Nurse practitioners are registered nurses with a Master's or Doctorate degree that allows one to practice in their chosen field. I am a Family Nurse Practitioner (FNP), and my training prepared me to take care of patients in the community in primary care. I am Board certified to practice as an FNP. Family Nurse Practitioners can care for newborns to geriatric patients. Times have changed since I graduated, and most inpatient occupations for Nurse Practitioners require an Acute Care Board certification, which is a different learning track than the FNP program.
Knowing what jobs to apply for is the first step. Understand the area you want to work in and consider all aspects of the job to include distance to travel back and forth to work, schedule, benefits, CME's, PTO, employer reimbursement for licenses to include RN and NP licenses, DEA license (every 3 years), State registration to prescribe (not every state has this, but Massachusetts does (150 a year)), Board Certification renewal (every 5 years), training schedule and length of time to train, expected number of patients that will be seen per day once fully independent, loan repayment, tuition reimbursement and RVU's if applicable.
Skills that stand out on a Nurse Practitioner's resume should include:
Use of EMR's (i.e., EPIC), dictation applications like Dragon
Performing procedures including IV placement, Phlebotomy, punch biopsy for skin changes, I and D of wounds, suturing, wound care (wound vac, e.g.), Foley placement as you might be surprised what occurs in a primary care office
Ability to interpret EKG's, CXR's, lab results
Ability to identify skin changes, stages of wounds and develop treatment plans for wound care
Ability to reduce utilization of the emergency room via primary care/ telehealth and preventing hospitalizations when possible
Ability to review end of life decisions with patients and families, including MOLST, Advanced directives, Health Care Proxy
Having a good bedside manner, ability to speak to patients and families using language they can understand. Having the ability to follow through on previous visits regarding abnormal labs, diagnostic tests even if the results are normal and overall providing excellent customer service.
Knowing when to ask for help is always a strength. You will most likely be among very experienced providers, and they will know you care because you asked about something you were not sure about or requested a second opinion.
Nurse Practitioners, first starting out, will likely receive the starting pay rate for the area they are working in. Urban vs. Suburban vs. Rural areas will have, often, significant differences, and it is not always about the cost of living. The longer the FNP was a nurse before graduating may not have much impact on starting pay, but nursing experience and clinical experiences during graduate school should be noted on the resume to help the employer understand the true clinical background of the applicant.
Due to your research! Evaluate practices and check reviews. Network your colleagues and co-workers and think outside the box because your next job might be a dream come true!