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.

I also have previous medical experience. That definitely plays a part in getting the job or not.

I totally agree, if you are thinking about the nursing field you probably want to work as a PCT in a hospital setting as I did for several years. Then, apply to a LPN program; work for a year and finally apply to a LPN to RN bridge program. I had no problem obtaining a position in the hospital as a LPN after working as a PCT. And now, that I have acute care and operating room experience as a nurse I am a lot more desireable nurse. This winter semester I will be beginning a RN bridge program and I have already been offered RN positions in my hospital. The managers know my work experience as a PCT and now as a LPN. And this way of moving up the professional ladder has been the best way for me.

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 wanted to address this question because it mirrors my situation. I simply want to present my experience as an example, not suggesting that it is in any way universal.

Nursing is my second career after working as a paralegal at the same company for over 13 years. I have an AAS degree and working towards my BSN. I also have a BA degree in another subject. I graduated in May 2009. I have no previous acute care experience. I am a desirable candidate for employment and not one institution has allowed me to get that 1 yr acute care experience almost every employer is demanding. No call backs.

The only jobs that I was able to get were seasonal jobs like immunization or temporary school nursing and I am not alone. Many graduates are in the same boat.

Remember, this is just one example.

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.

Future O R Nurse, I wish you all the best when you do graduate. There are graduates right now who had and are still trying to keep that joy in our hearts and caring and empathy that made us want to be in this profession in the first place, but 1 year clinical experience today does not mean any thing. Every interview I have ever had I came out a winner and got that job but these days hundreds of applications or resumes are being sent out by graduates with no response. Oh, I also had 2 years clinical experience in hospitals that never responded and there were at least 3.

I applaud you for your optimism and braveness but girl the nursing profession is not what it used to be. I hope that optimism still lives on when you graduate and come out here looking for a job.

Not to take aware your bright light, just sharing some wisdom and knowledge.

That's all well and fine advise... however there's hardly any programs or places in my state that would even employ an LPN - so the advise is from a very limited and narrow perspective of only hiring people with experience. Her advise being "valuable"? I don't think so. I hope there are very few hiring managers like her around.

Specializes in Psych/med surg.

Where I live it is even difficult to get a PCT or CNA position. I am going to try to get a job doing that after my 3rd quarter of nursing school but I am unsure if I will be successful. Back in 2000 I had a friend with no job experience and firings from multiple jobs obtain a PCT job that she eventually got fired from. Now, you can have a stellar work record and apply daily and still no call back. It is just so discouraging.

Specializes in Anesthesia.

Pretty much what I'm doing. I did my LVN at a CC for

Specializes in Med/surg, Quality & Risk.
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.

rubyvee: could you tell that to our local hospitals? :lol2: our class of 47 (just got pinned yesterday, yay!) :grad: is finding it curious that those of us over 30 have not even been called for interviews while our younger counterparts have been hired on. a few of them who got hired at a nearby hospital even received sign-on bonuses. and the majority of the over 30 set in my class are honors graduates, including myself.

Maybe I should be getting an MHA instead. That's where I'd rather be long-term. I was promoted into an administrative position in my last career and enjoyed it. I thought the BSN and some clinical exposure would be helpful considering my only prior medical experience, which isn't recent, was working as a paramedic part-time when I was a patrol officer.

Hello Im that Guy,

I thought about the same thing. I have been an LPN for 15 years and i have thought about getting my bachelors health admin instead of going the rn/bsn route.....just not sure any feedback is appreciated.

thanks linda

as many have said, there is no one way to go about landing a job. i graduated in dec.2009 and just got an offer last week after having a few interviews and countless applications over the past year. i am in the over 30 club with many years of previous experience working in health education roles and had trouble. i started working as a pct a few months ago and this experience helped me with landing this job. however, quite a few of my classmates who have gotten jobs, including those with no previous work experience landed jobs because of their ability to move out of the area, the people they were connected to, or previous work experience. but, what mainly paid off for them as well as for me, was persistence and not allowing the silence after the applications or rejections to be discouraging.

Interesting discussion. Every single one of my friends that graduated nursing school were offered jobs straight out of school. Two are doing OB, another is doing neuro ICU, and a few others are also working in hospitals. None of them waited over 2 months to get a job.

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.

Why would I go for a lesser degree, that will earn me a lot less money, if it takes the same amount of time to get through either program? I am about to enter a second degree BSN program; I have no work exp in the healthcare field. Are you saying I won't be able to get a job upon graduating? I think that is total BS, sorry to say. If a manager can't see how hard it is for a person to go through school with family obligations, and still kick butt, then I probably don't want to work for you. You don't scare me.

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