What Would You Do ROOKIE?

For my fellow new grads! The UN-EMPLOYED ones! I thought this would help take your minds off the crap we go through daily. My hope is that you don't forget everything you have learned before you actually get to use it. 'Cause I can't remember half of my drugs! Enjoy. Nurses Announcements Archive Article

So you have worked hard, very hard. The past few years have been gruesome. You have suffered, rejoiced, cried, failed, shook it off and got back up, succeeded, endured countless sacrifices and accomplished the dream! The sleepless nights, missed meals, special occasions you regretfully sent back with I O U s are now over. Congrats! A pat on the back from your closest supporters and you back to the real world.

Time to get a job. You start applying to every job that matches your new title of nurse! You start off on the internet. Day in and day out, from sunrise to sunset, the applications process seems endless. You have filled out so many by now, you're exhausted from just the site of a listing. You know, time is against you. As now, you're trying to find short cuts to get through this application, just to get to the next one, in under the 45 minutes. Your patience is being tested.

Fast-forward a few months still no job. You decide to change your strategy and pursue your dream job on foot. Door to door, you march, resume, and license in hand. You've polished up your interview skills, and break out your Sunday best, and you're only going to fill out the application. You are determined to make a great first impression and try to snoop out the inner workings of this organization you hope to be employed by. You make contact with of dozens of DONs, meet what feels like hundreds of directors in HR, all regretfully explaining to you, that your new grad status makes you more of a liability then an asset. In fact, you've heard that special phrase "6 months to a 1 year REQUIRED" so many times it makes filling out another application seemingly pointless. You're starting to sink even further.

You re-evaluate your financial status once again, cutting back even more from an already stretched paper thin budget. Now, getting to and from these potential employers sites are starting to take an unexpected toll. With every passing day, you see money going out of your pocket with no end in site. You have even renew your licence's first cycle, and still no job. It's as if you had broken a mirror and been given 7 years of bad luck, and fate, was out to get you, determined to make this phase of your life suck, I mean really, suck.

During school, you heard of talk of a nursing shortage. It was everywhere, littered in news articles, posted on billboards, you couldn't get through a day without seeing some advertisement to become a nurse, promising a future with limitless opportunities to make a difference in the lives of people, who needed you. Even you professors dazzled you with stories of their adventures as a young up and coming nurse. Now, you question your professor, wondering why they didn't forewarn you, of these kinds of roads blocks, back when you might have been able to better prepare yourself. Now, you scold and scoff at the lies, the media has fed the public, you know, your truth!

By now, your mind has started to wander, straying from the path of nurse, to searching for a job, any job. You can't stay unemployed any longer, you got mounting bills well past due, and more importantly mouths to feed. Just when, you gave up and are about to accept that dead-end, go-nowhere job, the phone rings. It's that employer from a small nursing home you don't even remember applying to. Your adrenaline kicks in and the four corners of your body start to tingle, as you attentively listen to that DON arrange a time and a date to meet. You agree and hastily start to prepare.

Finally, the shot you've been waiting for. Hundreds of online applications rejected, dozens of nursing home applications with not so much as a call back to thank you for applying. All the while, reassuring yourself that none of that will matter, if you ace this interview and land this job. You've got very little time to research, so you start online. It's an hour drive, one way, you justify it, as it's only an hour, you have heard of worse, then you discover something shocking. This nursing home got a 1/2 a star rating. You didn't even realize they gave half stars! You dig a little further and find an article written last year about this particular nursing home, being cited and fined with heavy violations from the state. As well as one of the biggest ongoing investigations the Department of Children and Families have conducted in recent years. You think to yourself, this couldn't be, there must be some grave error or type-o, here. You double check the name, the address, even the DONs' name, it all matches. Oh my god! This can't be, you naively accept it at face value and figure they have resolved their issues and argue it can't be as bad as it seems.

The big day is here, interview time. You arrive early and center yourself with a few deep breaths and try to relax by making conversation with the receptionist. She politely informs you that the state is in the building and that your interview will be cut shorter than normal. In the middle of her ramble, your eyes flash a glance at a figure in the distant doorway. It's a young woman in the suit, with a badge. Her stroll is composed and with intention. It must be the state, you think to yourself, as an alert patient aid, interrupts your gaze. She pauses your conversation and asks the receptionist for a census, for her wing. You make eye contact and try to get a bigger picture of what's really going on today. You see fear in her eyes and a look that can only say one thing, "run, don't look back, just turn around, and run!" it's clear, she hiding her terror.

