It's quite alright, I never expect instant feedback at this point in my career and life. I have trained myself to be pretty patient.
I understand that NPs can be lucrative for nephrology and combining that fact with the fact that I have been working in HD for 8 years seems to naturally lead me in that direction. My hope through conversing with you is to determine how lucrative I can market myself to be, as well as get an honest feel for the position itself.
Now to respond to your points:
1: If my calculations are correct, if you are able to complete all 4 visits on 90% of your patients, you would be generating $391,068 just from outpatient HD visits. I know for most practices in our area (Georgia), the physician sees the patient for the first visit of the month, then, either another physician, NP, or PA tries to complete the other three. I'm not 100% sure if that is a regulation in GA, or if it is more of a "just the way things are done" situation. I'll have to do more digging to find that out.
2: I definitely understand the travel necessities. One question regarding that: do you get reimbursed for mileage, or is it considered a part of the expectations of the position and factored into salary? The practice I am hoping to onboard with covers a similar area to the one you describe.
3: This is interesting to know as an additional source of revenue that APRNs can contribute to the practice.
4: The practice I'm hoping to join hosts monthly education classes for AKI/CKD patients. Currently one of the physicians is the instructor for the class.
5: Would this be the TOC visits post-hospitalizations in-center or in-office?
6: I was ACLS certified while working in the hospital, but haven't been since being in HD. I have experienced the full gamut of events that could occur during HD and wouldn't expect re-certifying for ACLS to be too foreign.
7: This is a natural expectation moving into the APRN role. I have been through many difficult conversations with patients and families.
Thank you for your response, it has covered a great deal of my questions. There might be a few more I have to ask, but some might be more appropriate for a private message. Thanks, again.