Dear Nurse Beth,
I'll start with a little background about myself. I started first as a CNA which I hated for many reasons, got my LVN in 2012, and now my ADN in 2015. I started as a LVN at an urgent care clinic and I'm still here. I thought after I got my RN so many more doors would be open. I'm in the Dallas/Fort Worth area and I've always been behind. When I got my LVN they were phased out of hospitals and LTAC's are a death sentence for your license. Now with ADN everyone is going magnet. I will hopefully be starting a BSN program this fall. At my job there are not very many IV opportunities or blood draws due to having a lab tech. My skills in that area are very lacking. Through school I found out what I didn't want to do but not a lot of clarity on what I do want. I've been looking into OR but with terrible IV skills and most requiring BSN. I think that the longer I stay where I'm at the more skills I'm going to lose. Yet, I don't think getting a med surg job which I would hate would benefit me at all except make me more burnt out. There are surgical internships out there but for BSN. What I'm asking is would it be wise of me to wait until I have my BSN to make a job move? Hold out for an internship?
Dear Still an LVN,
It’s best to get your first entry level RN job as soon as possible, given that you graduated in 2015. There is about a one year window of time in which you are considered a new grad. New grads are eligible for transition to practice or residency programs, but non-new grads, even without experience, are not. The clock is ticking. If by “hold out for an internship” you mean wait until you have your BSN and are offered a residency in OR- no, that would not be wise.
Take what you can get right now. Contrary to your belief, getting a med surg job as a new RN would benefit you tremendously. After one -two years in med surg, you are marketable and have many more options available to you.
Don’t worry about your IV skills. IV skills are the least of your concerns right now. New grads are not hired based on their IV skills. Your main concern should be landing your first RN job.
As far as deciding ahead of time that you will be “burnt out”, try it and see. You are making some self-defeating and limiting assumptions. You have a lot to learn. Give yourself time to grow and discover what is the right fit for you.