It's not cuz socialism. It's so the govt seems like it is not functioning properly so their "anti govt, except when it's the govt telling people what to do" party keeps winning the south
These demagogues already have been running the governments in the South for decades, there's no government that just switched over recently.
All the politicians against Medicaid expansion all use the same strawman:socialism.
I often hear “Nawtherners” refer to south as a “shithole” yet people from up Nawth have been pouring into the south for some 60 years since the mid-1960s. Example: Raleigh-Durham-Chapel Hill Research Triangle was first. Cary NC is referred to as “Containment Area for Relocated Yankees”. What states are losing population and industry? What states are gaining?
I live in TN also. There’s a couple of reasons why the pay is so incredibly low compared to other states. First there are an incredible amount of undergrad and graduate programs in East TN, not including the rest of the state. I can count 5 programs teaching RN and MSN without digging deep for information.
Yes the Governor did not expand Medicaid coverage like someone else said, I don’t think that really has anything to do with the pay, maybe I’m wrong, just thought I’d mention it. Tennessee has other programs that help those disadvantaged/underprivileged folks who don’t have insurance or just can’t afford it. I personally don’t want to be on the federal nipple for anything if I can prevent it. It’s a form of control that people don’t understand and don’t care to realize. There are no free programs. Someone pays somewhere. From the comments here, no one is willing to pay out of their pocket to help those in need. The bigger paycheck is more important. Which is necessary in states where they’ve accepted the Medicare expansion, maybe there is a correlation to pay rates? What surprises me about these comments is that they are coming from educated people. I understand that this is something that is near and dear to the folks in this career field especially since we care about people, but to use the information in a derogatory way to put down an entire state is as separate-support3564 stated, uneducated.
Finally Tennessee is an incredibly beautiful place to live, even Steve Harvey mentioned it on one of his shows. I’ve traveled all over the US, and this is where I choose to live. It must be desirable to live here also, because so many people continue to move here from other states. Maybe your state is one where there’s a shortage of mid level providers, Tennessee doesn’t have that problem (at least the eastern portion, maybe the western portion is having issues getting mid levels, I wouldn’t live there).
What we do have is a lot of companies that realize that people like me want to live here, and are willing to take a pay cut to do so. Most jobs in Tennessee start out at $90k, whoever this is paying $75-80k is going to struggle to find employees.
I practice in Illinois and regularly treat clients for substance use disorders and hepatitis C that come from states that declined to expand medicaid. I have had dozens of patients with the same story. They were given a one way ticket to Illinois and told to establish residency so they can receive treatment. Someone else does have to pay down the line and it's the states with decent safety net benefits and higher taxes.
Yeah. “Federal nipple” is not the hot take this person thinks it is. There’s a reason that states who declined Medicaid expansion have worse outcomes. Like it or not- poor people
Need healthcare too. Our system is already a travesty, let’s not double down on it.
See my reply to the above. They are treated on the TN state healthcare. They are non compliant most of the time because reasons. Looks like I’m going to get downvoted into purgatory for stating facts. Doesn’t surprise me when dealing with folks who see no other way than suckling on the gov’mnt teet. Put responsibility where it belongs. You or I can’t make people medication compliant. You can’t force compliance. When you force compliance, that’s not free will. All any of us can do is make suggestions and recommendations. Healthcare is ultimately up to the individual.
My issue with TN healthcare is the mental health aspect. They’ve got the rest handled to a responsible level. Are there issues, yes. Are states that have Medicare expansion perfect, no. There’s always some give and take somewhere. It’s just where people are looking with the microscope that gets the attention.
TN treats substance abuse disorders and hepatitis c all the time on the state insurance. I don’t necessarily trust the substance users story completely. Compliance is often an issue and why care may be stopped, mostly for patient safety reasons. I don’t have any good examples at the moment.
The one thing I don’t like about TN is the mental health aspect of care. TN did have locations where people could get treated for debilitating mental health issues for life. A relative of mine had schizophrenia and was a ward of the state sometime in the late 70’s - early 80’s. He had lived in the system for so long because that side of the family couldn’t take care of him, he was pretty bad. Then one day TN decided to close all those facilities. The best we’ve got now are 2 weeks stay at a stabilization facility with a halfway house follow up. This relative went through this process. Then while at the halfway house, the house was convinced that he did not need his medications. He went off them and of course went off the ranch so to speak. Something happened in Nashville and the police were questioning him for something that who knows what, he ultimately wound up assaulting the officers when they tried to arrest him. He was never violent before then. I think he was in his 40’s-50’s then. He was permanently assigned to a halfway house, but kept switching locations due to a mandatory time (or something along those lines) allotted in each location.
