Unemployed New Nurses Would Be Wise To Remember These Equations

Many newly graduated nurses dream of landing their first positions in certain nursing specialties within the acute care hospital. However, what if the recruiters and nurse managers are not calling to set up interviews? Should you accept employment outside the hospital? Nurses Announcements Archive Article

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As a newer nurse (RN or LPN / LVN), you should feel very proud of the milestones that you have worked tirelessly to achieve over the past year. For starters, you have successfully completed a challenging program of study that would perplex the majority of adults in the United States. Moreover, you have passed the NCLEX and attained professional licensure that allows you to lawfully practice as a nurse. After all the hurdles you have jumped, I am assured you are excited to begin your career in the vast field of nursing.

Many new grads dream of landing their first positions in certain nursing specialties. Labor and delivery, postpartum, the intensive care unit, the emergency department, and pediatrics seem to be popular specialties where numerous new nurses would like to work. Also, countless new grads are willing to start on medical / surgical floors to establish the foundation upon which the rest of their careers are built. Anyhow, you are eager to start working, so you begin submitting employment applications to various hospitals in the area where you currently reside.

Six months have elapsed since you first received your nursing license. You have submitted so many applications, resumes and cover letters that you do not have enough fingers and toes to accurately keep count. Not one single callback. You might have thought aloud, "What is going on? I heard there was a critical nursing shortage!"

At this point you might be feeling a little sick to your stomach because the student loans will be due for monthly repayments rather soon. Even though deferment is a possibility, this option will only add more interest and slowly increase your overall balance. Preferably, you need a licensed nursing job. After all, you graduated from nursing school because you wanted to actually work as a nurse. Right?

Meanwhile, a company that hires new grads into private duty nursing cases is constantly advertising on websites such as CraigsList, Monster, CareerBuilder and Indeed. A home health company has placed an ad in the local newspaper for nurses (no experience necessary). An assisted living facility within reasonable commuting distance seeks a full-time RN to complete tasks such as wound care, assessments and taking call every four weeks. A local nursing home has a permanent sign in the front window that reads, "Now hiring LPNs, RNs and CNAs!"

As tempting as these job openings look, you are feeling leery about applying because you are still clutching onto your dream of securing employment at an acute care hospital. You might fear that you will become a less attractive applicant in the eyes of recruiters and hiring managers if you take a nursing job outside the hospital setting. My advice is to remain cognizant of the following equations:

Nursing job outside the hospital = Licensed Nursing Pay + Licensed Nursing Experience

Waiting for the acute care hospital job of your dreams = Zero Pay + Zero Experience

As a newer nurse, the worst thing you can do is become an 'old' new grad who has never held a nursing job more than one year since passing NCLEX. Some experience is better than none at all. I know multiple nurses who were offered the hospital jobs of their dreams after starting at a nursing home, private duty case or home health company. Personally, I was offered a job at a major county hospital and another position on the floor of an outlying suburban hospital after having spent four years in the long term care setting.

Furthermore, the 'losing my license' mantra is grossly overrated. I pay close attention to the disciplinary action pages that my state board of nursing regularly posts. The majority of nurses in my state of residence whose licensing has been censured were working at hospitals, not nursing homes, home health, or other areas outside the hospital.

One more thought. . .hospital employment is on the decline as more patient care is pushed outside the inpatient setting to cut costs.

RESOURCES

Hospital Jobs in U.S. Decline for Second Straight Month - Bloomberg

 

My first job was charge nurse of acute psych unit in a ratty depressed area. Scary driving to & from. Had no idea about laws of detainment, the floor, nursing culture, felt unworthy to be in charge of seasoned nurses.

This was not my "dream job," but it somehow worked out great. (You do what you gotta do)

I agree, even tiny money is better than no money!

I guess I got lucky. It is not my dream job but a step in that direction. I was lucky enough to get an externship between my 2nd and 3rd semesters. I got the main OR in a VERY large level 1 trauma hospital. I applied for an OR job but with the current shortage they are only hiring RNs with 2 years OR experience, so I am on a med-surg floor working my way to the OR job I want so much. But if I end up loving this job then I will stay and maybe do PRN in the OR.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
Private care should come after longterm, SNF or some place where you will get to see lots of conditions.
I know it's not ideal to start in private duty, but some new nurses are in cities where the SNFs are now refusing to hire unless you can bring one year of experience to the table.

