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Where should a new grad work?



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Sep 03, 2008 06:13 PM

Where should a new grad work?


Hello everyone,

Just wanted to say hi, and that this is a great resources for nurses to have! I'd like to get your opinion on where you think a new graduate nurse should be working. I eventually want to end up in ICU or perhaps ER, but for now I need to build my clinical skills and gain more clinical experience.

A little about myself: I am a fresh graduate of the U of Alberta's after degree B.ScN program. My initial degree is a B.Sc. in molecular bio. Ideally I would like to be on a unit where I get to do a lot of hands-on stuff like IVs, trach care, NG tubes, foleys, etc. I love working with my hands! I also want to learn as much as I can about medical procedures, diseases, etc.

So far I have interviews from neurosurgery, ENT and general medicine. I'm leaning towards the ENT or neurosurgery. I've been on several general med units before as a student, and I think it would be neat to be on a more specialized unit. Given the nursing shortage you can also easily pick up shifts on med units.

Anyways, looking forward to hearing your opinion and being a part of this forum!


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14 Comments
No. 1
from Fiona59
Old Sep 03, 2008, 06:20 PM

Default Re: Where should a new grad work?
Head to General Surgery and stay away from Medicine. General Surgery units wind up with everything from thyroids to prostrates to compassionate care to neuro trauma.

Basically when the beds are full a general surgical unit gets the overflow. You'll build skills and time management abilities like you never dreamt of and there are enough shifts floating around to keep you busy.

RAH or UofA?
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No. 2
from Corvus
Old Sep 03, 2008, 09:20 PM

Default Re: Where should a new grad work?
Hey! I think I might know who you are! Did you apply for an AHFMR student research grant in summer '06?
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No. 3
from Monkeyman
Old Sep 04, 2008, 12:33 AM

Default Re: Where should a new grad work?
Fiona I'm applying to the UAH, but I might also be interested in picking up some shifts at the RAH because I loved the unit I was on during the time there.

Why do say to stay away from general medicine? Thanks for the input!

Corvus, I did get an AHFMR summer studentship, but that was back in 2000 during my first degree!
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No. 4
from Fiona59
Old Sep 04, 2008, 08:41 AM

Default Re: Where should a new grad work?
General Medicine is too much like LTC for many nurses. We've had their overflow on the Surgical floors and the patients are awful. Pages and pages of 08 and 10 meds, needy, stay forever, and don't get the concept of it works use it. Add in the fact that the doctors take forever to act on nurses concerns.

I guess in Surgical we expect patients to go home, usually within five days and be responsible for their recovery. The surgeons respond quickly to concerns raised by the nurses and appear to enjoy giving us information on the patients conditions. Medicine docs just take forever to come see their patients and don't willingly share. But then they get paid by the number of days their patients stay in hospital.

I work with nurses who transferred from the medicine floors and they say they are much happier in the Surgical Dept.

Come to us, we have snacks and good stuff on our units and we share...
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No. 5
from Monkeyman
Old Sep 04, 2008, 01:27 PM

Default Re: Where should a new grad work?
Fiona, totally agree with the fact that its actually nice to see patients get better and get discharged!

That's one of the reasons I was leaning towards surgery as well. Are you on a gen. surg. unit? I did a rotation on a gen. surgery unit at the UAH during my schooling, and I really liked it. I'm not sure if there are any postings for gen. surg at the U right now though.
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No. 6
from Fiona59
Old Sep 04, 2008, 01:45 PM

Default Re: Where should a new grad work?
Check our RAH, we're fun, we're friendly, did I mention we have snacks?

Hell, we work our asses off like everybody else in the system. We just enjoy ourselves and the big egos get hauled back in line pretty fast.

Did I mention snacks?
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No. 7
from janfrn
Old Sep 04, 2008, 02:00 PM

Default Re: Where should a new grad work?
There are two postings for Gen Surg at the U and a couple on ortho surgery, a couple neurosurgery, a couple cardiac surgery, one for the inpatient transplant unit and some small FTEs on ENT. Pretty much everything else is medicine or medicine-like. New postings go up on Fridays.
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No. 8
from Monkeyman
Old Sep 05, 2008, 01:27 AM

Default Re: Where should a new grad work?
I actually had an interview w/ neurosciences today for a neurosurgery RN position. It would definitely be an interesting and challenging place to work. Ideally I'm looking for something with a 0.6-0.8 FTE. The cardiac surgery postings look nice!

I have a few more interviews next week too with surgical wards, including an ENT and a float position.

Does staffing let you pick up shifts on medical units if you work on a surgical units at the UAH? I've heard that at the RAH, if your position is on a surgical ward then you can pick up extra shifts on other surgery units, but usually not on medical units.

Is there a lot of extra shifts available nowadays?
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No. 9
from Fiona59
Old Sep 05, 2008, 08:56 AM

Default Re: Where should a new grad work?
RAH will let you cross services if you have experience.

There are lots of extra shifts around. Very few part timers work their allocated hours. Staffing Office has this wonderful idea that every part timer wants to be a full timer and once they have your phone number, they know how to use it.

If you want variety in your job, the float position is the way to go. It lets you experience different units and helps you decide where you would like to find a "home" unit. But I know floats that have been floating for years and stay that way to avoid unit politics.

Good luck in your decision.
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