Starting your first shift as an Advanced Nurse Practitioner (ANP) can be both exciting and challenging. Whether you’re working as a locum ANP or in a permanent role, being well-prepared helps you settle in quickly, deliver excellent patient care, and make a strong first impression.
At Vela Medical Group, we place ANPs in top primary care roles across the UK. Follow these five key steps to ensure your first shift is a success.
1. Arrive Early & Get to Know the Team
First impressions matter. Arriving 15 minutes early gives you time to:
✔ Introduce yourself to the practice manager, receptionists, GPs, and fellow nurses.
✔ Familiarise yourself with consultation rooms, staff areas, and emergency exits.
✔ Understand key contacts and practice workflows.
A friendly and confident approach will help you integrate into the team and start your shift smoothly.
2. Learn the Practice’s Systems & Processes
Each GP practice operates differently, so understanding their systems is essential. You may be using EMIS, SystmOne, or Vision, so ask for a quick overview if needed.
✔ Check how appointments are scheduled and documented.
✔ Review prescription and referral procedures.
✔ Understand emergency protocols and escalation processes.
Familiarising yourself with the electronic health record (EHR) system ensures efficiency and fewer delays during your shift.
3. Clarify Your Role & Scope of Practice
Before seeing patients, confirm your expected responsibilities. Some practices may require you to:
✔ Diagnose and treat minor illnesses and urgent care cases.
✔ Prescribe medications (V300 qualification required).
✔ Conduct triage and telephone consultations.
✔ Carry out home visits and care home rounds.
Setting clear expectations helps prevent confusion and ensures you are fully prepared for your caseload.
4. Stay Organised & Prioritise Patient Care
Effective time management is crucial in primary care settings. Keep a notepad or digital tool handy for:
✔ Referral pathways and prescribing guidelines.
✔ Emergency contacts for clinical advice.
✔ Notes on unfamiliar conditions or treatments to review later.
Being organised allows you to deliver high-quality patient care while ensuring accurate documentation.
5. Ask for Support When Needed
Even experienced ANPs need guidance in new settings. If you’re unsure about anything, speak up and seek support.
✔ The practice manager can clarify logistics and policies.
✔ GPs and senior nurses can provide clinical support.
✔ Reception staff can assist with patient flow and scheduling.
Seeking support when needed helps you adapt quickly and ensures patient safety.
Why Work with Vela Medical Group?
At Vela Medical Group, we connect ANPs with locum and permanent roles tailored to their career goals. Whether you’re looking for flexible shifts, competitive pay, or long-term positions, we make the process seamless.
✔ Access to exclusive ANP roles in primary care
✔ Competitive pay rates and flexible working options
✔ Full compliance and placement support
✔ A trusted partner for your locum or permanent career
Looking for Your Next ANP Role?
📩 Register with Vela Medical Group today and take the next step in your ANP career.
