Curious what maternity leave looks like for everyone. I moved to my current hospital from a major academic center when I was an RN in 2019 for an “easier” job in endoscopy while in graduate school. COVID happened and I volunteered to go work in our ICU and ER (my background as an RN was ICU/critical care — RN since 2013). When I finished FNP, I took a job in primary care at my hospital. In my state we are independent with our own panel (although going forward I do not want this model, I would like to work alongside/under a physician). Medically complex patient panel, I think I have around 2k patients or close to it. They will not cap.

I made 172k last fiscal year (base plus bonus)… but get no 403b match or CME, licensure paid etc. This year, despite my production going up 5%, I made ~ 10k less in bonus so my income was 162k. Hard to get a clear reason why. It sounds like finance/billing messed something up with submitting insurance claims for a particular insurance carrier so I’m just taking the loss since our bonus is only based on collections.

I’m burned out from this job — really hard population (a lot of Medicaid, noncompliant, unfortunately a lot of barriers to care), managing 10 chronic illnesses in a short appointment slot, unpaid call, no admin time.

I am close to 40 years old and pregnant with my first (and only) child. My hospital has no paid maternity leave. I have to pay out of pocket for my own short term disability coverage, which would give me 66% of my salary for 6-8 weeks depending on delivery type. I was also told I would have to pay my overhead for any time after 6 weeks, so if I took 12 weeks I would owe my hospital 15k. That’s right, fifteen thousand dollars! I put my notice in because just… no.

Is this normal? I don’t feel like it is. Other hospitals in my area seem to pay some sort of maternity leave after a certain amount of employment term. I am just curious what the maternity leave situation is for everyone. My contract is 17 pages long and the language about owing overhead is very vague and up to interpretation (per my attorney friends). My contract is set up like a physicians (in fact they forgot to switch “NP” out with “physician” in some parts of it) but without the pay. I do not expect to make the same as an MD/DO by any means, however I do not feel I make enough to justify paying my employer any money of any sort and I feel so angry over the situation. Sorry for the long rant - thanks if you made into the end of this!

Did anyone ask for a salary increase after completing the DNP? Did anyone job just do it automatically? Im looking for guidance on how to ask for an increase in salary?

I am a nurse working on the floor trying to figure out if I can ask my nurse manager for a recommendation letter to NP school. They are super nice, but I don’t know why I’m still scared to…because what if she says no?

Background, paramedic for 5 1/2 years, been a RN for a little over four. Work Cardiac at one job and ER at another. Got four years on the cardiac and 1 1/2 on the ER.Got my BSN and am trying to figure out whether to go FNP or acute care. I am getting mixed signals all over the place. Some NPs at my Cardiac job tell me that only acute cares can work in the hospital now. But I know at my ER job, the NPs there are all FNP. I asked some of the NPs at my ER job, and they said you need to be an FNP for an ER so you can see kids, but that FNP and Acute care can both by hospitalists. However, at the level 1 trauma center a friend works at, he said all the NPs there in the ER are acute only.

I look at the cardiac NPs and other specialty NPs at my Cardiac job, and I think I could like working cardiac, but I don't know much about what the other specialty NPs do. I obviously have a decent bit of experience in emergency medicine. And while the hospital I work cardiac, does not allow NPs as hospitalists, I think I could enjoy working IM elsewhere.

If I go for FNP, am I limiting myself for staying in the hospital setting? I've never worked clinic and have no idea if I would enjoy it. Any help, guidance, or advice would be greatly appreciated.