New nurse practitioner

  1. Hi everyone
    I am FNP since January 2018; having struggle finding job in area. I applied everywhere; all the positions require atleast 1 or 2 years of experience.
    Having trouble finding a job as NP than RN.
    there are plenty of jobs for RNs but not NPs.
    When i decided to go for further education in nursing as hospice RN, thought i will be working and helping more of my hospice patients and families. However there are no jobs in hospice for NPs at this time and even though they do, require experience as NP in field.
    How do i get experience if noone wants to hire me.
    frustration.
    please help.
  2. Visit ulvikap profile page

    About ulvikap

    Joined: May '18; Posts: 1

    19 Comments

  3. by   MikeFNPC
    What "area" are you talking about? Is there a local NP organization that you are involved with?

    Mike
  4. by   travelRN555
    You just need to keep at it... I graduated last August and just finally got a job this week. I think I applied to 100-150 jobs and only had 1 other legitimate offer that turned out to be super sketch when it came to contract review - and that was only after 6 months of searching. Hospice is very specific; you may need to broaden the type of specialty you are willing to work in, or move to another area that has a hospice need.

    Good luck.
  5. by   SopranoKris
    Did you do a Palliative specialty when you did your NP? You may want to look into getting a certificate. You will have to do some clinical hours, I believe it's 180 or more hours specifically in hospice/palliative care. However, it might give you a leg up when applying for hospice positions. The job market is going to be dependent on the area of the country in which you live. Some markets are saturated right now. There are also issues with Medicare in the hospice setting and what rate you can be reimbursed for your services. Again, it depends on your state's BON rules regarding NP autonomy vs. physician collaboration.
  6. by   Milenia
    Quote from ulvikap
    Hi everyone
    I am FNP since January 2018; having struggle finding job in area. I applied everywhere; all the positions require atleast 1 or 2 years of experience.
    Having trouble finding a job as NP than RN.
    there are plenty of jobs for RNs but not NPs.
    When i decided to go for further education in nursing as hospice RN, thought i will be working and helping more of my hospice patients and families. However there are no jobs in hospice for NPs at this time and even though they do, require experience as NP in field.
    How do i get experience if noone wants to hire me.
    frustration.
    please help.
    Hi! Congratulations on pursuing further education! What area are you in?
  7. by   BostonFNP
    You want to use all the network contacts you have, the best jobs are never even posted, and experience is often a desire but not a requirement.

    Have you contacted your school alumni association? Your state NP association? Your previous clinical instructors?
  8. by   broughden
    Quote from ulvikap
    Hi everyone
    I am FNP since January 2018; having struggle finding job in area. I applied everywhere; all the positions require atleast 1 or 2 years of experience.
    Having trouble finding a job as NP than RN.
    there are plenty of jobs for RNs but not NPs.
    When i decided to go for further education in nursing as hospice RN, thought i will be working and helping more of my hospice patients and families. However there are no jobs in hospice for NPs at this time and even though they do, require experience as NP in field.
    How do i get experience if noone wants to hire me.
    frustration.
    please help.
    I'm going to take a wild guess and say you graduated from an online program?
    That might be why you are having trouble finding employment. Fewer employers seem to be accepting them.
    Last edit by sirI on May 18
  9. by   djmatte
    Quote from broughden
    I'm going to take a wild guess and say you graduated from an online program?
    That might be why you are having trouble finding employment. Fewer employers seem to be accepting them.
    You're joking right? While granted there had been one that hinted at a specific for profit school, suggesting that online schools have a lower chance in an environment where employers are being choosy of specific experience requirements (as the op noted) is a pretty insulting statement. I landed my first np position 2 months out of school with 4 others interested. My school online curriculum was as tough as any brick and mortar and they actually have a long history of providing nursing services to those in need. Your school isn't gonna make the difference between the ability to nail an interview and sure af isn't gonna get someone to forego an experience requirement.
  10. by   broughden
    I know for a fact, following a conversation I just had two weeks ago, that the Mayo Clinic says they will no longer be precepting nurse practitioners from accelerated online only schools.
    That the lack of rigorous academic standards makes it too much of a risk to their patients.

