Applying at an office that doesn't list an opening?

[LovelyAM]

Hi all! I just found out two days ago that I passed my NCLEX -- woohoo! -- and am now on the hunt for that coveted Nursing position. Being a resident of Long Island, NY as well as the fact that I graduated from an Associate degree program means that I cannot afford to be picky when it comes to my Job Search. I am at peace with this unfortunate reality and have been planning my job search accordingly, which basically means I will take anything!

A good friend of mine, bless her soul, has been bugging pretty much everyone she knows who works in healthcare about whether or not their facilities are hiring. One of her friends works for a Dermatologist as a receptionist and told her that I should fax over my resume. Now, aside from the fact that I had no idea a Dermatologist even hires RN's (do they??) my main concern is what to write in my cover letter. Normally I would start off by saying something like "I am writing in response to the position you advertised for a Registered Nurse at XXXX." In this instance, I do not even know if there is a position open, but rather am merely trying to get my resume in there, in the event that they are in fact looking to hire a nurse.

Mind you, I am concerned that a job like this would severely limit my options for future employment at a hospital or something of that nature, but as I said before I really am not in a position to turn anything away right now, so that is a concern for a later post!

Any ideas about how I could structure my cover letter in this case? Also, should I cut out the portion of my resume that details my stand-out clinical experiences, seeing as trach care, suctioning and all that jazz have nothing to do with Dermatology?

Thank you!

Kate