djmatte ADN, MSN, RN, NP

Where in Michigan are you located? That area I imagine is tough. There are more options toward mid Michigan in my experience. Specifically around the flint area.

Where in Michigan are you located?

Whether you *like* one vs the other shouldn't matter. You should be working in an area commensurate with the training you've received. FNP should be working in family health and or out patient/urgent care. If I didn't like it, I would be inclined to ...

15% is what the market values all of that "back breaking" work physicians go through. Blame the system. But we should be advocating fit closing THAT gap in every patient billed for. Period.

I didn't presume you couldn't make the distinction. But to be fair, the OP never worked as an RN. So distinguishing these things doesn't hurt.

There often is a difference though between NPs in clinics and RNs in hospitals or other areas. We actually bill and are revenue generators. It's been my experience when I worked as an RN most hospitals have tiered systems built in to account for expe...

Realism will happen when employers put their providers in appropriate proportions of what they bring in. It's understandable if a nurse practitioner makes 15% less than a provider does given the same total number of patients and the same complexity o...

If they drop the "I don't mean to judge, but…” I can see the correlation. But people can live a life and not choose to outwardly judge. Maybe they make different choices personally, but just articulating that people shouldn't outwardly cast judgment ...

Cool. 👍

I'm not advocating for equal pay. I'm advocating for pay based on presumed value of the education level. If the reimbursement rates were the same then I would absolutely be advocating for equal pay. But even at 85% reimbursement, we're being paid 1/3...

Billing parity isn't the issue. If I'm a NP with 5 years experience, see the same number of patients, see literally the same acuity of patients, I should be paid 85% of what an MD of equal standing in that clinic gets paid. Their "prestige" makes up ...

Imo you should eat what you kill. We literally bill for 85% off what an MD bills for. That's where the value of their advanced degree should lie. Midlevels make a fraction of what they bring in while I've seen MDs break even or come well under what ...

Arguably many clinics are utilizing NPs to subsidize the salaries of physicians. They can justify paying a physician closer to or even above what they bring in on the backs of much lower paid NPs who are paid a third or less of ever they actually see...

Being more realistic on what we bring in and what our value is to a clinic is something hugely lacking in any NP discussion regarding pay. Sadly too many are willing to settle or are unfamiliar with the fact that $100k salaries are subsidizing both ...

Just a heads up, I sent an email a few days ago.

And just revalidated. 🤣

Don't flatter yourself. Nobody here misses the desperate pleas for validation and empathy that only turn into long winded retorts and self victimization when people simply offer advice. It's a persistent theme with you around here. As evidenced by th...

I feel like this is three years ago repeating... 🤔

Sure thing. Feel free to message me.

And just like that history repeats. 🙃

This! Don't frustrate yourself with the shortfalls or failures around you. Mention it to those who need to know and move on. I see more providers burn themselves out just from bitching endlessly in their down time about patients/colleagues/or whatev...

"The program is responsible for ensuring adequate physical resources and clinical sites. Clinical sites are sufficient, appropriate, and available to achieve the program's mission, goals, and expected outcomes.”

https://www.aacnnursing.org/Portals/0/PDFs/CCNE/Standards-Final-2018.pdf This is per the aacn website; check key element II-B

Why is it nurse practitioners are so against getting called out for ethics questions and borderline malpractice? Someone boasted about their colleague making 3-4 k a month tapping into needs for wegovy and adhd medications in a Tele health environme...

I figured I would throw in a military perspective for an FNP. I returned to active duty Air Force. So there's a different breakdown compared to civilian. Bear in mind these numbers vary with location and nursing/NP experience. I came on as a NP...