Getting Your Desired Position 101

You found the Nursing job you want. You want the BEST chance of getting it. So, what can you do? Find out what a new nurse without any experience can do to be considered for employment. Nurses Job Hunt Article

Updated:  

Since the economy went downhill and facilities started hiring seasoned nurses returning from retirement, and housewife nurses that had a husband layed off, etc. the fight for your desired position has intensified. You have to be at the top of your game in this very competitive job market.

I have spoken with many other hiring entities about what they look for in a resume, cover letter, and application. What are assets? What are deal breakers? What catches your eyes? What can a new nurse with no experience do to be considered if anything? What about the cliche: If I never get a job, I can't get considered for lack of experience? What are the bare minimums you want in a resume? What makes a resume, cover letter, or application pop out? The following are some tips and suggestions for those who are struggling with the hiring process.

The Resume

(Should be one page front only for new grads)

Objective

There are so many opinions as to using the "Objective" or not. I personally always have, and have never applied for a position I didn't get yet (blessing/luck possibly). Use every line, every bit of your resume to scream, "Hire me!" I usually word it this way: "To obtain a position at "whatever facility" serving the patients of "region served," with competent, efficient, holistic, and indicated care within the scope of (RN, LPN, CNA, SNA, PCT) and with in the policies and procedures of (institution) to provide the best possible outcome for the patients in my care.

This shows your desire to "serve." It shows you took the time to research the area served by the institution, and their possible needs. It shows interest in the facility you are applying for. It is the first statement that you will do everything in your "scope of practice" and with-in "policy and procedure" and a heart of "SERVICE," not a "job" or "position," and denotes "drive." It also shows you wish to put SAFE PRACTICE FIRST. That you will not compromise your efforts out of your scope, and you will do everything in your power to advocate for your patients protection, well-being, and successful OUTCOME. It also takes OWNERSHIP of their VISION. Know your applicant facility's "Vision" so you can include it in your writings, or "mirror it."

The Education and Work Experience lines are the least customizable. Just be sure to get the correct dates and locations on this part. They will do a background check on these, and it could possibly be checked in HR before sent to your hiring Nurse Manager or Superior. THIS IS RARE. But it does happen. They could possibly also use this information as contact or referral. So you'd be slicker to leave off a negative experience facility than to put an incorrect date or falsify it. I have always just been honest here- they can smell a difference

There shouldn't be large inactive times in your Employment which should cover at least the last 5 years(sometimes up to 7). It really doesn't matter what age you started work, but you should be able to account for your time in-between positions. (Time off work for schooling is totally OK. I worked through school full time, but if you didn't, in denoting times, if school causes a >than 2 month absence of work history, just put a parenthesis in the work history to explain. (Attended Associate Degree Nursing Program 2001-2003 while unemployed).

If you must place large amounts of time between work experience, and you do make it to the interview - DO NOT LEAVE WITHOUT EXPLAINING THIS. Greater than 2 months is usually a red flag. They will not continue consideration without a good excuse (sick child, homemaking, displacement, family tragedy, etc), just address it.

Qualifications

Add Specific Examples. If there is any "Magic" in this, here it is! This is your chance to THRIVE. Many HR Reps I have spoke to ONLY read this line first in pooling candidates. They know as many threads have pointed out that you meet "minimum job requirements," but this is your chance to STAND OUT!

This is SO IMPORTANT. What sets you apart from the herd? Examples of stand-out statements:

  • I have been a Medical Surgical Registered Staff and Charge Nurse for 8 years caring for a wide spectrum of Elevated Accuity Problems whether acute, chronic, or surgical care in the same area as your hiring needs.
  • I have cared for 5-7 patients of varying accuities with experience on Telemetry Monitoring, Fall Precautions, Combative Patients, and at the same time adding admitted patients and discharging patients within policy and procedure for the best possible outcome after holistic care, and 100% coverage of the ordered treatment plan of the Medical and Nursing Care Plan of Care.
  • I am have extensive experience with (Ex: Renal, Cardiac, Pulmonary, Rheumatology, Osteo, Neuro, etc. patient populations) or even sub-categories (Pediatric Oncology, Adult Cardiopulmonary, Pediatric Infectious Disease, Adolescent Abnormal Psychiatric and Behavioral Health, or Adolescent Chemical Dependency with Dual Diagnosis Issues),

SELL YOUR APPLICABLE SKILLS!!

