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Help! First year new grad can't pick which job to take

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Hi everyone! I just graduated in May 2017 and I currently have two job offers lined up. I am very grateful to be able to make a decision but I don't know which to pick and I have to make a decision by Monday morning :confused:.

So my first option is an ED residency program that will last 4 months and I will be able to receive various certifications such as ACLS, PALS etc. I believe it would be a great learning experience as a new grad however it is a small hospital that does not have a magnet status. Starts Nov.

My second option is at a larger hospital on the Orthopedic floor working as an RN. It is a magnet hospital and I believe has better benefits. Starts Oct.

Please help I have a day and a half on which to pick and my family, friends and coworkers and some say the ED program and others say the ortho floor. THANKS IN ADVANCE!!!

HermioneG, BSN, RN

Specializes in Emergency Nursing. Has 1 years experience.

Hi Amae13, congrats on the job offers!

Do you want to be an ER nurse? What are your goals?

Sour Lemon

Has 9 years experience.

Hi everyone! I just graduated in May 2017 and I currently have two job offers lined up. I am very grateful to be able to make a decision but I don't know which to pick and I have to make a decision by Monday morning :confused:.

So my first option is an ED residency program that will last 4 months and I will be able to receive various certifications such as ACLS, PALS etc. I believe it would be a great learning experience as a new grad however it is a small hospital that does not have a magnet status. Starts Nov.

My second option is at a larger hospital on the Orthopedic floor working as an RN. It is a magnet hospital and I believe has better benefits. Starts Oct.

Please help I have a day and a half on which to pick and my family, friends and coworkers and some say the ED program and others say the ortho floor. THANKS IN ADVANCE!!!

Magnet status is the last thing I would consider when choosing between two jobs. I've never done ER, but four months of orientation sounds pretty good. I have done orthopedic and it's heavy ...literally, like lots of heavy lifting. How long would your orientation be on the ortho unit and how much better are the benifets?

And most of all, as the first responder asked, what do you want to do career-wise in the long run?

Hi HermioneG and thank you!!

I have volunteered in the ER for a year in a different hospital and have always been interested in the dynamic but I did not think that I would be offered an ER position to be honest. I do know that I want to be involved in critical care from the other experiences I had during my time in nursing school and through an externship I had last year. I initially knew that I wanted to do the ER residency but some friends and family (nursing and non-nursing) were telling me that I should not work at the hospital that was offering it (the hospital had past financial issues). Some say that it is a risk working there while the ortho position is a safer option.

Sour Lemon hi :). Ok thank you I thought that magnet status was a big thing to take into account but I was not too sure. The orientation for the ortho unit is about 3 months with some class time for 2-3 weeks I believe and then I follow a nurse on the floor for the remainder of the time. Benefit wise I don't think they are much better compared to the hospital with the ED program but I am not entirely sure. Thanks for the reply!

I worked for a hospital with Magnet status and was not happy with the working conditions. I suppose every hospital is different, but I agree with Sour Lemon, I wouldn't make that a deciding factor. If you are wanting to go into critical care, the ER is probably a better option.

Boil it down to do you want to do ED/critical care nursing or med-surg nursing? In your heart what excites you the most when you think about it?

And SL is right. Magnet status sounds great but all it is is an expensive program with very little impact on you as a nurse. Many hospitals are now not even bothering with being re certified.

TriciaJ, RN

Specializes in Psych, Corrections, Med-Surg, Ambulatory. Has 39 years experience.

Magnet status is the last thing I would consider when choosing between two jobs. I've never done ER, but four months of orientation sounds pretty good. I have done orthopedic and it's heavy ...literally, like lots of heavy lifting. How long would your orientation be on the ortho unit and how much better are the benifets?

And most of all, as the first responder asked, what do you want to do career-wise in the long run?

