First Job Dilemma

Nurses Job Hunt

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As some of you may have read, I posted a few weeks ago that I was having trouble finding a job, it was a year of searching and I hadn't received any interest. Lady luck must have been on the internet that day and read my post, because I'm now wrestling with 3 different job offers, and can't seem to make my mind.

A bit about myself: Live in northern California. Not exactly attached to my location, but my significant other is. I am, however, emotionally attached to RN wages here =). Here are my options:

1.) MedSurg Full Time in El Paso Texas. Wage= 25ish. Must sign 2 year contract after 18 week residency. Things I Like: Location. Things I Dislike: MedSurg, Wage, Contract.

2.) ED Full Time in North West Texas. Wage=22ish. Must sign 2 year contract after 18 week residency. Things I Like: ED. Things I Dislike: Wage, Contract, Location.

3.) Corrections Full Time Limited Term in SoCal: Wage=45ish. Term=12 months. Thing I Like: Wage/Benefits, Location, Interest In Corrections. Things I Dislike: Fear of not being easily welcomed back into acute care in future.

I have narrowed my choices to 2 and 3. 3 For monetary/comfort reasons and 2 because I feel it would enhance my career in ways 3 would not be able to by way of making options for me wider If I ever decided to relocate to another place. One strong factor that drove me to pursue nursing, other than my passion for medical science and my felt duty for public service, was how attractive the idea of "being able to work anywhere" was. I feel starting my career in corrections might pigeonhole me. In all honesty, I don't see this job scarcity loosening its grip anytime in the near future and if this limited term corrections gig doesn't roll over to full time (with the state's labile budget issues as they are), I will still be considered a "new grad" in the eyes of acute care employers, just an older one.

My interests in nursing are both emergency/critical care and public health. During my ICU residency I was often frustrated with the inability to truly connect with patients on a personal level. I enjoy teaching; I tutored mathematics and chemistry during college and enjoyed it immensely. I wish there existed a unit where I could resuscitate patients from an MI then take them in the back room for coffee and educate them about lifestyle changes and health concerns, haha.

I know I sound like I'm all over the place here, and believe me these last few days of trying to decide between my options here have been a mess. To make things more complicated. I'm the type of person to [over]analyze the slightest detail in any situation, and the more exposure I get in the hospital setting, the more I realize that the majority of the nursing workforce is a vehicle for tasking, and in most cases, operating as a scapegoat for care-related issues: customer satisfaction ratings, nursing absorbing peripheral tasks due to institutional cut backs, etc. Perhaps that is just the fiscal devil on my shoulder convincing me to take the corrections gig.

I'm really not sure what quality/type of advice is available for someone in my situation. Maybe you could humor me and help me brainstorm what things should be important to a new grad like myself starting his career. Or maybe you guys can tell me to shut up and just pick one--tough love never hurt. I guess I'm just looking for some direction--I've never really made a big move in my life like this.

Thanks AN,

You Guys are Awesome

I havn't made a decision yet. I have till June 1st to make my intentions known. I am leaning towards the correctional facility right now because of the exciting experience and the attractive compensation package, but I wrestle with it everyday. I try as hard as I can to get opinions from a variety of peers and nurses. As much as I enjoy the science and art behind emergency nursing, I feel I would be satisfied with the amount of emergency exposure I might see during my time in corrections; I will also try and moonlight as either a part time or a per diem at another facility in the acute care setting. I am eyeballing a few rural ED's near the area where the Prison is located and I hope the employers would appreciate experience in corrections. I have been gathering as many certifications as I can related to the issue, TNCC, ENPC, NRP, etc., in order to hopefully do a little bit of both. I am still waiting on a formal offer from #2, however. We shall see what happens. I will update this thread once I have made my decision.

Just to throw this out there, you said you like to teach your patients. Med/Surg. would give you the best opportunity to do that, get you experience, and allow you to broaden your horizons later. Just a thought, but I would look at option 1 or 2. Option 3 would be ok if you want to go Corrections, but if you wanted back into acute care, would it be as accepted everywhere? Also, would the patients be as open to teaching, that you said you like to do? Just being the devil's advocate....

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