(Ex: Management, Charge Nurse, Documentation, Policy and Procedure, Safety, ADLs, IandO, Special Procedures, Sterile Fields, Pharmacology, Teaching/Education, I could go on for an eternity(you get my drift).

  • Volunteering. Any possessed clinical experience is just that- experience. It shows an eagerness to learn as you did it at your expense. If you are a new grad this is paramount. If you are having trouble getting hired for lack of experience, this is the gold nugget that will set you apart. Volunteer in the closest environment you can in relation to the post you want! Trust me, I have hired 3 positions this year on experience alone for New Grad positions based on Volunteering, Internships over summers, or picked the one within the most "clinical" experience by school.
  • Associations. If your a member of the ANA, or your state's Nursing Association, I know you are probably conscientious of your practice, up to date, and desire to "achieve." It shows an investment in your profession, and that you are "above" the "average." It shows you personally are active already in the future of Nursing, and take active OWNERSHIP of your and Nursing's future. You went out of your way, uncompensated, to make an effort for the Nursing Profession. Even if its NON-Nursing, it shows me your active, and a "well-rounded" applicant. (Example: a nurse that is a member of the LOCAL Rotary Club, Lions Club, or Masonic Lodge is a pillar of this local community, and will be an asset to LOCAL patients. IMPORTANT: Employers tend to hire ACTIVE applicants. An applicant that enjoys biking, running, gym work-out, or athletics tend to do better in hiring than Lake loafers, Weekend Hibernators, and the chronically tired applicant. This piece of paper is your ONE CHANCE for a SECOND CHANCE. It is you best chance for a first impression to draw a picture of yourself as a clear, enthusiastic, and as an asset candidate to their facility.
  • References: This is ALWAYS covered on your application. Do Not Waste This Space Here. Since it is imperative to address it on your Resume, and add credibility by a third party write this: References are Available Upon Request. It shows a pro-active willingness to confirm what you have CONFIDENTLY stated about yourself.

Proofreading

I would be mistaken to say that spell check, and even letting a fresh set of eyes go over your resume isn't priceless. The inspiration for this Thread came from a rant on mistakes on spelling and grammar. Taking the time to spell and grammar check will not be wasted time! I am more lax on this as a hiring entity for just a typo- but obviously there are those out there that will end your hiring chances based on the first noticed mistake of your Resume or Cover Letter. This is the easiest part, just re-word if your unsure of spelling, or if it doesn't "sound right." Another great addition is "Please see attached Letters of Recommendation (if you have any).

Final Thoughts

Only use an Online Application as a LAST RESORT. If they have paper applications, go the extra mile to go and pick one up, fill it out correctly, neatly, and attach your cover letter, resume, and (transcripts, degree copies, letters of recommendations).

Do not (ever/never) copy and paste a resume, it changes your format and creates a MONSTER! Take the extra time to type up a new basic one which is usually on a Word Pad format devoid of special spacing, lines, borders, etc. It will be severely damaging to your chances to leave the copy and pasted mess in the resume box.

They ARE NOT going to dig through the aftermath to find your needed information. This outs a bunch of qualified applicants at my current place of employment because they get chunked out by the HR department long before being considered by a hiring Nurse Manager or DON/aDON. Facilities that have both applications types (paper AND online) sometimes don't even look online until all other applicants have been ruled out!!

THIS IS MY STRONGEST ADVICE!! I have got many positions from applying online, but I ONLY apply if they do not have a Paper Application!

