Sam. W

When I was in the FNP program, RNs were making bank on COVID travel assignments while the FNP job posted online looked so sad, salary-wise. And many RNs hate to be an NP, so they went back to bedside nursing after getting an FNP certificate. I was discouraged. I thought I should never have gone back to school for a master degree. I used to work in bedside nursing, and it broke my back. My body hurts, my neck and shoulders hurt, and it causes headaches for me often. I often had to clock in at 5:30 or 6:00, and I usually just got up around 5:15 and rushed to work. Now I still get up around 5:30 out of habit, but I don't have to leave until 7:30, and I do not need to clock in and out. I have time to stretch my body, do some exercise, cook breakfast, and enjoy my coffee. I feel soooo much better physically. And so far, I haven't had to take orders from anyone, which works nicely for me. Now I've been working in family medicine for 2 months. They started me seeing one patient for 1 hour, then 40 minutes, and now down to 30 minutes. Since there aren't enough patients, they haven't thrown me in to struggle. Often, I see only 3 patients a whole day. They have Epic, which is what I love as well, makes charting easier and faster. So far, I have no regrets about going back to school during COVID and missing out on all the opportunities to make big money. This life now suits me better. I don't make much more than I did as a full-time RN; I was paid well as an RN. However, I now have 40 hours off for CME, $2000 CME reimbursement that RN do not get. I don't work 8 hours a day every day. I'm scheduled to work 4 and a half day per week (0800-1700), but often end up going home 1 hour early, again, I do not have many patients yet. Our lunch break is one hour, not 30 minutes, so I don't have to rush back to work while shoveling food into my mouth anymore. We do not on-call or work weekends, which is lucky for me. I don't take charting home, but I do take the laptop home to work on Epic. This way, in the future when I have more patients, I can finish charting right after seeing them."

I am in Indiana, and I have been hired full-time by a local company as an NP. They have been handling my credentialing since forever, and I won't start until 01/2024. They did not ask me to sign a non-compete, which is why I took the job. Now I want to work a PRN NP job since the full-time position does not pay me very well. I asked them if I could work elsewhere as PRN. They said they hired me during a gap period when the recruiters did not execute the non-compete, but now they have reinstated the non-compete. However, they cannot enforce it on me since I was hired during the 'gap'. However, they strongly suggest my other job should be 25-mile radius away since the company still has the confidentiality policy. They also says they cannot prohibit me from taking a position elsewhere but strongly discourage me from doing so with one of their competitors. I am baffled about whether I should look for a PRN job now. Any one in Indiana has similar experience?

So it is true that I could make $180K year if I round in several nursing homes. Wow. ?Thank you so much for your input

I totally agree. Well, my boyfriend is on a perpetual startup rollercoaster in Silicon Valley. He's convinced that one day his ship will come in when the company goes public, and he can retire to a life of luxury. The catch? He works tirelessly, pulling in $200-300K a year, but it's like he's got a 24/7 hotline to his iPad. He snoozes for a measly 4 hours a night, and sometimes he's so sleep-deprived he's practically sleepwalking into meetings. He's even taken calls at 30,000 feet! We've had more battles than a Game of Thrones episode about this. I'm starting to think that the only IPO on the horizon is "I Pay for Our Occasional" time together. His boss rings him more than my doorbell on Halloween, and there's a Zoom meeting schedule to rival the TV guide. Meanwhile, he's racking up more frequent flyer miles than Santa Claus on Christmas Eve. I've told him, "You know, your hourly rate is starting to look like my spare change." I may not earn as much as he does, but my quality of life is higher than a giraffe on stilts. We don't spend extravagantly, and I'm convinced that what I make is enough to live our best lives.

Do you know which nursing homes in Indiana that uses PCC system?

I obtained a compact nursing license from my home state, Indiana. Since Ohio had also joined the compact nursing states from 01/01/2023, I thought I could just use my IN license to practice in Ohio. However, when I tried to establish my RN license in Ohio through their website, I discovered that my RN license was not in their system. Surprisingly, it appears that I need to pay $75 to obtain an Ohio RN license. After encountering this situation where I must pay the same fee and go through the same procedures as if I didn't have a compact license, I'm questioning the purpose of joining the compact states in the first place. P.S. I have not used the compact license other than in Indiana, so I am not sure how this compact license works.

It most likely was true. Many NP had to take a pay cut to get their first job. Once they finish their first contract, then you negotiate for a higher salary, but I don't think it would not be 30K higher or more. You have to see more and more patients to earn that productivity money.

