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Medical Spa Business Forum > What is a fair Structure of commission and salary for a Nurse Injector just out of school?

Hello!
I just graduated with my BSN and am looking to get a job in the cosmetic field as a cosmetic injector. I have been offered a job and am not sure if it is a good offer or not. I have no nursing experience other than clinicals, but have a prior bachelors degree in PR and was a successful sales person for 8 years prior to going back to school to become a nurse, so I have a lot of business and sales understanding which will be a huge plus in this position. I am located in Ohio. I was offered $22/hour starting out (working 40 hours a week) during the 3-6 months of training, then when I am fully functional and able to do injections on my own, they would drop me down to $18/hour and I would get 4% of total sales of botox injections only from my understanding. They are going to wait to give me fillers as he thinks they take more skill, etc. than Botox. It sounds like based on other peoples comments that they make commission off of several services provided. The place provides IPL, cooltouch and many other services that I know I will do a good job selling to my patients that would benefit from it. Insurance will not be provided and I need to go back and ask if I will get paid holidays, vacation, etc., but I am going to assume not. What I want to know is, a) Should I request that I stay at the $22/hour even after I start getting commission? I feel like $18/hour seems extremely low to have a Bachelor of Nursing degree, it sounds like I would be getting paid less if not the same as a esthetician, but I would have a medical degree and have the ability to provide more services for the practice. b)Or should I request more on a commission basis or to that I get commission off of more services provided? I also do not want to seem ungrateful or greedy if this is a good offer, so would just love some input from people in this profession. Looking over the site, there is tons of great information, but these are in cities that maybe get paid more as a nurse in general, so I can't tell if I am getting WAY under paid or not. Nurses starting out in the hospital setting here get $21-$22/hour for day shift and a $4 shift differential if they work nights. I would really appreciate some help on understanding the typical structure of payment, as well as what services most practices pay their nurse injectors a commission on. Should I ask to have the percentage go up by 1% every year how are increases in hourly or percentages decided ?, etc. They also expect me to sign a non-compete, so I feel like I will be locked in to these rates even more so....Please help!

08.24 | Unregistered Commenterstephanie

[This comment has been removed for violating our terms.]

08.24 | Unregistered CommenterALR

ALR,
First of all, thank you for being so RUDE and judgmental instead of helpful, approachable and supportive, which is what this website is suppose to be about. I can only imagine what your peers think of you. All of this stuff you brought up in such a high and mighty way goes without saying. Based on other post/questions, no one else laid out the whole list of ethical issues before asking these types of monetary questions. The person I will be working for is a Double board certified head/neck and face plastic surgeon and is one of the best in the Midwest. I went to him for 8 years before deciding to go back to school to be in this field. I know what things I am allowed to administer based on my state thank you very much, I found this out before even going back to school. I will be going through 3 different types of training to and will not administer anything until I am adequately prepared. I will make a wonderful Nurse Injector and take the safety and well fair of my patients more serious than any amount of money!!! So let me get this straight, you do your job for free then? Well great for you you humanitarian. Please save your snide remarks for another website. You are not helpful and need to evaluate your sad attitude problem. If you can't help someone out, and only want to be degrading and negative, keep it to yourself. You know nothing about me and only assumed the worse, obviously you are a glass 1/2 full kind of person. Thanks for the negativity, you can have it back. If anyone else would like to be normal and helpful I would appreciate your advice.

08.25 | Unregistered Commenterstephanie

Hello Stephanie,
A couple of answers from my point of view.

First, if you're truly valuable you will be hard to let go. My suggestion is that you take whatever position you think will put you in the best position to build your skills no matter what the pay is. If you're truly valuable, and I mean you can not be replaced for your skills (not that you create your own protected fiefdom), you can really write your own ticket.

Trying to negotiate now for how valuable you think you'll be in the future is a non-starter in my book. Every person thinks themselves more valuable than they really are and, unfortunately, I've fired many people who thought that they were indispensable because they had the highest sales. However, in running a business I have to look at everything; how easy they are to work with, how professional they are, patient satisfaction... everything. It's often the case that individuals who may outperform in sales are prima donnas and lower their value to the business in other ways. I fired a physician for just this issue. She generated twice the revenue as as other staff but caused issues in other ways that detracted from her total value to the business.

If you want to write your own ticket, you have to be able to outperform in every aspect.

As for non-competes... you can not prevent anyone from making a living. These are also only enforceable in a very limited area no matter how they're written. Take it to a lawyer first.

Other thoughts welcome of course.

First let me offer my apology I did not mean to offend you. I agree totally with Medspa MD. This business is about helping others feel good about themselves. I am a nurse injector. I have been injecting for about 5 years as to my clients once they come to me they seldom leave. I offer my skill at a reasonable rate but my main focus is patient satisfaction. The first year I Injected I worked for FREE for a physician just for the opportunity to get the experience working for and with this doctor. Currently I own my own med spa, train physicians who purchase lasers, and have been asked many times to assist other physicians perfect their injecting skill. Sales are important but not more important than providing quality services and patient satisfaction which in turn leads to repeat business. I can't tell you how many times patients arrive with a scarf around their face tears in their eyes begging me to fix someone else's mess. Story is always the same they were sold more than they needed but that was the sales special. Once purchased it all had to be used. Some have lost their jobs because of their disfigured appearance but none were offered reversals or informed of this possibility. I can continue sharing horror stories but the bottom line always comes from greed, sales quotas, or inexperience. So I personally feel all new injectors need to focus on building up their skill level even if that means working for free until your skill is at a level to be worth something to a patient. I am sorry if that is not what you wanted to hear however just because you finished a class that says you can inject that doesn't mean you are ready and not should start injecting. Practice makes perfect. Dermal fillers are a very specific skill almost an art and not everyone is an artist. I wish you luck and hope all works out as you have planned.

08.29 | Unregistered CommenterALR

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