Nursing Is A Business: Get Used To It!

Nurses General Nursing

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Although I've been a nurse a mere 7 years I definitely realize at least in my own experience that this beloved field is changing dramatically for good and for not so good and quite quickly and in my own honest opinion too many nurses are not prepared to let go of the ''Florence Nightingale'' image of our profession we were taught to map our careers out after. What I mean by that is that nursing is increasingly becoming a numbers game like every other industry.

Being a nurse who is both young

Also what's up with people thinking they'll get their preferred place of employment right out the gate or in a year? Or people who think just because they have RN, BSN, MSN behind there name they immediately qualify for whatever they want????.....

REALITY CHECK: unfortunately our dear profession has become a rat race and institutions want the Peron who is most suited, most qualified, easiest and cheapest to train to fill the spot. At least in my region most employers only want to hire nurses whose experience closely or perfectly matches the position, so good luck switching specialties, and good luck competing with all those other RNs with mid to top level experience.

Also like every other profession (because idk why some believe nursing is any different) you have to

work your way up. How many lawyers, physicians, teachers, business or finance majors, pharmacists, you name it find top level positions after 3 years post graduation? And even after working at the ''bedsides'' of there chosen careers how many of them land high level jobs within 3 years? Why do SOME believe is nursing any different?

Unfortunately working in certain specialties does make you less marketable, less skilled, and less competitive unless you plan on working the same unit or specialty for the next 10+ years of your career, and hopefully your employer doesnt give you the boot during that time or youll be on the unemployment line like the couple hundred of RNs in my area that lost their jobs when 4 hospitals decided to close within 24 months, leaving them to compete with each other. That's the harsh reality, but can you still find your dream job? sure just know that you are less competitive and will have to make yourself an attractive candidate somehow if you are not already. I don't know why we give new grads and newer nurses the notion that they'll have no problems switching specialties or finding their dream job??? When the industry shows us thats simply not the truth. The proof is in the pudding just ask most employers who they want to hire and why.

Also even tho its not about credentials, I've learned that employers like to see bsn, MSN, and certs even though they do not accurately reflect the quality of ones practice. Unfortunately that's also what makes you way more marketable and to be honest it simply shows you care to some extent about your profession and are not just the run of the mill sally or Joe with two letters behind your name that come a dime a dozen. That's all employers seem to see.

I work with a nurse who abhors any type of bedside nursing or mild patient care, never tried it, won't do anything but small clinic/light procedural stuff but wants to do research because it'll be ''easiest'' for her but doesn't qualify for any research positions (even one she knew someone who worked there and was willing to get her in the door all) because she has little to zero hands on patient care experience.

Its a rat race and the best man wins... whoever has the broadest, most practical, translatable experience and credentials (and connections) will most likely, of course not always get their dream position. Nurses have to equip themselves to always learn new practices, acquire new skills, and be in control of their career, too many of us treat this great profession like a job and not as a career or platform. Nursing is becoming like every other profession, slowly more corporate, tougher, and more competitive, for good and not so good.

Just my very long two cents/vent.

Specializes in Critical Care at Level 1 trauma center.

As a relatively new grad I wanted to put my two cents in. I can kind of agree with this thread in that the job market is very competitive but at the same time if you are driven enough and put in the work you can absolutely land your dream job right out of school. I graduated from a RN program busted my ass to graduate with a 3.7 and be a member of phi theta kappa (honor society). I then shadowed an ICU nurse in my level one hospital and did everything I could to show I belonged on that unit. 200 people applied for 35 spots in the various ICUs at this hospital.

During the application process there was a very intensive critical care training session that lasted 13 weeks, at anytime if you failed the critical care tests you could be asked to leave the program.

Long story short I now have a job in the ICU at a regional trauma center, I make my own schedule, get paid decent, get an hour lunch break, and one day of PTO for every paycheck I work full time and rarely have to stay late unless I want to because of an interesting case.

Three people from my class got the same job I did because they busted their butt to get there. basically what I am saying if you try hard enough you can reach your dreams and to tell people they cannot do it is wrong and simply degrading!

Specializes in Clinical Research, Outpt Women's Health.
thank you! people at work act like i'm crazy or overly-entitled whenever i say anything about labor law violations and/or unsafe policies. i get that people are afraid of disciplinary action or losing their jobs for speaking out, but that's half the problem. you shouldn't be subject to retaliation for pointing out that being forced to work off the clock is illegal, or that a 30-minute break is the law, or that it is dangerous to have a CNA to patient ratio of 1:30 (for real, this happened at a former job - one CNA per hall, to save money), or that forcing a nurse to come in and work with a 102 degree fever is unethical and unsafe.

