APRN interview questions and answers

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American College of International Academics, Lahore *

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Nursing

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Nov 24, 2024

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pdf

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Uploaded by ColonelEnergyEchidna19

Interview with an APRN 1. Introduction and Background o Ask them about their credentials, education, certifications, and work history. How long have they been working as an APRN? In what roles? And in what population/settings? Response: My full title is Kristina Elliott, MSN, APRN, FNP-C. I am a board-certified Family Nurse Practitioner in the Department of Plastic Surgery. I received my Bachelor of Science in Nursing, Master of Science in Nursing and completed a Post-Master of Family Nurse Practitioner. I have worked since 2007 in private and academic plastic surgery practices, with previous experience in women's health. I am a Certified Plastic Surgical Nurse, Certified Aesthetic Nurse, and Wound Care Certified. 2. Things I Was Not Prepared for o What was it that they were not sufficiently prepared for as a recent graduate? In other words, what was it that school did not prepare them for and they had to learn on their own and deal with in their early days? Response: School does not necessarily prepare you for time management, which is something you struggle with as a new NP. You have a certain time allotted for each patient visit. You may find yourself taking work overtime in the beginning as you further investigate your patient’s health history to determine a plan of care. o How did they overcome these deficits? E.g. Strategies, resources, professional development, etc. Response: A good way to overcome deficits is utilizing resources within the department whether it is standing medical orders, support from other colleagues, or programs through American Nurses Association or Pryor that educate healthcare professionals on certain issues such as time management. 3. One Ethical Issue I Have Engaged with as an APRN o Ask them about one significant ethical issue, complication, or dilemma that they have dealt with in their work as an APRN. Focus the question solely on their years and experience as an APRN. Response: Some issues I used to face were disagreements with doctors about medication, specifically when and when not to prescribe antibiotics or pain medication. Never be afraid to raise your voice for your patients and do everything to ensure that they get the best treatment possible. 4. My Performance Assessment o Ask them about how their performance as an APRN has been assessed and whether they have ideas for alternative ways to conduct performance assessments for the APRN. Kristi’s Response: Performance is assessed quarterly by our chairman of the department. Performance is based around amount of time spent in clinic and

Interview with an APRN amount of post-op patients seen. Patient feedback is also integrated into this performance evaluation. o How are the results of their performance assessment or annual review incorporated into recognition, financial incentives, or professional development? Response: There are no financial incentives since we are part of a university which is owned and operated by the state of Texas. Levels of service and certifications are awarded. Recognition is communication sent throughout the department and oftentimes a “party” in your celebration. 5. Physician / Interdisciplinary Collaboration o Describe the collaborative relationship the APRN has with the physicians or medical director in his or her practice. Response: Patients are seen post-operatively and sometimes pre-operatively by a NP if the physician is not available. I see patients for 4 different plastic surgeons. I can call in medications and order imaging as well as place referrals. If a patient’s visit is not within the RN’s scope of practice for a nurse visit and the physician is not in office, then the visit can be with me since I am an APRN. o What are some of the struggles/challenges and advantages of the collaborative agreement relationship with their medical director / physician collaborator? Response: Some challenges are physicians wanting me to see every post-op patient. This is not likely due to me collaborating with 4 different doctors. The Advantage is learning a broad range of procedures since all 4 doctors specialize in different areas. I get to learn about breast reconstruction, face lifts, hand surgery and therapy, and other cosmetic procedures for breast and body. o Who is responsible for making practice decisions in the APRN’s workplace about their clinical practice? Is this done by one person or is it a formalized collaborative process? Response: There is a clinical manager that manages clinic for the nurses, physicians, and nurse practitioners. She sets the schedule and determines my hours. o How are the services provided by the APRN reimbursed—under the APRN’s provider number or under the physician’s? If the APRN’s services are billed under the physician’s provider number, how does the practice ensure their billing is compliant with applicable laws such as Medicare incident to billing guidelines? Response: Services are billed under my own provider number. I am unsure how the billing is compliant with laws in regards to billing since we have a whole separate department specific to billing. We do not see that side of things within clinic.

Interview with an APRN 6. Leadership Roles / Quality Improvement Initiatives o How does the APRN get involved in APRN / nursing leadership / policy / legislative activities (i.e., giving money, time)? Response: I am the president of International Society of Plastic and Aesthetic Nursing (ISBAN). The International Society of Plastic and Aesthetic Nurses (ISPAN) was incorporated as a nonprofit organization in 1975. Plastic surgical nursing is a diverse multidisciplinary field that encompasses various practice settings and educational backgrounds including pediatric reconstruction, skin care, aesthetics, burns, adult reconstruction, craniofacial, operating room, post anesthesia care, office settings, management, nurse injectors, independent practitioners, advanced practice nursing, nurse educators, physician assistants, surgical technicians, licensed practical nurses, and industry. We meet once a year for a national conference where we have education on new aesthetic products and listen to keynote speakers. 7. My Recommendations to You / Conclusions o Ask them about any recommendations that they might have for you as an APRN student on your journey toward advanced practice. Response: Take in as much learning as you can during your clinical rotations. You aren’t going to remember everything, but be sure to try and understand the “why” to the underlying processes of a patient’s condition. ***Be sure to analyze the information obtained based on clinical practice standards, the laws, and the research literature. ***Refer to the BON, certifying boards or peer-reviewed journals to identify and document the appropriate and necessary actions that will guide your own APRN practice based on the lessons learned from the APRN interviewee's shared experiences.

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