Use good quality paper for your resume. DO NOT use regular white copy paper. Buy a parchment-water marked paper, a heavier grade (20lb) egg shell colored paper, but DO NOT use those with Sky or Flower backgrounds or borders. Just don't;)

Do not have fold lines on it, turn in an outdated copy, take the time to update one even over 2 months old. Customization is the KEY, do not have a Generic Objective line, again be specific. Do not hand in a COPY of your Resume, they can SMELL a copy, use a freshly PRINTED resume/same for Cover Letter.

The Cover Letter

On the Cover letter avoid using: "To Whom It May Concern," find out the Unit Manager, or insert the HR person's name AND then "To Whom It May Also Concern," this shows you went the extra mile to learn about the facility.

Cover your bases again on the Cover Letter, and more!! I put their address at the top, space, and then Dear (whoever), space, Body of letter, My Name and credentials(enough spaces to signature after printed), and follow after signature area spaces with my current position, next line home address, next line- Email,next phone number, and lastly, next line cell number. You are attaching a Resume as well so write the word ATTACHMENT at the bottom of your "Footer" Left side to indicate the resume follows.

In the body you want no more than 3 paragraphs no matter how much experience you have! You have one motive for this page: Getting an Interview SO, you can defend RESUME and APPLICATION, and lastly receive the job offer!

The Interview

  • Hit these topics: Eagerness to Learn, Time and Attendance, Flexibility in Scheduling, Thorough Documentations, Scope of Practice, Patient Care Priority, Time Management, Service to the Facility's Client Population, Safety, Chain-of-Command, Policy and Procedure, Efficiency, Quality of care, Positive Patient Outcomes, Meeting Clients Needs, Patient Advocation, Mobilizing Patient Resources, Desire to provide Cost Effective Care, Responsibility with Facility Resources, Team Work, Continuing Education (staying current), Computer and Clerical Skills, Organizational Strengths, work well with a spectrum of personalities, Responsible Delegation with Follow up, and accountability of care given. (also hit as many of these topics as "talking points" during interview).
  • DO NOT TALK NEGATIVELY ABOUT PAST CO-WORKERS or FACILITIES!!
  • Don't place anything on their desk, or personal space.
  • Don't sit down until your offered a chair, then use good alert posture. Don't fold your arms, and be aware of your body language. Be enthusiastic. Control Nervousness through deep breathing. If your offered water- take it. It will keep you from getting dry mouth, DO NOT CHEW GUM or HAVE CANDY.
  • Don't bring up Pay, wait for them too, or for a job offer- that's presumptuous.
  • Don't interrupt them, or finish their sentences. You can nod understandingly and actively listen, but if they start talking, just stop- even if they interrupt. They will remember the ease of communication even if you don't.
  • Explain why you are interested in their facility, especially when asked, What do you know about our (facility). Perfect Opportunity.
  • HUGE- Inject that you work well with a spectrum of personalities, you are not calling anyone names, you aren't assuming their this way, just saying that if their are "strong willed individuals, you will do everything possible to get along- and have in the past. You will however always advocate for the patient, the main objective, and the focus of your work. They will appreciate your flexibility and maturity to plan ahead for people that are difficult to work with or around.
  • Gratitude. Thank them for everything in it's time. (at the end of the Cover letter for their time and consideration, at the beginning of the interview for their time and consideration again, and at the end of the interview once more (should be the last thing you say.)
  • Follow-up with ONE simple thank-you card with minimal personalization- just simply one line, no more, and a legible signature.
  • Hand shake. Firm, not gripping for life, eye-contact, smile, and introduce yourself with CONFIDENCE. This is SO HARD for females, hold eye contact, and say with CONFIDENCE- "Hi, I am JANE DOE, I am so glad to have this opportunity to speak with you!"
  • No matter what, no matter how "casual" they make you feel, remain professional, don't speak negatively about past employers or colleagues, and be pleasantly confident. Under no circumstance should you say, "We did it this way at....," show an eagerness to learn the way THEY do it.
  • Be prepared to talk about a mistake you've made that's appropriate- and what you have learned from it, they will ask this usually.
  • Under no circumstances- never admit to practicing out of scope, or breaking policy and procedure FOR ANY REASON, a favorite test of hiring parties lately (Ex: Have you ever had to bend the rules for a positive patient outcome, if so which?)
  • For every question they ask, think, WHY are they asking ME this question? WHAT do they WANT to hear as a response? It will most likely be a topic from the above "Hit These Topics."

