Friday, October 14, 2011

Pay Day

My wife and had a financial meeting this morning, as we often do on the morning after our paychecks get direct deposited into the checking account. Usually it's a quick assessment of what little we have to show for our hard work after the dust clears from the bills feeding frenzy.

Today was no different.

However, we did a quick check of our gross income to make sure that we were on track with our tithe amount for church. And that's when it hit me.

My gross pay for the year (with numerous extra shifts and overtime) was just over half of my wife's gross pay to date. Right at 55%. My wife doesn't often work extra shifts (although she has occasionally.)

Let me qualify this observation:

a.) She has been at her job for 9 years, I for less than 1 year.

b.) She works a contracted weekend plan that pays her an extra differential for working every weekend.

Ok, so she's had a significant head start, and she gets compensated for forking over our social life essentially.

But twice as much? Really??

She works for a nationally recognized non-profit children's hospital. It is a large hospital--over 300 beds, and expanding even as we speak. It is a designated trauma center. She works on a critical care unit at the highest level of care provided by the hospital to its patients.

I work for a nationally recognized non-profit hospital. It is a large hospital--over 1000 beds, and expanding even as we speak. We are designated a Level 1 trauma center. I work on a critical care unit at the highest level of care provided by the hospital to its patients.

New grad nurses at her hospital make on average at least $10,000 more per year than new grads at my hospital.

My wife gets paid extra for working in critical care. I get paid the same as any other nurse in the hospital--day surgery to med-surg to L&D. We all get paid the same.

I recently remember working a weekend (extra diff), night (extra diff), holiday (time & a half), overtime (time & a half) shift. After adding up all my diffs and overtime, my hourly pay was only slightly more than my wife's base pay.

I don't mind that my wife makes more than me, at least not consciously. In fact I'm quite thankful as her job is the only way we've survived financially through my job failures and extra degrees. But when I think about how hard I work and the razor edge I routinely walk with my patient's lives and my license, it is a little disheartening to see the disparity. I don't think my wife works any less hard than I do, but I don't think she works any harder either.

Because of my past degrees, I have a crippling amount of student loan debt. Two of my three loan payments were more than this 2 weeks paycheck, and the third loan payment will be another 1/3 of my next paycheck. Lucky for me, the end of those payments is in sight--only 29 1/2 years from now.

I guess like many, I'm lucky to have a spouse willing to lump her paychecks into the joint checking account to provide for her family.

So sweetie, "Thank you," for paying my car payment this month, and my insurance, groceries, and fuel. Oh and "Thanks" for providing me a place to live.

I'll do my best to repay you when I get my earning potential soul back from the student loan companies.

Either that or when my life insurance comes through.

7 comments:

  1. Just a quick observation...how about throwing everything you can at the student debt, even at the exclusion of tithing? There's not a biblical requirement to tithe or to tithe a certain percentage that I'm aware of. I can understand you're not in a wonderful place and want to get out from under debt as soon as possible. Best of luck!

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  2. Eh, peds always pays more. Plus, you'll be surprised how much your pay goes up after a couple of years. After they lost over half of the interns at the ER where I work, they've increased my base over 6.50 an hour over my starting pay in the last year or so because they realized the pay wasn't competitive. They pay baby nurses shit because they can. Once you've been a nurse long enough to leave them for another job, they'll start paying you accordingly.

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  3. If your current job is as described, you should leave it. CVVHD is a high risk treatment and should require a 1:1 staff ratio. If your patient is critically ill enough that you don't leave the room for 3 or 4 straight hours, then that patient's acuity needs to be increased and they should be placed 1:1 ratio. If your charge RN or manager disagrees with this, then you should leave. If you feel your license and pt's lives are consistently on the line, you should leave. Just because you work for Super Shiny Unicorns Bad Ass Trauma Center #1 with American Flag Pants* doesn't mean you should have this amount of stress.

    I work for Little Rinky Dink Suburban Community Medical Center, and we give great care to our patients. We staff appropriately and are well supported. We practice evidence-based care, and have the numbers to show for it. I'm proud to work there and wouldn't hesitate to be a patient there, or have my loved ones there. It's not exactly well-known and prestigious, but it's a great place.

    Does your wife's hospital have any openings?

