New RN

[NurseMarla]

I just took the NCLEX yesterday, so hopefully in the next 4-6 weeks I'll officially be a new RN.

I did 2 hospice rotations while in school and worked part time for a year as a PCT doing in-home elder care, and feel with a good degree of certainty that hospice is where I belong. That being said, I understand the reccommendation to first get hospital experience before going into the specialty. However, with the job market as it is I'm wondering if I shouldn't just go ahead and try the direct route anyway. If you're of the opinion that hospital experience is a must, which area do you suggest?

As an alternative to this, I'm also considering applying to several nursing homes. Would that experience be beneficial both practically and on a resume for later transition to hospice? Would the same reccommendation of hospital experience apply there? What are the major differences in providing care between the two?

I appreciate any input.

[angshallad]

I would recommend getting your initial experience at a hospital, mostly because you will see a wider variety of diagnoses/patients/procedures/meds etc. I got my first experience on a med-surg floor and although it was very difficult at times (too many patients, too little time), the experience was invaluable. The big thing you will get from your hospital experience is feeling comfortable with your assessment skills which is what you will rely on heavily in hospice as often you will be on your own. Good luck with your career

[MississippiSweetpea]

I agree with angshallad, med-surg would be very beneficial. You would see a wider variety of diagnosis, end stage processes. And a chance to really hone your skills and techniques. Good Luck:yeah:

[riverwink]

I spent 3 years in ICU as a new RN before going to Hospice, and it has been valuable. But I also feel that the med-surg floor would be a good choice. My heart was in hospice when I graduated in 2005 but the hospital experience is very valuable. Good luck MSSweetPea.