To be honest, I really don't know where life is taking me..... I am a RN with 12years experience encompassing:
2 years experience in a small rural community hospital ER (currently working)
3 years case management
4-5 years ER/Trauma in a level II trauma center
2 years telemetry / cardiac step down
I want to grow into a management or directorship role in an ER: There are no growth opportunities within the organization that I currently work for - they have been downsizing.
This is my educational background:
Started out with an ADN,
then progressed to a BSN
will be graduating with an MBA this June with a healthcare specialization.
However, competition for these positions is fierce where I live and I have never held a "management" position. One of two things either happens to me when I apply for a open position here in Northwest Ohio.
1) They are promoted from within the organization or
2) They have the management experience without the education
I guess I felt the need to obtain the MBA because so many managerial nurses that I have worked with in the past have said that being thown into budgeting FTE's and departmental supplies & equipment & revenues without any real orientation or a business acumen is extremely stressful - then, trying to balance the people issues of conflict management, patient complaints,physician issues et al.
Soooo, I decided to obtain the MBA so that I would have the education as it pertains to the finances, leadership plus continue being current with the clinical side.
Now, my question is: How the heck to obtain the "management" experience when it appears that most of the facilities out there want someone with experience? How do you move up when there are seemingly no growth opportunities?
I am even willing to relocate, but still having problems finding positions on Monster.
I don't want to sound like I have "grandiose" thoughts of myself, but whoever I land a management position with will have someone that will have the business background / clinical expertise and represents nursing's voice in the organization...
Does anyone have insights or suggestion to offer?
Mar 30, '07
by llg, BSN, MSN, PhD Guide
Not all positions are listed with Monster. I would contact a couple of head-hunter firm and let them know what you are looking for. You can usually find their advertisements in nursing journals.
Many "first level" management positions are hired from within. So, if you know of a hospital that you would like to work at, you might want to take a job there as a staff nurse to get your foot in the door. If it's a financial possibility, you might want to work in float pool within that hospital ... or work for an agency that would expose you to multiple possible employers.
The agency or travel nursing option might be good because you could take a series of 13 week contracts and get your foot in the door at several places. As they interview you and get to know you, there would be no problems telling them something like, "I'm doing travel nursing while I am looking for a management job." As they get to know you and see you as a competent nurse, they may know of a position that would be right for you. The key is to network and keep your skills current. Volunteer for special projects/committees, etc. Be the Charge Nurse or Shift Coordinator (or whatever) and get involved in activities that help run the unit. Highlight those things on your resume.
It is rare to see people go from being a staff nurse directly to being a full time manager or director. Most people go through an in-between stage, during which they are still a staff nurse (or assistant manager, or shift coordinator, or something like that) with some enhanced responsibilities that give them a little experience in the management realm. How much of that type of stuff have you done?
Keep in mind that you may have to take a job or two that is not your dream job in order to make that transition to management. It might be a med/surg unit or a unit in a hospital that is not the type in which you will want to stay more than a year or two. It might not even be a regular management position: it might be an assistant manager or a team coorinator or a project manager position or something like that.
Anybody else have any suggestions?
Last edit by llg on Mar 30, '07