Monkey when into his last job shortly after graduation with no support staff and supervisors fully admitting they have no idea what he does. There were no policy and procedure written and they had not hired any other medical team, including a medical director. That is one hell of a way for a newbie NP to jump in! I'm proud of how Monkey handled it all. He was stressed and overwhelmed but eventually that medical team grew and now things are much better than when he first arrived three years ago. However, it wasn't good enough to keep him. The leadership still didn't really get what he did or what a current NP pay scale was nowadays. When he asked to be brought up the the bottom of the current pay scale he was turned down. (Keep in mind that this was the bottom of the pay scale for community health, that is low. Monkey works out of love but he still deserves compensation for his skills.) There were other things that went wrong there, bigger issues, but the pay raise was the last straw.
(After looking for a replacement for a month, they realized that their pay scale was a load of crap that even pre-graduates wouldn't take. They are now offering well over what Monkey asked for as an increase so that they can actually get a warm body with a valid licence to practice into that office. I'm well aware that this is terribly spiteful of me but I take great joy in this.)
I am so excited for Monkey to start this new job. He will have full support staff, a supervisor who is actually trained in his field and established P&P so he knows what is expected of him. To top it all off, it is all out-patient. No more late night on-call situations. No more worries that reception on the phone is spotty and they won't get through with an emergency call. He can now go to the movies without worrying that his phone might go off and he'd need to dash out! Emergency calls are still possible, that is the nature of medical work, but they are much more rare with out-patient situations.
Things just keep getting better!
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