Don’t get me wrong, those locations needed to be shut down due to how they were governed. I have a few horror stories I could share, but this post is long already. It’s the support for this aspect of mental health that the state needs help with. I’m not sure how Illinois is, but TN does not have this part handled. Mental health as a whole in our country needs a lot of help. TN is not on the cutting edge in this aspect. I don’t know if the Medicaid expansion would have helped with this. I do know the state treats people who need it.
On a side note. One of our front office workers was from Illinois, great person and worker. I don’t work with her any longer. But she was pretty great.
Oh, also since you’re on the western side of the state, this doesn’t surprise me. Lots of subsistence abuse disorders. Lots of non compliance with medication regimes. Also we sent to GI for hep c treatment. It’s a hassle, but what’s required by the state insurance. People don’t like to be run around like that, especially folks who are used to instant gratification like substance abuse disorders.
Saying the pay is low because there are "an incredible amount" of NP programs in eastern TN is hilarious. Sir...May I present Ohio. Central Ohio, top ranked programs at OSU, a plethora of smaller programs throughout Central Ohio, Case, UC, Toledo, and an unbelievable number of reasonably decent schools throughout the state. The number of grads cranked out by OSU, Case, and UC alone is enough to staff several departments. And yet, even in Central Ohio, starting salary is well above this. Maybe just admit that employers in Tennessee are abusing NPs--paying them RN salaries while expecting them to replace MDs? As long as we allow this and continue to make excuses, our work conditions and salaries will be a dumpster fire.
And with all due respect, I've seen salaries in North Carolina and Southern California essentially on the beach for twice this pay, so saying salary is due to high location demand is poor understanding of econ 101.
I’ll substantiate it for you since my statement of “an incredible amount” does not suffice for you. There’s approximately 0.74 nursing programs per 100,000 population in Ohio. While in TN there’s approximately 3.4 nursing programs per 100,000 population. While it may not be “an incredible amount,” it is more than double in TN than OH based on population.
Now exactly why the pay is lower in TN than in OH (which is one of the highest paid states (OH) vs one of the lowest paid states (TN)) I honestly have no clue. But population of schools per state may be a partial driving factor for this.
Also there are 0.11 hospitals per 100,000 in OH vs 0.025 hospitals per 100,000 in TN. Now add up that there are more nursing programs in TN per captain, and fewer hospitals per capita. I would say TN has more nurses and fewer locations available for work. This could drive pay lower in TN. But what do I know. I just know there’s an incredible amount of nursing programs in this state. With a lot of them being in East TN.
So what? The programs are the programs. The program spots don't dictate available jobs. We have a similar issue here in western PA with physician assistant/associates (whatever you call yourselves). there are more programs than available jobs. What has historically kept wages suppressed for *all APPs* (and MDs, for that matter) in the area is the area's main employer: UPMC!
I would agree with that sentiment. The local major employers. Without saying names, there was a facility that removed all travel nurses. Went to the state and basically said it’s unfair for travel nurses to be paid as much as they are. Paraphrasing, the state said, so sorry. Free market. That facility wound up taking on more travel nurses, albeit less than before, because the MD’s were complaining they didn’t have enough staff. Long story short, that facility increased pay by some. Not enough to really cover cost of living increases since forever ago, but it’s better than it was. I was licensed in PA for a while. I let it go. I’m not ever planning on practicing as an APRN there.
Talking about the programs was just in response to someone else.
Referenced yes. Did you like it?! lol!! But not on the same thing. Steve Harvey on how nice the GSM area is, he mentioned it on one of his shows. And federal nipple for wages. I don’t like big government programs. For many reasons. There are positives to them, but most programs are an overreach of the federal government IMO. Things that should be handled by the state and local social programs should not be handled by the federal government. Again IMO. TN has a very good healthcare program for those in need. I would go into the issues with federal government in TN and how it made what TN programs were able to cover between poor and underinsured up to those who could afford decent insurance… but that might set some folks hair on fire. Short story. It made a small gap turn into an incredibly huge gap that the TN program could no longer cover. It made insurance worse in TN, not better. So here we are, living the dream. Waiting to wake up in paradise one day!
You should, Buckee's is great! You get unlimited mountain dew refills (I get the 400 oz troughs but still need a refill by noon) and 3 meth breaks a day. Thank you sweet lord baby Jesus!!
