What I Wish I Asked At My Job Interview As A Nurse Practitioner
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You know that moment in the job interview when they ask if you have any questions? Have you ever been totally stumped? Not fun. Even worse is when you get home afterward and think of all the questions that you wish you asked. We have all been there; without a little prep work, it’s very likely that we will all be there again.
Now for the good news. If you are on the job hunt, or about to be, we have the questions to ask that will give you lots of information about the job and the workplace, and really help you to understand whether it is the right fit for you. Yes, it is possible to go into an interview setting with good questions and come away with great information.
The questions you definitely want to ask in your nurse practitioner job interview
This week, we have some secret strategies to set you up for success in your Nurse
Practitioner job search. We’ll cover:
Outside-the-box ways of finding a job
Spotting warning signs in the interview
Orientation – and why you want to ask about it
Why you should ask about protocols
What is team-based care, and what does it mean to you as a Nurse Practitioner?
Job searches can be exciting and stressful at the same time. Investing the time in advance to gather background information on a prospective employer, asking high-yield interview questions, and then reflecting on what you have learned will put you in the best possible position to pick the job that is right for you. And while nothing is guaranteed, it’s a strong strategy for choosing the job and the workplace that is the best fit for you, no matter which stage of your career (or job search) that you are in.
If you liked this post, also check out:
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Liz Rohr
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Hey there, welcome to the Real World NP podcast.
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I'm Liz Rohr, family nurse practitioner, educator, and founder of Real World NP, an educational
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company for nurse practitioners in primary care.
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I'm on a mission to equip and guide new nurse practitioners so that they can feel
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confident, capable, and take the best care of their patients.
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If you're looking for clinical pearls and practice tips without the fluff, you're in
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the right place.
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Make sure you subscribe and leave a review so you won't miss an episode.
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Plus, you'll find links to all the episodes with extra goodies over at realworldnp.com
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slash podcast.
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In this episode, I want to do another job related overview video.
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I'm not really getting super into the specifics.
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Like I mentioned in the last episode, there are people who have literal entire companies
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dedicated to supporting all of the career moves for nurse practitioners.
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Namely, one of them includes my friend, Amanda Garnieri, who has the company, The
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Resume RX.
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So I'll absolutely link to a bunch of resources that can be really helpful for you in
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terms of the detailed implementation of this.
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But I really want to focus on some overview concepts of things to watch out for when
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it comes to like your first job as a nurse practitioner or even like another second
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or third job, right?
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Maybe these are things that you didn't see in other clinic settings and might be nice
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for you to know, right?
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So I really want to talk about some of the things I wish I knew going into the
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job search process.
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Last episode, I talked about job offers, specifically about the breakdown of things
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to look out for, the differences between administrative time and clinical time, salary
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considerations, and number of patients you're seeing per day, in addition to some of
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other things.
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But in this episode, I really want to talk about how to kind of like what I wish I
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kind of like assessed of the clinic.
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And again, this is more of an overview and less of a how to.
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But when I started, when I got a job, basically what I did is I pulled up Google
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Maps and I typed in primary care offices and I literally like went through one by
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I made a little spreadsheet and I like cold called or reached out to them in some way
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or networked, looked at their job posting site like I did.
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It was a hustle. It was a bit of a hustle.
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But I do recommend taking a similar approach because a lot of jobs are currently
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available, but they're not posted online yet and likely you're actually going to
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get in the door before all of the like once it's posted on the website and then
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all the applicants you're completing competing with, right?
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In terms of like first impressions, things like that.
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But anyway, so I did that process.
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I got some interviews and then I just kind of like was offered a contract and I like
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took my job. Luckily, it worked out really well with my contract.
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And I like it could have gone really badly, though.
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So definitely check out that last episode to hear about some of those pieces.
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But things that I realized when I got my second job after leaving my first one.
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So a couple of things to keep in mind.
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I think first things first, talking about orientation, I think is really important.
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So when I was a new grad, I sort of talked about that, but I didn't really get
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solid super answers about it, which ended up being OK.
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But there's a huge variety and not standardization of what the orientation
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process looks like depending on what clinic.
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So that's one thing that I really is so important to ask.
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And I continue to ask when I look for other jobs, because that's crucial.
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Am I going to see patients day one with no training or support?
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Or am I going to have like two weeks or three months or something like that?
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And I've talked about this in some other episodes, but for new grads,
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there's no one standard recommendation.
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And so you really just have to understand yourself, their typical
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schedule and like your capacity.
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One thing is I've seen people have two weeks of orientation.
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I've seen people have three months of orientation, six months, et cetera.
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And the way that it typically works is no matter how long it is, you start by
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shadowing a provider and seeing patients off of their schedule and kind of like
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still doing a precepting type of thing where it's like not it's still
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your license, but it's not like fully on you yet.
