Tesses

I hope you got a new job??? Regardless of how much you are paid at this job, remember: quality of life is important. Been there, done it, don't ever want to go back!

Post your resume on nursingjobcafe.com. Recruiters will contact you!

I can imagine! What state are you? Tidy up your resume with a great introductory letter and walk into as many clinics as you can. Attend your local NP meeting and request that they let you talk fir 2mins. I am assuming you are already some form of NP...so, being 'precepted' in a clinic will mostly translate to 'seeing' their patients which generates more revenue.

That means they need it then. See the copy &paste info from their site. The nurse reviewer puts in all kinds of requirements. Just check everyday to see if any new thing added so you can stay abreast of it all. I will say you email it to them so you can refernce the email when you try to get update on it. Please submit a legible photocopy of your current national certification document demonstrating that you hold current certification/recertification in the advanced practice role and population focus area for which you are applying. Your national certification/recertification document must include an expiration date. You may submit this information via: Fax Number:*512-305-8101* E-mail Address:*[email protected]* Mailing Address: Texas Board of Nursing, Attn: APRN Office 333 Guadalupe, Suite 3-460 Austin, TX 78701 Please be sure to include your name and RN license number or Social Security number on your correspondence to our office. Please be aware that if the document is illegible due to fax transmission or photocopying issues, we will request that you resubmit this document. Illegible documents or documents that do not bear an expiration date may delay application processing and approvals. * *

You typically don't need the board certification. They may request verification of program from your program director if you don't have it yet. It takes average of 4-8weeks depending on what the 'nurse reviewer' needs again! You can't talk to anyone on phone (APRN unit) you have to leave voicemail or send email which takes 2-3days to get response....that's what makes it longer! Goodluck!

In my recent searches and actual offers in Texas....I don't think I came across 60k offer! There were offers for 80/90k for new grads and 6 figure salary for 1-2yrs experience in Dallas, Fort Worth, Austin, Houstin, Midland and so on. It is very typical for most (not all preceptors) to offer you jobs with low pay. Sometimes, it is better to expand your search and compare before you settle for that first offer (esp if it's quite low).The business aspect of our profession has to do with understanding negotiation. Carolyn Buppet is a good author.....you may want to check her books out. If you settle for 60k, don't be surprised that your colleague (hired same day as you) will be earning 90k....Honestly, 60k would have probably sounded ok 3yrs ago before affordable care act!.....not anymore.......we are REALLY valuable and we should be adequately compensated. Even if all you do daily is annual wellness exam on 8 patients @ average of $80 reimbursement (average)....you will pull in $640/day.....in 52weeks, you will bring in $166k to that clinic......you get 60k, maybe 40k goes into overhead (that's even too much but let's just leave it there).......your employer walks away with $60k!...Too much!!!!! You should still be entitled to at least 20k of that left over 60k. Goodluck!

Yes...emoloyers know what they are doing really! While I fought for pay adjustment with my employer + review of benefits, I discovered a coworker is given $250 CME allowance while I get X10 of that amount.....maybe he didnt negotiate. ..who knows....so step up & take 'being a new grad' out of the equation too

Counter the offer with a higher amount and request for benefits.....if the figure is still too low (depending on your area), give yourself more time & keep searching. Regardless of area, I would say NPs should'nt take less than $73k annual salary+ benefits (that's in a worst case scenario). Things have improved a lot especially with the affordable healthcare act. Latest news on CMS is also in favor of a new Medicare payment system which is favorable. Goodluck

I do hope things are getting better after your initial post. It is very normal to get nervous as a new grad but please, don't overwhelm yourself. Out of all the resources you have, just stick to 2/3 of them. You may find the 5min clinical consult to be your best friend for acute problems, then use the national guideline clearing house website as a back up for recommended practice guidelines. I go directly to 'recommendation' to get what I need quickly. Then...medscape/epocrates for dosing guideline. As you see each patient with successful outcomes, you will use that as a tool for a similar patient next time. Also, don't be afraid to take a little extra time to find your answers.......even after assessing the patient, if you feel your initial plan before coming in to the room won't work, excuse yourself from the room and go make further research! It will get easier with time. Make sure you are making progress weekly. Goodluck!

I guess that's been our 'fight' that they are not any better than us......I dont think I will give in to the fact that she is 'better equipped/prepared' than us. There are many horrible providers across the board

I don't know much about california, however, $50/hr doesn't sound too bad......but consider/ask how many patients are you expected to see per day? You don't want to be burnt out seeing 30patients/day for $50/hr. Clarify the numbers! You haven't signed any contract, so I don't think anything is binding yet....you have room to request for other things.....I believe. CEU: $1500-2500 vacation:2-3 weeks CEU/conference attendance :5days ...and other benefits.

I would say your letter may just be very brief without stating the reason in it. However, prepare to discuss the reason with your supervisor/HR verbally- also very professionally, while you make sure to state that you also like the job & you are grateful for the opportunity. I am sure there will be an offer

Like you said, she is a new MD grad.....still a lot to learn in clinical practice. MD title does not make her any better than a new grad NP. You can call your patients and have them make sooner appointments without mentioning to them that the MD did something wrong/not recommended......just for the sake of professionalism.

It is possible to get done on time especially if your EMR has built in templates for most things. I have really never stayed an hour behind for charting except for my first month on the job....8-5.....and Im done!..and yes. ...notes completed! Medications sent right before patients leave the room as well. To the main topic of the thread: you need to have the desire to move on to the provider role.... then everything else becomes secondary for the period you are working on the degree. Started MSN few months after childbirth and we toughed it together through sleepless nights and nanny disappointments....today, He is my MSN baby! :)