New Grads and Acute Care Hiring

Nurses General Nursing

Published

Hello!

I've recently posted about the difficulties of finding employment in NYC. I see multiple commenters mention that being hired is virtually impossible as a new grad. I am not a new grad; however, I find it be ridiculous that new grads are looked down upon. I am still at a loss as to how employers expect for new nurses to have experience without hiring them. I feel the policies and thought process behind this should be questioned. The new grads I work with are usually more invested in the work. Very detailed oriented. They're always eager to go above and beyond and usually error on the side of caution. The "experienced" ones may be nonchalant about situations that require investigation, they usually don't take the extra step, they're stuck in their ways, etc. I've noticed that they're so used to a routine that they bypass steps sometimes and that one off time may be the time they make an error. I've witnessed the after effects!

I think this whole no new grads thing is another way of corporations attempting to save money by decreasing the amount of orientation time, classes, and certifications. This is getting out of hand in my opinion. There will forever be a shortage in nursing as long as these politics of health care aren't challenged.?

Specializes in Peds ED.
5 minutes ago, CardiTeleRN said:

Valid point! This is what I mean! This is why I say associates are better than bachelors. Associate degrees spend more time in the clinical setting than classroom like bachelors which is why I don’t understand why acute care facilities are phasing out associates. 

No one, including associates prepared nurses, are trained the way they were 70 years ago. 

Specializes in Dialysis.
On 10/24/2020 at 4:57 PM, HiddencatBSN said:

No one, including associates prepared nurses, are trained the way they were 70 years ago. 

They don't even come close to 25-30 years ago. 

On 10/22/2020 at 10:07 PM, CardiTeleRN said:

No one is entitled a job; however, I believe it is silly for an employer to turn away an ASN new grad whom may be actually well qualified to hit the ground running for a BSN holder. Unfortunately, people are getting jobs in high population areas BECAUSE of who they know and not what they know. I know several people who have been overlooked for employment opportunities with years of RN experience, as well as holding MSNs for new grads. Sometimes it is who you know...the politics of health care currently is becoming out of control. Maybe a decade or so ago, experience mattered. Doesn't matter anymore. What matters now is what will save the company money, which from a business standpoint is very strategic!

Most ASN grads also need extensive orientation and are not hitting the ground running.

Specializes in oncology.
On 10/24/2020 at 11:21 AM, Hoosier_RN said:

I remember spending 3-4 12hr days a week in clinicals every semester, 1-2 classroom days. Nowadays, the students I meet, do 1-2 8 hour days in clinical and 1 classroom day.

This is totally dependent on the time we can schedule at the hospitals is my city. As patient census decreased and more patient procedures are done outpatient, we struggle to find patients that need RN care for atleast 24 hours. 

OP - your experience says 'telemetry' 'cardiac monitoring'. Excuse me if I am wrong but aren't you 2 years out and working at a SNF?

Specializes in oncology.

A nurse's ability to approach a hospital job or any job with the needed skills, is for the most part dependent on many factors:

How do they learn - reading, video,  audio, demonstration or learn by mistakes? What is the nature of the student's interest in the actual position? a way to earn $$$, a wish to help others, or a combination of the 2? Is the student a self-directed learner? For ex. on a post-op floor the nurse cannot figure who will come back with what type of equipment (NG, Foley, PAS boots --okay everyone on that!, what type and location of wound etc.) Does the new grad try to make meaning of this by looking up a good resource on the care of post-op patients? Does the nurse's education stop at graduation? Do they read journals, participate in a professional organization through college and after?  Has the new grad worked as a CNA and really paid attention? All kinds of variables that are unrelated to the nurse's basic education.

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No one, including associates prepared nurses, are trained the way they were 70 years ago. 

And that's a good thing.  Look,  medical students and residents are not educated the same way as they were 70 years ago, nor teachers. Look ahead, not back.