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And then you kind of progress to your own schedule where you get a certain
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number of patients per hour, certain number of patients per day.
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And then there's some sort of schedule that goes up and up and up
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until you're at full capacity.
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And so that's a really important thing that I would have liked to ask a little
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bit more about at the time of the hiring date.
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I sort of talked about orientation, but I was also a little like bashful
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in this whole thing, which is why I do recommend checking out those
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career resources to help you like going really confidently, knowing
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what to talk about and how to talk about it and like word for word
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scripts, things like that.
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But yeah, I didn't really talk about that part.
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Other thing I didn't really realize, and I don't think I asked any
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questions about when I was a new grad was about support staff, the
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staff that who are the, well, all the staff really, but like who are
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the providers, you know, how much experience do they have?
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Is it a mix of physicians, physician associates, nurse practitioners,
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et cetera, right.
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And how long people have been there.
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Nice to know.
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It's a little uncomfortable to talk about sometimes again, which
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why those scripts are so helpful, but having like conversations
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about like understanding that right.
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And you can kind of get a sense of like, people stick around for a while.
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Is there a lot of turnover, things like that.
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The next piece is about the other stuff that are not providers.
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And that can include all the people.
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And I think one of the things is that it's hard to know when you're
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a new grad and you're going from being a student to a clinician
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yourself is like what crucial role those other staff members play.
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Um, because you just don't know, you're so focused on learning your
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job that why would you think about that or know about that, right?
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And so one of the things I did not ask, um, but you may want to consider
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asking and thinking about is who are the people that work in this clinic?
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I've talked about a little bit about how primary care offices
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work a couple of videos.
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So an episode, so I'll link to those down below.
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But, um, with that in mind, there is a whole ecosystem
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of how this whole thing works.
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My personal experience, and I've seen this a lot in primary
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care is that there's an office manager, there are people who are
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administrative staff that work at the front desk, or they work in
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a call center, or there's a separate call center that does the kind
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of client customer service type of stuff.
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You have medical assistants, um, who work with, um, rooming
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patients and collecting information and doing phone calls to patients,
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sending letters, obtaining vital signs, things like that.
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Um, and then you have, um, you might have a lab, you might
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have, um, imaging, uh, technicians, right?
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You might have nurses and, um, you could also have other stuff, right?
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You could have, um, community health workers.
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You could have a nutritionist.
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You could have a psych nurse practitioner.
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You could have, um, a psych community health worker specifically, right?
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You could have a preventative care team that tracks all of the PAPs
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and, and mammograms and colonoscopies and follows up with those
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patients and has a screening program, right?
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There's, there are like endless things that could be contained in a
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clinic, um, and you don't know until you ask, um, and so it's
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helpful to like go in leading asking about specific things, but I think
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the most, most, um, bare minimum crucial is to understand the day
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to day staff work with working with patients, right?
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So do you have a medical assistant?
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Does one medical assistant work with one staff member and you're
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paired up and you work together forever, not forever, but you
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know what I mean, like ongoing versus is it's like whoever's there
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for the day versus do we have two, two providers to one medical assistant?
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Is that the standard?
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Is that just because we're short staffed right now, et cetera, right?
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What are the things that the medical assistants do?
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Typically they can kind of volunteer this when you're like, Oh,
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what's tell me about the medical assistants.
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Like what's what role do they play?
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Are they matched up together?
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Do you just kind of shift around and they can kind
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of like tell you more about that.
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Um, but the other piece is about nursing staff.
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And so if you are listening to this or watching this, Melissa, you
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like saved my life my first years as a nurse practitioner.
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She was our team nurse.
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Um, and like, I had no idea how much I would need her help
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and how helpful she was.
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So, um, so yeah, so your nurses, um, that you may or
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may not have a nurse on staff.
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And so nurses can do things like, um, have their own patient
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visits for hypertension followup, diabetes education, diabetes check-ins.
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They might have, um, anticoagulation protocol visits where
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patients who are on warfarin, for example, they might have some
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sort of like written out protocol and sheet and, and dosing suggestions.
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And then you collaborate together with the provider.
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Um, they may do, um, vaccine appointments specifically for
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kids or even for adults or, or whatever.
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Another thing that typically they do is, um, I've seen on this a lot
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and I've experienced this myself is that the providers are broken up into teams.
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And so there's three providers per team on each side of the office, maybe.
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And then there's one nurse that gets paired with that team.
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One nurse gets paired with that team.
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And all of the income, incoming and outgoing communication through
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phone calls that go through the nurses.
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We'll go through that specific team, um, which also kind of relates back to
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the provider situation of like, what does team-based care look like as an
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example, team-based care, um, could be like on the days that I'm not in
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clinic on my administrative day, which I talked about in the last episode.
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Um, you, the, this, these team members will cover my inbox.
