How do I get back into nursing after 10 years?

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I've been away from nursing for over 10 years. My experience is pretty limited. I barely did a year of bedside nursing on a med-surg floor in a hospital setting. I don't think I was really prepared out of school and I was terrified all the time so I switched to home care at a certified agency for another year. Then, I moved and I worked at a licensed home care agency but it was not clinical. I did not provide hands-on nursing care as I mostly just supervised the home health aides and ran mandatory in-services. But I haven't done ANY nursing work in over 10 years and now ' I really want to work back in the hospital. I took a nurse refresher course but it was mostly academic. I just feel like I really wasn't well prepared after school and really wish I would've known about nurse residency programs then because I really want a residency now - and apparently I have too much experience. Which I really don't. See? I really don't see a way forward here- other than working as a "long term nurse". How does an old, out of practice not-very-acute-care-experienced nurse get more experience?

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Specializes in Tele, ICU, Staff Development.

It's a challenging situation, but there are still paths forward for you to re-enter nursing, even with your limited experience and time away from the field. There's no magic bullet, but you can do this with strategy and determination.

Here's a step-by-step approach that could help:

  • Consider a comprehensive refresher program with clinical components. Since your previous refresher course was mostly academic, you would benefit from one that includes clinical practice. Some programs are designed for nurses who've been out of practice for a while and can provide hands-on experience in a clinical setting.
  • Look for programs that partner with hospitals. These may offer clinical rotations or preceptorships to help you regain confidence and skills.

Leverage Volunteer Opportunities

Consider volunteering at a hospital or clinic. While this may not initially provide direct bedside experience, it can help you get accustomed to the healthcare environment again, build connections, and possibly lead to paid opportunities.

Apply for a Return-to-Practice or Transition-to-Practice Program

Some hospitals and healthcare systems offer return-to-practice programs specifically designed for nurses out of the workforce. These programs can be similar to residency programs but are tailored to your situation.

These roles may not be marketed as "residency" programs but might include extended orientation, mentorship, and ongoing training.

Look for roles like "clinical nurse re-entry" or "nurse fellowship," which may not require recent acute care experience but provide support as you transition back.

Consider Rehabilitation, or Skilled Nursing Facilities

These settings may offer a smoother transition back into bedside care than jumping straight into acute care. The patients are lower acuity and can help you gradually rebuild your skills. 

The important thing is to get back in and begin to establish your employment record. Once you are back on track and gain confidence, you will have more options.

Connect with Nurse Mentorship Programs

A mentor can provide guidance, help you identify areas where you need more focus, and offer support as you navigate your return to practice. Some nursing associations provide formal mentorship programs for returning nurses.

Tailor Your Resume to Highlight Relevant Experience

Even though it's been a while, focus on the skills you did gain during your time in med-surg, home care, and supervisory roles. Emphasize your recent refresher course and any volunteer work or certifications you've pursued.

Network with Local Nursing Communities

Definitely engage with local nursing organizations or online communities. Networking can lead to opportunities you might not find through traditional job searches.Let everyone know you are looking for a job.

Be Open to Entry-Level or Support Roles

Starting in a role like a nursing assistant, patient care technician, or even in a non-clinical support role within a hospital could be a stepping stone. It allows you to be in the environment, observe current practices, and potentially transition into a full nursing role later.

Stay Persistent and Positive

Re-entering nursing after a long break is difficult, but it's possible with determination and the right strategy. Stay persistent, and don't be discouraged by initial setbacks.

Despite the challenges, your desire to return to bedside nursing shows your commitment. With the right steps and patience, you can find your way back into a fulfilling nursing career.

Best wishes,

Nurse Beth

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