Nursing Shortage!! It's real and it bites (new grads, can't find a job? Read this post!)

Nurses General Nursing

Updated:   Published

I had no idea, when I took a job as a nurse manager of an inpatient unit at a rural hospital that's 4 hours away from the nearest large city, that a huge portion of my job stress would come from the fact that we DO NOT HAVE ENOUGH NURSES!!

Every unit at our facility has job openings. We have dozens of travelers. My department basically has just enough nurses to cover core staffing. What that means is - if there's a sick call, or a PTO request, or a medical leave of absence, we're short.

Thank Dog that my unit is awesome and they are a team and a family and are invested in the unit, because when we're short, the nurses pull together and volunteer to take OT and work 16 hour shifts.

The point of this post...if you're a new grad, and you can't find a job because the market is so competitive and every place is wanting a BSN...consider relocating! Look for those facilities that are in rural communities, or small towns that are >2 hours away from the nearest metro area that probably has multiple schools and a steady stream of new grad nurses to fill positions.

Coming from Denver, I had no idea that there really were places in the US that had shortages, but it's true, and it sucks. For patients, for communities, and for the nurses who are working short-staffed or working 60-hour work weeks because, well, we have no other options.

Specializes in School Nursing.
klone said:
Oregon has strict staffing laws. We cannot compel people to work OT. And travelers are VERY expensive. There is no incentive to the department or the facility to NOT hire permanent nurses to fill open positions.

What part of Oregon? Forests near by? I'd be temped to relocate if it was one of the green/forest covered areas of Oregon! ;)

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If you were hiring LPN, I'd move yesterday. I would love to live in a rainforest.

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Specializes in Med-surg, telemetry, oncology, rehab, LTC, ALF.

We have the same problem at my hospital. We have enough nurses for core staffing needs, but when flu season hits and staff end up being out sick, we're short. We've been floating nurses from other units to cover our needs, and a few nurses like myself sign up for extra shifts, but sometimes that's not even enough.

My hospital will happily hire nurses who don't have their BSN (without requiring them to sign a contract saying they will get theirs within a specified amount of time) but they're not very good at "reaching out" to nearby nursing schools. My advice is look at community hospitals first - they're likely understaffed and although they may pay less than bigger hospitals in metropolitan areas, they have just as many opportunities for growth and promotion.

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Specializes in Rodeo Nursing (Neuro).
DS22 MS said:
I hope when I license you're still looking. If you have a position offered, I'm there.

If I didn't love where I am so much, I'd be right there with you.

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Specializes in Rodeo Nursing (Neuro).
klone said:
Wholeheartedly agree. In our case, experienced nurses typically don't drop out of the sky, so we must invest in our new grads or we would have no nursing workforce at all.

This thread should be mandatory reading for nursing students. I work at a teaching hospital in about as close to a metropolitan area as WV has. The nursing shortage is real, here, too. We aren't small, and not exactly rural, but the competition for new hires seems pretty intense. To a new grad, that means lots of opportunities to gain experience and develop skills which, with apologies to the OP, will vastly improve your marketability after a few years. And you might just find the place you want to retire from.

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klone said:
... the hospital wages are within a couple dollars/hour of larger hospitals in the state. If you go to the union's website, it lists all the contracts they have with the various facilities and it lists the pay ladder.

I visited the ONA website and checked out the new grad wages of five coastal community hospitals. The wages looked as good or better than the new grad wages in my desert SW community.

The two communities I researched on realty websites seemed to have some single family homes for under $150,000. They were fixer-uppers, but I like them like that.

I haven't started nursing school, but from what I've read, safe patient ratios seem like a real bonus!

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klone said:
Yes, in many places there IS a nursing shortage. And frankly, it pisses me off that people say otherwise. Until you've been to these communities, you have no idea. You can believe whatever you want, but that doesn't make it so.

Hospital that employs 400 nurses. Not to mention the SNFs, home health agencies, community health departments, clinics, hospices, and other various places that employ nurses. Local community college graduates 30 nurses a year. No other nursing schools in a 2-hour radius. You do the math.

Let me re-phrase. There are places with too few nurses. but over all, there are many unemployed or underemployed nurses in America. If there were better advertising, higher pay, better benefits, some of the un or under group would take jobs in areas that might not be their first choice of workplaces.

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Specializes in Geriatrics, Home Health.

I guess I'm still jaded from seeing the last "nursing shortage" turn into a glut very, very quickly. I graduated in 2008, just before the economy crashed. Suddenly, no one was hiring nurses, especially new grads. Oddly enough, many of those same facilities are now claiming they can't find experienced nurses. Funny how that happens.

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Specializes in M/S, LTC, Corrections, PDN & drug rehab.
klone said:
Because there are even fewer LPNs ("LVN" is only in CA and TX, all other states have LPNs) in the community than RNs. There is no LPN program within hours of where we live.

Also, from the standpoint of practicality - LPNs can't work in L&D.

I've seen (sporifice) ads for LVNs hiring in L&D. Granted it was here in TX but it was for actual L&D. If they did team nursing I don't see why LVNs couldn't be hired in L&D. LVNs could practice according to their scope & then the RN picks up what the LVN can't do.

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Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
OrganizedChaos said:
I've seen (sporifice) ads for LVNs hiring in L&D. Granted it was here in TX but it was for actual L&D. If they did team nursing I don't see why LVNs couldn't be hired in L&D. LVNs could practice according to their scope & then the RN picks up what the LVN can't do.

Most hospital insurance carriers forbid it. It's not that we don't want to. It's that we CAN'T.

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Specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

Hello,

I recently interviewed for a similar hospital, which was 1.5 hours away from me in an area that literally has nothing to do except hiking and outdoors stuff. There are no stores, just nothing. You would have to drive at least 45+ minutes to get to an area that is more livable, so of course I didn't take the job because of the drive and no desire to live there.

I really think this hospital, like yours, may be able to recruit and retain nurses if they offered some sort of bus or shuttle, although I know it would be expensive, not as expensive as constantly loosing nurses though. An alternative would be to offer a moving incentive. The area where they hospital is in does have a nice little down town area, but again that is it. The house prices up there are absolutely insane and not affordable unless you are working as a physician, which is also a turn off.

Anyway my point is, is that your hospital needs to come up with ways to attract nurses to your hospital with some creative ideas. I think sometimes the people who build these hospital don't think about the big picture. This hospital was build in the early 90s and had they built is maybe 30 minutes south of where it is it would have been a lot easier to recruit people because it would be much closer to civilization!

Annie

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As someone who eventually wants to move to Oregon and doesn't care about big cities I would also love to know whereabouts your hospital is located.

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