    * a-la Rex Kwon Do

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  4. Holly: Thanks for the comment. We have considered that approach, but ultimately decided against it. I'm hoping that at some point I'll qualify for the public service loan forgiveness program... As far as tithing goes, my wife and I feel it's an integral part of being good stewards of our money. And it seems to work for us. Our church takes that money and uses it in very real and practical ways to help people here in our community.

    HN: Yeah, yeah, yeah, pediatrics, LOL! Hoping my pay goes up soon, because despite the huge name, my hospital is one of (if not *the*) lowest paying in the area. The market's got to level itself, right?

    Andrea: Thanks for the comment. What you write makes a great deal of sense. You have no idea the extent of the insanity. The only patients that are routinely 1:1 status on our unit are heart transplants, lung transplants, and LVAD's, but only during the first 12 hours post op. Then they are paired like everything else.

    I recently had a pair of patients: 2 less than 24 hour post op CABG's, 2 IABPs, 2 hourly insulin drips, and one was on CVVHD. At nearly any other hospital I've heard about, any one of those things (aside from the insulin drips) would qualify them as a 1:1 patient. The typical bread & butter day on my unit is 2 out, 2 in, meaning transfer out 2 surgery patients from the previous day in time to admit 2 fresh surgeries from that day.

    I am exploring other options of employment, but being where I am less than a year (I started in January) is proving to be a tough hurdle.

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  5. I don't have anything mind blowing to add except that I totally understand what this feels like. And I even chuckled when I thought of you *only* having 29 1/2 years left. HIGH FIVE!!!! I'd love to say it gets better.....but dude, I'm here as a friend through the crap and the good. This is the shits. It just plain old is. Ya, I said it. The shits.

    Did I make you smile?
    Thought so.

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  6. Dude:

    Find a place that makes you happy AND pays you more money to live on.

    When you do, run, don't walk.

    I did the same as a new nurse when I found out Saintarama paid squat to the new nurses and Madison gave all the BSNs at the Hotel way more money (I'm talking 25% to start) for that.

    It is a different mission, but still a noble one, and even better, I can feel good AND make more money. And while I don't tithe (I'm close, it was 7.5% of our earnings to our faith community and charities, most local) I still give.

    Time and talent are just as good as treasure to some folks and I'm happy to share.

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  7. I used to work at Johns Hopkins Hospital in the CSICU. Loved every minute of being there, worked with some amazing people, and pushed the limits everyday (patient safety always a priority). At the time I didn't think too much about the pay. I wasn't really there for the paycheck, but for the experience. Most of my colleagues however were there for the paycheck, and having re-assessed what we were actually doing each day, I saw how nurses can feel underpaid.

    I wasn't always a nurse, so I do have some frame of reference regarding what certain professions receive as far as compensation, and I can tell you I've been paid a lot more, and lives weren't at stake.

    The mentality of nursing as "shift work" needs to end. Now, I realize nurses at the bedside do work shifts, but we're not factory workers clocking in here (all do respect). These current salaries are certainly a reality in many settings, but it doesn't have to be. The healthcare system (hospitals/organizations) need to see us as an investment, not an expense.

    I've been an independent consultant going on four years now. Was it easy? No, but perseverance is what being a nurse is about. Nursing needs to be one voice, and we need to unite and raise the standards of pay. This investment on the part of the "system" will promote employee satisfaction/retention, encourage increased involvement with clinical research, and healthy self-promotion.

    The employee retention alone can save the healthcare system millions. Think for a moment how much it would cost to replace you. In some settings it can cost as much as 200% of your salary (dependent on specialty).

    I'm always encouraging nurses who aren't satisfied with their current situation to strike out on their own as an independent contractor. This isn't for everyone, but I've never been more satisfied. It's rewarding, I learn a variety of new things everyday, I save lives, and I get paid pretty darn well (because I set my rates).

    Hope to see more of you entrepreneurs out there.

    Kevin Ross, R.N., BSN
    President/CEO
    Spire Health Partners, Inc.
    http://spirehealthinc.com
    http://twitter.com/#!/spirehealth

    Chief Facilitator
    Innovative Nurse
    http://innovativenurse.com
    http://twitter.com/#!/innovativenurse

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