I hope this helps you in the stressful preparation for your desired position. I don't advocate dishonesty in the application process, so use the APPLICABLE talking points I have listed. They don't expect you to roll off the assembly line floor as a competent, seasoned nurse, so use APPROPRIATE talking points that aren't over your heads. They can smell "fluff."

I wish you great luck, a confident interview, a masterpiece resume, a convincing Cover Letter, and a job offer "on-the-spot."

Specializes in Adult/Ped Emergency and Trauma.
proud nurse said:
Boston,

Wow! You put a lot of work into this and it's awesome...and to think I was able to land my new job without all this info, so YAY ME!!!lol. Tell me what you think about humor in an interview. The nurse manager I interviewed with had a bubbly personality and we seemed to hit it off immediately. She asked me, where do you see yourself in 3 years. Before I knew it I answered "here", and she laughed so hard. It was still professional, wasn't like night at the improv. Just not so stiff and formal. I took my cues from her.

She also asked me a question, that through all my prepping for the interview I hadn't expected. She asked "what do you think the patients expect out of you?" I could've rattled off something, but I wanted to give a powerful answer (like you said sell myself), so I took a moment but I told her "you kind of stumped me." I recovered and came back strong with a response.

I did most of the things you wrote about here, would've loved this about a month ago. It was the most honest and effortless interview I've ever had and I hope it's the beginning of an amazing and long career at this hospital.

Congratulations First!! Proud Nurse!!!

Yes, I would always say a humorous note (Professional and Timely), is always important. It can also show that you are a great improvisor, and can break the ice of awkward situations. It is more a talent, and I don't count off for interviewees who don't know how to inject humor appropriately- and stay very tightly professional. Either way- I am soooo glad you got through this process with ease and confidence. Great Job.

Specializes in Adult/Ped Emergency and Trauma.

The main thing is some of the larger medical centers use a "scoring system" during your interview. I use the applicants Resume and Cover Letter as well to check off the most "Care Points" I can. Some go strictly by the interview, and the questions they ask may be your only chance to score high. These are the points I super-imposed on the "Hit These Points." There are different sheets and different questions, Here are some of them:

What do you think you personally can bring to our facility?

Can you describe an effective manager or boss you have had?

What do want in a Nurse Manager's Character?

What are some aspects of Safe Care?

How can you deliver Cost Effective Care? How can you help us with cost control?

How do you feel about following rules you don't particularly agree with?

Do you understand what "Chain-of-Command" means?

What is one time during school or a previous job you have dealt with a difficult situation? How did you solve the problem?

How flexible are you with sudden schedule changes? ....With sudden assignment changes?

Do you think documentation is important? Are you comfortable with Computer Charting?

Could you tell me about a time when team work was essential to complete a task? What part did you play?

What do you know about our facility? What have you heard about our facility? What do you think about our facility?

Give me an example of a time you delegated a task during school, and how it went?

Are you comfortable with delegation of tasks? What do you think are some important issues surrounding delegation of tasks?

Catch 22 Questions:

When is a time you had to break policy or procedure to reach a positive outcome?

What would you do if you disagreed with a Physician's Order, and he wouldn't take your advice? What if it was Unsafe?

What would you do if you caught a colleagues Medication Error? What if it was yours, but didn't cause any adverse reaction to the patient?

What would you do if you walked in on a patient with a tray who began coughing loudly?

What would you do if you realized the next day, with the same patient, you forgot to chart an important treatment that was omitted by accident?

What would you do if you caught a colleague sleeping in a room off the clock?

Always be ready to say, I would hate to have to, but I would have to abide by the policies and procedures of your facility, and begin the chain-of-command to address the issue. (regardless of how you would solve the problem in reality).

