Future new grad needs Advice***

  1. Hello everyone,
    I will be graduating nursing school with my BSN in May/2018. I currently live in one of the compact states but I am willing to move anywhere in the country. I would like to start a new-grad residency in the Operating Room. I have school loans, so pay it is important and that is another reason that I want to move as well. My family lives in South America and I would like to be able to visit them more often (where I am right now its too far and it takes about 18 hours to fly home if I am lucky, cost too much money to fly because of the other nearest airport is 7 hours away, and I have to use a lot of PTO to visit my family- I don't accumulate PTO as fast as I would like too due to the rules of the hospital).
    My background as a nursing assistant consist of Med-Surg, PACU, and the OR. The city I currently live has two hospitals with Operating Room internships, but the pay is low, and you have to sign a contract. Two nurses that I work with has already recommended for me to move if I am able too because this it the main thing they regret. People don't always leave this city, and they tend to get comfortable on the low paying jobs and overworked environment. Don't get me wrong, I am hard work and will work any shifts. During my prerequisites I worked about 60 hours/week between 2 jobs + taking classes. I will do whatever it takes and love working nights and weekends.

    Should I stay or should I adventure somewhere new? Do you have any suggestions of good OR residency programs around the country? What would you do? If anybody can share some personal opinions from experience, that would be great.

    Thank you so much!
    Last edit by pjlovesnursing on Oct 27
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  2. 4 Comments

  3. by   Rose_Queen
    You'd need to research the cost of living vs. salary. Just because one area offers a higher salary doesn't mean that you'd have more disposable income- you may be spending that extra on rent or groceries or gas.

    As far a PTO accrual, that is often based on years of service. In my facility, PTO increases at 5, 15, and 25 years. You may go somewhere else and earn less PTO.

    There's a lot more to consider than just the salary.
  4. by   pjlovesnursing
    Quote from Rose_Queen
    You'd need to research the cost of living vs. salary. Just because one area offers a higher salary doesn't mean that you'd have more disposable income- you may be spending that extra on rent or groceries or gas.

    As far a PTO accrual, that is often based on years of service. In my facility, PTO increases at 5, 15, and 25 years. You may go somewhere else and earn less PTO.

    There's a lot more to consider than just the salary.

    Thank you! I have been researching and is just a little confusing like, for example the average that I find for my current state and cost of living does not match at all to what is happening in the market right now. I have lived before in San Diego, and Boston so those areas do not scare me as much because I know what to expect. I am a person that lives way below my means, and I want to have a balance of quality of life, and work. I don't want to spend 10 years paying my student loans.
    The PTO on my facility is similar to yours. I've to keep on researching and thanks so much for your reply.
  5. by   KeepAtIt
    Hey yo!
    I have my ADN & graduated in December '16 and am currently pursuing my BSN. I was hired with no experience in the OR and started one month ago. The trend that the hospital system I work for is changing to is hiring new grad RNs to the OR because it is so different from the floor/other aspects in nursing and there is little evidence that previous experience in other disciplines in nursing leads to a more productive OR RN. This hospital system is the only one in my state that will hire new grads in the OR and including myself, the last 3 RNs had no experience after school. Every other hospital requires one to two years. I was hired without a residency program but do have a 6 month orientation getting paid as a normal RN where I will become certified through AORN.org after a few months. I am scrubbing/circulating in each aspect for 2 weeks at a time and have been thrown into it all which is how it should be. In my nursing union contract it is mandatory that RNs be allowed to be scrub nurses(although we have surg techs) and to also circulate. I cannot be happier. Do some research, and find a hospital that doesn't have a residency program because it is harmful to me to be paid a significantly lower wage because you are a "resident" and will be performing the same interventions I will as a new grad OR staff nurse. I accrue 0.0678 hours in PTO for each hour worked at my hospital. There are also options to buy PTO time if you need it at most facilities. Keep your head up! You will find what you are looking for!!
  6. by   pjlovesnursing
    Quote from KeepAtIt
    Hey yo!
    I have my ADN & graduated in December '16 and am currently pursuing my BSN. I was hired with no experience in the OR and started one month ago. The trend that the hospital system I work for is changing to is hiring new grad RNs to the OR because it is so different from the floor/other aspects in nursing and there is little evidence that previous experience in other disciplines in nursing leads to a more productive OR RN. This hospital system is the only one in my state that will hire new grads in the OR and including myself, the last 3 RNs had no experience after school. Every other hospital requires one to two years. I was hired without a residency program but do have a 6 month orientation getting paid as a normal RN where I will become certified through AORN.org after a few months. I am scrubbing/circulating in each aspect for 2 weeks at a time and have been thrown into it all which is how it should be. In my nursing union contract it is mandatory that RNs be allowed to be scrub nurses(although we have surg techs) and to also circulate. I cannot be happier. Do some research, and find a hospital that doesn't have a residency program because it is harmful to me to be paid a significantly lower wage because you are a "resident" and will be performing the same interventions I will as a new grad OR staff nurse. I accrue 0.0678 hours in PTO for each hour worked at my hospital. There are also options to buy PTO time if you need it at most facilities. Keep your head up! You will find what you are looking for!!
    Thank you so much for sharing your experience. The pay for a new grad resident is the same of a entry level nurse here (It's just low overall with no difference between ADN to BSN even though they are pushing for BSN nurses). It's really cool that you get to scrub and circulate. Nurses here are trained to only circulate, I met a few that scrub but they used to be surgical techs. Thanks again for sharing your experience and I will keep my head up

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