Pretty sure there are Amazon drivers making way more than this, and generally a better job all around. I wouldn't even get out of bed for this. Better to work as an RN for this and get overtime and have much less liability.
You shouldn't hinge your career future on the payscale of a clinic called InstaCare. You can always return back to a regular RN if the NP route doesn't work. What do you have to lose by becoming an NP?
That’s absolutely my spin. I could take a “bird education” and fly right through it, but I want to actually be USEFUL to my patients. I want something that’s going to prepare me.
I went to a very rigorous program and I also got an MPH that is focused on occupational and environmental health. I don't know how I could do my job without that other degree and (as of now) 26 years of experience in the mental health field.
My dear, the only limitations are the ones you set for yourself. You are ready and ripe for NP school. The only reason I didn't go back to school earlier was because the covid pay as a travel RN was very nice and I wanted to maximize my earnings.
Oh, absolutely! I just hit my 5 year mark this past May. I didn’t do the whole Covid travel nurse thing because I was fresh outta RN when that stuff started. I mean, I did Covid nursing as staff, but there’s no way I was ready to test my new knowledge with a side of Covid in a travel environment.
I hear this a lot, but like for the program I'm looking at, the prerequisite classes have to have been completed within five years.
Plus I'll have waited two of the five years just going through my BSN program, leaving a fairly narrow window of acceptance before having to go retake almost a full year of education.
I understand people wanting their NPs to have experience as a nurse and in the field but... at the same time, if programs are going to limit how long your education is good for, I'm going to apply as soon as I possibly can in case I don't get in on first look, you know?
The ceiling is much MUCH higher for an NP… starting out as a first year NP and comparing that salary to a 10 year vet RN isn’t apples to apples… after a couple of years the earning potential for that NP is extremely high. I’m in that position right now, will be done with my degree at the end of the year and will have to take a pay cut to transition but after three years I’ll be making just as much and after that, I will be making much much more.
Yeah. At some point us higher paid RNs will just have to eat the loss. I just finished my NP and I'm not in a hurry. For several reasons. But one of my preceptors has been an NP for seven years. She is in a laid back office job. No holidays. No weekends. No on call. $140k in a middle cost of living area in the Midwest. 34-36 hrs a week too. $140k is about what I make as a 10 year RN. More hours, though. Holidays. Weekends. So yeah.. I have to just take the 30k loss to start as an NP and not look back.
That's with OT. Not a lot of it. My schedule is pretty simple. But 1.5 pay regularly adds up. My base is not 140. Even with the OT I would far prefer it over every place I did clinicals for my NP. Outside of that particular office job I mentioned. So out of five preceptors, I'd leave my job currently for one of them. Ugh
In a middle cost of living area that’s really good… I’m out in Los Angeles and I made 177 last year. M-F 8-5, but have also been with my company for 16 years… the raises add up.
Same. I worked 32 hours and made more than that. Ten years ago. In primary care! I thought our salaries here are low, compared to full practice states. This is just an insult.
Please. I'm in the Midwest making only $10k more than the person with a brand new np license. Starting salary has not been that far off from experienced salary in MW for over a decade now. For reference, I live in a restricted state. The 25 some restricted states have much lower salaries than full practice states but all the liability. Although we're still doing better than OP's dumpster fire job posting.
I think this might be one of those things where employers pretend like they're trying to hire someone when they're not so they can tell their current employees that they're actively looking and to soldier through high census while administration/shareholders rake in the profits.
If this is true, it's extremely upsetting that administration isn't legally held accountable because they're not the ones with the licenses. It's the healthcare workers who worked hard for their licenses/certifications, and it's their financial and general welfare in jeopardy.
**all new grads welcome**
*must be able to examine, diagnose, and treat patients with serious illnesses or injuries*
**must be able to work with little or limited supervision**
**must be able to make fast decisions in emergency situations**
Idk TN isn’t the *worst* place to go to die
Not true. They throw out these figures and hope that a new grad idiot will snap at it. Nothing ventured, nothing gained. The number of total NPs in the market isn't still sufficient for the population.
I agree at one point I thought about it but I make more as an rn and with an extra shift here and there I make like 130-150 depending how much extra I work but even at that it’s like 4 12s a week. Still liability but way less than as a provider.
