FloatFNP-C

I am desperate for help in understanding the wRVU + salary model that my current job holds. Lets say one is paid salary, at 120,000 a year and gets wRVUs. You must have more than 66.1 RVUs per day, or 660 per month to make anything additional. Each wRVU is $10. Unfortunately, it's not a very busy place and the average RVU per day being met is about 26 wRVU. Can anyone give me insight on if this is good compensation? We also get a retention bonus, so twice a year we get 10% of all RVUs seen per month and the last one paid out was only $1500. I cannot find anything similar to this model and just want to know if I am getting fair compensation. [1 year experience, Urgent Care setting].

still in the denver metro area, still hardly any covids and the rate is decreasing dramatically.

At our hospital they are considered aerosolizing and require an n95.

What is also aerosolizing and related to med-surg nurses is nebulizers...

This is so crazy. My hospital has the exact same "advanced droplet" precautions and I'm using my OWN n95 mask. Currently shopping on amazon for shoe and hair covers to supply myself too. ridiculous.

I'm PRN and have been on call because of low census. I know we have COVID and r/o COVID patients; I'm actually "assigned" to the COVID floor, but because of my status + elective surgeries canceled + people avoiding the hospital, our census is low. I wonder what it will look like a week or 2 from now. In the Denver Metro area for reference!

What good are you as a nurse if you knowingly contract covid19 and possibly die?

I agree, I'm bringing my own n95 to work with covid patients because I just don't trust it. coughing in my face is aerosolizing IMO! Absolutely not, NOPE NOPE NOPE.

holy. ***.

I’m assigned to the COVID floor and our PPE is a mask, gown, goggles, and eye pro. Reuse the mask for ONE WEEK. only an n95 is needed if getting a bronch or on a vent. I know the WHO says it’s droplet but I see posts from other COVID floor and the nurses are decked out in those gas mask looking things! when asked if we can wear an n95, our ID docs said we should set the example (as in don’t waste them because everyone will want one). I'm scared, y’all. Should I purchase my own n95s and wear them anyway? I have small children at home.

Thank you very much. It’s like I want to go to grad school and be an FNP just because that’s what’s expected at this point and the next step in my career. But you are totally right, I keep thinking my goals and ideas aren’t figured out yet completely. I’ve got 2 little ones and family time is the most important at this time in my life. maybe one day I’ll figure out what I want to do, and maybe it would make more sense when my kids are older.

Thank you so much for your response. I will have to start networking for sure at the hospital I work out. I do agree it can be about the people you know. My “problem” is I am a float pool nurse, have been since I graduated 5 years ago. So I don’t really have a specialty. I feel like this is great experience for the primary care role (you see everything), I’m just trying not to limit myself since I’m not exactly sure what I want to do.

Hi, Assuming I get accepted, I will start FNP School in a few months. We all know how expensive it can be and I have a family...and well, a lot of questions that I'm having a hard time finding the answer to. For one, I don't see myself as a primary care provider and I feel like this is the most common job for FNP graduates. I chose FNP to be more versatile than specializing... but I would rather work someone like a cardiology office/heart failure clinic/ in-patient cardiology/ derm NP/ trauma surgery NP... Like do these things even exist for an NP? I've tried searching for jobs but the market around here is a bit saturated at the moment and I see mostly primary care jobs. Another thing I've been thinking about is how I would want to be part- time until my kids are a bit older. I kinda suspect this will be difficult but I'm not sure? Insight, anyone? I live in Colorado if that makes a difference. Thanks!

If I don't eat in the morning before bed I will wake up around noon, too! I try to eat something hearty and not just cereal... so oatmeal, eggs and toast, etc. I also gained a few lbs when starting night shift but I think that's because I found it much harder to keep a consistent workout routine because I was always "recovering." I'm still on nights but things are a little different because I'm 6 months pregnant now!

Thank you for your input... I want to clarify that I've never withheld medications from a patient. Like I said, if it's on the MAR, I give it, and if they need me to call the doctor, I always do. I wonder why this bothers me so much? I guess I feel like I get played as a fool and I worry about feeding addictions. But you seem to be right by its not my call, i am not a doctor, that's why i don't get paid the big bucks! [emoji3]

