pedsNP15

this is to @sailornurse- I keep pressing the reply button but it doesn't seem to respond to just that one person but to everyone as a whole..maybe a glitch? I'm full time actually, 40 hours a week. So I get $53/hour and this tuesday HR calculates all the hours worked only by $3 and that's my additionals "raise" for that quarter. It's always $3, it never goes up higher than that. I will let everyone know how it goes on Tuesday as far as talking to my boss, hope he opens up his heart and understands where I'm coming from. I'm strictly a Pediatric NP.

Wow..ya after doing a lot of research I'm seeing I'm valuable and deserve a fair amount. Thank you!

Desperately applying everywhere I can, because I definitely know there are much better work environments than the one I am at now. Thank you though, I couldn't agree with you more. I'm a professional, not a kid to be babysat.

I don't see why he would want to downsize since just this one clinic I work at we see about 300 kids daily between all the providers and are open everyday, weekends and holidays (for the one provider who wants to work it). I'm the only fluent Spanish speaking Practitioner in that clinic besides my boss, and I close the clinic every Thursday from 12-9pm. We just had another NP leave and he desperately found someone to cover that office, so trying to find a reason to fire me wouldn't be in his best interest...I hope..

I completely agree and am way ahead of you. I have put my resume on indeed. I need to stay part time and it's quite hard to find a full time primary care clinic in orange county. I have gone on interviews and have been offered $60 + because of the experience I have, but just part time. I'm staying hopeful and praying hard that a door opens up for me or that my boss has a heart and really listens to me and where I am coming from next Tuesday. Thank you for your input!!

this tuesday will already be 6 months, and I have done everything they have asked, pretty much I isolate myself and try my best to not be a bother, which is unfortunate. I'm asking him this Tuesday to stop this because it just isn't right.

Please read the last comment I just posted to answer your question. I appreciate your feedback. Wait time was never long, we have patients booked every 15 minutes.

Hello thank you for responding! I haven't posted in years so I have no clue what MODS is.. I work in Orange County, in California, the doctor owns 3 clinics, I work in the busiest one, where there are about 5 MD's, 1 PA, and 3 NP's depending on the days. I'm hourly pay, $53/hour and yes If i meet the criteria then I get that $3/hours worked only, every 3 months. It was all in writing. They only pay for my malpractice, and I have HMO insurance with them, and 10 days vacation paid. I have not told him I check my phone to look up medications, ICD's (that's my plan for Tuesday) I think what brought this was that I had a friend who I asked to work with us and yes I tend to be a Chatty Cathy since I'm very social, so we spent time back and forth either talking about our patients or just catching up but never got in the way of seeing patients. When he made these stipulations in September he told me "well you are getting married and buying a house" so this should be more of a reason to want to meet this criteria. My friend ended up quitting 2 months later so when my first evaluation came it was all pretty much a notebook filled with "NP and other NP were in office chatting, NP is not where she was assigned for the day (there are 2 sides of the clinic but we can always go back and forth) that kind of thing, and then said "well since this former NP isn't here anymore then I have a feeling that your next evaluation will be much better than before since there is less talking". You make a good point about the rating score, because if I didn't think the child needed abx but parents wanted it then of course they would rate me low, and not be happy with me, most of the complaints was that I went too fast, so I made more of an effort in these past 3 months to slow down, answer the parents concern and move on, but I brought up to him during the winter season that I felt bombarded with the 33-34 patients I was seeing while other providers were seeing 22, and how I didn't want this to reflect poorly on my next evaluation. I told him "you are expecting me to go slower but you are giving me more patients, how does this make sense?" Needless to say it didn't really make a difference, since I speak spanish and i'm known as the "fast one" I'm pretty much doomed.

I seem to be in a predicament and If anyone out there is reading this I would appreciate your feedback. Thank you! I've been working as a Pediatric Nurse Practitioner for almost 3 years in July. Last year during my 2nd year evaluation, my boss approached me with a different kind of "raise". He said every 3 months I would meet with him and we could discuss my $3 raise based on the following stipulations. A) Our Human Resource recruiter would be calling a patient at random every week and rating me on various scales on my performance etc with their child during that visit B) The human resource recruiter would keep a journal jotting down my every move, for example "3:30 pm, the NP is sitting on her desk, or 4:00pm, the NP is talking to the medical assistants", all of this was done in hope that I would focus more on my work and do less talking/texting. (side note: I see about 30 kids a day average, fluent in Spanish, and have great respect for my medical assistants, so yes I do talk to them and have developed a rapport, but never has it come in the way of seeing my patients for the day) At the 1st 3 month evaluation I just did not feel right having someone watch my every move, and I realized now that it all seems subjective. I calculate medication dosages, check up on ICD 10 codes on an application, and constantly am using medscape, all of this which is done on my phone. So it seems like I'm being set up for failure, if, for my unlucky chance my HR sees me on my phone she is going to think I'm doing non-work related things. I'm coming up on my 2nd, three month evaluation and I want to bring this is up to my boss and tell him it needs to stop. I feel like I'm walking on eggshells at clinic that I consider my home after all these years. This raise was never really a raise and more just a bonus that he gets to control, so I'm still getting paid the same hourly wage that a fresh NP with no Spanish skills is making. I just wanted to get advice on how to approach this to my boss and what to say without angering him. I don't want to loose my job, I love the kids I see daily at work and don't want to jeopardize anything but only I can fight for myself. So please, if you have any tips, etc I would fully appreciate it, since I have to talk to him next Tuesday. *eek*

Hi I just got accepted into the Pediatric NP UCLA program. Wondering if anyone else was accepted into that program as well :) Very excited for all of you who will be in the program this Fall!