Quote

After many decades that saw little change in how medicine is taught, medical schools are rethinking nearly every facet of physician training. A report analyzes the efforts to better prepare the physicians of the future and presents trends in medical school curricula. These include earlier exposure to patient care, growing focus on the science of health systems, more team-based learning opportunities, shorter times to completion and greater emphasis on new technology.

https://www.ama-assn.org/education/accelerating-change-medical-education/not-your-grandfather-s-med-school-changes-trending#:~:text=Harvard Medical School%2C a member of the AMA’s,core medical knowledge needed to work in hospitals.

Specializes in school nurse.
On 10/22/2020 at 3:08 PM, Sour Lemon said:

Shortages exist in pockets, but not everywhere.

Thank you! So many people use the term "shortage" and imply that it's nationwide. While the nursing school industry would be happy to let you think that, it's not.  As an add-on, the opposite of shortage is not sufficient supply, it's over-supply. HCA LOVES that...

1 hour ago, londonflo said:

Look ahead, not back.

This is a myopic viewpoint.

Specializes in Peds ED.
2 hours ago, londonflo said:

 

 

And that's a good thing.  Look,  medical students and residents are not educated the same way as they were 70 years ago, nor teachers. Look ahead, not back.

It’s a bit weird to me when people get misty-eyed about the days when you could be kicked out of nursing school for being married or pregnant. 

Specializes in retired LTC.
3 minutes ago, HiddencatBSN said:

It’s a bit weird to me when people get misty-eyed about the days when you could be kicked out of nursing school for being married or pregnant. 

That was the 'norm' for the not-so-distantly old 'good old days' when ...

One needs to remember that those nsg restrictions go waaaay back to the early days with Florence Nightingale and other pioneers in nsg. It's not so weird when you recall the early nsg history when students AND nurses resided in facility dormitories and were 'free' labor for hospitals, which were mostly religiously affiliated. That 'mind-set' pretty much persisted until the 1980s or so. It was a SISTERHOOD that forged many life-long friendships that shared the participants' rewards and travails of career & family. All the BLOOD, SWEAT, and TEARS.

Even though I was only tangentially a part of 3 schools' diploma programs, I felt that inclusive BOND. So yeah, one often get wistful ...

Specializes in Peds ED.
1 hour ago, amoLucia said:

That was the 'norm' for the not-so-distantly old 'good old days' when ...

One needs to remember that those nsg restrictions go waaaay back to the early days with Florence Nightingale and other pioneers in nsg. It's not so weird when you recall the early nsg history when students AND nurses resided in facility dormitories and were 'free' labor for hospitals, which were mostly religiously affiliated. That 'mind-set' pretty much persisted until the 1980s or so. It was a SISTERHOOD that forged many life-long friendships that shared the participants' rewards and travails of career & family. All the BLOOD, SWEAT, and TEARS.

Even though I was only tangentially a part of 3 schools' diploma programs, I felt that inclusive BOND. So yeah, one often get wistful ...

I’m aware of the history. I don’t get wistful for days of increased employer control over their workers or limited rights and choices for women. 

Specializes in retired LTC.

Not everybody knows the old history - some of it is really interesting. Esp when there's so very little mention of it in nsg classes (altho, Lord knows,   that today's curriculum has to cover important mtl, NOT the fluffy stuff). So my post was more meant as FYI for newer nurses.

But the 'SISTERHOOD' of which I spoke was very real, and is missed.

Sadly, you're right - that the norms of society so dictated nurses, and women in general in the past. So 'Lord & Master'!!  And still sadder is that it's hard to see any wide-spread, advanced progress that's been made for today's nurses.  

23 hours ago, londonflo said:

This is totally dependent on the time we can schedule at the hospitals is my city. As patient census decreased and more patient procedures are done outpatient, we struggle to find patients that need RN care for atleast 24 hours. 

OP - your experience says 'telemetry' 'cardiac monitoring'. Excuse me if I am wrong but aren't you 2 years out and working at a SNF?

Agreed.

 

In addition, hospitals have stopped a lot of what student nurse can do during clinicals.  My guess is liabilty, HIPAA and HCAPs have contributed to lack of student nurse experiences. So a lot students feel more like outsiders during their clinicals than those nurses of yesteryear. 

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