Accepted into the nursing program, questions about career path

Nurses General Nursing

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Hello! I am excited to say that back in March, I received my acceptance letter for the Traditional BSN Nursing Program at my University. I will start in the fall and I am counting down the days! I have an idea of what area of nursing I would like to pursue, which is critical care. My overall goal is to become an Acute Care Nurse Practitioner. Significant traits about me are that I am detail-orientated and like to plan ahead and have alternative plans established so I can make the best decision possible on a situation. I have read many threads on this forum about new graduates having difficulties finding jobs after graduation. This worries me, so I want to do all that I can to enhance my chances of getting a job. In doing such, I have come up with different possible course of actions to take now until graduation to accomplish my goals. I would like your input as which route is plausible for me to make my dream into a reality. Ultimately I will be talking with a nursing advisor as well, but it is nice to hear from the allnurses community :).

Here is a little background info about myself before I start. I am currently a cna on the Med/Surg floor for more than three months. I have previous experience working at a nursing home as a cna before transitioning to a hospital. I am fast learner and have already orientated new aides on my floor even though I was still new. I have been a member in my university's student organization taking on leadership roles and enhancing my planning/organizational and critical thinking skills.

Plan A:

1.) Continue working as a cna on the med/surg floor during nursing school

2.) Do two summer nurse intern programs in a critical care setting after my 1st year and 2nd yr

3.) Work as a Med/Surg nurse on my floor for 1 yr after graduation

4.) Transfer to the ICU or step-down unit

5.) Transfer to the ICU

6.) Work as a ICU nurse for 2-3 yrs

7.) Continue my education and get my masters to become an ACNP

Plan B:

1.) Continue to work as a cna on my floor until I complete my first year of school

2.) Do a summer nurse intern program in a critical care setting after my 1st yr

3.) *Apply and transfer to a nurse tech position in the ICU at my hospital if available; if not, continue on my floor

4.) Work as an ICU nurse after graduation

5.) Work as an ICU nurse 2-3 yrs

6.) Continue my education and get my masters to become an ACNP

I having a hard time deciding on whether to stay on my current floor and work in med/surg to gain that first year experience after graduation. I've read threads on here with mixed emotions on whether to start out on the floor or go directly into a unit. I really feel for my med/surg nurses because of the patient load and demands. Even though I did not like working in LTC, the months I've spent working there as a cna was an invaluable experience that further helped me with my skills when I transition to a hospital. In a way, working in med/surg would have that same effect for one before moving into a specialize unit. However, I have read great stories about new grads going directly into the unit and really enjoying it. That's why I want to intern in a critical care setting and hopefully find a tech job to in the same setting. Also, I will work on my resume and cover letter and take additional classes, if needed, as well.

***I know it is not a 100% guarantee that I will get a RN position after graduation immediately. I have heard from several nurses on my floor that you have a better chance of getting hired into a hospital as a RN if you already work in a hospital environment--i.e. nurse tech. This scenario is assuming I get an immediate position.

Specializes in Home health was tops, 2nd was L&D.

First off, I think Congrats is in order for getting into your nursing program!:yeah::yeah:

Second, while I, too, like to plan and am detail oriented.. I have found over the years that my ability to be flexible was my best asset.

Either Plan is great, but as this is all new to you. you may actually find Plan C or D might pop up.... My suggestion is to keep your overall goals in sight but also enjoy learning and not to rule out any new interests that arrive as you learn.

Best of luck in your journey:D

Specializes in Home Health Nurse.

I agree with the poster above...

As your name states life is a journey. Don't stress yourself out now trying to figure out every little detail on your way to your ultimate goal. Have an end goal in site and take the necessary steps along the way in order to achieve this goal. You are already ahead of most nursing students in that you have CNA experience. I say take a few deep breaths and enjoy life. The fact that you are even thinking about being an APN and you haven't even started school tells me that you will be successful in whatever you do. So let life come to you and make the best out of the situations that you are thrown into. When I was in my early 20's I wanted to be a regional restaurant manger and be in charge of 6 stores (didn't work out) because I ended up getting back together with my high school sweetheart and marrying her!!!! Next I got a real estate license got into sales that didn't work out either. And now I have finally figured out that my end goal like you is to become an NP. I wouldn't change anything that has happened along the way. If anything those jobs that didn't work out only lead me to the path I am at now. I am telling you this because in my early 20's there was no way I could have written a plan for the way my life has worked out. Life just happens... but for the people who are motivated individuals the end result is always success because we will not accept failure! Good luck... and my 2 cents is it doesn't matter what path you take because you will be successful either way!

Specializes in Hospital Education Coordinator.

you really do not have to plan your whole life right now. Leave room for changing your mind as experiences may point you elsewhere. Good luck in your career.

Lol good luck working during a BSN program. You will barely have any time to sleep.

My first RN job was on a Med-Surge neurology floor where I had 8-10 patients a night. Talk about baptism by fire!! It was an invaluable experience. I learned organization, prioritization. It served be well for my next position in critical care, which was my dream job! Good Luck

Specializes in Med/Surg, Float Pool, MICU, CTICU.

Thanks for all the replies, they are really insightful! All of your support makes me feel that I've made a good decision to purse a nursing career. If you could only see me now, I'm blushing!!! Sorry that my post was more like a novel haha! As you can see, I'm a talker and it definitely transition into my writing as well ;). I'm still leaning towards critical care, but I am willing to keep my options open seek any opportunity that comes my way. Although things may not always go as plan, I like setting goal and seeing how close I can accomplish them.

I've also wonder about the DNP as well. Ideally, I would like to start the ACNP program by 2015 or 2016, so it would be interesting to see if it has been sorted out by then.

This is not a personal attack, but an observation... this did not help the OP at all, so why you even bothered posting a response like this is beyond me.

Not an attack--just a response. The post wasn't directed to you, so you easily could have ignored it. Carry on...

This is not a personal attack, but an observation... this did not help the OP at all, so why you even bothered posting a response like this is beyond me.

I agree. It was actually pretty rude. If the post is too long, move along to another thread. Or "you easily could have ignored it."

To the OP, another thing to keep in mind is that the job market when you graduate won't be the job market of today. By all means, gain experience and build connections as a CNA, keep an eye out for internships and know the dates for applications to new grad programs. But don't spend too much energy stressing about the job market after graduation right now- worrying about things you cannot control is worry wasted. You have two good plans and while in school you might find other areas you like more OR stumble upon unique opportunities you can partake in. I'm a planner too, and it's comforting, but for me it can also be a distraction from focusing on the journey while it's happening.

Good luck in school!

I would add a step at 5.5 --- Obtain CCRN certification at year 2 or 3. This will show your commitment to critical care. Whether or not a applicant had CCRN certification was definitely noted by the ACNP Admissions committee at my University.

Specializes in Med/Surg, Float Pool, MICU, CTICU.

thanks for the advice UVA Grad Nursing, I will add that too my list!

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