Job market reality for new nurses

Nurses Job Hunt

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Yesterday, in clinicals the students I teach had an opportunity to speak one of the senior nursing directors of the hospital. The main question they asked her was about gettings a job after graduation.

The nursing director was polite but told then the current reality of the job market. She did make numerous suggestions (volunter, internships, look at Home health, LTC, etc) but her answers did not satisfy the group.

This class is made up of 2nd degree Accelerated BSN students who are looking to get to work as soon as they graduate.

After the nursing director left, I also tried to encourage the students to look into voluntering and internship as a way to develop contacts to get in the door.

In NYC it is very difficult to get work even if you are an experienced nurse...too many hospital closures and reduction of staffing levels. Adding to this LTC and HH are also not open to new nurses without experience with LTC looking for LPN's over the RN.

I did state to the students that if they think nursing is an easy ride, they are misinformed. I have been in nursing to have seen several booms and busts. In the early to mid 70's, it was tough to get a job as it was in the early to mid 90's. In my opinion it is even worse now.

Any ideas on how these new students can get their foot in the door and start working.

One student said "I choice nursing so I can get a check, not so I can volunter and intern...I need to work".

I really do not know how to answer her other than to tell her that this is the way of the world today but hopefully things will turn around shortly.

As an aside, several major facility in NYC are looking at re-inventing the services they render under "account care organizations". Part of the re-invention is streamlining staffing and building greater efficency into the system.

All of this obviously is reducing nursing and support care which are costly. The cost of staff is so great when you add benefits, it is better to go with agency staff as a cost saving measure. Also agency rates are down which helps as the agency do not have to bid up wages to get experienced nurses.

In my regular job as a nursing administrator, I can tell you that budget cuts and reductions are real and will only get worse. NY state has just reduced Mediciad across the board for all providers and it expected to have another reduction before the year's end.

As a nurse who is near the end of her career, I just have to survive to my retirement but for the new nurses and nurses in school, I really do feel sorry for them. Too many people went into nursing thinking it was a quick ride to a job that had a living wage. Several of my second degree students tried in their first career but could not get their foot in the door or could not make a living ( I've had writters, journalists, film makers, marketing experts, fashion designers, lighting and stage designers, gemologist etc as nursing students).

Unfortunately, nursing is now also oversubscribed.

Anyway, any ideas on how they can get a paying job in this environment.

Well that's the spirit emt, but it might not be enough. Just be prepared, keep your emt up part time. I know a 10 year paramedic who was shunned for about a year from almost every ER. She even tech'd at one for two years during school, often the "go to" when there was trauma/code for some of the nurses. She willingly took all the holiday hours, etc. all around great person, nice, friendly not paternalistic. Thing is, some ERs NMs don't like paramedics turned nurses. So, you see, it ain't just all about hard work.

Specializes in OB/GYN,PHN, Family Planning.

This was also the case when I graduated in 1994 from a BSN school. I was one of the lucky few that had a job before we graduated. The key is make connections while in school. I worked as nursing assistant on the maternity floor -did my senior intership in L&D at the same hospital and was hired as soon as I had my interim permit (no one was hiring new grads in L&D at that time). The time to volunteer or work as an aide is while you're in school -not after.

Specializes in LTC currently.

I guess it depends on where you live. My mom is a second degree nurse, and after graduating from nursing school in 09, had three job offers, took one position, and then just recently got a job at another facility a nuring home working 2, 16hr shifts every other weekend, they even got computerized charting like the hospital. Its jobs out there for people with limited experience. You just got to look. Get a book that lists every hospital, nursing home, agency, dialysis center, etc, and get to calling up places. Always have a resume with your skills listed regardless if a place requires you to submit a resume. You have to do something to make yourself stand out from others, and always follow-up. Some employers want you to show true enthusiasm for a position.

The reality is tough. Way tougher than we were told when we started this program 4 years ago (I graduate in 17 days.) I got a job Thursday :) and I worked really hard for it. I am one of the very fortunate in my class of 200+.

Get experience as a tech, volunteer, make connections, and be flexible.

Specializes in geriatrics.

People need to start considering other areas of nursing besides the hospitals. It is wide open, just not there. I work in LTC, which I really enjoy, and I hope to move to palliative care someday. I also enjoy community based nursing. There are various opportunities in the community as well. Iit just depends. I would be perfectly content to never work any of these hospital units. I know what they entail. Not enough staff or resources, especially now. Who needs that? I just find it interesting that so many new grads are set on working in the hospital, where few jobs exist, and when nursing is so diverse. I also have a couple of friends who, as new grads went to work in pharmaceutical sales. New grads just need to alter their mindset a bit and be open to ideas.

Oh, I see what's missing in this conversation. You see, in many areas, for you to have options open to you in nursing you must have the traditional base.

Most all nursing options want to see hospital experience on your CV in my area. If you want to work for the reputable co.s you need that. Hospice, home health, specialties... all want you to have come with a sturdy hospital upbringing of at least one year but most prefer 2 years as a starting point. After you have achieved that you can consider other avenues of employment. Even physicians want that for private practice. So, I guess if you don't already know this, then here's the news flash, I guess. Don't be so hard on students who are trying hard to do the hospital gigs, as that is what every employer would rather have, in my area, the reputable LTC's too.

Specializes in geriatrics.

I was voicing an opinion, not being hard on anyone. I am also a relatively new grad of one year, so I am well aware of the realities of the job market. To each his own. You can find opportunities in other areas. I know new grads who have done just that.

honestly it is really bad out there, I can sugar coat you but in reality there are plenty of new grads, old new grads, and everything else between that cant locate a job, I'm lucky that I got my job through family connections (home health care) but trust me it is far from perfect. I still cant get regular job.

Specializes in ICU, Cardiac.

I went through the "overage" of nurses in 1993 when I graduated. It was tough then too. The majority of my classmates who had jobs at graduation were people who worked at facilities as tech's, unit secretaries or in some other capacities.

I was able to find a part time job in August after graduating in May at a hospital that I was a candystriper at for 5 years. Thankfully, I worked full time hours (picked up hours in any unit I could) and started a full time position at another hospital in March of the following year. I was a single parent at the time too.

Nursing graduates today are graduating in an economy that stinks and into a medical system that is in the process of undergoing major changes, if not a total overhaul. The ONLY way to get a leg up on your competition is to be working in a hospital already. In places like NY (where a family member graduated last year May and still looking) it is even more vital to have a foot in the door.

I realize some people will say that they cannot work and go to school, but that is the reality of today. If you are in an area with real glut of graduates, you are going to have to bite the bullet on it.......

Nursing demand is cyclical, but I don't think the pendulum is going to swing as it it did in the past. I think the shortages of the past are gone as many people flock to what they think is a "guaranteed check."

Specializes in LTC currently.
People need to start considering other areas of nursing besides the hospitals.

I couldnt agree with you more. Many people believe if they are not in acute care then they are not a nurse. Seem like a pride thing. Many nurses take LTC as a spit in the face, some actually enjoy it though. You just have to search for the good facilities. I know a facility where nurses only have 18 patients a piece. Its a small facility and the pay for RNs and LPNs isn't too shabby at all.

Specializes in Dementia.

Those particular students need to get the right mindset first. :no:

was wondering what the update was on everyone? does anyone know the current payscale for new grads? Just wondering if its really worth it or not, theres other jobs in health care

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