l**p
发帖数: 1 | 1 这个护士版风气这么差
几个不知所谓的无聊的人天天吹嘘什么麻醉护士。
麻醉护士不需要医生SUPERVISE的州，加州就算一个。工作中碰到的CRNA，中国人也是
说还是医生赚得更多，如果遇到复杂的病人需要医生帮忙善后。人家可是干了二十多年
的老CRNA了。结果几个才工作几年的CRNA就一副我二十万美金一年，牛的不要不要了的
样子，井底之蛙。
工作中碰到的PA，老PA，人家自己开诊所，年入上百万美金。
NP也可以年入五十万美金，做一个CRNA真的没有啥好吹嘘的，尤其是ultrasound
guided peripherial IV insertion，根本就不算什么新鲜事，也就是几个千老不懂，
外行在哪儿一惊一乍的，以为多了不起，很多年前在interventional radiology上班，
早就会了，并不是什么难事，二十分钟就会了，很多RN都会，这个东西真心不是什么高
难度动作。如果上个CRNA学校就学这么一点东西，真心就学费白交了，当然要是做a-
line，大静脉的central line那个因为执照的限制，只有advanced 执照的人才能做，
并不是说多难。但是RN可以做PICC LINE，我同事做RN的时候就自己开了一个PICC LINE
公司，400美金做一个PICC LINE，很赚钱，人家说给儿子买车是直接兰博基尼现金一次
性付清。
有人做了很多年的CRNA，有自己的CRNA GROUP，不一样要去读NP，CRNA就算在NP面前也
没有啥好牛逼的。
你们几个CRNA少天天目中无人，一副自己牛逼的不行的样子，欠着二十万的学费贷款，
还有读书那几年不工作几十万美金的收入损失，才毕业就起码至少亏了五十万美金，自
己算一算要多少年才能收回成本。
吹嘘啥啊，吓唬谁尼。
很多时候CRNA的所谓二十万美金在NP眼里也就那么回事，NP才毕业就能二十万美金了。
200k 1099 equal to 114 k W2 with full benefits?
Got an offer for a medical group, they will either do it 1099, they will pay
$41 per patient with avg being 24-36 patients, Most of their NPs make over
$200,000 a year 1099.
They can also do $114,000 a year with full benefits.
Of course for 1099, you don't get health insurance/ 401K/CME/PTO/Sick pay/
7day national holiday pay etc, no license fees or DEA reimbursement, no
malpractice insurance, no life insurance, no job protection, no guarantee of
work tomorrow, no workman's comp, no disability (short or long), NO
unemployment benefits etc should you need them. you get money, and that's it
. It's up to you to purchase any benefits you want.
1099 must pay all the regular taxes by yourself - federal, state income
taxes, social security, FICA, etc plus they have to pay self-employment tax
which is the employee's/employer's share of social security/FICA. Self-
employment tax is roughly 15%. My friend told me when he was paid by 1099s
in another field (not nursing), all of the taxes plus self-employment tax
reduced his earnings by roughly 50%. Self-employed people (1099) are
required to make estimated quarterly payments to the IRS.It was a pain and
way more expensive than most people estimated.
I will also have the expense of working with an accountant because I am
required to filed quarterly taxes, which I have to budget for myself, b/c
the employer won't do it. If I were out of work, I can't file for
unemployment...b/c that benefit goes out the door as well...I also don't
have any level of job protection unless the contract specifies for a period
of time.
Typically, ANY and ALL unreimbursed expenses incurred while producing income
are deductible for 1099 people. Uniforms, travel expenses and mileage,
parking, tolls, fares, meals, lodging, dues, agency fees, etc. are all
deductible against your income. There is a mileage limit (50 miles, I think)
from your residence before meals and lodging are deductible.
Just by being a 1099 you will have to cover your employers FICA contribution
. This year that would be an additional $8,636 on your tax pill in FICA. Add
to that vacation, education leave, medical insurance, dental insurance,
vision insurance, life insurance, disability insurance, CME money, etc. all
must be considered. Most 1099 jobs require about 25-50% additional to make
them better, although, they do open things up to a world of tax advantages.
Also, just because you significant other is providing the health insurance,
doesn't or shouldn't mean you should accept less for your services.nowadays
health insurance can be easily $25,000 a year. 1500 a year CME, dental maybe
$500 a year, $5000 401K, PTO and paid vacation easily $25,000, $500 for CPA
consultation, $1000 for malpractice, $731 for DEA, $500 for license fee,
etc.
I read somewhere where the major reason that employers use the 1099 is to
avoid unemployment payments and the hassle with the taxes by shifting all
these responsibilities to the worker.