In essence, beggars cannot be choosers.

One thing you will probably *not* get as a new nurse is a home health job. Home health requires knowledge of a variety of conditions and really strong assessment skills. When I was doing home health there was practically a beaten track between critical care/stepdown and home health, because critical care nurses would get stressed out and need a break, or want some part time or weekend work or whatever, and so they went back and forth.

Specializes in Pediatrics.

I thought for sure I wanted to work on a med/surg floor and gain experience and then try for a job on a pediatric floor. Well, my reality was that I was diagnosed with breast cancer in my last semester of nursing school and I was having to deal with my health instead of looking for a job. I took the NCLEX and passed with 75 questions the first time even after two rounds of chemo. I kept applying for jobs at the hospital I had most of my clinicals and capstone experience and got nothing back, no calls, e-mails, anything. I think that word had gotten out about my condition so they just did not call. I was really worried about becoming a stale grad.

I decided to go ahead and work on my BSN since that was going to be a requirement at some point if I were to work in the hospital setting. I also signed up with a company to do flu vaccine clinics so I could have some paid nursing experience. I also kept in touch with many of my classmates. After a year of searching for a job one of my classmates told me they were hiring PRN nurses where she worked. It was a pediatric residential facility that we spent a clinical day at help with the children. This turned out to be the best thing ever. I got the job, and started out as PRN a little over a year ago. I am now working part-time. The shifts are only 8 hours and I am doing exactly what I went to nursing school for: pediatrics! I love my job and the children I help care for. I am gaining valuable experience with trachs and vents and other chronic health issues. Don't turn that offer because it is not exactly what you want, you never know it may turn out to your dream job.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
One thing you will probably *not* get as a new nurse is a home health job.
Perhaps this is regional, because in the area where I live and work, new grad LVNs and RNs are hired into home health and private duty regularly.

I just graduated in May and obtained my license in July, and I can say the job hunt was extremely depressing. I applied anywhere and everywhere. I was hired at DaVita dialysis and I cannot thank them more for the opportunity. I can say after working somewhere that has limited weekend work and no overnights as well as being closed on Christmas. I don't think I really want to work in a hospital anytime soon. I guess I will see what the future holds, but there is so many different areas RN's can work in all you have to do is look and apply and you will find something.

Hi, may I have little more information about making my resume more presentable. Thank you.

Sign up to do flu shots and health care fairs. I have told many newbies to also do this while waiting. They don't. Low pressure, one day commitment . You get your face in front of contract employers. Also consider approaching per diems and ask for some additional training in one clinic or hospital. Do the medication refills we really didn't want to do.

I know this is an old thread, and I'm not sure if this will be read. However, I am relieved that someone said this. I worked in a nursing home with an inconsistent orientation and unsupportive staff. I was instructed to do things that I was uncomfortable with and found my myself stressed and overwhelmed everyday. Also, I struggled with "keeping the pace" such as performing the med pass in a reasonable amount of time coupled with the other tasks that I was required to do. I quit after two months there, and I am now looking for a new job. The right fit is as important and maybe more than just having a job.

Thanks to this article and others on this site I took a chance on a job I found listed on Craigslist. I had my interview today and was hired within 30 minutes of sitting down with the Director. I start on Monday already. The job is for a new short-term rehab hospital with 45 beds and a Nurse:Patient ratio of 1:12 (max) although right now since they are new there are only 12 patients for 4 nurses. I will also be learning how to delegate and manage the 2 CNAs that are working each shift. The Director was looking to hire new grads to train them up exactly how she wants them. I'm a little nervous since I wasn't expecting even if I got the job to be starting on Monday...now I have to work on finding an apartment closer to the facility since I am staying with family right now and it's a 1 1/2 hour commute (one-way) to get there...leaving the house at 530 am and not getting home until 9 or 10 pm will get old pretty quickly. Thanks to everyone on the site for your wisdom and encouragement...I'm finally a real working nurse!