They might give you examples of scenarios, and ask you to place them in order by priority, a list of tasks- and ask which tasks can be delegated to other staff members, an order that has something "unsafe," or "missing," or might be correct. They may give you a dosage calculation, or maybe even a trick question- called "catch 22 questions" just to see how you can handle the pressure and difficulty (I love doing this!!! It reallly shows thinking process, and many that miss it- catch it, and correctly call the question!!(just as good).

I have even heard of a hiring Nurse Manager that would leave the room, call her phone, and see if the applicant would answer it: either way she would give them a hard time(just for a minute to see how they handled the pressure:) Then explained what she was doing. I know that's CRAZY- just be ready for ANYTHING;)

VERY IMPORTANT QUESTION YOU WILL HEAR!!!!(Prepare for it)

Can you tell me about yourself? This can come in the form(s) of:

"Tell me a little about you." "How would you describe (your name) to me." "How do you think a colleage would describe you. "

Do Not Hesitate. Use filler words if you need to gather your thoughts ("Well, Let me see...", but an example: (Ex:) "I am a new RN who is very eager to learn, interested in (Med Surg/Tele/Unit/ER/Etc.) at you facility which I think I can grow into a competent, long term, hopefully asset-employee."

Just keep it short(not asking for a biography here), keep it focused on your objective, and around 1-3 sentences.

Well there's some more tips for the Interview Phase. Just as I said, I want you as prepared as possible:)

Specializes in cardiac-telemetry, hospice, ICU.

Boston, thanks for a very thorough report on the art of job hunting. Your experience shows and is just what is needed for so many grads today. I think you covered all the necessary points. Question: would you find it objectionable for a new grad to 'stop by' a Nurse manager's office and ask for 30 seconds to introduce oneself? Something like, "Hello my name is Stcroix, can I have 30 second of your time? I just wanted to say hello as I was going to be applying for a position on your floor. I just wanted to put a face to an impersonal application". It worked for me, but maybe I was lucky, as the Manager spoke to me for a while.

Specializes in Adult/Ped Emergency and Trauma.

Yes, I personally thank students going out of their way to know the Unit Managers of their clinical rotations sure doesn't hurt either. It sure gives you a network as well as they are constantly in contact with other managers open to hiring New Grads.

On approaching Nurse Managers for the purpose of getting hired, some agree- some disagree. I will say this. This young lady came by my ED on day when we were totally snowed under. I had zip time to give her, and she was very appropriate about it.

She simply smiled, introduced herself confidently, shook my hand, and gave me a resume. She had time to squeeze out two sentences. " I am working Med Surg right now on (blah blah floor), but I would love to have a shot in the ED. I would even volunteer my skills sometime if you need an extra hand." (I needed 6 extra hands then), but the fact was I had no openings.

Just 4 days later, I had a RN come into my office who's husband got activated to Iraq- and she wanted to go to another state and live on a base. I hated to lose her,.....

But guess who the FIRST person who came to my mind was. I was forced by policy to post the position, but I had her Resume in my desk, looked online- sure enough, Application, Cover Letter, and Resume. She has been with us 4 years now, and when I leave for my 6 months off for Foreign Missions- She is the ED's Coordinator.

I have also done the same thing, and got hired on the spot. The Nurse Manager simply called down to Human Resources and said: I am sending an Applicant down there for position#(whatever)...Several times actually.

My thoughts on doing it do have some limits. Be prepared to go either from 9am-11am (before lunch while we're still fresh without 100 things juggling in our heads. Have a printed Resume to hand over after a brief Introduction. Thank them profusely for their valuable time (even if you didn't get much, -or- even if you felt blown off), I blew that girl off that day, but she took it gracefully, and now I trust her with my Unit's future. Impressions Matter. Being in person does put you ahead of the curve, IF you make a great impression.

Just remember: Be sensitive of WHEN you go, HOW you act, (Humble, Don't want to take up too much time- "I know your very busy; I just wanted to give you my Resume and Introduce Myself."), How you handle being blown off (Gracefully, Well I still appreciate your time; I'm sorry I came in at a busy time, but I really appreciate your time and consideration).

