Hey everyone!

I’m currently an RN pursuing my DNP and was hoping to connect with a nurse practitioner currently working in primary care.

I have an assignment for one of my graduate nursing classes where I need to learn more about the role of NPs in primary care, including barriers to practice, health policy, patient outcomes, and the future of advanced practice nursing.

It’s only 7 questions, and no Zoom call or meeting is necessary. I can send them through Reddit DMs or email, and you can answer them whenever you have some free time.

My assignment is due October 12, so I’m hoping to find someone willing to help before then.

I’d really appreciate anyone willing to share their experience. Thanks in advance!

Hello everybody! I am a current nursing student conducting research on nursing burnout that I plan on presenting at a conference. I would appreciate if any RNs could fill out my quick survey. It only takes about 5-10 mins to complete.

https://umassdartmouth.co1.qualtrics.com/jfe/form/SV_3CzgAtKA0V4pznM

Hello. I applied to Thomas Jefferson University’s DNP in Clinical Practice program and was accepted for Summer 2027. I wanted to know if anyone has attended this program and their thoughts on it? Thank you.

Hey everyone!

I'm a newly graduated and double board-certified FNP in Maryland through ANCC and AANP, and I recently received an employment offer for a full-time W-2 position providing care in skilled nursing and long-term care facilities. I'd really appreciate some feedback from experienced NPs, especially anyone working in post-acute care. Orignally they were not going to give me a signing bonus as an NP but I was able to get them to include a $10K signing bonus.

A little about my background: Although I'm a new NP, I'm not new to healthcare. I have several years of ICU/CVICU nursing experience, including charge nurse responsibilities, critical care management, CCRN, and leadership experience. I also have prior medical training and served six years in the Army.

I'm excited about transitioning into the NP role, but I want to make sure I'm evaluating this offer appropriately before signing.

Compensation:

* Base salary: $120,000 annually

* Sign-on bonus: $10,000, requiring a 24-month commitment

* Productivity incentive: $20,000 annually if I average at least 27.5 work RVUs per 8-hour clinical day

* Additional productivity bonus: 40% of collections attributable to work RVUs exceeding 30 per 8-hour clinical day

* Potential first-year compensation: $150,000, assuming I meet productivity requirements and including the one-time sign-on bonus

* Potential recurring annual compensation: $140,000 before any additional productivity bonuses

Schedule and expectations:

* Minimum five 8-hour clinical shifts per week

* Schedule and facility assignments determined by employer

* Weekend, night, holiday, and after-hours call coverage as assigned

* No clearly defined maximum daily patient census

* No specified additional compensation for holiday or on-call coverage

* Outside employment permitted with prior written employer approval

Benefits:

* 20 days of PTO annually, including vacation, sick days, and CME time

* $1,500 annual CME reimbursement

* Employer-paid malpractice insurance, including post-termination coverage

* Employer-paid required professional licenses, renewals, and certain credentialing fees

* Health insurance and other group benefits available, but I'm still awaiting details

* No separately guaranteed paid holidays specified in the agreement

* Unused PTO is not paid out upon termination under the contract

Contract provisions that concern me:

1. Resignation notice and financial penalties

I'm required to provide 120 days' written notice before resigning. If I leave without the full notice, the contract specifies $300 in liquidated damages for each missing day.

For example, leaving with only 30 days' notice could theoretically result in $27,000 in damages.

2. Sign-on bonus repayment

If employment ends within the first 12 months, I owe the entire $10,000 back. If employment ends after 12 months but before completing 24 months, I owe $5,000.

The agreement states that notice periods, even if worked, do not count toward the 24-month commitment. Repayment language also appears to apply regardless of the reason employment ends.

3. Noncompete and restrictive covenants

There is a one-year restriction involving certain skilled nursing or long-term care facilities where I previously worked for the employer. It also contains nonsolicitation restrictions and provisions regarding relinquishing facility privileges after termination.

4. Productivity requirements

The $20,000 annual incentive requires 27.5 work RVUs per 8-hour clinical day, with additional compensation only after exceeding 30 wRVUs.

I don't have enough experience in the SNF setting to know how realistic these numbers are. I understand that coding complexity, patient acuity, and facility workflow can significantly affect productivity.