The salary of Nurse Practitioners (NPs) compared to experienced Registered Nurses (RNs) can vary depending on the location, usually NP's don't make much more, if they make more, than a seasoned RN. Additionally, NPs may be required to sign a non-compete agreement, which can be unfavorable. Personally, I prefer to have a short commute of no more than 20 minutes to work. However, if I were to sign a non-compete agreement stating a 10-mile radius (crow-fly distance), which is equivalent to a 40-minute drive, it would significantly increase my commuting time which is a no no for me. There was a company offering a contract with unreasonable clauses, such as being obligated to work farther from home for two years if I terminate the contract early or even if I complete the full two-year term; I had to pay back all the credentialing fees or any business expenses that they have paid me if I breach the contract.... which is non sense. You have to understand the contract, there are many traps.

There are companies hiring NP to do rounds at nursing home. The offer sounds lucrative. Is it true though? They say "you get paid $30 per visit", I was thinking we were seeing 25-32 patients at primary care office visit every day during my clinical rotation, it was busy but it was doable. If I round 25 patients a day every day 5 days a week and work 49 weeks a year, it is like $183,750. Does it sound real? Will they have that many patients for me to see though?

Without contract, you can leave or they can fire you.

As a newly certified nurse practitioner in Indiana, I think I should be obtaining certain credentials such as the NPI , CSR, DEA, descriptive authority, and register with Medicaid/Medicare/other insurance as providers. My school really did not talk about any of these in detail. I'm wondering if there are any of these credentials that I can obtain independently without a collaborative agreement? Or all I should do is to find a job right now. I just accepted a job offer, and I am wondering if there is anything I could do with all the documents right now except waiting around.

haha, but OR staff could be really rude, worse than on the floor. But I would not choose to work anywhere else other than OR circulator, especially in outpatient setting, there is no weekends, no on call.... perfect! Just ignore some *** surgeons, you'd be fine.

I'd say why not? Since they always say your RN experiences do not matter in becoming an NP. So, why not.

Thanks in advance. In general, when will you choose Lexapro or celexa over Zoloft, or the other way around? and When will you choose paxil? Do you prefer paxil for depression with menopause? Thanks again!

Does BIO3050- pathophysiology at Aurora University counts as Microbiology for California board of nursing? Thanks!

Does BIO3050- pathophysiology at Aurora University counts as Microbiology for California board of nursing? Thanks!

I am not be able to move to anywhere until the fall of 2023. I hope it would get done by then.

awww...Taking care of a baby alone is hard enough. But if you quit right now, the time and energy would be wasted, and the tuition ? once you graduate, you would have more time to be with your family, and. you don't have to work overtime to make the same amount of money. I don't think the current high nurse salary would be sustainable. NP is better, money wise at least, and the time you spend with your family probably would be more.

So when you lapsed you MI RN license, and you got other three states’ all at once? Was MI still attesting your education years after your MI lapsed? Or you don’t need MI BON to be involved in the future endorsement?

I had my ADN in MI, and I got my initial RN license in MI. However, I never practiced a day in MI. I moved to IN right after I got my MI RN license. Since then I have an IN RN license by endorsement. My MI license has been lapsed since 2019. Should I resume my MI license if I want to move to CA and practice in CA? Or IN BOA should have my education records from MI already? anyone has similar experience? Thanks in advance!

I work in OR as a circulator in Indiana. I have seen many ortho and general doctors have FNP's work as their first assist, and I am sure those FNPs are not certified as first assist here, some are new graduates. The FNP would come in help when in sterile field, and close the wound in the end. The surgeons would only close the deep tissues, then the rest is closed by the FNP after the surgeons have left the room..

Hi there, I only know Indiana is a reduced practice state, and the FNP in IN can treat GAD, depression. Are there any specific mental diseases that the FNP cannot diagnose and/or treat (any specific therapies that we need PA or MD's signature?) I think we cannot diagnose ADD, ADHD, Bipolar. Thank you very much!

What would happen if you only have epinephrine at hand when there is an opioid overdose person next to you. Despite of CPR, without Narcan, can you give them epinephrine at all? It will not revive their breathing, right? Thanks.

I am so confused why some NPs or RNs so discouraging. Hey, if you want money, you could jump into the stock market, I did since April, made $110,000 for the last 2 month, well, it absolutely stressful for some people, it is all about how you take it, especially when you see you are losing 5K second by second. Come on people, if you are not happy being an NP or doesn't want to be an NP, it is your own case, not everyone else's.

well, you had to do all the "dirty" work, she only goes there ONCE A WEEK, and mainly just looked at it and used the pen write down some words and walked away. see the difference?