new grad RN with 2 job offers, what would you do??

Nurses New Nurse

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Hi everyone!

I am new to this site but have always found very useful opinions and tips by reading the threads on here so I am hoping for some helpful feed back for a new RN.

I graduated nursing school this past June and have had my license for a little over a month now and have been working at Hoag hospital Newport Beach for almost a year as a PCA (essentially a CNA) during 12 hr night shifts part time and the floor I work on has told me a few times that there are no positions open at this time but as soon as one opens up it will be offered to me (since I had already interviewed for an RN position prior to graduating nursing school just to have the interview process out of the way). My director has told me she really wants to move me up to an RN on our floor and she hopes I will wait it out and be patient for a position to open up (talk about some nurses leaving in the next few weeks). I recently interviewed at another hospital (to keep my options open) and they offered me a position as an RN at their facility.

Hoag hospital floor for hire is Gynecology/Urology unit with some med/surg overflow

Hospital #2 floor for hire is telemetry

my goal is to eventually be in critical care such as cardiac ICU

I will note the pros and cons in my situation and would appreciate all opinions! :)

Hoag Pros: I have been an employee there for almost a year, I have a good relationship with the PCAs, RNs, charge nurses, and director on my floor, it is a beautiful hospital, it is a well known hospital and known for being a very good hospital (that is in terms of patient opinion and ratings not employee opinion; there are good and bad things about being an employee here in my experience)

Hoag Cons: The position is night shift (I was hoping to move to day shift since I struggle to adjust to nights even after all this time), it is a 45 min commute from where I live, and MOST IMPORTANTLY there has not been a time frame given to me as to when a position for me would open up whether it be in a few weeks or a few months (other nurses have said they waited anywhere from 3 months to a year)

Hospital #2 Pros: teaching hospital with many opportunites for learning and growth in a very supportive enviornment, DAY SHIFT!!, another friend/classmate will be working on the same floor days so we will be co workers, interview went wonderful and they seemed very eager to have me

Hospital #2 Cons: hospital is in a not so great neighborhood (near LAX airport in a low income LA area), does not have the best reviews, is not as well known for being a good hospital (that is in terms of patient opinion and ratings not employee opinion; i've heard good and bad things about working here), hospital not as nice inside and out, about a 30 min commute without traffic

Last few notes to take into consideration is pay, Hoag has been said to offer about $34/hr to start for the full 12 hour shift (not sure if thats including night diff. or not) and hospital #2 is offering 30.69/hr for the first 8 hrs and then time and a half for the last 4 hrs averaging to be about $35 an hour.

Also, I am struggling financially and have been for a while as I do not make enough money as a PCA right now to pay all my bills and am very anxious to begin working as an RN to be able to pay my bills and live without the stress I have been enduring the past year.

and probably not as important but could be considered is Hoag is self scheduling so you can fill in days you do and do not want to work and they are usually really good about sticking with what employees put down and require two weekend shifts a month. Hospital #2 does not allow self schedule so they put you on whenever they want and require every other weekend.

In conclusion, I am not sure if it is better to wait it out for Hoag and take a position with them once it opens up or just take the position at hospital #2 and know I will begin working as an RN.

Thank you in advance, I am very stuck and appreciate your time! :)

If you hit the "quote" button in the lower right corner when responding, people will be able to tell which post(s) you are responding to. :saint:

thank you!! ;)

Specializes in Emergency and School Nursing.

I agree with the other responses. Take the RN position. Day shifts are so much nicer for your days off. Telemetry is a good starting point for the ICU. Working with a friend is great.

Also, regarding financial planning, I highly recommend the Dave Ramsey book The Total Money Makeover. It has helped so many people that I know. Best of luck to you in your nursing career.

Specializes in Pediatrics, Women's Health, Education.

I agree with the others. Take job number 2 and if/when job number 1 opens up, you can always move over to that one. Is there a way to stay per diem at your current facility? This way you still have a relationship with them and can come back to that facility more easily.

Hoag has made you no promises. However nice they have been, they can be stringing you along for something and then they hire somebody else.

Hospital #2 has offered you a good deal for a new grad. Take it.

I would take the second one, just because they have actually offered you a job working as an RN. No question.

Specializes in SICU, trauma, neuro.

I agree completely with the others. It is not reasonable to wait indefinitely for an RN position on your current floor, and tele is more applicable to the ICU than gyn/uro.

As for the lower ratings, here is my anecdotal observation as one who works in an urban level 1 trauma center ICU/safety net hospital: the gang-related injury pts -- "rough neighborhood" type stuff -- on average strike me as the most entitled and complain the loudest. Complain about the size of the room, complain about the food, complain about the visitor restrictions we sometimes have to impose for THEIR safety as well as ours (we have had guns brought in, we have had gunfire in very close proximity to the hospital, we have had them Face Time "let's finish this" arrangements from their hospital rooms........), complain when the nurse doesn't spoon feed his dinner or rub his feet.

The float pool nurses say the floors are much worse. The MDs even get yelled/cussed at.

All that to say, the lower pt ratings are not necessarily an accurate reflection of the hospital. It could reflect an entitlement mentality, or simply because people are more likely to complain than to leave good feedback.

Specializes in Hospital medicine; NP precepting; staff education.

A 34 dollar/hr promise is not as good as a 30 dollar/hour guarantee.

They won't begrudge your absence. Leave on good terms and enjoy your new role! Good luck!

And Congratulations!

You have a job offer you like. TAKE IT!

Specializes in Pediatric Hematology/Oncology.

Patience isn't going to pay your bills. Go for job #2. It's tele but if you want to move to Cardiac ICU or something similar you definitely have your foot in the door to train later on. And, as I'm starting out as an RN on the same floor I have worked on for the past year as a nursing assistant, it's weird trying to separate yourself from the NA position. If you start somewhere new, maybe you can keep that weird feeling from happening and just focus on your role as an RN. Like others have said, once you get your experience, you already have a fantastic connection to a place you obviously love working at and can move forward at later on. Good luck!

Specializes in GENERAL.

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You only have one job offer. If the director at Hoag really wanted you, they would have made an RN position for you. To ask you to stay on as a CNA is ridiculous and demeaning.

Thanks everyone! I know to most of you it seems like an easy given but I was just nervous about making the right decision as this is my first career move and I just want to make the right choice. After your comments and guidance from people in my life I made the decision. Thank you for the real but encouraging comments!! It really did help me see more clearly, I guess I just needed to make sure.

Can't wait to be a great nurse like you all and be able to pass on knowledge and experience in the future to new grads who feel unsure like i did!

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