How To Get Your First Nursing Job!!

I graduated one year ago in a class of about 70 people. I live in a fairly saturated job market, and still speak to most of my classmates. A few of my classmates went out of state to places like Utah and ND to get jobs. A few went to small towns a couple of hours away. Quite a few ended up in home health or SNFs. 5 or 6 got jobs in facilities that they worked in as CNAs. More than half of us got hospital jobs without prior work experience in the city within 2 or 3 months, and this is how we did it!!! Nurses Announcements Archive Article

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Please be aware that it is not you! Do not let your confidence take a hit, because there is nothing wrong with you!! The market is tough, and in some places it is almost impossible. You already graduated, you passed the NCLEX and it's too late to decide to be a CNA in order to have an "in" with the nurse managers. It may look hopeless, in reality it isn't-but it IS difficult! There really is no nursing shortage, and there are tons of seasoned, experienced nurses applying for the same job you are. You NEED to stand out! You need to let your own personal awesomeness shine, and you need to forget pretty much everything you were taught in school about how to apply for a job fly out the window. You were taught by nurses who got their first job eons ago-the rules have changed.

The Basics-Paperwork

In school, they taught you to put an objective on your resume. Don't! Obviously the objective is to get the job, it takes up valuable page real estate, leave it off! Do bullet points for skills, I used 2 columns to fit everything on one sheet of paper. When they tell you to make it stand out, they do not mean perfuming it, adding a photo, or squiggly flowery borders. Professionalism is everything! List clinicals if you don't have actual jobs to list, and keep it at one page. There are resources at most schools that will help you brush up your resume and there are online resources as well-free ones! Don't spend a ton of money, you don't have to!

A cover letter needs to be personalized to the facility/unit you are applying. It should not repeat what is in the resume! It should show that you researched the facility. Something like "Your core values of blah and blah and blah fit perfectly with my personal nursing philosophy" needs to be in there. I ended all of mine with something like this "I look forward to meeting with your to see how I will fit in with the (name of hospital) family.

Networking Is Important!

The old adage "it's not what you know, it's who you know" was never more true! Keep in touch with preceptors on units you may want to work. Let them know when you pass NCLEX and ask them if they would be willing to put in a word with the NM if a position opens. Then if you see that a position does open, call them again! Your last clinical should be your practicum (not sure what it is called in other parts of the country-but it's the same thing). Your preceptor on that unit is your best shot for a job if there is an opening. Be sure to get her contact information and if you get to meet the NM while you are there, let her know you would LOVE to work on that floor after you pass and ask her if you can get in touch. Where I am, quite a few nurses got hired because they showed their awesome in practicum and thought ahead enough to have contact information in their pocket before they finished! Do you have classmates that were hired in a place you want to work? Keep in touch, ask them to put in a word for you too. Some of your instructors may hold hospital jobs, keep in touch with them as well. Everyone you know is a potential job, so network! Before you graduate, join a local nurse association (while you can still get the student rate to join) and go to meetings, you will meet NMs and directors that may help you get a job. You can still join after grad, it just costs more!

Here's the part that any nursing school instructor will argue with, but in my opinion it is the most important part of the job search. Ready? Ignore the online applications! Look at the online job postings to see if a job is open that does not require a year experience (if they say REQUIRE, you don't have a chance, so forget it), and once you locate the jobs that don't have that as a requirement, note the unit but don't fill out the online application. You are wasting your time. Even if it says "new grads are welcome to apply", you are still wasting your time! If you don't believe me, go ahead and fill one out! Check your application status, within seconds it will say something like "not under consideration". The computer tossed your application in the trash and no human will ever see it. This is pretty much a universal truth-there are some exceptions, but finding them is going to take up bucketloads of time and hundreds of frustrating rejection letters! Instead, dress yourself professionally (see below) and pay the nurse manager a visit. Do not go during a shift change (likely they are probably operating on 12 hour 7-7 shifts, or 3 8 hour shifts a day so do the math and figure out when they most likely are not on shift change) and walk in. Politely ask to see the NM. In some parts of the country you are going to get the stink-eye and not get to see the NM, in other parts they will be happy you came in. If you are in a stink-eye state, ask politely if you can leave a resume for her. Invest in a package of 8x11 manilla envelopes and have her name neatly printed on the outside in order to leave it for her before you go. You can almost always call before you go and ask for the NMs name on a particular unit. This shows critical thinking-you did your homework and they like that