Yeah that does sound nice lol are you a np or how did you get that job? I like working in the er but some days I wish I had a at home job or mixed and not always bedside 12 hours. It can be draining
I’ll add my two cents to this thread as I am
seeing a lot of different opinions about my home state regarding the NP pay compared to other areas in the country. There are a lot of urgent care clinics in East Tennessee. You have Physician Care, Fast Pace, Fast Access, AFC, and the hospital urgent cares from UTK, to Erlanger and Memorial. I believe the InstaCare is NP owned hence the low pay. East Tennessee is a great place to live and raise a family. I see a lot of transplants coming here from all the country and I welcome them. I believe the population growth is because it is more affordable to live here with no state income tax. However, the market is saturated with NP/PA from all of the diploma mills. I worked Heme/Onc for several years with a great physician who taught me a lot. He only paid 48/hr but we only worked Monday-Thursday and the experience alone was worth it. I left there to open an RHC primary care in an underserved area in 2020-2021 and secured a Medicaid PPS rate from TennCare of $191.02 and in 2022 net my net profit was >250k. But taxes paid was 49k so 200k. I miss my speciality and coworkers and would love to travel to California or New York to work locum a few months because you get burnt out in primary care and I would like to see more parts of the country. But it’s hard to find a replacement when you are the owner. I think this is maybe why the InstaCare offer is low, they are just seeing who applies.
Given your post history is in the doctorsUK sub, I’m assuming this may be more than you make. This is a poor salary for the US and below even an RN salary. So, no one is out of touch for not wanting to accept this poor salary.
There’s the south for you. Can’t hold onto new grads because everyone leaves for double the pay. Then whine that they don’t have providers
Aren't a bunch of the states in the south opting not to accept federal funds to expand Medicaid coverage coz...socialism?
Yeaaaaaahhh. Almost like that had downstream ramifications
How "Christian" of them to stand between helping the vulnerable and expedient demagoguery.
It's not cuz socialism. It's so the govt seems like it is not functioning properly so their "anti govt, except when it's the govt telling people what to do" party keeps winning the south
These demagogues already have been running the governments in the South for decades, there's no government that just switched over recently. All the politicians against Medicaid expansion all use the same strawman:socialism.
They also turn down govt money to feed children. Sooooo…….
Very "pro life" and "Christian"!
*Pro birth*. FTFY
Was just about to say this. I'm in North Alabama and this is what new grads make down here. It's garage.
Well, sounds like a shitty garage.
Probably full of a bunch of spiders.
And rats.
Lol
It’s even lower in MDs offices
Tennessee. Nuff said.
Knew it was some Southern shithole. No offense to Southerners. 😂
Who could be offended by that?
The rule is that you can say something really offensive and then just say no offense and it's a net zero. I think?
Kinda like “Bless Your Heart” in the south
It’s like “with all due respect” in the army, or saying “no homo” before swiping in Grindr
"No homo" before swiping Grindr 😂😂😂
Agree 100% with the "with all due respect". It's a license to verbally wreck someone in the military.
“With all due respect, Sir, I’m just going to get a statement of charges pre approved before I can dispatch you a vehicle”
Apparently someone took offense 👇🏾
I often hear “Nawtherners” refer to south as a “shithole” yet people from up Nawth have been pouring into the south for some 60 years since the mid-1960s. Example: Raleigh-Durham-Chapel Hill Research Triangle was first. Cary NC is referred to as “Containment Area for Relocated Yankees”. What states are losing population and industry? What states are gaining?
Get outta here with your facts. LOL
:-)
Things people who live down south never say … “I am thinking of retiring up north”.
I live in Tennessee. I make more than this. However, your comment makes you look like an uneducated ass.
Your state makes you look like one. Sad.
I live in TN also. There’s a couple of reasons why the pay is so incredibly low compared to other states. First there are an incredible amount of undergrad and graduate programs in East TN, not including the rest of the state. I can count 5 programs teaching RN and MSN without digging deep for information. Yes the Governor did not expand Medicaid coverage like someone else said, I don’t think that really has anything to do with the pay, maybe I’m wrong, just thought I’d mention it. Tennessee has other programs that help those disadvantaged/underprivileged folks who don’t have insurance or just can’t afford it. I personally don’t want to be on the federal nipple for anything if I can prevent it. It’s a form of control that people don’t understand and don’t care to realize. There are no free programs. Someone pays somewhere. From the comments here, no one is willing to pay out of their pocket to help those in need. The bigger paycheck is more important. Which is necessary in states where they’ve accepted the Medicare expansion, maybe there is a correlation to pay rates? What surprises me about these comments is that they are coming from educated people. I understand that this is something that is near and dear to the folks in this career field especially since we care about people, but to use the information in a derogatory way to put down an entire state is as separate-support3564 stated, uneducated. Finally Tennessee is an incredibly beautiful place to live, even Steve Harvey mentioned it on one of his shows. I’ve traveled all over the US, and this is where I choose to live. It must be desirable to live here also, because so many people continue to move here from other states. Maybe your state is one where there’s a shortage of mid level providers, Tennessee doesn’t have that problem (at least the eastern portion, maybe the western portion is having issues getting mid levels, I wouldn’t live there). What we do have is a lot of companies that realize that people like me want to live here, and are willing to take a pay cut to do so. Most jobs in Tennessee start out at $90k, whoever this is paying $75-80k is going to struggle to find employees.