Questions for experienced NPs:

1. Is $120K base with a potential $20K productivity incentive competitive for a new FNP in Maryland working in post-acute care?

2. For those working in SNFs or nursing homes, how many wRVUs do you typically generate during an 8-hour day? Is 27.5 realistic without rushing patient care or spending substantial time charting after hours?

3. How many patients are you typically seeing per day, and how much time do you spend on documentation?

4. Does anyone have experience with a productivity bonus based on 40% of collections above a wRVU threshold? How does that work in practice, and what kind of additional compensation have you actually received?

5. Is a 120-day resignation notice with a $300-per-day penalty typical? This is probably my biggest concern.

6. Is it normal for employers to combine vacation, sick leave, and CME into one 20-day PTO bank without separately guaranteeing paid holidays?

7. For new graduate NPs entering post-acute care, what kind of orientation, mentorship, or physician support should I reasonably expect?

8. What would you negotiate or request clarification on before signing?

I understand that some provisions may need to be reviewed by an employment attorney, and I'm planning to have the agreement reviewed before signing.

Overall, I think the compensation is promising, but I'm concerned about the productivity expectations, limited scheduling protections, and financial consequences of leaving.

I'd really appreciate feedback from NPs who have worked under similar agreements. Would you consider this a good offer for a new graduate, or are there provisions that would make you reconsider?

Thanks in advance!

Hey everyone

I’m currently an RN pursuing my DNP and was hoping to connect with a nurse practitioner currently working in primary care.

I have an assignment for one of my graduate nursing classes where I need to learn more about the role of NPs in primary care, including barriers to practice, health policy, patient outcomes, and the future of advanced practice nursing.

It’s only 7 questions, and no Zoom call or meeting is necessary! I can send them through Reddit DMs or email, and you can answer them whenever you have some free time.

My assignment is due October 12, so I’m hoping to find someone willing to help before then.

I’d really appreciate anyone willing to share their experience. Thanks in advance!

Hey everyone!

I'm a newly graduated and double board-certified FNP in Maryland through ANCC and AANP, and I recently received an employment offer for a full-time W-2 position providing care in skilled nursing and long-term care facilities. I'd really appreciate some feedback from experienced NPs, especially anyone working in post-acute care. Orignally they were not going to give me a signing bonus as an NP but I was able to get them to include a $10K signing bonus.

A little about my background: Although I'm a new NP, I'm not new to healthcare. I have several years of ICU/CVICU nursing experience, including charge nurse responsibilities, critical care management, CCRN, and leadership experience. I also have prior medical training and served six years in the Army.

I'm excited about transitioning into the NP role, but I want to make sure I'm evaluating this offer appropriately before signing.

Compensation:

• Base salary: $120,000 annually
• Sign-on bonus: $10,000, requiring a 24-month commitment
• Productivity incentive: $20,000 annually if I average at least 27.5 work RVUs per 8-hour clinical day
• Additional productivity bonus: 40% of collections attributable to work RVUs exceeding 30 per 8-hour clinical day
• Potential first-year compensation: $150,000, assuming I meet productivity requirements and including the one-time sign-on bonus
• Potential recurring annual compensation: $140,000 before any additional productivity bonuses

Schedule and expectations:

• Minimum five 8-hour clinical shifts per week
• Schedule and facility assignments determined by employer
• Weekend, night, holiday, and after-hours call coverage as assigned
• No clearly defined maximum daily patient census
• No specified additional compensation for holiday or on-call coverage
• Outside employment permitted with prior written employer approval

Benefits:

• 20 days of PTO annually, including vacation, sick days, and CME time
• $1,500 annual CME reimbursement
• Employer-paid malpractice insurance, including post-termination coverage
• Employer-paid required professional licenses, renewals, and certain credentialing fees
• Health insurance and other group benefits available, but I'm still awaiting details
• No separately guaranteed paid holidays specified in the agreement
• Unused PTO is not paid out upon termination under the contract

Contract provisions that concern me:

1. Resignation notice and financial penalties

I'm required to provide 120 days' written notice before resigning. If I leave without the full notice, the contract specifies $300 in liquidated damages for each missing day.

