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Discussion

Is there such a thing?

Anyone heard of a dead end nursing career? Someone recently told me that at her hospital there was no room for advancement unless someone quit or died... I thought people could get promoted easily If they did their time?!

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At my hospital there is room for moving up, but obviously its narrower as you move up and requires one to stand out and be better than the average. From a normal floor nurse to NUM etc.

We have 550 Nurses and 7 Nurse managers, not every one can move up in that situation.

Even if you're one of the "lucky" few, that just mean you become salaried, why anyone would want to work 65 hours a week for less per hour than they got paid as a floor Nurse is beyond me.

Management isn't always all you think it is. At my employer there is NO room for advancement. I want more experiences and feel like I am at dead end as well. I hope to be working elsewhere in the next year.. Sometimes your employer leaves you no other choice.

  • Author

Not only to get into management but let's say infection control, wound care, even those jobs are scarce. Floor nursing is fine but what about a change of pace?

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Yes, because a facility needs fewer of those positions than it needs floor nurses.

I think your friend is right, and I don't think that is unusual or surprising. Unless a nurse has an advanced education s/he isn't going anywhere of interest.

I think your friend is right, and I don't think that is unusual or surprising. Unless a nurse has an advanced education s/he isn't going anywhere of interest.

Even with advanced education, there is not much opportunity for advancement, apart from a few very regimented paths. Then there are the corrupt advancement opportunities which are only opened to those deemed worthwhile and nobody else, no matter how qualified can get a look-in. I wouldn't encourage anyone to study nursing.

At my facility, it only depends on who you are, who you know, who you are kin to. They don't even advertise jobs in management or anything higher than "staff nurse." Those positions are filled by someone hand-picked, and their level of competence has little to do with it.

We've had some turnover in managers in the past two years which has allowed a couple of people to move up. There have definitely been some hurt feelings and some rearranging though. Unfortunately some of the manager qualifications are unrealistic for floor nurses, and experience doesn't always count for much, sadly.

Even with advanced education, there is not much opportunity for advancement, apart from a few very regimented paths. Then there are the corrupt advancement opportunities which are only opened to those deemed worthwhile and nobody else, no matter how qualified can get a look-in. I wouldn't encourage anyone to study nursing.

That has not been my experience/observation. I have seen doctorate level education open a world of opportunities for myself as well as my friends and colleagues. It is an entirely different playing field up here, come join us! Last I read, there are only 1% of us with doctoral degrees. It's good being a one-perceter, lol. It does open doors.

I would not encourage anyone to go into nursing unless they were planning a MSN at a minimum, that much a agree with.

I would not encourage anyone to go into nursing unless they were planning a MSN at a minimum, that much a agree with.

I keep hearing this, and I don't really understand why I need an MSN. I'm a new grad, and I just feel like I am missing the point. I would really like to understand the push for it. All I hear from relatives is that is creates more options for me. But I have enough options already in nursing...?

  • Author

As an ADN RN I felt as though my options where limited in moving up the ladder. You have options working the floor OB, ER, ICU , in terms of moving up to house supervisor. Charge nurse, director. Those types of positions need a experience and usually a degree. A know ppl with tons of knowledge with only an ADN degree, they are 50 plus with no options to move up, for even teaching LVNs you need a BSN in California. I believe your degree limits you. A BSN only helps a little but I do a agree a MSN is the best to have. If you plan on not getting injured on the floor, you can probably do it till you retire and move around units.

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