Advice to nursing students from a hiring manager

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I wrote this as a reply to a question regarding LPN to RN. I decided to repost it here for those interested. My intent is to provide advice to help nursing students and new grads enter the job market.

My name is Linda and I'm a manager. I found this thread and site by accident while doing a web search. I wanted to add a few notes in case the OP is still checking replies. I started as an RN in the early 90's and have been a manager since 2000. I have seen hiring booms (like the "nursing shortage" a few years ago) and times when the only RN's hired are from within. Right now is a very tough time to be a new grad. Everyone blames the economy but that is only part of the reason. The other equation is the sheer number of nursing grads. A few years ago when hospitals couldn't staff enough nurses, schools capitalized on this by luring new applicants into nursing programs and boasting the extremely high placement rates of nursing grads. That was true of students graduating at that time. However, there are far too many new grads than there are openings for them. If you live in any fairly large metropolitan area (I'm in a city of approx. 2 million), chances are you have a network of community colleges with nursing programs. Add to that at least one to three universities. Then add in the for-profit schools (Bryman, Apollo, etc) and hospital training programs, and there could be well over a thousand new grads each graduation period.

The hospital system where I work is one of the largest in the nation and we have facilities in 7 states. Since last spring, we have not hired any new grads and the openings we have are mostly filled by internal applicants who have continued their education to attain RN licensure. if you are considering going to school for LPN or RN, let me give you my most valuable piece of advice: I would suggest you go the LPN>RN route first. Why do I say this? Because as an LPN, you can gain licensure and begin working much sooner (years sooner) than someone pursuing an AS RN degree, not to mention someone working towards their BSN. This will give you two advantages in the job market. You will be gaining valuable work experience while the AS/BSN student is sitting in class. You will also be establishing a work history in a healthcare setting as an LPN, earning income along the way, and you can still continue in an LPN to RN bridge program if you still find that nursing is the right fit for you.

If you were applying at my hospital, and I read on your app that you worked as an LPN for a number of years while completing your bridge program, I would hire you over someone with a BSN and little or no experience. No question about it. I've hired nurses with exactly that scenario many times. Don't let people fool you into thinking that just because you go the BSN route, you have a better chance of getting hired. BSN is valuable if you want to get into management or supervising at some point, but to a hiring manager, in terms of new grads an RN is an RN. I can tell you stories from applicants who have gone into many thousands of dollars in debt getting their BSN, and can't find a job. This desperation comes across in some of the postings on this site, and even more glaring when an applicant is sitting in front of me (or in phone interviews). And yes, having a good GPA in nursing school is good, but still won't convince me to hire you over someone with more experience. There are many people who excel in the classroom yet can't apply any of that knowledge to actual work settings, or fold under the stress of the job. Another thing that hiring managers look at is the amount of time since you graduated. It is an unfortunate reality that the longer it takes for a new grad to find a job, the less desirable that person becomes. The primary reason is because the grad has not been using their skills all that time, and we all know how easily some information can be lost when not used.

Please understand that I am not putting anyone down nor am I discouraging anyone from furthering their education. I probably wouldn't have been where I am had I not continued on to earn my M.S. But there is so much misinformation and speculation (about 99% of which is from other students and new grads, or floor nurses with no management/hiring experience) that I wanted to give a few words of wisdom to those contemplating nursing school or about to complete a program.

Specializes in Med/Surg, ICU.

I think Linda's advice makes sense for the most part. I can easily see why a hiring manager would take the new grad RN with LPN experience over the new grad RN without any. But here's something to consider that's been mentioned. If you get your LPN, will you be able to find work right away? From what I can gather from this site and hear-say in my area, LPNs are not always in high demand either. So while getting LPN experience while going to RN school might be preferable, realize that some may not get that experience because the can't find a job in a reasonable amount of time!

I've been debating getting my LPN for the exact reason's linda has stated. I do have health care experience -cna- ..but its been a few years... so I dont know how relevant it would be when I graduate.

Im currently accepted into a LPN program that starts in the fall...10mths at a private school.... Im also applying to a ADN program at a CC for fall 2011..but they do NOT have the option of getting your LPN...they wont let you test for it. Each program has its pros and cons....and I honestly do not know which would be best... there are openings for LPN's here mostly in LTC..but its still experience...so im unsure what to do..go the LPN route and bridge to RN or just do the RN???

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edited to add that the hospitals close to me are not hiring new grads..or even experienced nurses..but I checked other hospitals 40-80 miles out and there are quite a few openings for positions no experience required.

Specializes in Labor and Delivery.

Yupper21 I agree. I have read so many many negative stories on here lately I did some of my own research. Which in my opinion is really the only thing that is really relavent. I had done research when I first decided to go into nursing but its been a little while. Anyhow my results for my area:

(i only checked hospitals) They all had at least a few RN openings that didn't require experience

One had a lot-but I only saw two LPN postings combined for all the hospitals

So in my opinion I understand where the op is coming from but it may not work everywhere. I also don't think many of us that are currently in ns for rn are going to drop out and try to get into lpn school.

Specializes in Pediatric Pulmonology and Allergy.