    I've seen other post from other nurses on this forum saying that their employers are doing similar or the same thing in terms of precepting or offering employment.

    I am glad you found yourself challenged by your program and were able to find employment following your program. However I wish the national nursing school certifying agency, as well as the American Academy of nurse practitioners, would shut down all accelrated NP and/or online only programs.

    There is to much risk for abuse in having friends or co-workers act as preceptors. And to many accusations that the academics are anything but rigorous. Especially when more states are allowing NP to act as solo, unsupervised providers.
    Last edit by broughden on May 18
  11. by   djmatte
    Quote from broughden
    I know for a fact, following a conversation I just had two weeks ago, that the Mayo Clinic says they will no longer be precepting nurse practitioners from accelerated online only schools.
    That the lack of rigorous academic standards makes it too much of a risk to their patients.

    I've seen other post from other nurses on this forum saying that their employers are doing similar or the same thing in terms of precepting or offering employment.

    I am glad you found yourself challenged by your program and were able to find employment following your program. However I wish the national nursing school certifying agency, as well as the American Academy of nurse practitioners, would shut down all accelrated NP and/or online only programs.
    Some online schools (frontier being one) have a long history of producing solid graduates and advance practice nurses. To lump all online education into the same category as accelerated schools is pretty short sighted. There are brick and mortar schools pumping nurse practitioners through with no RN experience as well, yet somehow because they have a building they get a pass in your eyes? Laughable at best. You are citing an institution not doing clinical rotations... Nothing to do with hiring practices.
  12. by   broughden
    Because the two issues are conflated which is why I'm mentioning them both. Because it goes to the heart of whether or not online only or accelerated with no clinical experience programs are respected within the profession presently.
    So let me ask you a question based on reading in these forums Frontier allows you the student to pick and choose your own preceptors for your clinical rotations is this true?
    Because if it is, then again it gets to the heart of the problem many in the industry have with online programs. The clear accusation being that if you are allowed to pick your own preceptors then you could pick a friend or a co-worker who will not go hard on you during your clinical rotations. That is a legitimate concern for employers.
  13. by   djmatte
    Quote from broughden
    Because the two issues are conflated which is why I'm mentioning them both. Because it goes to the heart of whether or not online only or accelerated with no clinical experience programs are respected within the profession presently.
    So let me ask you a question based on reading in these forums Frontier allows you the student to pick and choose your own preceptors for your clinical rotations is this true?
    Because if it is, then again it gets to the heart of the problem many in the industry have with online programs. The clear accusation being that if you are allowed to pick your own preceptors then you could pick a friend or a co-worker who will not go hard on you during your clinical rotations. That is a legitimate concern for employers.
    Frontier you need to find your own preceptor. They have a database of preceptors who currently or have worked with the school in the past which can be helpful, but they aren't obligated to the school. The school has to approve of each preceptor which consists of a regional facilitator to visit the site before it's approved and then while the student is there that RCF must verify the site is maintaining their expectations by observing in person. Students have obligations and quotas that far exceed hour requirements. These include 300ish adult episodic visits, the same number of chronic visits, pediatric episodic/wellness visits that come to about 150 broken up throughout the age group, and even expecting the women's health portion to have 50 paps/bimanual done before they can finish clinicals. Only 20% can be done with an md or urgent care site and the rest must be with an approved np in an approved clinic.
  14. by   Chen808
    If you only wish to work in a hospice setting then you need to network with those who work in that environment. You can volunteer or even take an RN position for a bit so that you can get your foot in the door. I agree with many of the posts that reaching out to NP organizations and others who work in the field is a wise move.

    My clinic post experience requirements for new hires, but we still hire the occasional new graduate who had had clinical rotations with us or we are referred by another provider. Don't give up. If hospice work is what you want to do then find a way.

    Best of luck!

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