Whether you're a physician, NP, PA, or CRNA, stepping into a new facility for the first time can feel a little like the first day of school: exciting, overwhelming, and filled with unknowns.We asked experienced locums, permanent providers, and healthcare recruiters what they wish new locums knew on day one—and how to start strong.

<p>So, you’ve landed your first locum tenens assignment—congrats! Whether you're a physician, NP, PA, or CRNA, stepping into a new facility for the first time can feel a little like the first day of school: exciting, overwhelming, and filled with unknowns.</p><p>Over the years, we’ve heard valuable insights from experienced locums, permanent providers, and healthcare recruiters about what truly makes a strong start. Here’s what they shared.</p><h3>Start With a Team Mindset</h3><p>Yes, you’re technically temporary. But on your first day, you’re still part of the care team. Being approachable, friendly, and respectful of local workflows can go a long way in building trust quickly.</p><p><strong>Pro tip:</strong> Learn names. Say thank you. Ask how you can help. These small actions build big bridges.</p><h3>Expect Gaps—and Stay Flexible</h3><p>Even the best-planned assignments can start with missing passwords, EHR access issues, or last-minute schedule changes. Stay calm, and keep your recruiter in the loop.</p><p><strong>What helps:</strong></p><ul><li>Bring printed copies of your credentials.</li><li>Pack essentials (stethoscope, white coat, scrubs).</li><li>Arrive early to navigate parking, ID badges, and introductions.</li></ul><h3>Clarity Is Key: Ask Questions Early</h3><p>Don’t be shy about asking for clarification. What’s the typical patient volume? Are there protocols for certain conditions? Who do you contact for consults or emergencies?</p><p><strong>Write down:</strong></p><ul><li>Key contact names and roles</li><li>Shift expectations (when and how to sign out)</li><li>Documentation preferences (how detailed? any templates?)</li></ul><h3>Respect the Local Culture</h3><p>You may come from a place where things were done differently—but as a locum, your role is to adapt, not overhaul. Whether it’s charting habits, team huddles, or coffee break rituals, take time to observe.</p><h3>Your Recruiter Is Still Your Wingman</h3><p>If something feels off—unmet expectations, unclear communication, or scheduling issues—reach out. Your recruiter wants the assignment to succeed just as much as you do.</p><p>Also, don’t forget to share the <em>good</em> stuff. Positive feedback from a site can lead to future invites or longer-term contracts.</p><h3>Confidence Matters (But Humility Wins)</h3><p>You were hired for your skills—but how you interact with others will shape your reputation. Come in confident, but not cocky. Stay curious. Be coachable.</p><h3>Leave a Good Impression—It Opens Doors</h3><p>Your first day sets the tone, but your attitude throughout the assignment leaves the legacy. Be the locum who people request by name. It can lead to:</p><ul><li>Repeat assignments</li><li>Permanent offers (if you're open to them)</li><li>Strong references for your next gig</li></ul><p><br></p><p>Your first day as a locum is more than just clocking in—it’s your chance to prove that you’re not just filling a gap, but adding value. Come prepared, stay flexible, and be a good teammate.</p><p>Every new facility is a new chance to grow your career, expand your network, and make a difference in patient care. So walk in proud—you’ve got this.</p><h4>Thinking About Your First Locum Assignment?</h4><p>Whether you're just starting out or planning your next move, our team is here to support you every step of the way. <a href="https://www.crosscountry.com/locums/hotjobs?utm_source=Website&amp;utm_campaign=Blog" rel="noopener noreferrer" target="_blank">Let’s get started!</a></p>

Your First Day as a Locum: What Other Providers and Recruiters Want You to Know

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