Houston Hopeful Seeking Advice from Those in the Area

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    Hey there!

    I'm from Central Indiana and am set to graduate from my RN program (ASN) in a little under two weeks. I have some quick questions for you all concerning the typical application and hiring processes down there in the Houston area for RNs.

    My first question deals with ASN vs. BSN:

    How preferentially do you feel BSNs are treated vs. ASNs in the application process? Are the ASNs given a fair shot, or has magnet status driven a lot of the bigger hospitals down there to just kind of gawk at, scoff at, and then promptly disregard an ASN applicant? My sister, who's an RN in Louisiana, said that a lot of the Houston hospitals are actually going over to LA to look for nurses, and seem to be okay with ASNs. But you never know....

    My second question deals with pay:

    How much could a new grad RN expect to make on, sayyy, a Med Surg or ICU floor? Up here most of the better paying hospitals seem to want to start us out at around 22.75-23.50/hr, just based on anecdotal experience.

    Thanks in advance to any of you who respond!
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  3. 14 Comments so far...

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    Anybody?
  5. 1
    Texas is in a funny spot with the whole educational tier right now. I live in rural central Texas, so I pretty much have to drive to Austin, Temple or College Station for any well-paying work. Houston seems to be hiring Associate-prepared RNs in the hospitals still, but prefer BSN. Austin hospitals are only hiring ADNs with the stipulation of acquiring their BSN within a year or two of hiring, or, as with St. David's, completing their in-house educational programs. They won't touch LVNs with a 10-foot pole unless you want to work as a glorified, under-paid secretary in one of their M-F family clinics. Temple is interesting, I know a few LVNs that work L&D at Scott and White, very ADN friendly, but encourage further education towards BSN. College Station St. Joes, Scott & White and The Med are all ADN friendly. I hope this helps. Are moving to be close to the CRNA programs here in Texas? I don't know much about the Dallas/Fort Worth area and their hiring patterns.
    Xsited2baNurse likes this.
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    Thanks for the reply! The info was really helpful

    Actually I'd be moving there for, one, just to get out of Indiana. I've been here too long and need a nice, warm change of scenery within an hour or so of a coastline. And, two, by the quotes that my sister was giving me for how much her RN friends who had decided to move to Houston were making per hr, I'd rather be there. I was also considering Chicago, but it's really expensive up there. So, Texas just seems like the all-around best choice. The plethora of Master's programs that are down there are just an added bonus.
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    Since you asked about ICU I wanted to let you know that St. Joseph did not have an ICU internship for GNs like they've had in the pass. Instead they started a new internship program where you are trained as a Tele Nurse for the first six months then transition to ICU. From information that I have gotten St. Joes is pretty competitive with major cities ie: Houston, San Antonio, Austin when it comes to pay. I've even know nurses that move from college station to a large city and take pay cuts.
    Xsited2baNurse likes this.
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    BSNs are definitely preferred. Most of the larger hospitals are only hiring BSNs. I think Hermann, UTMB, etc are some of the only ones that hire ADNs and want you to get your BSN after hiring you. Starting pay from Houston to Galveston varies from $24.00 to $29 per hour depending on the hospital. Most are in the $27-29 range for day shift.
    Xsited2baNurse likes this.
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    All hospitals in the Texas Medical Center (Houston) are currently limiting new grad hires to BSN only. This is also followed at their satellite facilities throughout the Houston area. Also, in TMC hospitals, the ONLY way in for a new grad is via a formal residency program so overall demand for new grads is very limited. It's even bleaker for 'transplants' because those TMC residency slots are claimed by BSN students who are doing clinical rotations in the host facility. Honestly, there is a huge surplus of new grads in the Houston area, including several BSN programs, so I don't see this situation changing any time soon. There may be some exurban (beyond suburbs) facilities that are hiring new grad ADNs.

    This phenomena (BSN-only in acute care) is being driven by research, including the IOM who initially established the 80% BSN benchmark as a result of a series of landmark patient outcome studies. Industry changes are inevitable as quality & patient safety become the most influential forces in the US. It seems that many people continue to make educational choices without a clear understanding of these factors and are terribly disappointed when they discover that they are not eligible for hospital jobs. IMO, those schools have a lot to answer for.

    If you are determined to move to Texas, I urge you to avoid the major metro areas and focus instead on smaller cities. Take a look at Corpus Christi - the CHRISTUS Spohn system is very new grad friendly. Corpus is on the Gulf Coast, so if you like the beach it may suit you just fine.
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    Well, thank you for your input. I appreciate the honesty. And in all truthfulness, I was aware of the preference for BSNs over ASNs before I started my program. I wish that I could have gone that route, but unfortunately, I just quite literally did not have the finances to be able to do it (it's hard coming up with an extra twenty to thirty thousand dollars when you've already spent x amount of thousands of dollars on college before you decided on nursing). Hopefully, I'll still be able to find something down there. If not, I could always just work up here for a bit, complete my ASN-to-BSN program, and then move down there. We'll just have to see, I suppose.
  11. 0
    Good luck!
  12. 0
    Sorry to press for more info, but I saw your awesome knowledge of the Texas medical care system and had to ask: do you know any other new grad friendly places. Particularly, where ASN's are concerned?


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