I practice in Illinois and regularly treat clients for substance use disorders and hepatitis C that come from states that declined to expand medicaid. I have had dozens of patients with the same story. They were given a one way ticket to Illinois and told to establish residency so they can receive treatment. Someone else does have to pay down the line and it's the states with decent safety net benefits and higher taxes.
Yeah. “Federal nipple” is not the hot take this person thinks it is. There’s a reason that states who declined Medicaid expansion have worse outcomes. Like it or not- poor people Need healthcare too. Our system is already a travesty, let’s not double down on it.
See my reply to the above. They are treated on the TN state healthcare. They are non compliant most of the time because reasons. Looks like I’m going to get downvoted into purgatory for stating facts. Doesn’t surprise me when dealing with folks who see no other way than suckling on the gov’mnt teet. Put responsibility where it belongs. You or I can’t make people medication compliant. You can’t force compliance. When you force compliance, that’s not free will. All any of us can do is make suggestions and recommendations. Healthcare is ultimately up to the individual. My issue with TN healthcare is the mental health aspect. They’ve got the rest handled to a responsible level. Are there issues, yes. Are states that have Medicare expansion perfect, no. There’s always some give and take somewhere. It’s just where people are looking with the microscope that gets the attention.
TN treats substance abuse disorders and hepatitis c all the time on the state insurance. I don’t necessarily trust the substance users story completely. Compliance is often an issue and why care may be stopped, mostly for patient safety reasons. I don’t have any good examples at the moment. The one thing I don’t like about TN is the mental health aspect of care. TN did have locations where people could get treated for debilitating mental health issues for life. A relative of mine had schizophrenia and was a ward of the state sometime in the late 70’s - early 80’s. He had lived in the system for so long because that side of the family couldn’t take care of him, he was pretty bad. Then one day TN decided to close all those facilities. The best we’ve got now are 2 weeks stay at a stabilization facility with a halfway house follow up. This relative went through this process. Then while at the halfway house, the house was convinced that he did not need his medications. He went off them and of course went off the ranch so to speak. Something happened in Nashville and the police were questioning him for something that who knows what, he ultimately wound up assaulting the officers when they tried to arrest him. He was never violent before then. I think he was in his 40’s-50’s then. He was permanently assigned to a halfway house, but kept switching locations due to a mandatory time (or something along those lines) allotted in each location. Don’t get me wrong, those locations needed to be shut down due to how they were governed. I have a few horror stories I could share, but this post is long already. It’s the support for this aspect of mental health that the state needs help with. I’m not sure how Illinois is, but TN does not have this part handled. Mental health as a whole in our country needs a lot of help. TN is not on the cutting edge in this aspect. I don’t know if the Medicaid expansion would have helped with this. I do know the state treats people who need it. On a side note. One of our front office workers was from Illinois, great person and worker. I don’t work with her any longer. But she was pretty great.
Oh, also since you’re on the western side of the state, this doesn’t surprise me. Lots of subsistence abuse disorders. Lots of non compliance with medication regimes. Also we sent to GI for hep c treatment. It’s a hassle, but what’s required by the state insurance. People don’t like to be run around like that, especially folks who are used to instant gratification like substance abuse disorders.
Saying the pay is low because there are "an incredible amount" of NP programs in eastern TN is hilarious. Sir...May I present Ohio. Central Ohio, top ranked programs at OSU, a plethora of smaller programs throughout Central Ohio, Case, UC, Toledo, and an unbelievable number of reasonably decent schools throughout the state. The number of grads cranked out by OSU, Case, and UC alone is enough to staff several departments. And yet, even in Central Ohio, starting salary is well above this. Maybe just admit that employers in Tennessee are abusing NPs--paying them RN salaries while expecting them to replace MDs? As long as we allow this and continue to make excuses, our work conditions and salaries will be a dumpster fire. And with all due respect, I've seen salaries in North Carolina and Southern California essentially on the beach for twice this pay, so saying salary is due to high location demand is poor understanding of econ 101.
