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I would like to hear from some nurse recruiters on why no one can find a job.

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Specializes in acute rehab, med surg, LTC, peds, home c. Has 16 years experience.

I was just wondering what you guys are doing. I have applied to a certain large health system in NJ for a per diem position in another hospital in the same system I currently work in. With a bsn and certification in the area, I am definitely qualified. I have a stellar work history and references. I just dont understand why they are not calling.

With so many nurses unable to find a job, I would like to hear from some recruiters about how many aps you receive in a day, what kind of facility/health care system you work in etc. I understand your hands are tied as far as how many people you can hire but seriously, are you really getting 50 aps for ever 1 position. What makes your final decison when you have multiple qualified applicants? Please respond because I am very curious about this.

SteveNNP, MSN, NP

Specializes in Neonatal ICU (Cardiothoracic). Has 9 years experience.

Haha. I laughed when I read this. I work at the #1 NICU in NYC, have ECMO, pre/postop cardiac experience, and am crosstrained to PICU. I applied for a per diem position at JSUMC in Neptune, and was sent an email saying while I was qualified, they had chosen someone more qualified for their needs. Heck, they are a tiny Level IIIb. I feel slightly dissed. Haha.

llg, PhD, RN

Specializes in Nursing Professional Development. Has 44 years experience.

I am not a recruiter, but I work closely with the recruiter at my hospital on a number of workforce projects.

The situation at our children's hospital is that there are very few jobs, period. Our census is down and our current staff is not getting the hours of work that they want. Shifts are being cancelled regularly, etc. For the very few jobs we are hiring, we are looking for experience in the specific skills required for the job. We get lots of applicants from people with general experience and from new grads with none. After we sort through those and "pull out" the applicants with the specific type of experience we are seeking ... then we look at a couple of other things to make the selections for interview and then for final hire:

1. How much orientation will they need?

2. Do they have past experience working in our hospital and were they good employees? (Many of our "new" hires are actually people returning to us.)

3. How long are they likely to stay? Do they seem to be looking for a permanent home or are they "just passing through" this job?

4. How flexible are they? (in clinical skills, in hours they can be scheduled, etc.) The environment is changing daily and we seek people who can respond positively to constant change.

5. How's their personality? Are they pleasant to be around? Will they be complainers, "high maintenance" employees, bad for morale, etc.? Again, the environment is changing and very stressful.

In summary, we are looking for people who can help by being positive and flexible and helpful during a stressful time -- who don't need much orientation to slip right in and be productive right away -- and who is likely to be retained as a long-term employee. People who seem to need a lot from the hospital are not being seriously considered.

While I certainly don't know anything about Steve's case ... it might have been that he was competing against someone who had previously worked in that unit ... or that they figured he would not be satisfied with their smaller, less intense unit and would therefore either have trouble adjusting and/or not become a longterm employee.

Just my $.02,

llg

meluhn

Specializes in acute rehab, med surg, LTC, peds, home c. Has 16 years experience.

Haha. I laughed when I read this. I work at the #1 NICU in NYC, have ECMO, pre/postop cardiac experience, and am crosstrained to PICU. I applied for a per diem position at JSUMC in Neptune, and was sent an email saying while I was qualified, they had chosen someone more qualified for their needs. Heck, they are a tiny Level IIIb. I feel slightly dissed. Haha.

Yes I am familiar with the meridian form letter. "While your credentials are impressive...bla bla bla". I know so many people who work there and say it is a nightmare, they are always short, etc. Whats the deal with them? I dont get it. I think it comes down to money. If they can run a floor with a skeleton crew, why bother spending more on staffing, the nurses can just suck it up.

LilNurse2b143

Specializes in Medical/Surgical.

I am all too familiar with the short staff/patient ratios! I just got in under the belt before this whole economy situation...was working at the hospital before I graduated and basically was just promoted to RN. I love when I go in to find out just off orientation I have to handle a 11 patient case load with only 1 other nurse on the unit-talk about stress overload!

meluhn

Specializes in acute rehab, med surg, LTC, peds, home c. Has 16 years experience.

I am all too familiar with the short staff/patient ratios! I just got in under the belt before this whole economy situation...was working at the hospital before I graduated and basically was just promoted to RN. I love when I go in to find out just off orientation I have to handle a 11 patient case load with only 1 other nurse on the unit-talk about stress overload!

No wonder they have problems with retention. Is that 11 patients on day shift or night?