Well, some of the rules have changed. A few things haven't. The things that they probably taught you correctly:

Dress Professionally

Flat sensible shoes, a business suit (pants or skirt, it doesn't matter but if you choose a skirt, make sure it goes to your knees). If you don't know what "dress professionally" means, go into a bank. Look at the bank managers, emulate them (except no high heels). I bought 2 interview outfits, one for walking my resume in and one for an actual interview. I think it paid off. You do not want to walk in with a resume looking like you are on your way to hang out at the mall! You don't have to spend a lot of money, but you do have to prepare. NO SCRUBS!!

Got tats? Cover them! Completely cover them! Nuff said! Got more than one piercing in your ears? Take them out! One set of sensible studs (nothing dangly) is fine. A zillion piercings all up your ear or a cool industrial need to be removed! Who cares if your holes close, you are applying for a job to make a living that will pay well enough to have them reopened hundreds of times over! In some cases clear ones will be OK-but not if they show! Any other piercings on your face or tongue? Remove them. You are not going to get hired if you are metalman

This is not a fashion contest, it is a professional interview. Your hair needs to be pulled back all neat and clean in a pony tail or a bun if it's long. It may look great as a flowing mane, but a nurse manager is going to picture it flopping into a wound, pull it back!

Do NOT smell! Perfumes and body spray are fine on date night, but some people find it offensive, so just don't! Smell like soap-not perfumed soap either. When I got my interview, since I knew a few of the nurses on the floor, I baked cookies for them when I went in-it was a good idea, although probably would look weird on a unit where you don't know anyone. BUT-a nurse I didn't already know told me later that she heard they "hired the girl that smelled like cookies", apparently that is one smell that is OK!

The Actual Interview.

Many places do a panel interview. It is intimidating, but they do not do it to intimidate, so don't freak out. VERY important to bring in enough copies of your resume, references, and cover letter for everyone. Typically there are 4 to 6 on the panel, bring 10. Also bring that portfolio that nursing school made you put together, but don't be surprised if no one looks at it. Not bringing it makes you look unprepared though, so bring it!

Bring a small pad of paper and pen. Some places will give you a tour of the floor. Some places do that for everyone, in other places it is only done if they are interested in you. Either way you may want to take some notes.

NEVER ask about pay or benefits. It may be on your mind through the entire interview, but nurses don't like that question. HR will fill you in if you get a job offer, and the truth is, if you are a new grad no matter what it is, you will be happy to get it, so just don't ask!

Leave your phone in the car, or turn if off (all the way off-vibrate makes noise too!) I personally know 3 nurses who lost their chance at a job because the phone rang. They didn't answer it, but they may as well have!

Interview Questions To Expect

Some nursing schools prepare you very well for interviews. Others-not so much! There are some pretty standard questions you can prepare for, but no matter how prepared you are, they could blindside you. Don't get flustered! Answer as honestly as possible. Expect some variation on these questions:

What is your greatest strength? It is so hard to "ring your own bell". don't sound conceited, but you do need a good answer. Are you a quick learner? A team player? Something like that is safe and they like it.

What is your greatest weakness? (this one is tricky-I always said that I still had to work on my time management skills-it seems pretty benign, and it was well received. For new nurses, it is ALWAYS true!

Tell us about the worst thing you have had to deal with on the job and how you handled it (try to pick something from a clinical that was horrible but turned out well). I talked about an abused baby I had seen during peds clinical. I freaked myself out, because talking about it made me cry-in front of the whole panel-but I got the job!

Tell us how you would handle a conflict with a co worker (be careful! Saying anything that would make it seem like you are a "its not my fault" type of person is going to hurt your chances).

You are going to get some sort of HIPAA or legal related question. A common one in my part of the country is something like this "A 60 old man was diagnosed unexpectedly with terminal cancer. His wife and daughter have asked that you do not tell him. What should you do?" Correct answer in all those types of questions is that you would chart the request, make the provider aware and let the provider handle it. You are the nurse, it is not your job to tell anyone a diagnosis or prognosis, so you are off the hook!

They are going to throw questions at you that will test your critical thinking skills. These are so varied, I can't begin to come up with an example. Try asking some of your classmates who have recently interviewed what these questions are like, or do a bit of research on Google to get an idea.