The receptionist, hands over the census then informs you, that the DON is ready for you. The interview went quick, there wasn't much time and it was rattled with interruptions from all types of staff members. You get a sense that the DON is an unforgiving woman. Her sink or swim attitude, was more fit for a military outpost than a healthcare facility. Even more displeasing, was the apparent lack of senior mentors and an abysmal 2 day orientation, which left you speechless. She, even gave you a nick name "Rookie". You find it very inappropriate and unprofessional but shake it off and continue. Despite the uphill battle, none of that mattered, the DON has made her decision and that all important, offer. The words filled you with excitement, the kind of bliss, a person can only feel on Christmas morning. The wage isn't much and to be honest you were expecting more but as a new grad you justify it. You cheerfully start to ponder all the things in your life that will change.

The DON graciously walks you out toward the reception area, but is swiftly stopped by the young woman in the suit, almost, as if it was a coordinated effort by both parties. Being as professional as you can, you shake firmly and introduce yourself, proud to state your name and title. Furthermore, explain that you're a new nurse and considering employment at this facility. She smiles and calls you "Rookie". You find that phrasing odd, even, the way she said it, just didn't seem right. She a fixes her stare, in an attempt to search for signs weakness in your character, deceivingly invites you join her tour group. Unbeknownst to you, you have just entered a game of cat and mouse.

As the tour guide babbles about the highlights of the establishment, you take note the young woman's name and badge, she's from the state alright. The woman's badge say lead inspector, she explains, she earned that title, of lead inspector by uncovering massive violations during her inspection of this facility last year. You can't help but notice this young woman has a bold, obnoxious, authoritative attitude. You imagine, a school child who never got to play pin the tail on the donkey. Now, she all grown up, and really ****** off. It's an attitude that could only have developed during a very deprived childhood. It's as if, she owns a dart board in her office and regularly takes aim at young inexperienced nurses. Then, an epiphany, you snap back to reality. With your quick wits, your one-step ahead of her, and kindly excuse yourself, falsifying an appointment that needs your attention.

As you leave the group, the DON and the lead inspector both exchange a glance , both smile and wave goodbye, oddly at the same time, oddly with that same smile. You can't be sure and try not to read into it, but your gut tells you different. As a heavy knot forms in the pit of your stomach, you take a minute to start your car, thinking about, that phrase, "rookie ". You can't help, but, wonder, What to do now!

Specializes in geriatrics, hospice, private duty.

You have to get that experience somewhere, and unfortunately unsavory positions are often the only options to new grads. Take it and get experience, even if you just do it PRN. In my neck of the woods, you are actually MORE sought after if you survive a year in some of the local hell holes of nursing. As for the DON, I wouldn't let a DON make me leave or refuse a position. Management comes and goes so if a bad one is there, just wait him/her out. A great management team would be ideal, but is fairly rare in my experience. Frankly, if you are as hard up as you sound, you don't really have much of a choice. Heck, maybe you can even be a good influence and improve the conditions for your patients, even if that improvement is for your shift only. Good luck.

The only way new grads get jobs as nurses is by doing very well at reputable nursing program and by having their highly reputable professors give your future employer a stamp of approval...

sorry, suzie-i can't email you due to lack of posts :)

What was the topic?:

So, so, so sad. But I have seen this to be an issue not only for new grads. Trust me. It's beyond that. Hiring freezes have a core cause. Explore, as open-mindedly and honestly as you can what these causes are. They affect more than new grads, believe it or not.

The only way new grads get jobs as nurses is by doing very well at reputable nursing program and by having their highly reputable professors give your future employer a stamp of approval...

Even then, it comes down to more than that, b/c you have a lot of grads with great GPAs and the like. Same thing with experienced nurses as well.

Until some political changes come into play, which are a long way off, I'm afraid nursing is not the field to go into for most people if you want to find a job--especially if you don't want to have to wait a couple of years or more to find on-- or move to North Dakota.

Specializes in Lvn to RN, new grad med/surg.

Yep! Been there, done that! Stayed nearly two years while I looked for something else several times a week. As soon as something else came along I was gone.

Edit: Forgot to add that I was never actually called a "rookie" I think my DON was more professional than that. But it was clear that I was brand new out of school. In my school the most patients we ever had were 4 at one time. Then out of school a few months later suddenly I was on my own at night with 56 patients and 3 CNA's after 2 weeks of orientation.

Specializes in Emergency Nursing.

Solution: no matter how hard it is, GET A JOB BEFORE YOU GRADUATE. I know that for some this will not be possible, but there's no excuse for not making the effort.

They're not lining up to hand jobs to graduates, but they may hire you as a tech while you're still in school and from there the opportunities expand exponentially.

Specializes in Pediatrics.

Your writing is excellent! I did not read all of the comments, but I did read your article, and I can relate to your experience walking those halls of that "half of a star" facility. I've been there. Not as a "rookie", nor as an RN, but as a doe-eyed nurse who felt she could make a difference, and at the core, really just needed a job.