LilNurse2b143

Specializes in Medical/Surgical.

That would be night shift.

JerzeeMike

Specializes in Emergency Department, Rehabilitation.

Haha. I laughed when I read this. I work at the #1 NICU in NYC, have ECMO, pre/postop cardiac experience, and am crosstrained to PICU. I applied for a per diem position at JSUMC in Neptune, and was sent an email saying while I was qualified, they had chosen someone more qualified for their needs. Heck, they are a tiny Level IIIb. I feel slightly dissed. Haha.

Hi Steve, I believe you are precepting a friend of mine now and from what I see on your post you are better off at Morgan Stanley Children's. Meridian is nuts to not interview someone with your qualifications but they wouldn't pay you what you're worth anyway. However, I am glad to see that it's not just us new grads that are feeling it.

I believe the current hiring freeze will be short lived and the hospitals will sloooowly begin to hire nurses in the second half of the year. To keep current, I volunteered as an RN at a family clinic in my local area. That will look good on my resume and I just recently accepted an RN position at a small hospital near my home. Keep the faith everyone! No matter what the current logic is behind this hiring freeze, they can't run healthcare without nurses.

SteveNNP, MSN, NP

Specializes in Neonatal ICU (Cardiothoracic). Has 9 years experience.

Hi Steve, I believe you are precepting a friend of mine now

So maybe I have a chance of convincing YOU to come join us now! LOL

JerzeeMike

Specializes in Emergency Department, Rehabilitation.

So maybe I have a chance of convincing YOU to come join us now! LOL

SteveRN1, I can't even find my keys when I put them down on my coffee table, can you imagine me with preemies?!:lol2:

Anyway, I just accepted a position at HealthSouth Rehabilitation Hospital in Tinton Falls. Good pay, an easy commute, and perfect hours (3p-11p). I've lived in the city and I'm over it, great to visit but it gets more and more expensive every year. Although if St. Vincent's Emergency Department calls me I might have to rethink that. They're building a whole new hospital from the ground up in the next 5 years so maybe then.

I'm moving to Manhattan in a few months and going as a traveler. After a few assignments I'm hoping to get hired on in a permanent position in med.-surg. I'm experienced ( four years), have ACLS, PALS and NRP and am bilingual. Will I have trouble getting a job? Egads!

dlatimer

Specializes in ICU, MS, Radiology, Long term care.

I have years of experience and have approx. 100 form letters (as stated above), 'We have had several people with experience which fit our needs better at this time." I even called one and asked what it is I need to do to make myself employable. She denied there was any problem. If I look at hiring practices vs. financial responsibility - you could hire 2 graduate nurses for what they would pay me, according to their pay scale, then it makes economical sense. It doesn't matter to the corporation if the nurse is a new graduate or years of experience, a license is a license. If the state inspectors say they are understaffed they will show all the reasons they find "qualified" nurses. This is just one more argument that for-profit should not be in the business of healthcare. Not-for-profit hospitals even use for-profit hospitals as their bell-weather (since profit margins are higher), so the same financial factors are involved. Patient care doesn't come first. Profits do.

JerseyGuy2

Specializes in Med-Surg & Psych.

Hi Steve: I'm a new RN/career-changer who has read allnurses.com for several years. AND, I must admit, your posts/comments/replies in general. I always find them very enlightening, accurate and balanced. Soooo......LOL, you have a reader-fan club out here, and perhaps don't know it. I've also always been impressed with the photo of the "2 gloved hands" holding a preemie....very special. And finally, I MUST ask you about your "ending quote signature" on all your posts, about "have fun playing with the Angels, Baby Girl", and the initials "CS", etc., after that quote. Can you plz enlighten me on where that comes from?? Is it a biblical quote? Thanks steve and keep on writing and moderating....I learn from you, whenever I read your replies.

Hi Steve: I'm a new RN/career-changer who has read allnurses.com for several years. AND, I must admit, your posts/comments/replies in general. I always find them very enlightening, accurate and balanced. Soooo......LOL, you have a reader-fan club out here, and perhaps don't know it. I've also always been impressed with the photo of the "2 gloved hands" holding a preemie....very special. And finally, I MUST ask you about your "ending quote signature" on all your posts, about "have fun playing with the Angels, Baby Girl", and the initials "CS", etc., after that quote. Can you plz enlighten me on where that comes from?? Is it a biblical quote? Thanks steve and keep on writing and moderating....I learn from you, whenever I read your replies.