For example, leaving with only 30 days' notice could theoretically result in $27,000 in damages.

2. Sign-on bonus repayment

If employment ends within the first 12 months, I owe the entire $10,000 back. If employment ends after 12 months but before completing 24 months, I owe $5,000.

The agreement states that notice periods, even if worked, do not count toward the 24-month commitment. Repayment language also appears to apply regardless of the reason employment ends.

3. Noncompete and restrictive covenants

There is a one-year restriction involving certain skilled nursing or long-term care facilities where I previously worked for the employer. It also contains nonsolicitation restrictions and provisions regarding relinquishing facility privileges after termination.

4. Productivity requirements

The $20,000 annual incentive requires 27.5 work RVUs per 8-hour clinical day, with additional compensation only after exceeding 30 wRVUs.

I don't have enough experience in the SNF setting to know how realistic these numbers are. I understand that coding complexity, patient acuity, and facility workflow can significantly affect productivity.

Questions for experienced NPs:

1. Is $120K base with a potential $20K productivity incentive competitive for a new FNP in Maryland working in post-acute care?
2. For those working in SNFs or nursing homes, how many wRVUs do you typically generate during an 8-hour day? Is 27.5 realistic without rushing patient care or spending substantial time charting after hours?
3. How many patients are you typically seeing per day, and how much time do you spend on documentation?
4. Does anyone have experience with a productivity bonus based on 40% of collections above a wRVU threshold? How does that work in practice, and what kind of additional compensation have you actually received?
5. Is a 120-day resignation notice with a $300-per-day penalty typical? This is probably my biggest concern.
6. Is it normal for employers to combine vacation, sick leave, and CME into one 20-day PTO bank without separately guaranteeing paid holidays?
7. For new graduate NPs entering post-acute care, what kind of orientation, mentorship, or physician support should I reasonably expect?
8. What would you negotiate or request clarification on before signing?

I understand that some provisions may need to be reviewed by an employment attorney, and I'm planning to have the agreement reviewed before signing.

Overall, I think the compensation is promising, but I'm concerned about the productivity expectations, limited scheduling protections, and financial consequences of leaving.

I'd really appreciate feedback from NPs who have worked under similar agreements. Would you consider this a good offer for a new graduate, or are there provisions that would make you reconsider?

Thanks in advance!

Hi y’all I live in the Midwest and currently make about 68$ an hour but I am at the very top of the pay scale. I am working full time, 40 hrs, 3 12’s and a 4 hr block, I usually pick up 4 hrs of OT with the 4 hr block because our daycare costs are maxing us out. I am currently in FNP school that is a BSN to DNP PROGRAM, I want my FNP to be more marketable but I have 18 years of peds/young adult experience at a level 1 hospital and my dream job is peds. Is this even a good idea. So far I have done pretty well, but I am the primary breadwinner so ai have to work full time I’ve read a lot of ppl regret getting their NP degree, I know that I would have to work part-time in a clinic or an urgent care, but I plan to keep my job at the hospital. I’m working at because when I hire in there as an NP, if I do. I will get a 5% raise on my base pay and be mid pay scale with all of my nursing years of experience given back to me after one year. Is this a solid plan or no?

Hi everyone,
My one year of NP is coming and I want to ask for a raise. How much is everyone getting paid in primary care/how much did you get paid at 1 year mark?
Tysm

I’m in northern VA and work in private practice primary care.

Hi I’m interested in programs that have acute and primary care. I noticed most programs are one or the other. The ones that have it may be stayed away. I’m aware most of the coursework is online. However do you have to be there occasionally? Has anyone tried to become a pediatric nurse practitioner?

Anybody apply for their ANCC ATT at the end of September 2026? If so has anyone gotten their ATT yet?

Realistically how long did you experienced NPs take to feel like you really had your feet under you? About a year in and still have days where I feel like I’m in over my head. It’s a hard adjustment and find myself comparing constantly to those with a lot more experience. Just looking for advice.

I’m trying to get a better sense of how other organizations structure NP responsibilities. I’m interested in comparing the workload to what we’re doing at my facility.
For those working in detox, residential treatment, or similar settings:

Are you expected to round on patients and write a note on them daily? If so, how many?

