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TexasACNP

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  1. I do moonlighting for a hospitalist group and a critical care/pulmonary doc outside of my primary job in an ICU. For the hospitalists, I take ER call and hospital call for a very large hospital plus three outlying LTACHs. I was working 8hr shifts but they would like me to convert to 12hr shifts.... a considerable difference given there are numerous admissions during that extra 4hr span. As of now, I am paid $87.50/hr for those eight hours (and we have a call room during down time). However, for twelve hours, I'm thinking at least $100/hr or $1,200/shift. My colleague says $1,500 per shift. I'm now thinking $1,200 plus $60 for every pt. admitted after the first five. Keep in mind that we are taking the place of the physician...we dictate level 4 H&P, write note, write orders, etc in addition to hospital call. Average 10-13 admissions per shift. ER docs around here are paid around $150 to $200/hr. Also, I do rounding for the other physician. I am paid $45/pt. However, he would also like me to do procedures prn on these patients....placing central lines, PICC line, quinton dialysis catheters, arterial lines, chest tubes. Any idea of what you would charge for such procedures? Clearly more than $45. Thanks!

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