Is it difficult to get into neonatal nursing as a new nurse graduate?

Nurses Career Support

Published

Hello experienced nurses! I love babies and would love to work either labor and delivery or neonatal, but I am hearing that new nurse grads are usually not allowed to work these areas right out of school. Is that correct?

Specializes in NICU.

Actually, in our area, both are almost easier to get into as a new grad. Both areas have extensive orientation and preceptorships. I'd call the nurse manager of a unit you want to work on and talk to her (or him ;)); if you're enthusiastic about working there, they'll probably give you a chance.

BTW, I started in the NICU as soon as I'd graduated, with a temporary license.

Specializes in Maternal - Child Health.

Starting out in the NICU as a new grad is the best way to go. Nothing to "un-learn", as opposed to experienced nurses who are used to caring for adults. New grads have a higher satisfaction rate and stay longer in the NICU than nurses who transfer in from adult specialties.

As a matter of practicality, most hospitals have more NICU openings than L&D openings, since NICUs tend to be among the largest units in the hospital. You will probably have an easier time finding a job as a new grad in the NICU than in L&D, but neither is impossible. NICU is an excellent "training" ground if you eventually want to transfer to L&D. I've worked both, starting in the NICU, then going to L&D about 5 years later. I never got the same "comfort" level in L&D and eventually went back to NICU. But that's just me.

Either way, find a unit with an extensive (classroom and clinical) orientation of at least 3-6 months. Insist on 1:1 orientation with a consistent preceptor, and an identified mentor for 6-12 months after that. Run from any unit that has less than 50% experienced staff (2 years or more on that unit) working any given shift. Ask to shadow and interview a staff nurse from the unit. Most will tell it like it is, and help you to get a feel for whether the unit will be a good place for a new grad to start.

Thank you both for your wonderful heartfelt advice. I would love to work, (or at least try) either one. I have a special place in my heart for babies! Just love them -- they are such little miracles! Of course, I have a long way to go just starting nursing school, but I really think it's where I want to be. :)

+ Add a Comment