I second this. I've never worked ER but a 4 month residency sounds nice. Otherwise, you'd get a brief orientation and thrown to the wolves. Ortho is heavy - I used to float there on occasion and I'd be lifting people on and off bedpans and commodes all shift long. And for some reason they didn't use PCAs so I was running with syringes of morphine in between everything else.

Also, the ACLS, PALS, etc would be good things to have for future mobility. The Magnet thing is truly a naked emperor.

Otherwise it's down to pay, benefits, commute time and which area would be more suited to your temperament. Congratulations and good luck!

bbcewalters, NP

Specializes in NP, ICU, ED, Pre-op. Has 12 years experience.

ER hands down.....

But I'm a former ER nurse :) Now nurse practitioner.. If you get a good orientation you learn so much

Good luck!

Marisette, BSN, RN

Specializes in Registered Nurse. Has 28 years experience.

As a new grad, I would go with the hospital offering the longest orientation, and one that appears to have an interest that you are successful as a new graduate. Do you get a feel for the management and staff at your future workplace? Do you feel comfortable asking questions? If the hospital closes, you can always get a new job. However, being a new graduate with poor or rushed training and a difficult work environment is not something tolerable, no matter how good the pay and benefits are.

I would say ER if you want to get into critical care. More importantly go with your gut instinct. When you toured the units was there one that you felt more inclined to be at? How was the staff? Did some make eye contact with you? Was the staff running around crazy busy and appear overwhelmed? Did the hiring manager say hello to the staff as he/she passed in the hallway? How did the staff interact to the manager? Are they hiring just one position, or are their multiple positions at once? Your orientation experience will be affected by the preceptor availability. If there are alot of nurses being started at the same time this may cause your orientation to be chaotic. You are looking for a place that you can dig your heels in and grow as a nurse. You can have a long orientation, but be stuck in a terrible unit that you can't wait to leave once on your own.

sallyrnrrt, ADN, RN

Specializes in critical care, ER,ICU, CVSURG, CCU.

Hands down ER, you will learn a lot, utilize critical care nursing in many cases.........your critical thinking skills should soar....

KeepinitrealCCRN

Specializes in SICU,CTICU. Has 6 years experience.

i also agree with most people who have already posted; ER hands down. magnet means very little if anything. based on your goals, the length of the orientation and the skills/pts you will learn/encounter ER is the way to go. good luck!

Lev, BSN, RN

Specializes in Emergency - CEN. Has 7 years experience.

What are the ER ratios like?

As someone who currently works in a smaller hospital, I would vote for the smaller hospital (as long as working in the ER and all that comes with it is one of your goals). I have worked in a hospital that was working toward magnet and understand the dynamics of both scenarios. The smaller hospitals usually provide more support, encouragement, and a broader range of experiences than the larger hospitals do. At larger hospitals, your more of just a number. As a new nurse, you will be in a more nurturing environment in the smaller hospital which in turn will help you become a better nurse. Money isn't everything at this point. A good learning environment with co-workers who will support and help you grow is...Just my opinion. Good luck with whatever you choose and congratulations!!

I agree with pretty much all of this. Personally, I would choose the ER position as it affords more flexibility in the long-term for career mobility. (And let's be honest, it's freaking cool stuff!) I started in ortho as a new grad- and while not every facility is going to be like this (I worked within a fairly healthy population), I will tell you I forgot SO much basic medicine. You just get pigeonholed into the specialty and forget how other systems function. In the ER you'll see EVERYTHING and learn so, so much.

Again, think about your goals. The ortho unit may be perfect for you!

al3x117, RN, EMT-B

Specializes in Medical/Surgical/Telemetry RN. Has 1 years experience.

Do ED all the way!!! You will get all the fun!

Guest957596

Specializes in BSN, RN-BC, NREMT, EMT-P, TCRN. Has 3 years experience.

I'm a bit past your deadline, but what are you after? Are you hard-charging, self-starting, independent, love adrenaline and chaos as well as the mundane? If so, ER. If you like a controlled atmosphere, routine (for the most part), go med-surg or ortho. Not a hard decision.