I have been a nurse for about a year and half... so still pretty fresh! I am looking for some advice from more experienced nurses regarding pain management in patients you suspect are seeking. I know pain is subjective and we have to treat everyone's pain as they say it is...BUT. When a patient comes in with "abdominal pain" and there is no clinical evidence of pain AND they are always a 10/10 WHILE they eat their burger, fries, and shake AND they request IV Benedryl because the Toradol they tried in the ED gave them an "allergy" AND don't forget the IV Phenergan because they feel sick. Can't keep anything PO down, yet eating appropriately and talking normally. Oh yeah, and the neighbor next door was faking her vomit with bits of oatmeal, water, apple, and ginger-ale (another nurse smelled it!) -therefore she could only take IV meds. I mean, come on..... I just get so discouraged. I know we aren't going to make any changes for these patients long term, but why are the docs ordering these meds? My philosophy so far has been that if the doctor orders it and it's on their MAR, I will give it in the allotted time... I don't always tell the patient exactly how often they can get it though. How do you deal with this? It seems like some nurses are more pushy and some are too nice (I feel like I fit this category) but inside I am burning with anger because I'd much rather be taking care of really sick patients that need me. But instead, I'm pushing narcs q2h or more. By the way, I work in the float pool. I mainly see this on our observation unit (

Hi! I am currently 17 weeks pregnant and dealing with a cold and sinus infection. I have NEVER called in sick to work in my whole career... but this time I debating calling in sick. What do ya'll think about working while sick? I feel like there is so much pressure to work and if we don't, we feel so guilty. If I were a patient, I probably wouldn't want to see "me" as their nurse with a tissue constantly stuck up their nose. I suppose if I could actually take a good decongestant I might be able to push through. Thanks!

I am in your boat 100%! I love nights but I really want to feel "normal" again. And we get a 25% differential on nights... So this is going to HURT! I know everyone is saying stay on nights, but as much as I prefer it, I am going to switch to days-personally. I am tired of sleeping my life away or not sleeping enough and just want to feel healthy again and not shave years off my life :)

Here's something you can compare it to: We can have drinks with a lid at the nurses station but obviously no food. We can work overtime if the hospital is short, and when census is low we can take call if we want. If I have something that comes up, my manager usually let's me off (i'm on float pool.) If you consistently, consistently clock out too late you will get an email...But I've only gotten 1 in the last year and I clock out whenever I am done, I don't hurry to the time clock and worry about it. And we can call in sick 6 times a year before getting written up. I work nights so I don't know how strict they are with cell phones during the day.. We get away with it at night at the nurses station. Maybe I have it better than I thought :)

1. I didn't learn... But saw for the first time... The bad side of ambien. Naked patient in the hallway and severe restlessness. But I did learn to always ask HOW ambien affected you in the past instead of just, "you've taken this before, right?" "Yep!" 2. I still don't know how to handle chronic pain drug seeking patients. I feel like I'm feeding an addiction and it just kinda pisses me how this patient treated me when I gave Toradol instead of IV dilaudid. Ugh. 3. Flush your IV when you buff cap it if Anything with K was running through it because it will go bad. Duh. 4. Vistaril really helps with pruritis in a pancreatic cancer patient. Had never used it before. On a side note, my patient kept sneaking Copenhagen all night before his wipplen surgery... What can ya do

I am still a new grad, not as new as you are, and I am newly married. Basically started night shift a few months before our honeymoon! It's normal to have anxiety about not being 100%... Just remember to ask questions when you are unsure. I have cried once or twice when my leaving my hubby to go to work... But it's not Just because I'll miss him. Its more like I miss you-I'm jealous you get to stay home- I'm missing the new Big Bang Theory episode- WAH. Lol. I hate leaving him, yes. But we both know it's necessary and short-term, so we make the best of our days off together. I hope you find a balance. Just keeping searching for a new day shift position, because regardless of why you are unhappy, you deserve to be happy.

Yes, absolutely, I rechecked the h/h and it was maybe 8.1/28 ish so, stable, after the 1 unit of blood.

That low BP was about 8 hours before the BP meds.... And stabilized almost immediately. Just to clarify!

Hi! Quick question- Patient had a low H/H of 8/25 and BP 95/38, HR 120s. Per MD orders, I infused 1 unit PRBCs and took vitals like q2h. BP came up nicely 140s/80s- 150s/85and HR 90s. She may or may not have had to go back to the OR to find out why the H/H dropped (I work nights so MD would assess in the morning). Anyway, I gave 80 mg Micardis which she takes normally at home before I left that morning. My question is, what this the right thing to do or should I have held it, thinking her BP would come back down if she was indeed having a bleed? I don't know, I am just having some anxiety over hoping I did the right thing. My charge nurse said it was fine, but I'm having new grad jitters :) Thanks for listening!

Yes, I would have sent her to the unit. I understand your frustration of getting icu type patients on the floor... It's rough. Luckily we have great resource nurses who typically have our backs and fight for us when it comes to something like this... If not the unit, then I might get a 1:1 RN.