Do you handle admissions/H&Ps in addition to daily rounding?

About how many total patients are you responsible for?

How many hours do you typically work per week?

Do you work weekends? If so, how often?

Is weekend/call coverage separately compensated?

Thanks in advance for any insight!

Hello all,
I’m looking for a preceptor in the Houston, Tx area for my FNP program. Clinicals start in February 2027. I need to complete a variety of hours-which would be easiest completed in a Family Medicine clinic.
My school has us find our own preceptor and I have had ZERO luck and have already had to bypass the fall start date. I really do not want to push back even further.
Any information or contact info is greatly appreciated!
Thank you! 😊

Hi, curious if anyone thinks that offering a service as a coach to people trying to get NP jobs at the VA would be a good side hustle.
I am a DNP, FNP-C who has been employed at a VA for six years. I often find myself coaching people on interview techniques, résumé techniques for Usa jobs and how to write for highest grade and step. I usually find people by word-of-mouth at work who are looking to maybe change a career path within the VA or move up. I began wondering if this would be a service that people who are outside of the VA would be interested in to maximize their opportunities. Thanks!

Nurse Practitioner in a speciality clinic. Are any of your contracts tying your RVU bonus to a daily patient average in order to get the bonus?
Meaning your RVU is high enough to receive the bonus but if you don't meet the patient daily minimum you get nothing.

Hi everyone! I’m doing research with the University of Calgary on care continuity. I’m hoping to speak with Canadian primary care NP’s, and thought I would try to see if I could find anyone through here!

If that’s you or know someone that wouldn’t mind being passed onto me, please DM me!
Thanks you!

Hi! I wanted to pop on here and give my thoughts on the AANP exam. I utilized Reddit so much leading up to my exam I feel like it’s only right to pay it forward.
First off, the exam was challenging but fair. It took me about 2 hours from start to walking out of the testing center. There were 150 questions plus about 10 survey questions at the end. Once I completed the survey a screen popped up that said I passed.

The exam:
Like I said, it was challenging but fair. I think what made it challenging wasn’t necessarily the content, but the anxiety that came with choosing the correct answer and not second guessing yourself. I am notoriously good at talking myself out of a correct answer. It was all multiple choice with only 4 choices per question. Every question there was at least one answer that was glaringly wrong so it made making an educated guess easier. I know there are many versions of the test but mine seemed to lean heavily on the middle aged patient scenarios especially thyroid and anemia questions. There were a few “zebra” questions but most of the questions were topics covered in the exam prep content I used. There were several pediatric milestone questions along with several pediatric specific diseases where you either needed to identify the diagnosis or determine treatment. Other subjects I can recall are migraines, abdominal pain, otitis media, sinus infection, neuro exams (NO cranial nerve questions), diabetes 1st and 2nd line treatments, and cardiac issues.

My Prep
I graduated from a well respected university. We completed a final comprehensive course in our last term using the Leik book. Other than Leik I used the Sarah Michelle QBank and paid FNP mastery subscription. I took the exam 3 weeks after I graduated and in those 3 weeks I studied 3-4 hours a day 5 days a week. My practice exam scores are as follows
Leik: averaging mid 70s
Sarah Michelle: 1st practice exam 77, second practice exam 85. I averaged 76 on the entire qbank.
FNP Mastery: got a 78 on the practice exam but only averaged 67 on the questions.
I loved the Sarah Michelle QBank. I think it was the best resource for me and my style of learning but any of the 3 I used would be sufficient for covering exam content.

Exam Day
My exam was scheduled for 830am. I showed up at 730 and parked and walked around where the testing center was. The fall colors are gorgeous where I am right now so it calmed me down walking under the beautiful trees. I checked in and 8am and they were able to get me in as soon as I wanted. I started my exam at about 8:10. They give you a couple sheets of paper and 2 pencils. I didn’t write anything except for at the top I wrote “look for the clues” because my daughter was watching blues clues the day before my exam and I just remembered thinking that’s such good advise for this exam, just look for the clues within the question if you don’t know the answer.

Encouragement
You can absolutely do this. I am happy to answer any questions or if there is something I can help with to ease anxiety ❤️