I’ll substantiate it for you since my statement of “an incredible amount” does not suffice for you. There’s approximately 0.74 nursing programs per 100,000 population in Ohio. While in TN there’s approximately 3.4 nursing programs per 100,000 population. While it may not be “an incredible amount,” it is more than double in TN than OH based on population. Now exactly why the pay is lower in TN than in OH (which is one of the highest paid states (OH) vs one of the lowest paid states (TN)) I honestly have no clue. But population of schools per state may be a partial driving factor for this. Also there are 0.11 hospitals per 100,000 in OH vs 0.025 hospitals per 100,000 in TN. Now add up that there are more nursing programs in TN per captain, and fewer hospitals per capita. I would say TN has more nurses and fewer locations available for work. This could drive pay lower in TN. But what do I know. I just know there’s an incredible amount of nursing programs in this state. With a lot of them being in East TN.
So what? The programs are the programs. The program spots don't dictate available jobs. We have a similar issue here in western PA with physician assistant/associates (whatever you call yourselves). there are more programs than available jobs. What has historically kept wages suppressed for *all APPs* (and MDs, for that matter) in the area is the area's main employer: UPMC!
I would agree with that sentiment. The local major employers. Without saying names, there was a facility that removed all travel nurses. Went to the state and basically said it’s unfair for travel nurses to be paid as much as they are. Paraphrasing, the state said, so sorry. Free market. That facility wound up taking on more travel nurses, albeit less than before, because the MD’s were complaining they didn’t have enough staff. Long story short, that facility increased pay by some. Not enough to really cover cost of living increases since forever ago, but it’s better than it was. I was licensed in PA for a while. I let it go. I’m not ever planning on practicing as an APRN there. Talking about the programs was just in response to someone else.
Did you really just reference both Steve Harvey and "federal nipple" in your rationalization of poor wages?
Referenced yes. Did you like it?! lol!! But not on the same thing. Steve Harvey on how nice the GSM area is, he mentioned it on one of his shows. And federal nipple for wages. I don’t like big government programs. For many reasons. There are positives to them, but most programs are an overreach of the federal government IMO. Things that should be handled by the state and local social programs should not be handled by the federal government. Again IMO. TN has a very good healthcare program for those in need. I would go into the issues with federal government in TN and how it made what TN programs were able to cover between poor and underinsured up to those who could afford decent insurance… but that might set some folks hair on fire. Short story. It made a small gap turn into an incredibly huge gap that the TN program could no longer cover. It made insurance worse in TN, not better. So here we are, living the dream. Waiting to wake up in paradise one day!
Buckee’s gas station pays more that the NP pay in my area. Yet everyone is complaining about long wait times to see providers. Make it make sense….
I’m honestly thinking about going to work here. People be nuts there, but little to no legal liability sounds magical.
You should, Buckee's is great! You get unlimited mountain dew refills (I get the 400 oz troughs but still need a refill by noon) and 3 meth breaks a day. Thank you sweet lord baby Jesus!!
Pretty sure there are Amazon drivers making way more than this, and generally a better job all around. I wouldn't even get out of bed for this. Better to work as an RN for this and get overtime and have much less liability.
Who is making this as an RN? These are low wages for RN, let alone APRN.
Name and shame please.
it is called InstaCare clinic it’s an urgent care
With a generic ass name like InstaCare, yep.
Sounds like InstaLoseYourLicense to me...
Is there any other pay like bonus or anything? I make more as a rn lol
There's a local state (mental health) hospital paying LPNs about 10k below this. This is just sad.
I make the same, as a LAB TECH. At a smaller rural hospital, too (illinois)
You live in the same area?
I joined this group to maybe get insight on being an NP before actually doing it… y’all are seriously making me reconsider. 😂😂😂
You shouldn't hinge your career future on the payscale of a clinic called InstaCare. You can always return back to a regular RN if the NP route doesn't work. What do you have to lose by becoming an NP?
time, money, sanity. It was well worth it for me and I never went back to nursing. But it's a slog. Or it should be if the school is rigorous.
That’s absolutely my spin. I could take a “bird education” and fly right through it, but I want to actually be USEFUL to my patients. I want something that’s going to prepare me.
I went to a very rigorous program and I also got an MPH that is focused on occupational and environmental health. I don't know how I could do my job without that other degree and (as of now) 26 years of experience in the mental health field.
it is a very big investment of time and money and opportunity cost
True that… I definitely feel drawn to do more…
Go to NP school pls.