Good for you. If nurses would stick together and do more of this things would be better. Instead they are at each others throats.

Specializes in Med-Surg, NICU.

I can't speak for everyone, but the majority of nursing students I have come across are very aware of how difficult the job market is right now for new grads especially. However...

It isn't as difficult to land a job as one might think. Nearly all the people I know who have graduated this year have gotten jobs within two months of graduating. These were the ones with extensive PCA experience and a BSN to boot. On top of that, many got their dream jobs in the ICU, NICU, cardiology, oncology, etc.

I am currently in a BSN program with extensive PCA experience. I do think I have a great chance getting into the NICU and it has nothing to do with entitlement and everything to do with good grades, nice references, and my work experience on OB department that sits right next to the NICU. Plus, I plan to apply to all NICUs at all the hospitals in my area, and that is quite a few.

As for flexibility...nursing IS a flexible field with countless different fields to get into. I know nurses who work two 8s, two 12s, nurses who work onky thirty-two hours per week, nurses who rotate shifts, nurses who work weekends only, nurses who travel, nurses who are casual...to say that it isn't flexible is hilariously false.

In regards to the students who don't want to work with sick patients...I find that highly disturbing as well and I think those who refuse to get their hands dirty and don't want to work in patient care have no business being nurses. Period.

Nursing can be a dream or it can be a nightmare. It is unique in that there is NO other field like it. The people who regret going into the field most typically tend to be the same people who knew about the field the least with these grandiose ideas as to what it means to be a nurse.

I have no such delusions. I work as aide and I see how difficult it is to be a nurse. However, what other fields will allow me to make more than the average American household straight out of college, work three days a week and give me the opportunity to help save lives in the process? Not many, I reckon.

Nursing is what you make of it. You can martyr yourself only to have your heart broken or you can see nursing as what it is; a piece in the game of healthcare.

Specializes in L&D, infusion, urology.

I am graduating in May, and have no delusions about the job market. It's tough out there, and I live in one of the toughest markets in the US (San Francisco Bay Area). I am already putting out resumes and making contacts as much as I possibly can. I have no expectation of landing some cushy job in my dream department with benefits and a nice day schedule. I expect to have some per diem positions that are in different units, to have to commute, etc.

Our instructors have been pretty honest with us about the market, IMO. I feel our program is pretty supportive of its students (no "thinning of the herd" mentality), and they've encouraged us to be open to various possibilities, and to take what we can get and move into our desired fields with time and with experience under our belts.

I'm a month shy of 55, and I just landed my dream job and will be leaving the bedside for good. But I'm sure as heck not doing it to step aside for a younger nurse; I earned this job by working hard for years, both at the bedside and as a nurse-manager. I busted my buns and it's cost me dearly in terms of chronic arthritis pain, flat feet, and burnout.....you BET I've paid my dues.

Ironically, it's only because I can no longer handle floor work either physically or mentally that I even applied for the dream job in the first place. I never believed for a second that I'd actually get it, but I did, and only those who have left clinical nursing can understand the relief I feel at knowing I will never again hold precious lives in my hands while I'm trying to do twenty other tasks at once.....most of which are busywork or things that could be delegated to other staff (if there WERE other staff, that is).

But the sad truth is, I would have left anyway---even if I hadn't gotten the job---not because I'm an old horse that needs to be put out to pasture, but because it's all gotten to be too much. I've only been around healthcare for 20 years, but even in that limited time, it's changed so much that I can barely recognize the profession I went into with so much passion. I remember thinking my workload as an LTC nurse was heavy back in the '90s when I graduated, but that same job now involves tasks that used to be done by med aides and CNAs: passing ALL meds, checking 12-15 blood sugars, doing simple treatments like applying OTC creams and ointments---all on top of assessments, charting, orders, incident reports, phone calls, dealing with families and so on. Oh, and don't forget about plunging blocked toilets and mopping floors after housekeeping leaves at 1400, taking food carts back to the kitchen after meals, and setting the tables for the next one.

