What Determines Nursing Salaries

In today's economy with declining employment inconstruction of a new hospital wing, or to the
many fields that require degrees, the profession ofpurchase of new diagnostic equipment.
nursing is as solid as it ever was. People with priorWhether or not the nurses are unionized is also
degrees are looking to enter the nursing profession.another factor in entry level nurse pay. Unions can
The salary of a nurse varies greatly. There is reallyeither work for or against nursing wages. Sometimes
no base salary but a fluctuation across the board.non-unionized hospitals pay more.
The reasoning for this is a varied as the salaries inShift premiums are also a factor. The top shift
nursing.premium is paid for the midnight shift. Midnight shift
The base pay of a nurse is determined by manypremiums range anywhere from $2.50 per hour to
different factors. The first of these factors are the$4.50 per hour. Since most shifts in hospitals are now
years of experience that the nurse brings to thetwelve hour shifts, midnights start around 7:30 p.m.
table. A GN or graduate degreed nurse will start outand end around 7:30 a.m.. These are attractive hours
at the lowest salary of nurse pay. They will remain atfor many nurses since they get four days off during
this level until they pass their board exam or NCLEX.a week and are still considered full time at thirty six
Upon passing their boards they will receive a smallhours per week. Health benefits including dental and
increase in pay anywhere from $2.50 per hour tooptical are included in the total package and begin
$5.00 per hour. The most important factor in thisanywhere from one week after hire up to ninety
scenario is to keep in mind that if the graduate nursedays.
does not successfully pass the board exam theThe area of the hospital that the nurse will work in is
hospital can terminate their employment or extend toalso a factor in pay. For instance those nurses that
them a grace period in which they have theare trained for specialty care areas such as intensive
opportunity to pass the boards a second time. In thecare units (I.C.U.), the operating room, recovery
past years, it was not unusual for a graduate nurseroom, or in the cardiac care facility will get paid an
to stay on as a hospital employee for years beforeextra premium upon completion of their training in the
finally passing or taking their boards.hospital.
This practice is no longer widely accepted. Also theDifferent areas of the United States have been
graduate nurse is not allowed to pass anyknown to differ in nurse pay scales according to the
medications until they have their licensure. Thecost of living and population densities.
question remains, what is the typical base salary forIn the final analysis, the following factors are involved
a graduate nurse. It is safe to say that the salaryin determining the salary of an entry level nurse; a)
ranges in the low to mid forty thousand dollars pertheir years of experience in patient care, b) the shift
year. This discrepancy of several thousand dollars hasthey will be working, c) the hospitals location, either
much to do with the location of the hospital. Forrural or metropolitan, d) whether or not the nurses
instance, in rural communities where much of theare unionized, e) the population density and per-capita
hospital funding comes from the government, theincome of the residents in the hospitals region, f) the
pay rate may be higher or lower than a privatelyarea of specialty the nurse will work in, such as I.C.U.,
funded institution.C.C.U, etc., g) successful completion of licensing
The mitigating factor is how successful the grantboards. h) whether or not to accept a benefit
writers are at tapping into government funds, andpackage or keep extra dollars per hour and opt not
how much private endowment monies are bestowedto take the benefit package, i) whether the hospital
to the hospital. Even with these two factors in placeis government or privately funded.
comes the process of dissemination of the funds.Learn more about nursing education at The Nursing
This is dependent on how the board of directors seeEntrance Test Study Guide.
fit to use the funds. These funds could be put to the