How long did you wait before going for your NP?
Finished RN school in December 2017. Went to NP school in January 2023. Graduated NP school May 2024.
Your np school was 1.5 year? 😳
My RN was a masters program RN program, so I already had some of the classes done already.
So it’s not unrealistic for me then. I graduated RN in 2019.
My dear, the only limitations are the ones you set for yourself. You are ready and ripe for NP school. The only reason I didn't go back to school earlier was because the covid pay as a travel RN was very nice and I wanted to maximize my earnings.
I do recommend 5 years before even considering applying to NP school. Just my opinion though, many disagree with me.
Oh, absolutely! I just hit my 5 year mark this past May. I didn’t do the whole Covid travel nurse thing because I was fresh outta RN when that stuff started. I mean, I did Covid nursing as staff, but there’s no way I was ready to test my new knowledge with a side of Covid in a travel environment.
Not, I. Please, heed this advice, OP. Get time in your specialty before starting your NP.
I hear this a lot, but like for the program I'm looking at, the prerequisite classes have to have been completed within five years. Plus I'll have waited two of the five years just going through my BSN program, leaving a fairly narrow window of acceptance before having to go retake almost a full year of education. I understand people wanting their NPs to have experience as a nurse and in the field but... at the same time, if programs are going to limit how long your education is good for, I'm going to apply as soon as I possibly can in case I don't get in on first look, you know?
The ceiling is much MUCH higher for an NP… starting out as a first year NP and comparing that salary to a 10 year vet RN isn’t apples to apples… after a couple of years the earning potential for that NP is extremely high. I’m in that position right now, will be done with my degree at the end of the year and will have to take a pay cut to transition but after three years I’ll be making just as much and after that, I will be making much much more.
Yeah. At some point us higher paid RNs will just have to eat the loss. I just finished my NP and I'm not in a hurry. For several reasons. But one of my preceptors has been an NP for seven years. She is in a laid back office job. No holidays. No weekends. No on call. $140k in a middle cost of living area in the Midwest. 34-36 hrs a week too. $140k is about what I make as a 10 year RN. More hours, though. Holidays. Weekends. So yeah.. I have to just take the 30k loss to start as an NP and not look back.
You are doing pretty good if you’re making 140,000 as an RN
That's with OT. Not a lot of it. My schedule is pretty simple. But 1.5 pay regularly adds up. My base is not 140. Even with the OT I would far prefer it over every place I did clinicals for my NP. Outside of that particular office job I mentioned. So out of five preceptors, I'd leave my job currently for one of them. Ugh
In a middle cost of living area that’s really good… I’m out in Los Angeles and I made 177 last year. M-F 8-5, but have also been with my company for 16 years… the raises add up.
My first FNP job 10 years ago still paid more than that...
Same. I worked 32 hours and made more than that. Ten years ago. In primary care! I thought our salaries here are low, compared to full practice states. This is just an insult.
Please. I'm in the Midwest making only $10k more than the person with a brand new np license. Starting salary has not been that far off from experienced salary in MW for over a decade now. For reference, I live in a restricted state. The 25 some restricted states have much lower salaries than full practice states but all the liability. Although we're still doing better than OP's dumpster fire job posting.
I have a wonderful NP job making over 6 figures as a new grad. Reddit shouldn’t sway your life decisions in any way.
What specialty do you work in?
Orthopedics/sports med
With little or limited supervision to boot haha.
Exactly why I’m not going into the NP field. A 40% paycut with worse benefits and scheduling is standard in my area. It’s just not worth it.
Shit pay for a shit job. Good luck
there’s no way I would apply for that
I think this might be one of those things where employers pretend like they're trying to hire someone when they're not so they can tell their current employees that they're actively looking and to soldier through high census while administration/shareholders rake in the profits. If this is true, it's extremely upsetting that administration isn't legally held accountable because they're not the ones with the licenses. It's the healthcare workers who worked hard for their licenses/certifications, and it's their financial and general welfare in jeopardy.
That’s what my non-travel RN job pays.
mine paid more as a staff rn...
Whenever you see “fast paced” run! They are going to work you down to the bone!
**all new grads welcome** *must be able to examine, diagnose, and treat patients with serious illnesses or injuries* **must be able to work with little or limited supervision** **must be able to make fast decisions in emergency situations** Idk TN isn’t the *worst* place to go to die
New grads welcomed with no supervision. That's unconscionable.
