Fed up with being denied an ICU position

Nurses Job Hunt

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I was one of the lucky ADN graduates. I got a job two weeks after obtaining my RN license, on a medical surgical floor. My classmates struggled to find employment. For some it would be over a year before landing a job, even then, some were only employed in long term care despite wanting hospital positions.

I've been on med-surg for just about two years now. I've always wanted to work in critical care. I attempted to get a critical care position as a new grad and my attempts were laughable. Job fair after job fair, open houses, meeting managers, emailing, and even walking into HR's time after time. When I mentioned I wanted critical care, I was looked at as if I had 3 heads. All of my efforts to get even a med surg position were denied. I finally landed a hospital job after meeting a guy that was really well known at a local hospital. he submitted my resume FOR ME, and I literally had an interview within a week. My countless hours of job fairs and applications were worth nothing compared to a solid reference (no surprise).

I would say I did exceptionally well on med surg. Nurses who are my senior ask me for assistance at times. I manage time well, and i'm good at skills iv insertion etc...

I've decided I would make another attempt at getting a critical care position. My first try would be at my own facility's ICU. I've approached HR several times and I've been told that they are currently don't need any ICU nurses. I've applied at other facilities with no luck. It seems as if all the ICU's are looking for someone with critical care experience...

I'm Just frustrated, it very hard to get a "desirable" position nowadays. For most it seems they applied at an extremely lucky time or had "connections"

I landed an ICU position after graduation. However, I was respiratory prior to nursing. So I was used to codes, intubation, and vents. I was highly marketable. It was not easy to get that job as there is a lot of competing nurses for that position,

ICU was fun and I learned a lot. But I prefer emergency nursing over anything else because you care for patients across the lifespan.

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Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
its just frustrating someone can spend 5 years to prove they are worthy of an ICU position. (2-3 years med surg, 2yrs stepdown). Meanwhile new grads all across the country land ICU positions fresh out of nursing school due to location, connections, or luck.. That's all

anyhow like I said, i'lll keep trying

That's different, though. They have budgeted those new grad positions, and have made arrangements for a lengthy orientation and preceptors. As you have 5 years of experience, you do not qualify for any new grad program, thus you would need to be hired as just "regular staff" - and for "regular staff" they want someone who already knows the ropes.

Specializes in SICU, trauma, neuro.

I get it, it's frustrating. I got a really good floor position right out of nursing school (ADN), moved to the SICU/CVICU a year and a half later...then decided to stay home. We were able to afford that for about a year, and when I went back my only priority was 8-hour day shifts, so that meant SNF.

When I wanted to go back to the ICU, the market had gotten tough, and all of the positions either wanted *current* ICU experience or *current* hospital experience. Even as someone with ICU experience, I had a hard time finding a position because my experience wasn't current. I have no idea how new grads got positions in the meantime b/c I never saw a position posted that said "new grads welcome," but here and there a new grad was hired. That was frustrating, believe me I get it.

What finally worked was working in an LTACH...and I won't lie, I WORKED!! But it was an LTACH that was largely fed by my current SICU (many strokes and TBIs went there when they needed prolonged time on the vent) and my current hospital's BICU. So not only did I get current experience in vents, tele, and drips, but it was a facility well known to my manager.

Specializes in Emergency, ICU.

Very frustrating!

You are doing all the right things. I would figure out a way to get an "in" with the ICU staff. Know any nurses who work there? Friendly with any of the ICU attendings? Do you know and have you approached the manager?

It's only going to happen with an inside connection. Just like your current job did.

I was lucky to get ED right out of school because one of my professors personally recommended me to her friend (the ED manager). Then I secured my move to ICU when a friend who worked there told me of a position before it had a chance to be posted publicly. My current job was also because a friend handed my resume to the manager. Every single job opportunity has come to me through connections. It's a sad reality of the job market -- not fair, just reality.

That's different, though. They have budgeted those new grad positions, and have made arrangements for a lengthy orientation and preceptors. As you have 5 years of experience, you do not qualify for any new grad program, thus you would need to be hired as just "regular staff" - and for "regular staff" they want someone who already knows the ropes.

exactly! my ICU actually took two new grads after telling me they didn't have any positions. They claimed they were part of a "new grad program"

Very frustrating!

