NP bonuses.Curious about others

[shell1bert]

Hi all,

I am an NP that works for a large hospital system in Senior care. I go to sub-acute rehabs, LTC, independent living, and assisted living (none of which are ran by the hospital system).

All of the NP's in the system had a bonus clause in contracts- however, new contracts came out effective 1/2016 without any language re: a bonus. Recently, the CEO announced that "all employees" would be rec'ing a bonus (depending on status of empoyment: FT, PT, PD). Myself & other NP colleagues of mine did not receive said bonus. My lead physician contacted our VP who clarified that this bonus was for employees, not clinicians”. This has left me somewhat frustrated as they have taken out the opportunity for NP's to receive a bonus as they previously had been, and now we are being told that we are not eligible for a small bonus that the rest of the corporation (besides clinicians) has received.

My question is, do other employers offer bonuses? What are your experiences with your employer in re: to same? Is the bonus obtainable? or does the employer make it quite difficult?

My previous bonus clause was based on quality metrics”. The sole quality metric that this corporation uses for senior care is preventing hospital re-admissions w/ in 30 days.

For anyone else that works in these types of environments (namely sub acute rehab), you may know that the level of acuity in these patients is much higher and the facilities do not seem to be adapting to this increase in acuity. Majority of Pt's have significant, complex medical problems with multiple co-morbidities. These Pt's are sometimes sent from the hospital in unstable or barley stable conditions. Quite frankly sometimes I feel as thought I'm working in a hospital! The few that I work in work with short staff all the time, it seems as though there is very little education for the nursing staff (mostly LPNs, few RNs) to help adapt to the increase in acuity, and I am noticing many accounts of what I would call negligence secondary to…. ? probable staffing issues. I could write a whole different topic on this subject, however I am mostly curious at this point about what others are experiencing re: bonuses.

Also, for anyone working in these types of settings- have you been given an expectation of how many Pt's you should be seeing in a day? What is the average number of Pt's you see in a working day.

Thank you all!

I appreciate your input

Michelle

[ghillbert, MSN, NP]

I work inpatient on a surgical service/critical care. We do not receive bonuses. We do receive 2-3% annual raises.

[PG2018]

Yeah, we get a healthy Christmas bonus and productivity bonuses over base salary each month.

[atxfnp]

I'm in SNF/LTC with occasional rounding in AL. I work with a group who is independent of the hospital and the facilities. We get productivity bonuses based on our collections- a % of collections over a certain number.

I typically see 14-18 pts per day

[Hi2Jenn]

I work in acute care rehab. My expectation is 20 a day. I am on a RVU basis. I get bonused for anything over 460 RVUs a month. I found the bonus fairly easy to make some months, more difficult in others. However, it is based on how hard I work. The rest of the issues you mentioned are 100% correct. The nursing staff does not have the knowledge. I find the facilities are expecting me to provide more complex care in the facility in order to reduce their return to hospitalization rate. The fact that you had a contract that provided for the raise and you were just given a new contract without that clause without input says volumes to me about how the company values your contribution.

[BCgradnurse, MSN, RN, NP]

I'm in SNF/LTC with occasional rounding in AL. I work with a group who is independent of the hospital and the facilities. We get productivity bonuses based on our collections- a % of collections over a certain number.

I typically see 14-18 pts per day

Can I ask what % you're given?