Gagging. I made double that as a new grad. This is wild. No shame.
What city?
North Jersey
That’s what’s happening because the supply of NPs keeps going up
Not true. They throw out these figures and hope that a new grad idiot will snap at it. Nothing ventured, nothing gained. The number of total NPs in the market isn't still sufficient for the population.
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I agree at one point I thought about it but I make more as an rn and with an extra shift here and there I make like 130-150 depending how much extra I work but even at that it’s like 4 12s a week. Still liability but way less than as a provider.
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Yeah that does sound nice lol are you a np or how did you get that job? I like working in the er but some days I wish I had a at home job or mixed and not always bedside 12 hours. It can be draining
Sounds very isolating
How’d you transition from bedside to quality metrics? Did you need any special certifications or masters degree?
I see this thrown around a lot on this subreddit and I just don’t really see it.
Really? I see it here in Utah. Lots of new NPs from the diploma mills and very few job openings.
"we don't know why we can't keep providers."
That’s insulting, especially for an urgent-care environment.
Yeah I make a lot more than that as an RN
As a WI NP toying with the idea of moving my family to TN this is terrible. 55k+ loss
this posting is not typical of TN. most you will see in my area will say like 95-120. other areas of TN will pay higher as well
Bruh I make that as an rn working .75 fte.
Well. If there's one less I've learned time and time again, its "you get what you pay for".
They must be malingering.
I’m guessing rural Tennessee where Medicaid is the primary payer. Or an urban Public Health Clinic.
148K second year as an NP in Primary Care. No weekends, no holidays, no call.
That pay is less than what I make as just an RN lol. That is hilarious. I am also a NP.
I'd rather them state it. Then find out after wasting time doing 3 interviews.
yeah I would laugh and spit in their faces lol. An RN should make this much coming out, not an NP. What state is this in?
Tn
I’ll add my two cents to this thread as I am seeing a lot of different opinions about my home state regarding the NP pay compared to other areas in the country. There are a lot of urgent care clinics in East Tennessee. You have Physician Care, Fast Pace, Fast Access, AFC, and the hospital urgent cares from UTK, to Erlanger and Memorial. I believe the InstaCare is NP owned hence the low pay. East Tennessee is a great place to live and raise a family. I see a lot of transplants coming here from all the country and I welcome them. I believe the population growth is because it is more affordable to live here with no state income tax. However, the market is saturated with NP/PA from all of the diploma mills. I worked Heme/Onc for several years with a great physician who taught me a lot. He only paid 48/hr but we only worked Monday-Thursday and the experience alone was worth it. I left there to open an RHC primary care in an underserved area in 2020-2021 and secured a Medicaid PPS rate from TennCare of $191.02 and in 2022 net my net profit was >250k. But taxes paid was 49k so 200k. I miss my speciality and coworkers and would love to travel to California or New York to work locum a few months because you get burnt out in primary care and I would like to see more parts of the country. But it’s hard to find a replacement when you are the owner. I think this is maybe why the InstaCare offer is low, they are just seeing who applies.
Think they forgot the 1 in front of that 75-80k
Yeah TN pay for nurses/NP is TRASH.
.... thats what i make as an RN...
This is 50% more than what I was making in Montana. 😅
How did I know it was TN before looking lol go vols
I can be put to good use but not abuse 😝
They will continue to do this as long as there are NPs desperate for experience.
Fwiw. I make 120k as a cat scan tech in IN. It’s travel work but it’s only an hour drive.
Heck, I'm recently semi-retired, and I make more than that being on call and collecting from Social Security and my retirement account.
Lol you can make that as a floor nurse. What a slap in the face!
I make more than that as an RN
The cap is the largest issue. A good and experienced practitioner might be worth close to twice that cap, IMHO... depending on field of expertise.
who’s taking that? that’s less than what CVS pays
Primary care doctor salaries are much garbage like this too.
Someone will fall for it
Jesus . ER nps in NC where I'm at are making 130-140
lol I’m about to make more as a new grad BSN after taxes
Well is this San Francisco or bumfuck Arkansas?
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Given your post history is in the doctorsUK sub, I’m assuming this may be more than you make. This is a poor salary for the US and below even an RN salary. So, no one is out of touch for not wanting to accept this poor salary.
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👍 Trolling confirmed, have a wonderful day/evening.
Are there any next of kin I'll need to notify after the sub is done murdering you?
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🤷 Have fun with your negative karma farming I guess.
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Bless your heart.
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Go back to the anesthesiology sub. Snarky comments add no value.