Job Offer Details

Oldmahubbard · Feb 1, 2018

At 100 visits a week, you are bring in over 300k and they want to pay you 88?

Nice, if they can find a chump to do it

Freedomsong, NP · Feb 2, 2018

I'm not an NP but I make more than that as an RN and no way would I accept a position that involved 24 hr on-call with no extra pay. That's one of the reasons I left my last job, actually. When we were rolling out a new computer system, our COO (who was in no way clinical) expected all clinical managers to be on-call 24/7 for issues without pay- when they had hired a consultant specifically for this program roll-out/to be the resource for problems.

I don't blame you. It's ridiculous for anyone to think call with no compensation is okay.

Freedomsong, NP · Feb 2, 2018

This offer is a JOKE! now go back and tell them this is a Funny Joke and ask them what they are really offering! because I wouldn't touch this package even if I was a new grad. Don't waste your time with this private company and take your awesome NP skills elsewhere where you will be considered a valuable asset and will be paid for what your worth! This job is low pay and you'll see 25 patients a day with call. sounds like a job where one can get easily burned, also i wouldn't do it for that kind of pay.
They also forgot to put mileage on the 2 facilities that you will have to drive to. I get you are not impressed with your current employer but don't jump into another job where its also sounds like a total mess and this one definitely does.

I agree with you 100%. I definitely walked away from this without a second thought.

Freedomsong, NP · Feb 2, 2018

I will say the pay and duty structure and patient requirements is a joke, but the call requirement for nursing homes isn't far outside the norm. My wife works in senior living and I remember her first job her being on call 24/7 with no pay bump. Though she was paid in the high 70s which at the time was good for am ADN. Most of these facilities only hire one RN depending on the size and they typically operate as a care manager more than actually doing patient care. Her call consisted of mostly making judgement calls over the phone. Calls so she was aware of an incident, instructions to send a patient who had an unwitnessed fall to the ed, etc. Now granted she was always cognizant of what she was doing and rarely drank. Many of these residents had single doctors responsible for their orders and if any md needed to be informed as well, that md got a call anytime. Everything typically dealt with over the phone.
So bear in mind that nursing facilities aren't hospitals or clinics and often operate in a whole other level of rules and expectations. This isn't a suggestion to consider it without some significant changes in that job description. Just food for thought.

Thanks for the feedback. I understand that NHs are different than hospitals and clinics in several aspects. However the interviewer told me the NP is expected to care for the physicians panel of patients as well as take call 24/7 so that the physician doesn't have to. And you are correct in that the call is phone call only, however, I still don't believe this is okay without call pay. Being on call is still work, you have to be available 24/7 to answer calls, make decisions, and give orders when you're contacted. In my opinion, technically you're never off. This may be something someone else is willing to do, just not for me. :)

Freedomsong, NP · Feb 2, 2018

"Thank You for Your Consideration but I can't accept". How is one always on call & also get to have a life?

I agree!

Freedomsong, NP · Feb 2, 2018

Yeah, I do not know if this is a good offer. Its a lot to take on and you don't get paid extra for being on call 24/7? How are you going to have a life and not feel like you left something out or you are not doing a good enough job? The last thing you want is burnout and then other issues could come up then. It is nice they pay for license renewals and malpractice, but to be on call for 2 facilities with no extra pay is an overload.

I agree with you. I thought the 24/7 call was too much, and the fact the company doesn't compensate for this in my opinion is nonsense.

Freedomsong, NP · Feb 2, 2018

This is a pretty lousy offer. I made more than that over 8 years ago as a new grad. Call 24/7 without compensation is ridiculous, and $250 for CME is pretty much worthless. I'm glad you're not considering this offer.

I didn't think it was a fair offer at all, the call situation is just ridiculous. I worked as a RN in PACU for 2 years and took call one day a week from 5p - 6a, and once a month from 5p Friday - 6a Monday, every time my pager would go off in the middle of the night I'd jump up out of my sleep and cringe. I couldn't relax because I knew I was on standby. I understand this is a different type of call but it's call nonetheless. I can't imagine being on standby 24/7, especially without compensation.

Freedomsong, NP · Feb 2, 2018

At 100 visits a week, you are bring in over 300k and they want to pay you 88?
Nice, if they can find a chump to do it

I did not find the offer to be fair. I left the interview thinking, are you kidding me.

allnurses Guide · Feb 2, 2018

That's just crazy talk. I am an MSN professional development generalist, not in advanced practice, and my salary is near that and my benefits far exceed it. That is a stunningly bad offer.