I could not agree with you more! One of our finest!

c_beshore_rn

Specializes in Psych, LTC, M/S, Supervisor, MRDD,.

:smokin:+I work in a small rural hospital in Missouri. Our med/surg unit operates consistantly with a "skeleton crew". We Hire new grad prn nurses with little to no experience and put them, barely oriented, into our ICU and M/S units. They earn about $33/ hr if they agree to work more then 1 unit. The rest of us full-time/part-time folks make about $10 less/hr and that's okay by me because I realize PRN folds don't get benefits, PTO, ETC>

+Although some of these PRN folks are smart and qualified (some even overqualified) others are not-so-great type nurses. Then we have management that wonder why a patient with CHF gets life-flight out of ICU because some smart little nurse decides to bolus a liter into him because of "low b/p" of 96/60 with a MAP of 62????? HELLO!! No Dr order for this bolus!! No call to Dr later!! AND NO CONSEQUENCES TO THE NURSE!!!! "She just needs more training." This is management's reply. I wanted to tell them "you can't fix stupid" but I thought they may take offense.

Our m/s unit has only 19 beds on the primary unit and of those beds an average of 9 pts occupy those beds. Some days we are full, some days were down to 1 patient, and some days we discharge 6 and admit 6 in an hour. We only have a CNA if the census is over 7 and more then once I've been the "total care" nurse with 5 or 6 patients. We don't have a unit clerk or charge nurse or any other ancillary staff on nights. So, if the s--t hits the fan it just has to splatter!

+We take turns being on-call and low census, but there are always opportunities to work. Although our hospital is very small we tend to hire A LOT of per diem employees and new grads. Its confusing to me how those "big city" hopitals are feeling the economic pinch also--- I guess its everywhere.

+You should ask your $100,000/yr CEO's when they got low-census last!! lol:smokin:

No wonder they have problems with retention. Is that 11 patients on day shift or night?

Either way it is not safe on any shift 11 to 1 nurse pt ratio is dangerous for the pts, the nurse, and the Facility...when in the he(( are they going to wake up to the situation? MAH over poor nursing care d/t over staffing

TuTonka

I have years of experience and have approx. 100 form letters (as stated above), 'We have had several people with experience which fit our needs better at this time." I even called one and asked what it is I need to do to make myself employable. She denied there was any problem. If I look at hiring practices vs. financial responsibility - you could hire 2 graduate nurses for what they would pay me, according to their pay scale, then it makes economical sense. It doesn't matter to the corporation if the nurse is a new graduate or years of experience, a license is a license. If the state inspectors say they are understaffed they will show all the reasons they find "qualified" nurses. This is just one more argument that for-profit should not be in the business of healthcare. Not-for-profit hospitals even use for-profit hospitals as their bell-weather (since profit margins are higher), so the same financial factors are involved. Patient care doesn't come first. Profits do.

I have seen that too often orrrrrrrrrrr the good ol' boy system I know a friend of a third cousin by marrage 3x removed and they need a job Ms so and so can you help them out? Makes me want to puke.

TuTonka:angryfire

SteveNNP, MSN, NP

Specializes in Neonatal ICU (Cardiothoracic). Has 9 years experience.

Hi Steve: I'm a new RN/career-changer who has read allnurses.com for several years. AND, I must admit, your posts/comments/replies in general. I always find them very enlightening, accurate and balanced. Soooo......LOL, you have a reader-fan club out here, and perhaps don't know it. I've also always been impressed with the photo of the "2 gloved hands" holding a preemie....very special. And finally, I MUST ask you about your "ending quote signature" on all your posts, about "have fun playing with the Angels, Baby Girl", and the initials "CS", etc., after that quote. Can you plz enlighten me on where that comes from?? Is it a biblical quote? Thanks steve and keep on writing and moderating....I learn from you, whenever I read your replies.

Guys, thanks so much.... I got a lump in my throat reading this! It really means a lot to hear that I make a [albeit small] difference in this huge community of nurses....

BTW: the signature line you mentioned is in memory of one of my patients who I primaried for several months, including Christmas. Born with an incurable illness, an otherwise perfectly formed beautiful baby girl, she really made an impact on my life. The short months I got to spend caring for her and her young parents are priceless.

That is what I love about my field. Even in death, when a parent hugs you and whispers "thank you" in your ear with tears on their face..... it is ALL worth it.

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