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And so we'll watch out for any urgent labs, things like that.
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This is a little bit of a meandering episode, but hopefully
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this is helpful, um, another piece to think about in terms of support
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staff is the lab technicians.
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And so who staffs the lab technicians?
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Is it onsite?
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Is it part of like your in-house staff?
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Is it one of the medical assistants that you like, they all
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rotate through and staff the lab.
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Um, and how do you manage critical results?
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Do you have a system?
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I did not have a system my first job, and that was very anxiety
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producing that I have to like just check, check, check, check, check.
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Only very specific ones got called in versus my second NP job.
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They had a protocol for all the different lab results, all the
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different like medium alarm, alarm ranges, and then like absolutely
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like high, high red flag call this right now kind of thing.
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Um, and they had a protocol for tapping in providers onsite so that
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you weren't like on the hook to constantly check your EHR on your
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administrative days when you were home to make sure that you didn't
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miss an urgent lab, right?
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Um, so yeah, I mean, I think that those are some like overarching
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kind of foundational pieces to understand of like how it works
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and what I wish I kind of like knew and thought about.
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There are so many places you can go with this and so
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many different nuances.
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Um, again, I will link to the kind of like more expert people in
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terms of the how-to's of guidance, but, um, I'll also be thinking
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about if there are other things that they're, um, that I wish
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that I knew when I was a new grad, um, it's, it's, it can be
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pretty nuanced, it can be pretty nuanced and a lot of things to
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think about, but hopefully that gives you some insight about, um,
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what to ask for.
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I guess one other kind of parting piece, um, on the note
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of, um, what I first started talking about in this episode was
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about, um, the orientation process.
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It's helpful to know if somebody has hired a nurse practitioner
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before or not, or if you were the very first one.
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As a new grad, I don't, again, this is mentorship type of
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like opinion advice, you do what you're going to do, you
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right.
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But, um, I kind of don't recommend that for new grads
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because if I, it's hard to know what you need, if you've
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never done it before.
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And if they don't know what nurse practitioners can do, or
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they need for support, especially in their first year
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of practice, that might not be the best job for you.
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Um, I turned that down myself.
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Cause I was like, you know what?
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I'm not ready to educate what a nurse practitioner does, what
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we need, what has to happen, blah, blah, blah, blah.
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I could do that now pretty comfortably.
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I'd be like, okay, like here's, here's how this works.
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And I, I understand the differences between you and I,
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what I know, what you might know, what I need, et cetera.
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Um, but yeah, the only other piece I want to mention about
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the orientation process is, um, I really strongly do.
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And I've said this in a couple of episodes.
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I do recommend advocating for mentorship for yourself.
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So, um, what I did per the guidance of my
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colleague, Christina, who's amazing, um, was ask my
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supervisor to have an hour of time blocked off either
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every week or every other week and have time to meet with an
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experienced clinician to talk about all of my cases from the
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week that were still stuck in my mind, not every single one,
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but there are absolutely were cases of lads.
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I felt uncomfortable with imaging.
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I felt uncomfortable with, um, management of complicated
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cases, um, that I, I just felt like I couldn't sleep well
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until I got some further acknowledgement of like, was
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this the right thing?
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Is there anything else I need to do?
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Things like that.
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Um, and you might have to advocate for that for yourself,
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whether it's in the interviewing process or once you're already on the job.
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I had no idea until I was already on the job and I felt like I was drowning.
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And I said, can I please have this?
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Cause I want to make sure that I don't like quit this job
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immediately cause I'm so overwhelmed.
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So, um, I do recommend that if you have that opportunity, but again,
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please check out their resources for the how to, but hopefully this is
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a helpful overview informational type of episode.
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Um, yeah.
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And, and I'll see if there's other things that I can kind of draw
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about, like the job career related stuff that might be a helpful overview for you.
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If you haven't grabbed the ultimate resource guide for the new NP head
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over to realworldnp.com slash guide.
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You'll get these episodes sent straight to your inbox every week
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with notes from me, patient stories, and bonuses.
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I really just don't share anywhere else.
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Thank you so much for tuning in.
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We'll talk to you soon.
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That's our episode for today.
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Thank you so much for listening.
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Make sure you subscribe, leave a review and tell all your NP friends.
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So together we can help as many nurse practitioners as possible, give
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the best care to their patients.
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If you haven't gotten your copy of the ultimate resource guide for the
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00:14:23.790 --> 00:14:29.830
new NP head over to realworldnp.com slash guide, you'll get these episodes
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00:14:29.830 --> 00:14:33.630
sent straight to your inbox every week with notes from me, patient
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00:14:33.630 --> 00:14:35.230
stories, and extra bonuses.
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I really just don't share anywhere else.
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Thank you so much again for listening.
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Take care and talk soon.
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