I was recruited, before graduating, straight out of PN school to one of the best hospital systems in the area. I would be working sub-acute. I would get an excellent orientation, IV certified, brain trauma injury experience, peds experience, peritoneal dialysis... You name it, I would have the opportunity to work with it. As a GPN and then LPN. It was unheard of, and I loved it!

Working that position, having that facility on my resume, got me into the doors of some of the best facilities; from pediatric to long term care, in the area. My resume was IMPRESSIVE! My career, my qualifications, they were impressive for my license level, and my work ethic has spoken for myself. I felt like I could finally write my own ticket... and I could.

Until I got seriously hurt at work.

I became part of the system-wide workers comp network risk assessment, and I couldn't get hired ANYWHERE. Except, of course, the sister-facility to yours. Yep. They wanted me, and I needed them. So I sat the orientation, along with 11 other new hires, and the sheer number of nurses in the room was enough to give me pause. I figured, during the tour, "yes, the halls are dirty, but we can turn this around. We just need teamwork and good leadership." I was confident! This would work. It would have to. I had bills to pay and mouths to feed as well.

Alas, day 3 of orientation came, and with it, a visit from the State. 3rd visit in so many years. I had heard rumors. The name of the facility had changed accordingly thrice in those three years "under new, better management." I figured, this time they must've gotten it right. Third time is a charm! I remember the cold shivers the State Investigator gave me as he asked my name, title, experience. I remember the frustration and fear that penetrated me as I watched the terrified, overworked floor nurse try to pass her meds (while I shadowed her) with the State eye-balling her and the MAR with nary a blink. I remember the relief I felt as I abruptly decided this was not the place for me and resigned that day.

A write-up was in the local newspaper some time later regarding the outcome of one of those State visits, and the number of nurses who received infractions and violations on their licenses. I couldn't help but wonder: how many of them had been innocent bystanders, in that same filthy orientation room with me, whom, for whatever reason-didn't trust their intuition and now paid the price?

Does all of this really help you with your situation? No, it really doesn't. However, solidarity is cathartic and I can empathize. You'll make the right choice, but go with your gut. Money is important, but maintaining your license is vital.

Or you can be at one of those LTC, SNF wannabes with new owners that was a total rebuild. So, now the "quality measures" part is way up but all the others are still one star. I briefly visited one of these as a hospice nurse and wow it is beautiful - it was nicer than any of the new towers at the hospitals around me. But they got rid of the good staff. I remember coming in to check my patients and saw the state drilling a nurse at the nurses station about some drug, and she just tried to bluff them by speaking mostly in her native language (LOL) nice try :facepalm:. There was only one nurse or tech there who was not foreign. This is true of the majority of facilities in my region. Recently saw an ad for an RN there - they want you to come in to apply so they see if you "fit". Haha, they still are barely hanging on to that one star.

I know how difficult it can be. You are doing all the right things. I've found it successful to apply online, then call the facility and find out the name of the director of the department you want to work at, call and connect with that hiring director to inform her you just put in an application with HR. I have found many times they are not aware of it, as HR has not sent it, it just gets lost amongst the numerous applications. I do know that quarterly, some hospitals in CA include one or two new graduate positions. Find out what those dates are. I would use FB and Linked In to begin networking with employed nurses. Connections is the key in gaining employment. Also, I have heard people doing N.A. work just to get their "foot in the door", and in no time their hired as an R.N. It's tough times out there! Yes, there is a nursing shortage, as the hospital administration budgets have cut-down on orientation for new graduates and decreased their population of nurse employees as well. We've had a few strikes in CA with nurses demanding more nurses and complaining about nurse/patient ratio and patient safety issues. I wish you the best, hang in there!

I would like your opinion on placing our photos on our R.N. licenses. We have imposter issues. I believe that is the solution to this!

Specializes in Psych/med surg.

Run the opposite way as fast as you can. I took a prn job as a new grad in a nursing home. They offered me 3 days of training and it was not good training. I called today to tell her that I do not feel confident to be on the floor by myself and decided to give my 2 weeks notice. She refused to accept my 2 weeks notice and said my quit day is today. Their policy is if you don't give a 2 weeks notice then they will pay the remaining hours you worked at minimum wage. So basically I just worked my ass off for 36 hours at minimum wage. Nice. Fortunately I have been offered a psych outreach RN job that is salary and pays mileage at the max amount before it is taxable. Nursing homes don't care about their employees. There is a high turnover and they treat you like you are at a manual labor job. I didn't work this long and hard in order to put my RN license at risk. I only lasted 2 weeks at this job too. Good luck, there has to be something better out there for you.