Good news: I received my FNP license on March 8th, interviewed on March 9th, will job shadow for a final decision on monday March 13th to start asap, with starting salary of $75,000 until credentialed, then $85,000 plus productivity bonuses afterwards.
Bad news: It's a pain management clinic, I will do trigger point injections, large joint injections, they have X-ray on site, etc but at the end of the day, it's a pain management clinic that want to see your through put of patients at 24-27 per day.
Should I take this job or keep looking, not much open locally currently, most want 1 year experience. What I'm thinking is to take this job, learn as much as I can and try to move up to a better job in a year, what do you think?
your first year aim to get a good footing in your role. What kind of NP do you want to be? then balance this with the salary you want. Ask yourself if you can do pain management forever. Also ask yourself, After one year if you were to go into a full scope of practice (managing chronic diseases, wellness exam) will you be marketable?
24-27 patients per day is a lot you may get burned out sooner than later. just speaking from experience.
Thanks for the reply, I realize that I really need to plant roots and stay in one place for a while, I have a great job currently with Rheumatology/Arthritis, I especially like hands on, so the joint injections are great, but the distance from home and friends/family is depressing. I had a great opportunity with the Urgent Care where I was working in NC previously for a FT position, as I was PRN. However, I pee'd it away and went with the stability of the government position with the VA Healthcare system, looking back, that was not a great decision. So now how to move on and make a good decision? If the position that I have now were in TN, I'd be stoked, but it isn't, so? Oh well, it's better to have choices than none, but I'm suffering from analysis paralysis :-)
Well scratch that home based pcp job, so it's down to a great low stress job far from home (rheumatology) or a fast paced ER that is still not home but is more marketable (ER's are everywhere)
Fellow TN guy here. I am starting my last semester of FNP school in Nashville. I have a PCP job lined up through my current employer. That being said I would be hesitant jumping around so much from job to job, especially in your first year out. It will start to look bad on your CV. Hiring managers will eventually want to see some stability in your career and longevity gives you that leg up. Just my humble opinion though. Glad you have had so many opportunities though.
Yes, it makes more sense to stay here and get solidified in my current position and I am also going to pick up prn in our ER, so the best of both worlds, Rheumatology doing lots of injections and still doing Emergency medicine and building up skills there as well í ½í¸
Specializes in ER, Med/Surg, LTC, Nursing Informatics.
Tony, You made a lot of right decisions. I just finished my ACNP and currently work at the VHA ED in Nevada/Las Vegas, so I know what you would have been walking into. The NP that would have been training you is very good, but in the long-run you will be much more marketable in the future. Also, the VA is run by administrators, not medical staff! Very frustrating for all medical staff!
I can't believe that it's been a year in the "Seattle" area. I work as the only full-time Rheumatology provider at the Tacoma facility, four days a week, and I work as an emergency room provider one or two days per week, my main job is $97,400 per year plus an additional $50,000-$100,000 per year on the PRN job depending how many days I work one or two so I am making between $145,000 to $190,000 depending if I work five days per week or six, so pretty good money lots and lots of experience overall I like the jobs and experience. Still living in the small house with low overhead and a 9 minute commute but my stuff still in storage in TN, I have had zero interviews in TN too many people looking for too few jobs. I've only been an FNP for 1.5 years and still learning.
aprnKate
208 Posts
your first year aim to get a good footing in your role. What kind of NP do you want to be? then balance this with the salary you want. Ask yourself if you can do pain management forever. Also ask yourself, After one year if you were to go into a full scope of practice (managing chronic diseases, wellness exam) will you be marketable?
24-27 patients per day is a lot you may get burned out sooner than later. just speaking from experience.