You are doing all the right things. I would figure out a way to get an "in" with the ICU staff. Know any nurses who work there? Friendly with any of the ICU attendings? Do you know and have you approached the manager?

It's only going to happen with an inside connection. Just like your current job did.

I was lucky to get ED right out of school because one of my professors personally recommended me to her friend (the ED manager). Then I secured my move to ICU when a friend who worked there told me of a position before it had a chance to be posted publicly. My current job was also because a friend handed my resume to the manager. Every single job opportunity has come to me through connections. It's a sad reality of the job market -- not fair, just reality.

That is the truth. I'm currently trying my best to network. Networking can save me years of applying blindly.

Specializes in Hematology/Oncology.

How about you try stepdown and then ICU? I think that transition could work.

Specializes in Emergency Room, Trauma ICU.
How about you try stepdown and then ICU? I think that transition could work.

The OP was told by ICU that they need tele or step down but she's not doing it, myself and other posters have said she needs stepdown or tele, but it seems she'd rather complain about not getting a spot or needing connections. What she needs to do is what the ICU has told is needed to get a position with them!

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
I'm 12 credits away from BSN. I should be done in two more semesters. I'm scheduled to take ACLS next month. I am on one committee, I've precept newly hired nurses, and I apart of the new nurse mentorship program. I'm active in my organization. I am lacking any professional memberships, i'll look into that

By saying "denied" i'm not implying that I deserve anything. However on more than one occasion I've been told I don't have the credentials for ICU. many facilities make it seem as if to work in ICU you must first have, tele experience, step down experience, a bsn, acls, ekg certs, etc....

Yet there are new grads that get employed in ICU's at other places, sans any certs. Many of them do just fine.

Complaining aside, I have no choice but to rack up enough credentials until an ICU somewhere decides to give me a chance.

I am going to guess that you are located in either the South East, AZ or MN? I say that because those seem to be the most old fashioned areas for nursing.

There could be something else at play here. Obviously I don't know you at all but in both hospitals where I work there are nurses who are desperate to get into ICU and who will NEVER be hired into ICU. It is because of them personally, not their lack of experience, degree, or certifications. They have a fatal personality flaw, or have exercised very poor clinical judgment many times in the past, have a poor work history, or some other flaw that they will never be able to overcome. At least not while working in a hospital where everyone knows them.

I find your experience difficult to understand. In my area nobody wants to work in ICU and they have a harder time recruiting. An application for an ICU job from a med-surg nurse is unusual.

its just frustrating someone can spend 5 years to prove they are worthy of an ICU position. (2-3 years med surg, 2yrs stepdown). Meanwhile new grads all across the country land ICU positions fresh out of nursing school due to location, connections, or luck.. That's all

anyhow like I said, i'lll keep trying

I know you probably did not mean anything offensive by this comment, but it down plays the work that some of us have done to get our positions, I was hired into the CCU directly out of school. Location was a factor as I did not need a BSN. However, I was one of three hired of 70 applicants, and the only New Grad. I had STNA experience, was planning on Bachelors completion, and willing to work hard. I had 9 written references from instructors, or nurses I met in school. I am not sure if you would call this a "connection" or not, since none were friends or family, just people that recognized my hard work and dedication. Maybe I was lucky, but my director insists that she was very impressed with my interview skills and personality, and continues to be impressed with my skills and work ethic.

Also to speak on a prior comment about some nurses never being hired into the unit based on their personality, I can say I have seen that first hand. Within 24 hours of an application being turned in, 3 Nurses went to the director and told her they would quit, if this nurse was hired into our unit. (If the nurse had not gone around and bragged about her "soon to be, in the bag" CCU job, the nurses would not have gotten a chance to go in, and she probably would be my newest coworker.) I just want you to know, that most of the new grads getting these jobs worked very hard to get them. I wish the best for you on getting an ICU position!

Thanks for your response. I do understand that a nurses personality play a big part in the likelihood of them being hired into a new unit. Reputation and work ethic matter.

I will continue to try as hard as I can.

Specializes in Emergency Room, Trauma ICU.
Thanks for your response. I do understand that a nurses personality play a big part in the likelihood of them being hired into a new unit. Reputation and work ethic matter.

I will continue to try as hard as I can.

And like the ICU and multiple nurses have told you here, you need to go to tele or stepdown. Focus on something solid and obtainable rather than placing all your eggs in the "connections" basket.

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