A lot of employer likes to hire MD or other providers 1099, especially locum
agency. This made some MD or providers have a false high salary, some MD
get 50k a month as 1099, but when consider everything together, 50k a month
1099 is about the same as 25k a month as W2 employee with full benefits.
https://forums.studentdoctor.net/threads/locums.1198082/
https://forums.studentdoctor.net/threads/indenpedent-contractor-vs-employee-
status.1298107/
https://forums.studentdoctor.net/threads/anyone-with-travel-experience-with-
the-big-groups-locums.1286087/
https://forums.studentdoctor.net/threads/locums-or-no.1257693/
https://forums.studentdoctor.net/threads/where-are-the-high-paying-locums.
1236848/
Melissa Loar Hindle
There’s some factual info presented here and some erroneous about a day in
the life of a CRNA. I’m a CRNA getting a post-masters FNP because I have no
prescriptive rights in my state and am opening a few businesses that
require prescriptive authority. CRNA school was 3yrs of not working, barely
sleeping, living like a pauper, highly stressful and the most difficult task
I’ve ever completed to date. At times, 90% of our class wanted to quit,
lol, but were already too far in debt to pay it back on an RN salary. I
graduated with $200k debt. There are cheaper programs, but I was not able to
attend out of state or move to take advantage of such. As far as it being
boring, 100% wrong. Although “boring” is good in the CRNA business and if
I’m making it appear boring to everyone else, great! I’m doing something
right! What they don’t see is the constant level of stress that I’m
trained to absorb and manage every second I’m caring for a patient or
preparing to care for a patient. It’s not a profession in which you can
ever become complacent because it’s not a matter of if a life threatening
complication will occur, but when, and everyone in the OR is counting on
whomever is at the head of the bed to know what to do. I love the CRNA
profession and can’t imagine considering it if you don’t really, REALLY
want it. And your family as well, because everyone suffers while you’re in
CRNA school. It is all consuming. The money is what it is because our
education is ridiculously overpriced and the immense responsibility that
comes with the job. Our operating costs compared to other advanced practice
nursing professions are much higher. My liability alone is $5k annually. The
money is all relative. I implore you to not base your decision on money
alone. National average is $168-174k. Higher pay equates to longer hours,
call, covering multiple locations, more responsibility, etc. and is very
location dependent. CRNA oversaturation is also an issue in certain areas;
it’s not exclusive to NPs, unfortunately. If you think you’d be upset not
being able to find employment after NP graduation and loans, imagine
graduating as a CRNA and not be able to get a job with $150+ loans looming.
Thankfully, I didn’t suffer that fate, but know some who did. Devastating,
financially and otherwise. Don’t bite the CRNA apple unless you want it
with all of your being! People who tell you to go for it because of the
money have no idea what they are talking about. You won’t be happy and
sounds like you know it already. Do yourself a favor and do what will make
you happy!
Mike MacKinnon
I was a CRNA then became an FNP and just finished my DNP.
I added the FNP because i perform chronic pain management (fluoro guided
spinal injections) and wanted to also do a ketamine clinic a med spa and
medical management of my own pain patients. I cannot do that as a CRNA (tho
i can do the injections and the E&M office codes) as i cannot prescribe as a
CRNA in AZ. This opened up some doors for me which would have been hard to
open or impossible as a CRNA only.
To answer Kary Spagnola Fiore, I am one of 7 owners of a 18 CRNA only group
servicing 3 hospitals and 3 ASCs. We are fee for service Anesthesia
providers with no Physician Anesthesiologists for 3 hours. So on a daily
basis I am performing anesthesia and about a week a month working as an FNP
(without MDs) in some regard for those other things i mentioned.
Jason Kopec
And also, in my area as an NP your looking at around 100k or just under for
an average starting NP spot. So average that out to roughly $50 an hour. At
the hospital I'm at now they are paying CRNA's mid 80's per hour and locum
CRNA's over $100 an hour. If it's about money- go CRNA. If you don't want to
get out of patient care, stick with FNP.
Melissa Ferrell Paola Mwenentanda.
I went back & forth bc I love the OR & my peeps that are CRNAs love it. I
was tired of call, weekends, nights, etc as a RN, so I went with FNP.
Although my CRNA peeps love their jobs, they are frustrated with the
hospital bureaucracy & 4 of them are selling Rodan+Fields and cutting down
on their CRNA hours. Crazy!
I think there are pros & cons to both. All of my FNP friends easily got jobs
when they graduated & we all make way more than we did as RNs. After 2
years, the MD I was working for retired & I bought his practice. Arizona
seems to be good for CRNAs & FNPs. It doesn’t seem saturated here yet.
Also, doesn’t hurt that their starting pay in my city is $190k. My friend
who is a CRNA started at $236k (!!) first job out of school (because he
lives in a small town) |
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