the bottlenecks of nursing

Nurses New Nurse

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This is my rant. You may or may not agree with it, but I felt the need to express it among people who might understand where I am coming from.

I graduated from nursing school in August. I had quite a good GPA and was class vice president. I still wound up applying for over 50 jobs (beginning in late July) before getting an offer in November and starting my first job this week (beginning of December). The problem I faced was that the hospitals only wanted to hire new grads for February and July start dates (about 1 to 1.5 months after the December and June graduations). They wanted to train all the new grads together. So, I repeatedly received replies to my applications like "we are not hiring new grads at this time" or "we have no positions available for new grads - please contact us again at a later date" My frustration with this was extreme. I could not afford to wait until February to start working - that's six months after graduating. What was I supposed to do in the mean time? Knit?

And yet, we are still in a nursing shortage where I am - there are dozens of RN jobs posted on each hospital's website. They just all insist that you have at least one year experience as an RN before they will even consider you. But how am I supposed to get experience when nobody wanted to hire me because I was a new grad?

This system is flawed. If we want to increase the number of nurses in the system we need to eliminate these bottlenecks. This also goes for admission to nursing schools. There were over 400 applicants for 65 spaces in the nursing class I was in. The college simply couldn't support a larger group at once. This is partly because of the fact that tenure track professor positions are only available to people with doctorate degrees, and until very recently, there were very few doctorate degrees available relating to nursing (there were many that were semi-related such as anatomy or public health). Without the job security and pay raise that tenure track professors receive, there has been little motivation for nurses to become professors (most take a significant pay cut to go into teaching), so there are not enough nursing professors to increase class size to meet demand. The new doctorate of nursing practice degree is the best step that nursing has taken as a profession in a long time since it may ease that bottleneck and make entering the profession of nursing smoother and less stressful.

Specializes in Palliative Care, NICU/NNP.

We have had numerous new grads take non-RN jobs waiting for an opening. It was good for them. They got to see how the unit/floor works and we got to see how they worked.

What a frustrating situation! Who wants to have to wait 6 months before starting to work? I'd be afraid of forgetting what I'd learned!

Have you applied for any nurse asst positions? That's what many of my classmates had to do after graduation. If you can get your foot in the door at a hospital where you'd like to work as a nurse, already working there would likely increase your chances of being accepted into the new grad program when it finally becomes available. If that doesn't work, maybe you can still take advantage of this wait time to find out about the different facilities and different types of floors. Interviews, shadowing, volunteering... whatever can get you out there meeting people and finding out more. Maybe you can tutor nursing students as way to make a little money and keep your knowledge fresh. Try to make an opportunity out of this problem if you can. Good luck!

From what I have been told, if you have your license, you legally cannot work as an aide with RN after your name. That is what we were told in Ohio.

I don't know the details but I do know that it's been done - working as an NA after obtaining a nursing license. Of course, your name tag wouldn't read RN anywhere on it because that's not role being filled. You wouldn't be performing any tasks limited to licensed personnel no matter how competent you were to perform them.

Maybe it varies from state to state or there are exceptions if you were already working in that capacity before obtaining the license (so you can continue in your NA capacity until an RN position opens up). Maybe some hospitals have a special category for a qualified new grad in an assistant role as a temporary position. I'd imagine there might be regulations to ensure that employers don't try to hire RNs as NAs to save money and to count them in their ratios.

Anyone have experience with this and know the regulations on this?

Specializes in Accepted...Master's Entry Program, 2008!.
I don't know the details but I do know that it's been done - working as an NA after obtaining a nursing license. Of course, your name tag wouldn't read RN anywhere on it because that's not role being filled. You wouldn't be performing any tasks limited to licensed personnel no matter how competent you were to perform them.

Maybe it varies from state to state or there are exceptions if you were already working in that capacity before obtaining the license (so you can continue in your NA capacity until an RN position opens up). Maybe some hospitals have a special category for a qualified new grad in an assistant role as a temporary position. I'd imagine there might be regulations to ensure that employers don't try to hire RNs as NAs to save money and to count them in their ratios.

Anyone have experience with this and know the regulations on this?

It varies by state. I'm in Illinois, and in Illinois, an RN can work as a CNA, but they do NOT have to be registered in the CNA database. (They do, of course, have to be a RN, in good standing :-) ).

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