First Job - Not A Great Facility, Take It Or No?

  1. Hello - well I passed nursing school and I'm almost done with a 9 week graduate nurse externship I've been doing in the Emergency Department of a hospital here in New York and I love it! I'm also studying for the NCLEX-RN which I have scheduled for 9/4. The hospital I'm externing at is actually looking for 4 new ED nurses so I think I have a chance contingent upon me getting my license in September. So what's my problem?

    Thing is, this hospital is in a really rough neighborhood - very much inner city public city funded type of place. A lot of what we see is drug overdoses, alcohol withdrawals, domestic violence, babies having babies, gunshot wounds, stabbings, prisoners, homeless people, well you get the idea. Now it doesn't bother me at all working there personally since I believe these "forgotten" areas are the most in need of quality nursing care (okay, that's the new nurse talking), but I guess my hesitancy is that it's got a reputation for not being a very good hospital. Would a future employer NOT hire me after seeing I worked there?

    In other words, do I just take the first job for a year or so and hope to move on to greener pastures? Or do I hold out for a job at a facility where I'm not ashamed to say I work? (that's a bit of an exaggeration but you get the idea).

    Many thanks!!
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    About BrooklynRN11201

    Joined: Nov '11; Posts: 153; Likes: 110


  3. by   hortona1
    The way I look at it... Experience is experience. You need to have experience somewhere to get a job in the future. If it comes down to it in an interview just explain that it was a great experience. You got to work in an area and help the under-served. I am a new grad too and I am in the same boat. Do I take the job or pass in hopes that something better comes along. As a new grad your choices are limited without experience, so it's best to get the experience while its in front of you.
  4. by   schnookimz
    I would say absolutely take the job. You will see a ton and learn a lot. Why pass and risk being unemployed? And never be embarrassed to work there! You are helping people and doing good work. Take pride in it and your attitude will spread to those around you.
  5. by   KelRN215
    I would take it. Most public hospitals have that reputation of "not being a great hospital" as in the paying customers wouldn't CHOOSE to get their care there but I don't think that necessarily says anything about the quality of the nurses.
  6. by   -AO-
    Take. The. Job.

    As hortona1 says, experience is experience. Would you rather be making some money and gaining experience (both will help you get your dream job), or would you rather risk it and potentially be high and dry?
  7. by   k-hole
    Take the job - I have my RN as of late June and have been applying to New Grad and regular RN jobs alike since April with literally no bites until today (I have applied to close to 100 jobs at this point, not kidding). The worse the neighborhood, the more complex situations you are likely to see. Eventually, you will probably roll your eyes at every "complex" thing that occurs as you will have seen it all before, but for now it is ALL worthwhile learning. Good luck!
  8. by   sserrn
    Sounds like good experience.
  9. by   LakeEmerald
    YES! You will learn at ton and, who knows - maybe you'll be the one who starts the improvements! And also, you may find out that the hospital is better than you think!
  10. by   emtb2rn
    Take the job. Future employers will probably be imptessed that you worked there.
  11. by   Anna Flaxis
    In this climate, you're lucky to have a job offer! Plus it sounds like great experience! I'd say take it.
  12. by   LG1137
    TAKE IT. Sounds like fun and you will be well prepared if you decide to move on later.
  13. by   zmansc
    I say, take the job. I think we all have our mix of shall I say, less desirable clients. As long as you feel safe while at work, I wouldn't let the location hold you back. It may just be the place where you get to do things you wouldn't get to do in the bigger facilities. Enjoy the ride, and don't be so certain that you are going to be leaving as soon as you get a little experience. You might like it, and want to stay. Remember it's much easier to be a big fish in a little pond.....
  14. by   MassED
    It is interesting to read so many other posters say to take the job. If you are in a position to have other offers, I'd think carefully. I would never base working on a place on hearsay of their reputation. Most ER's have a bad wrap, which most of the time is unfounded. Every ER has their bad population and rough nurses that make a bad name for the rest of us.

    From my outside glance at your situation, I think that would be a trial by fire ER to start for a new grad. As a new nurse, you don't know what you don't know.

    That is interesting if they are willing to hire that many new nurses, are they all new grads? That kind of rough neck ER is great for someone who has had years of experience to draw on with those scenarios where you have to move/think fast. Knowing what I know, I would be hesitant to START your nursing career there. I would learn some basic stuff in a smaller (less busy) ER or work on a floor before you are thrown into the fire. Remember, your license is on the line. Never forget you are responsible for you.