Fortunately, most nurse practitioners don't need to think about getting the ax. Overall, we're a hard-working, devoted crowd that takes our jobs seriously. But, what if you and your employer don't see eye-to-eye about your performance? The truth is that as at-will employees we can be fired at any time. If you're following through on your responsibilities as an NP, this doesn't usually happen. But, let's look at the reasons it could - and talk about how to avoid these pitfalls.