place that has such nasty politics or unprofessional management anyway. bet you'll be glad to be gone once you gain some distance.
actress Helen Mirren goes on record to say she thinks many hookers were nurses!!!
I am so offended and incensed by this.....is there some way to collectively demand an apology? I used to be such a fan of hers UNTIL NOW
I am feeling a little depressed here, because in spite of all the regular hoopla about how NP's are the future of primary care and the need for us in primary care that I always see in my AANP newsletter, I'm beginning to wonder if those folks are doing anything to actually promote that or just blowing smoke?
Several healthcare systems here (hospitals with multiple outpatient family practice clinics) have been hiring PA's for those positions. Please I am not starting a PA vs. NP thing here, it's just disheartening to see a new grad PA hired for a family practice position at a great employer, when I and my friends (several years experience FNP's) aren't seeing any openings.
One reason I've heard through the grapevine is because the RN's are union in those systems and NP's will have to be too and report to Nurse Managers, so the MDs would rather hire a family practice PA instead, since they don't have to then deal with all that and just supervise them directly.
any truth to that, you think?
I've asked the same question myself. And around here, we see the same patient loads as the MDs so no they're not seeing "double the number of patients". A professor told me it's because we sell ourselves short as a profession which is sad but I think true, it's like there's a culture of we can't talk about money and be a good NP at the same time.
I'm really unhappy with my current position right now due to compensation issues, otherwise I like being an NP. I work with docs some of whom do not take call and work no evenings or weekends so I don't think MD = always have to be on call. Your earning potential as a MD is way higher than a NP so you might want to really think about that if you've got loans, family, etc.
I agree with the poster about getting that RN first, you can start making some money while doing the pre-med prerequisites and applying. If being a MD is your dream then go for it. I am happy being a mid level, I like having people to go to for questions. So no regrets for me
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