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np rate per patient

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Tara MV Tara MV (New) New

Hi! I am a new np graduate with 10 years RN experience in acute home care.Got an offer as wound Np to consult patients in nursing homes.I will be on 1099 and will get paid monthly per patient 25$ for initial/follow up,42$ visit+debridement .Don't want to sound greedy,but isn't it too low? Please,share your opinion.

Mae_W, BSN, RN

Has 7 years experience.

I had no idea, just curious. How many patient can you visit in a day? Are the wounds easy or do they need a lot time to attend to. I did not know you can be an wound NP. That sound nice! Good luck and enjoy your new profession!

I work as RN in home care and experienced in wounds for last 8 years.I visit up to 10-12 patients in homes,but the job I offered is a daily visit to nursing home.So per day you can see during each round 20-30 patients with scribe.It's tough,but if you experienced you can handle it.

Wounds can be different,starting from small scratches from fall up to 4th pressure ulcer with open bone,muscle or not healing surgical wounds,complicated ostomies and etc.Wd care can be from ssd application up to wd vac.I have a passion for wounds and really enjoy it:)

Mae_W, BSN, RN

Has 7 years experience.

3 hours ago, Tara MV said:

Wounds can be different,starting from small scratches from fall up to 4th pressure ulcer with open bone,muscle or not healing surgical wounds,complicated ostomies and etc.Wd care can be from ssd application up to wd vac.I have a passion for wounds and really enjoy it:)

Go to different homes? if it is just one nursing home, I can't imagine how you gonna do 20-30 patients everyday. You give orders now, not a RN have to execute every order. One order should last more than couple days, unless they have a lot of wd vac. The nursing homes I worked at they have wound nurse to do the vac, NPs or wd doc never change anything, they might undo the dressing, then scribe and leave. back in a week or 2. We also have wound clinics around, complicated cases they send them there to get the order and do the dressing change.

Edited by wongshuwei

Yes,that what the Dr was doing who I shadowed the other day..just measure and consult,debridment if needed..and yes,I will have scribe for rounds...

FullGlass, BSN, MSN, NP

Specializes in Adult and Geriatric Primary Care. Has 3 years experience.

I suggest you use Excel to build a simple spreadsheet to calculate your expected monthly and yearly income based on the data you provided. Then you can share that number with us to determine if it is reasonable or not. This is just basic math and far easier than dosage calculations.

thank you for your respond.I can calculate how much I will be earning.I was wondering if it's fair pay or not...What % usually Np gets if works for md?

FullGlass, BSN, MSN, NP

Specializes in Adult and Geriatric Primary Care. Has 3 years experience.

15 minutes ago, Tara MV said:

thank you for your respond.I can calculate how much I will be earning.I was wondering if it's fair pay or not...What % usually Np gets if works for md?

NPs working for a private practice generally get a salary or an hourly rate. I don't know what you mean by "what %." You should be easily able to determine average pay for an NP in your area. As a 1099 contractor, you should get more than that because you don't get any benefits. Benefits are generally worth 30 to 50% of base salary.

I meant % of reimbursement they get from my visit...They promise around 30 pts a day and give scribe..It worth to try I think,will update how it worked out for me

thanks again!

Mae_W, BSN, RN

Has 7 years experience.

On 5/20/2020 at 8:38 AM, Tara MV said:

Yes,that what the Dr was doing who I shadowed the other day..just measure and consult,debridment if needed..and yes,I will have scribe for rounds...

I am so excited for you, haha, even I have not started my NP class yet. Just can't wait to do something new other than bedside nursing.

Numenor, BSN, MSN, NP

Specializes in Internal Medicine. Has 9 years experience.

On 5/21/2020 at 10:18 AM, Mae_W said:

I am so excited for you, haha, even I have not started my NP class yet. Just can't wait to do something new other than bedside nursing.

Grass isn't always greener, just an FYI....

Mae_W, BSN, RN

Has 7 years experience.

On 5/28/2020 at 1:43 AM, Numenor said:

Grass isn't always greener, just an FYI....

I hurt my back doing bedside nursing, I don't think I can do it for 10 more years I hope being an FNP I will have more choices.

Numenor, BSN, MSN, NP

Specializes in Internal Medicine. Has 9 years experience.

10 hours ago, Mae_W said:

I hurt my back doing bedside nursing, I don't think I can do it for 10 more years I hope being an FNP I will have more choices.

And much much more stress

Mae_W, BSN, RN

Has 7 years experience.

20 hours ago, Numenor said:

And much much more stress

I understand, you get paid more, of course more stress more responsibility.

quick update..I love it so far:) it's additional to main job,I go there once a week,review wounds and give recommendations.see around 30-40 pts per day,doing round in one nursing home.

thinbluelineRN, MSN, NP

Specializes in Corrections, Public Health, Occupational Medicine.

On 5/30/2020 at 6:27 PM, Mae_W said:

I understand, you get paid more, of course more stress more responsibility.

If you think FNP gets paid more than a RN I would do mt research again.....

Yes,I can tell for sure that NP gets paid more.in NY start salary is 130k.I got offers for 125-130k so far,but they don’t count your experience as RN,you start from 0