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.?
When I was in my ADN program, I was repeatedly told hospitals just don’t hire. ADNs. Fast forward 1-2 years and the hiring criteria was basically a pulse and a license. Now, with Covid, we just started hiring again, but are even pickier than when I was in school. BSN and experience required because it’s too time consuming, costly and hard on current staff. Nursing has always been cyclical. It’s all about supply and demand, networking and a little bit of luck.
2 hours ago, CardiTeleRN said:Not all new nurses leave after the year and not all new nurses should have to work night shift. I worked night shift as a CNA with a new born while in school full time taking 15 credits at a time. I lasted 2 months as a new nurse on night shift because I physically could not handle it and I believe that’s where many employers go wrong. They don’t consider what some new nurses endured throughout school. If there are positions open, employers would rather leave them open instead of hiring new grads.
Most of the time, they aren't leaving the position open as opposed to hiring a new grad. An internal employee has been selected for the day shift, and an external employee is hired, be it a new nurse or not. That new employee needs to be oriented to the floor which takes time prior to moving the existing employee to days, leaving the appearance of an open position. At that line, you wouldn't want to work night shift for an amount of time, apply for a dayshift opening to be told, sorry, gave it to a new nurse, you can stay on nights, because, gosh, it's not fair that they have to start on nights.
5 hours ago, CardiTeleRN said:Not all new nurses leave after the year and not all new nurses should have to work night shift. I worked night shift as a CNA with a new born while in school full time taking 15 credits at a time. I lasted 2 months as a new nurse on night shift because I physically could not handle it and I believe that’s where many employers go wrong. They don’t consider what some new nurses endured throughout school. If there are positions open, employers would rather leave them open instead of hiring new grads. I’ve witnessed this because I’ve worked short staff many days. Now that I’m at 2 years of nursing, I’ve noticed it’s becoming a bit easier to find employment of course! Seems I have to wait another 3 years for the position I’d like to retire from which is silly to me considering the position doesn’t require so much skill.
All of the time requirement rules would make more sense if credentials weren’t already required. Nursing should just be on the job training.
Yeah, and working nurses don’t have hardships? They have family, work and sometimes school to juggle too. If, for example, I’ve worked night shift for 5 years, you should get the day shift before me because why? Everyone wants day shift and weekends/holidays off. Someone has to work them.
14 minutes ago, beekee said:Yeah, and working nurses don’t have hardships? They have family, work and sometimes school to juggle too. If, for example, I’ve worked night shift for 5 years, you should get the day shift before me because why? Everyone wants day shift and weekends/holidays off. Someone has to work them.
It’s not about who can juggle the most hardships, it’s about patient safety. If one person can juggle a family, 2 jobs, and run the flower shop while working night shift and still perform their job safely, yes, they should work the night shift over the day shift nurse who cannot physically handle working night shift. It’s not a competition or character building. Nursing is not the military.
On 10/22/2020 at 1:09 PM, CardiTeleRN said: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.
Oh bull.
I mean, I suppose you could say all that as long as you use enough clarifications such as "some," "sometimes," etc. and admit that the exact opposite of all of that could be true in any given place on any given day.
Other random thoughts that cropped up as I started to browse and realized I just don't have the energy tonight:
Re: Having to move. I don't disagree with anyone who has said there's no reason it would be a given that someone would be able to get a job in home town/near family, etc. The problem is that with all the incessant wailing and cries of "nursing shortage" and all the pleas for people to become nurses to help with said shortage, it makes a fair amount of sense that one might not realize that "shortage" means "....but not here" and "also, not nearby here, either..." KWIM?
I don't have any sorrys to give about the fact that hospitals may have a hard time keeping newly trained nurses around. I watched this problem increase in real time and I have my thoughts about who started it. It isn't hard to encourage people to stay around.
OTOH, if we're gonna tell people to buck up and move for their first job--not really sure what we think is gonna happen as soon as they hear of and/or are qualified for an opening where they really want to be.
We could always stop screaming about nursing shortages. Just a thought. ??♀️
6 hours ago, CardiTeleRN said:It’s not about who can juggle the most hardships, it’s about patient safety. If one person can juggle a family, 2 jobs, and run the flower shop while working night shift and still perform their job safely, yes, they should work the night shift over the day shift nurse who cannot physically handle working night shift. It’s not a competition or character building. Nursing is not the military.
OK, and who decides this? The new grad (or the nurse who is very much still a baby nurse with 2 years of experience)? What do you know about the sacrifices to their health and home life other nurses are making? Is it appropriate for management to ask detailed personal questions (are you experiencing health problems, weight gain, is your home life a disaster right now) to decide who *can* do nights?
Not all nurses hate night shift, so some experienced nurses do stay on nights. I’ve only worked one place that ONLY hired new grads to night position and that was because their shift differential was a laughable $0.50 per hour so folks who typically would have been happy to stay on night shift bounced as soon as dayshift positions opened up. Most places I’ve worked also consider skill mix and don’t let night shift become too new-nurse-heavy.
17.5% of new nurses leave their first job before a year. A third will leave within their first two years. That’s high potential turnover when the cost of orienting a new grad is considered. That’s what residency programs are geared towards reducing.
Nurses who cannot work nights have options outside of acute care to consider. And the possibility of working nights, weekends, holidays, rotating shifts etc is something that should be considered before starting a career in nursing. It’s hard to escape at least having to put some time in on nights completely if you want to work in a specialty that is 24/7 and that’s not likely to change. It’s not about character building or being a competition- rewarding seniority with better shifts actually IS what is fair.
10 hours ago, londonflo said:And with that you set us back 200 years.... BTW the ADN versus BSN is a 50 year old battle and please don't go there.
Right? As soon as it veered in to the ADN vs BSN thing (and presented like it’s a novel discovery no one has ever brought up before) I felt so exhausted.
11 hours ago, CardiTeleRN said:It’s not about who can juggle the most hardships, it’s about patient safety. If one person can juggle a family, 2 jobs, and run the flower shop while working night shift and still perform their job safely, yes, they should work the night shift over the day shift nurse who cannot physically handle working night shift. It’s not a competition or character building. Nursing is not the military.
Say what? All of us have dealt with a few nurses who were on extended light duty because they hurt their arm slipping on an icy parking lot surface on a 85 degree Summer day (slight exaggeration, but you get what I mean). I can't imagine how many people will have new issues that would keep them from more challenging work or shifts. Sorry, but it's annoying enough getting the crappy assignment because we "can handle it". Your idea would bring morale down even more.
CardiTeleRN, BSN
73 Posts
Not all new nurses leave after the year and not all new nurses should have to work night shift. I worked night shift as a CNA with a new born while in school full time taking 15 credits at a time. I lasted 2 months as a new nurse on night shift because I physically could not handle it and I believe that’s where many employers go wrong. They don’t consider what some new nurses endured throughout school. If there are positions open, employers would rather leave them open instead of hiring new grads. I’ve witnessed this because I’ve worked short staff many days. Now that I’m at 2 years of nursing, I’ve noticed it’s becoming a bit easier to find employment of course! Seems I have to wait another 3 years for the position I’d like to retire from which is silly to me considering the position doesn’t require so much skill.
All of the time requirement rules would make more sense if credentials weren’t already required. Nursing should just be on the job training.