I know this contraversial. It is more of a gamble, but a gamble that has ALWAYs paid off for me. It's all in how gracefully you can pull it off, and expect them to be busy, rushed, and sidetracked. Desperate times call for desperate measures. Just remember to take your Resume ALWAYS. Business cards are becoming very popular as well, but even if you do that, take a Resume too.

BOSTON

Specializes in LTC, Psych, M/S.

Those are great tips but the fact still remains that, in many locales, the local hospital is going to be in the market to hire (for example) 5 new graduate nurses and 100 recent graduates from the local universities or CC's apply.... what about the unlucky ones? What is the next best thing for them to do? Yes there are the LTC's but arguably those are not the best places to start out in and so many other jobs are not going to hire these new nurses UNTIL they get their one year acute care experience. It seems that if you go to work in a LTC that then you are even more undesireable to hospital managers than those right out of school. For many relocating is not an option either and it sounds like this "new grad" problem is happening all over the U.S. Seems like something should be done about this on a governmental level and I say this because there is a lot of evidence that the nursing workforce is growing older. All those 'semi-retired' nurses coming back taking the traditionally new grad positions can't work forever. I suspect they will all again retire at once and there will be the "shortage" again and a lot of nurses but not the proper experience - if any at all.

Specializes in Adult/Ped Emergency and Trauma.

Yes, there is no doubt the market is depressing in some areas for New Grads. Some Areas it's much higher than your example. I recently posted an RN position, and got 103 online applications, and 211 from out-of-state. Before I could hire for the position, the hospital closed the opening all together- and told me I could hire another ER Tech. After 1 desperate week of advocation for my ED, the position was reopened without my knowledge, and I had 250 emails in one day (my max space), complaining that the position's inbox was full of Applications, and after all their work- they couldn't submit their resumes.

It is heart breaking, it is devastating. So, the best "I" can do is to make sure the New Grads know how to prepare the best possible Applicant Packet, and prepare for the interview. I hope it helps, but I know there is no "magic bullet." I have worked jobs I'd rather kept my mother-in-law from experiencing:)

I have worked as a Wastewater Technician once waiting on my hometown to get a position opening (or a local hospital) making $9.55 after coming home from the Dallas/Fort Worth Area making $40/hr. I feel your pain. However, back then I didn't know the best ways to fully prepare for the Market- now I freely pass these tips and tricks on hoping they help others if applied with tact.

Your only new until your first position. Then you begin the road we all want to be on- to your "ideal" and "desired" position.

I would personally rather the Government stay out of it, I can't remember the last time they really helped anything private(just an opinion). The Post Office, Medicare, (my State's Medicaid goes broke regularly), and Congress aren't running to "swift" lately, and I don't want healthcare looking like that.

Don't Give Up, even if you have to take a non-nursing job right now- "It is what it is." If anyone here could change it- I know they would. But the best we can do is increase your chances of hooking that position that will get you by- until you get the one you WANT:)

Good Luck in The Rat Race!!

BOSTON

Wow, wonderful work! Thanks for tips... How thoughtful of you! :)

I am going to save this for my future interviews!

Blessings~

Specializes in geriatrics.

Very informative article and tips. With all the resources available, there is no reason why any candidate should not be successful in landing a position.

Specializes in RN, BSN, CHDN.

In a recent interview I was asked where do you see yourself in 10 years?

It really struck me that in 10 years I will be 60 so I have no clue where I will be LOL

Specializes in Adult/Ped Emergency and Trauma.

I know really? We didn't take the first psychic course either, daggumit!:)

informative article op. I have been contemplating moving (which woukd require applying for jobs and interviews) . this whole thread brought back a huge sence of dread and reminded me why i have stayed in my current position for so long!!!!

Specializes in geriatrics.

Me too, anotherone. I dread the whole search process, but after 2.5 years, I need to move on, new scenery, new life. I plan to take some time off. I just don't want to go straight into my next position with no break. At least we have more options. I also think resillience pays off. It is a challenging market, but I do believe that some people are not positioning themselves as well as they could.