The problem with educational decisions is that you're trying to track a moving trajectory and figure out what the job market will be like by the time you graduate. When I started school back in 2006, it SEEMED that it woudl be a better choice to go into a BSN program. In hindsight I see I'd have been better off to get my ASN and then do a RN-BSN bridge program. That way I'd have graduated 2 years earlier when the market for nurses was still hot, and have 2 years experience under my belt before going for a BSN. But not being a prophet it could not have been predicted that the market would bottom out like this.

All else being equal, yes it makes sense to work as a CNA or PCT during school if you can manage it. However, if you already graduated you obviously can't go back and undo the past. And I wouldn't recommend going the LPN to RN route because as others have pointed out, some places are phasing out LPNs, and an LPN license can't be obtained as quickly as a PCT. You might as well use that time towards your RN license if that's your goal.

Specializes in Nursing Professional Development.
I think Linda's advice makes sense for the most part. I can easily see why a hiring manager would take the new grad RN with LPN experience over the new grad RN without any. But here's something to consider that's been mentioned. If you get your LPN, will you be able to find work right away? From what I can gather from this site and hear-say in my area, LPNs are not always in high demand either. So while getting LPN experience while going to RN school might be preferable, realize that some may not get that experience because the can't find a job in a reasonable amount of time!

I have heard that in many places, new grad LPN's are also having a very difficult time finding employment. So, as you point out, taking that route would not get you the actual work experience that the OP is seeking. In my town ... I would recommend that someone become a CNA, get a job ... and then start the best BSN program they get into. Work part time while in school and try to get as much experience as possible (school and/or work) in areas other than LTC. Do a senior practicum in an ICU or a specialty that interests you -- so that people in that specialty would consider you one of their top candidates. But that might not work in other towns.

LPNs are not usually hired by hospitals. They work in nursing homes and long term care. I would expect employment to grow in both of those industries, because insurance companies are cutting the length of hospital stay they pay for but the patients aren't ready to go home yet, and the USA population as a whole is aging and the baby boomers are rumored to have more health problems than their WWII-generation patents. Plus, many independent surgical centers, etc. are encroaching on what used to be hospitals' exclusive domain.

In Pennsylvania, one license supersedes another. If you graduate with your R.N. of any flavor, you can apply for and be hired as an LPN, at LPN wages, of course. Check the laws in your state.

I'm sure Linda means well with her advice ... but you all have to remember that she is just speaking as one person. What is true for her as a hiring manager (or her particular hospital system) may not be true where you live.

My thoughts exactly ! Generalizing one hospital's hiring practice to the entire country is pretty pointless.

Specializes in future OB/L&D nurse(I hope) or hospice.
let me just add that someone who is getting their bsn as a second degree, nursing as a second career is a probably a more desirable job candidate than someone who is a brand new bsn and has no previous work experience. an older graduate who has already had a track record of being able to keep a job, show up on time (or at all), work hard and behave appropriately in the work setting is more desirable than a 21 year old just graduating from school who has never held a job, or who has a track record of a less than desirable work ethic.

so ruby vee, i am 41 and will begin ns next year. i have no previous medical experience, but have been working of the same company for amost 22 years. this will be my second career. are you saying that the fact that i have shown the ability to keep a steady job for so long may be desirable to a potential employer? i would also like the op's opinion on this scenario. thanks so much.

I am glad to say that I have factored in the state of the economy when I graduate. (in 9 months) I do have previous medical experience, however, Linda is right about the market being saturated with NG's. I plan to sit for the CNA exam and work part time now that my first NS semester is over. I wouldn't dare have tried to work during the first semester.. It was grueling. Once I graduate, I have already made up my mind that I just may have to relocate. One thing I love about my program is that clinicals started 1 month into NS and continues until the week we graduate.. That provides us with a year of experience.

I am glad to say that I have factored in the state of the economy when I graduate. (in 9 months) I do have previous medical experience, however, Linda is right about the market being saturated with NG's. I plan to sit for the CNA exam and work part time now that my first NS semester is over. I wouldn't dare have tried to work during the first semester.. It was grueling. Once I graduate, I have already made up my mind that I just may have to relocate. One thing I love about my program is that clinicals started 1 month into NS and continues until the week we graduate.. That provides us with a year of experience.

I think thats pretty typical of all nursing programs, but I dont think employers consider that experience otherwise new grads wouldnt be facing the "you dont have experience" line.

Specializes in Family Nurse Practitioner.

LPN programs in my state are twice as much money as RN programs, hardly anyone hires LPNs, and most hospitals I checked like to hire their student nurses/nurse technicians/PCT/CNAs etc from within. All hospitals in my area consider experience to be from the date you receive your license. I guess every community/state is different. I asked a lot of questions did my research and talked to as many nurses as I could.

I think experience is what you make it. I am not so pessimistic to think I would never get a job. My goal is to be a nurse and care for people,. Even if that means a doctors office or some other healthcare setting, I am accomplishing the immediate goal. So yes, the one year clinical experience does matter. Its all in what you make of it, and how you market the experience. There is not only one strategy to getting a job, there are many.. There are also many factors that play into getting the job or not... How well do you interview, how well do you market yourself, are you willing to relocate, can you pass the psychological exam that the hospitals give.. There are so many factors... I will not let anyone kill my joy. Everyone's experience is unique.

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