Do you have any questions for us? Ahh...talk about a trick question! You have TONS of questions for them, but most of them apply to you personally (like how much does it pay, do I get health insurance, how much vacation time do I get, what is the sick pay policy, will I get any weekends or holidays off)...DON'T ask those! If it applies in any way to how this job will fit your life-style DO NOT ask! Ask something about the unit itself, but be careful not to ask a question that they already gave you the answer to! If they told you about acuity, the types of patients, and most of the logistics of the unit, then you are kinda screwed on this one. A good safe question that will usually get you a smile (but no answer) is "when do I start?" it shows your interest, your sense of humor, and that you paid attention and got your questions answered already! It is also OK to ask when you might expect to hear back from them. However this is kinda a trick too. I have heard nurses say that they were told they would hear back within a week and they didn't hear so thought they didn't get hired, then 2 weeks later they get the call. In my case, I was told it would be 2 weeks, and got the call with the offer the next day. So it is OK to ask, but it leads to stress and discomfort and it's a question I will probably never ask again!

So, You Got The Job!

Now what? Well, you are a new grad, Your negotiating power is zero. Unless you did your homework really well and know what they pay, they are going to offer you less money than you expected. Live with it! We are all in the same boat, and with a couple of years experience under your belt, you will increase your earning potential! HR can give you information on benefits and all those things you bit your tongue and didn't ask about at the interview. It's OK to ask them! Its also OK to get as much info as possible about the orientation period, CE, etc.

Best of luck to everyone! Jobs are there, it's just a matter of convincing someone that you are the right person to hire!!

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@EarthAngel

Your situation is unique, to say the least. You have unusual circumstances that are counting against you in a race that's already hard even when you have a leg up. The advice you recieved is unfortunately all true; the industry does not care about the individual's struggle, the issue of employment is an issue of business rather than charity. There is nothing you can do about your unorthodox gap between graduation and licensure. I don't think disclosing your exam attempts is necessary, I feel like your familial priorities are justification enough. Anyone with half a brain can appreciate the human element in taking a recess in career to meet the needs of loved ones. We can't all skate the righteous pathway from HS to College to employment without the occasional struggle. Also, without sounding like I am encouraging you exploit your family's situation, you should not underestimate what formal skills you have developed as a caregiver to someone who's health is deteriorating. There is much to speak about commitment, adherence to personal [customer] satisfaction, and long hours without pay regarding your situation with this elderly parent.

I would find a way to creatively outline that experience in your resume, and if they ask more about that situation, it would be up to your comfort level whether you want to disclose that person as being someone you are related to or not; at the end of the day, it is nothing of their business. The only thing that should be concerning to them are what valuable skills you have gained from such work. When I was looking for work and having a hard time, I had to get creative in spinning my volunteerism into something that the common employer would appreciate. Take a good hard look at what you do on a daily basis, emotionally separate yourself from what turmoil is involved, and source strong material to speak on regarding your skills as a caregiver. I feel like you have more going for you than you think. I understand that money is tight, based on the description you gave, but do your best to supplement your lack of experience with education. Many companies charge an arm and a leg for certifications and there is business on preying on the desperate, but be resourceful by finding cost effective ways to add to your education. There are seminars or inservices that are open to the public that have educational components ranging in topics from leadership to clinical applications. Call local hospitals or schools and see what they can offer. Make the most of your time, find a way to volunteer enough so that it is substantially current. You can volunteer once a week somewhere in a clinical setting, and even if you arent doing clinically relevant work, you can use the fact that your presence has kept you informationally relevent. There is so much to learn by just being a pair of ears and eyes on a unit somewhere, just make sure you exemplify this learning clearly.

Lastly, don't be intimidated by the picture-perfect applicant you are up against. Keep your head up, don't ever give up. And always remember that everyone's favorite character in any story is the underdog--don't let them down. 8-)

Its done by keeping your eye on the prize. I worked 4 days a week and completed my BSN. I was like a zombie. Once I got off from work, I studied and wrote papers until 3am. But the end result of receiving my BSN was fulfilling.

Is this thread all messed up for anyone else?

Great article highlighting key features that I have used in various jobs. I ALWAYS go in and visit someone at the workplace. HR, recruiter, managers...whoever. You want them to be able to put a face on that application. (And don't put a picture on the resume!)