I am currently negotiating a new contract and would like feedback from other critical care NPs. I am one of five NPs who cover a Neuro ICU 24/7 in a level 1 trauma center applying for comprehensive stroke center status. At night, we work independently covering our ICU average census is 10, neuro floor average census 25+, average consults/admissions from the ED 7, answer all nursing calls, and field calls from the outpatient clinic. An MD is available by phone. We are training to do LPs, intubations, and line placements. Currently, these are done on days. During day shift, we work with an intensivist. We do not have a resident program. If you work in a similar environment, how are you compensated? Are you paid a night differential? In what area of the country or state is your hospital located? Thank you for your responses!