So, am I selling out by going over to the "dark side" where it will be my job to observe (and critique) the way healthcare facilities do theirs? I don't believe so, though some might see it differently. That's OK. I know how these places work, and I will evaluate them accordingly. After all, I know what can reasonably be accomplished on a given shift with a given number of patients/residents and a given number of staff. I also know the tricks facilities use, such as "staffing up" and having managers running around out on the floor answering call lights and passing trays, that are meant to give the survey team the false impression that this is how they operate ALL the time. (And I am aware of all this because I've done it myself as a DON.)

That's why I see nursing-as-a-business in a negative light, even though as a practical person I know it's not going anywhere, and we all have to do our jobs within that framework. But there WILL be a breaking point---nurses simply will crack under the strain if much more is piled on top of them. And the next nursing shortage will occur when nurses of my generation age out of the workforce, while many younger nurses who are less willing to put up with deteriorating working conditions either leave nursing entirely, or return to college to earn a higher degree so they can get away from the bedside.

Just my 50 cents' worth. :yes:

You are spot on!!! Spoken like a TRUE veteran nurse!! Kudos....and congrads on your "cushy" job...... i only hope i can be in nursing as long as you, care for my patients, pay my dues, gain my experience, and land a "cushy" job like you!

This thread is not meant to squash any dreams, but only for people to know and remember the harsh reality of work life. Also the job market is better or worse in certain areas. Here in NYC hospitals are picky don't want to fill existing positions to save money and four hospitals closed within 24 months letting out thousands of nurses into an already tight market, plus the dozen or so nursing schools just in the immediate 5 boroughs graduating new nurses twice a year. Its rough out here.

Oh and did I mention 2 other hospitals were slated to close but are hanging on by a thread. I know a few others in the 5 Boro's that are struggling financially too, including my own.

Oh and did I mention 2 other hospitals were slated to close but are hanging on by a thread. I know a few others in the 5 Boro's that are struggling financially too including my own.[/quote']

I wish everyone well and hope everything works out. Gud luck to you all!

Specializes in Critical Care.
thank you! people at work act like i'm crazy or overly-entitled whenever i say anything about labor law violations and/or unsafe policies. i get that people are afraid of disciplinary action or losing their jobs for speaking out, but that's half the problem. you shouldn't be subject to retaliation for pointing out that being forced to work off the clock is illegal, or that a 30-minute break is the law, or that it is dangerous to have a CNA to patient ratio of 1:30 (for real, this happened at a former job - one CNA per hall, to save money), or that forcing a nurse to come in and work with a 102 degree fever is unethical and unsafe.

I believe the Supreme Court ruled that nurses in nursing homes are considered supervisors and therefore unable to join a union to advocate for themselves and the patients. This goes along with the exclusion of home health care aids from receiving overtime. I know they are trying to change this, but I don't believe they've been successful yet. Let me know if I'm wrong!

In both these situations the govt and court sided against workers because of cost. The govt thru medicare and medicaid pays the majority of nursing home and home health care and therefore are looking for ways to keep costs down. Calling a nurse a supervisor is disingenous because they do not have the true authority to hire and fire, but it prevents them from speaking out against unsafe and unfair working conditions that would cost money to fix!

Specializes in Anesthesia, ICU, PCU.

Nursing is like any other job in the sense that when you're new to it you have to build a respectable and marketable resume to attract employers. GPA, education seems to lean towards BSN, involvement in extracurriculars, work experience as a PCA or CNA or nurse internship/externship, 2 quality letters of reference from professors/clinical teachers, a convincing cover letter, and confident interview. My friend is a computer engineer and he had to have a good GPA, a BS with a minor, a year of internship, letters of recommendation and all that crap. It seems that what's different in nursing though is that hospitals experience lots of new grad attrition. What employer is going to want to hire a new grad when they're taking a gamble that 6 months down the road the nurse is gonna leave because they hate the nature of the work (which ceccia described perfectly btw :D)

I believe the Supreme Court ruled that nurses in nursing homes are considered supervisors and therefore unable to join a union to advocate for themselves and the patients. This goes along with the exclusion of home health care aids from receiving overtime. I know they are trying to change this, but I don't believe they've been successful yet. Let me know if I'm wrong!

Well, not entirely correct.

An historical note:

https://allnurses.com/nursing-activism-healthcare/employers-use-supreme-29670.html

Current status:

Court finds RNs are supervisors under the NLRA - Lexology

not the Supreme Court, the 6th Circuit Court of Appeals, a narrow decision:

http://www.butlersnow.com/Nursing_Home_RNS_Are_Supervisors.aspx

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