Guest guest Posted July 23, 2011 Report Share Posted July 23, 2011 RE Are RNs worth it? An alternative view-- 1) My area, outpt RNs are getting paid alittle less than $20/hour 2) "Burn out rate" of hospital floor RNs is about 3 years!!!! 3) RNs are very skilled at problem solving -- maybe you cannot afford an RN "full time" but parttime maybe a "win-win"! I'm most pleased at having an RN 1/2 time in my office, works very well. She doesn't want full time. In Pennsylvania, there's a survey yearly from the Medical Society what all docs pay for staffers, broken down by county and type of worker, very revealing! Even if you're not a Pa Med Society member, bet you can get the info OR maybe even for free if you're a member of other state med society. As an aside, I'm in Western PA. Lots of chronically ill; I see about 50 pts/week and moonlight out of office 1 day a week. Am fortunate that I have access to RN to help ME not burn out! Realize that sometimes, it's more cost effective to have a more highly skilled person -- consider that you're marketing yourSELF to give highly skilled care. Just my thoughts, yours? Matt Levin MD Western PA FP since 1988 Solo since 2004 RN salary Just to make sure I was not “out of touch” w/ what RNs are making. I looked through some job postings and found salaries equivalent to $21-$29/hr based on 40 hrs/wk for 52 wks/yr. It may have to do with cost of living. While NY is expensive and has high taxes and such, I would suspect California is higher. I do know the setting matters too. Even the department matters….Emergency room vs. Med/surg floor. Also, I would refer to your state office of professional licensure to see what kind of supervision is required for LPNs. I know that in NY LPNs need to be supervised by RNs. So at the last practice I worked at they had primary nurses assigned to the providers and the LPNs were assigned to the NPs (as they are RNs as well) and the RNs were assigned to the MDs so that there were no questions about the practice laws. They had other LPNs that worked w/ providers but they were not the primary nurse assigned to them. Unfortunately, nursing needs a national standard of practice at all levels so it more like MDs where scope of practice etc. is the same. Tammy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2011 Report Share Posted July 23, 2011 Matt, As part-time is she williing to accept basically salary and not much else??? We have the constant problem of not being able to afford all the extras that go with employment, not even for ourselves, no less any hired help.... As I like to say, we can not afford to purchase insurance for ourselves because we accept insurance as our only means of payment from others and their cheap plans.... One of the great ironies of the early 21st century American Medical Models... To: Sent: Saturday, July 23, 2011 8:49 AMSubject: Re: RN salary RE Are RNs worth it? An alternative view-- 1) My area, outpt RNs are getting paid alittle less than $20/hour 2) "Burn out rate" of hospital floor RNs is about 3 years!!!! 3) RNs are very skilled at problem solving -- maybe you cannot afford an RN "full time" but parttime maybe a "win-win"! I'm most pleased at having an RN 1/2 time in my office, works very well. She doesn't want full time. In Pennsylvania, there's a survey yearly from the Medical Society what all docs pay for staffers, broken down by county and type of worker, very revealing! Even if you're not a Pa Med Society member, bet you can get the info OR maybe even for free if you're a member of other state med society. As an aside, I'm in Western PA. Lots of chronically ill; I see about 50 pts/week and moonlight out of office 1 day a week. Am fortunate that I have access to RN to help ME not burn out! Realize that sometimes, it's more cost effective to have a more highly skilled person -- consider that you're marketing yourSELF to give highly skilled care. Just my thoughts, yours? Matt Levin MD Western PA FP since 1988 Solo since 2004 RN salary Just to make sure I was not “out of touch†w/ what RNs are making. I looked through some job postings and found salaries equivalent to $21-$29/hr based on 40 hrs/wk for 52 wks/yr. It may have to do with cost of living. While NY is expensive and has high taxes and such, I would suspect California is higher. I do know the setting matters too. Even the department matters….Emergency room vs. Med/surg floor. Also, I would refer to your state office of professional licensure to see what kind of supervision is required for LPNs. I know that in NY LPNs need to be supervised by RNs. So at the last practice I worked at they had primary nurses assigned to the providers and the LPNs were assigned to the NPs (as they are RNs as well) and the RNs were assigned to the MDs so that there were no questions about the practice laws. They had other LPNs that worked w/ providers but they were not the primary nurse assigned to them. Unfortunately, nursing needs a national standard of practice at all levels so it more like MDs where scope of practice etc. is the same. Tammy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2011 Report Share Posted July 23, 2011  RE parttimers. Yep...she only gets hourly, but is parttime. I understand your frustration. I don't take Medicaid. But I do moonlight for about 12% of my gross (last year figures), and take home was about 35% of gross, higher than I'd like but I'm making progress. I know others will criticize me for my expenditures, but I'm going for sustainability, and I think in my location I'll do fine. I choose and am lucky to have an RN for a parttimer; I'm not sure others can do the same where they live. I have an area where corporate medicine is becoming the norm, and a decent percentage of chronic and elderly pts know me from prior practice and the payors are reasonably pleased to support those of us (20%+) who remain solo/small group private. All politics is local! Regards, Matt RN salary Just to make sure I was not “out of touch†w/ what RNs are making. I looked through some job postings and found salaries equivalent to $21-$29/hr based on 40 hrs/wk for 52 wks/yr. It may have to do with cost of living. While NY is expensive and has high taxes and such, I would suspect California is higher. I do know the setting matters too. Even the department matters….Emergency room vs. Med/surg floor. Also, I would refer to your state office of professional licensure to see what kind of supervision is required for LPNs. I know that in NY LPNs need to be supervised by RNs. So at the last practice I worked at they had primary nurses assigned to the providers and the LPNs were assigned to the NPs (as they are RNs as well) and the RNs were assigned to the MDs so that there were no questions about the practice laws. They had other LPNs that worked w/ providers but they were not the primary nurse assigned to them. Unfortunately, nursing needs a national standard of practice at all levels so it more like MDs where scope of practice etc. is the same. Tammy Quote Link to comment Share on other sites More sharing options...
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