One of the reasons I chose a refresher course with clinical hours included was because I worried that there might be some difficulty arranging hospital clinical time by myself.
Before I could step onto a nursing floor the hospital did a background and criminal check, drug testing, required proof of immunization titers, etc Plus the hospital has a potential liability risk any time care is given so I wasn't sure they would want my help, even if it was extra help that they didn't have to pay for. Or at least that's my thinking.
I finish my course next Monday. This has been a very positive experience for me, and I'm pleasantly suprised how quickly the nursing skills/organization/critical thinking returned. Also I heard many times from the floor nurses and their managers about how much they like refresher students.
Because of the exposure I've had on the nursing floor, I've got several interviews lined up. No job offers yet but at least interviews. One of our ICU refresher students was offered a job today in the unit where she did her clinical time. I don't know what her employment plans are but she was thrilled to be asked.
Good luck with your choices.