NICU job offers...which one?!?!

Specialties NICU

Published

My dream came true this week!!! I have always wanted to be a NICU nurse and now I will be!!! I was offered a job in the NICU at my #1 choice of hospitals!!! I am very excited! The interview process was very very very long (3 months from applying to getting an offer!!) and I was so anxious to get an offer, when the nurse recruiter called, I said I wanted to work there. She said she would be sending me a letter soon with all the info in it about hours, salary, etc. I'm assuming this is something I will sign and return to make the offer official????

However, the next day I had an interview at another hospital clear across the state and decided it was rude to cancel the day before so I went anyways. So of course today, the day after that interview, I got another offer in that NICU!!!! I informed the recruiter that I have another offer from my home area and would like a few days to think it over. After all, it is a big move in that I will have to relocate 4 hours away with my fiance in tow as well! She understood so now I have until Tues to call her back.

Now I am torn! Do I stay with the first offer or go for the 2nd? There are so many pros and cons, I don't know what to do! The first hospital I will be doing my senior practicum in the NICU step-down unit so I will be able to learn about the hospital, charting, etc. The pay is GREAT for a new grad though it is salary, I have to work 40 hours/week, not 36, and it is a 2 weeks days and 2 weeks nights rotation (2 8-hr shifts and 2 12-hr shifts). The hospital is also great, one of the best children's hospitals in the country....as well as their NICU. They are getting a new high-tech NICU next summer/fall. Also it is only about an hour away from home now. I would still move but will be close to friends/family.

The 2nd hospital is not a children's hospital but is noted for its L&D and NICU. I loved the NICU but the overall hospital I didn't like as much...much diff from the hospitals at home. The NICU is unique, larger than the first hospital and continuing to add more beds but does not keep any surgical babies such as GI surgeries, heart, etc. They say they have a top rated NICU but haven't found any stats yet. The starting pay (hourly) is lower, but they do offer shift diff which makes it similar to the first. The offer is a nights only shift, 36 hours/week. Also, after my 12 week preceptorship/orientation, I can agree to work nights for 2 years and get paid a bonus throughout the 2 years. So after my 12 wk orientation, I can make $2 more/hr than hospital #1. I would also have to relocate 4 hours from home...though I have no problem moving!!!

Which do I chose? Is it wrong to turn down the 1st hospital...I did just get the offer 3 days ago. I think that the 1st hospital would help my career if I decide to move out of state someday because it is rated among the top children's hospitals in the country so that may look good to future employers. However, I would love to move to the 2nd hospital because of better weather and a new fresh start. I also liked that although the 2nd hospital was interviewing tons of people, the nurse mgr wanted me and called me the next day...they are also letting me have 1st pick between 2 job options (though both nights). She was very helpful during the interview such as giving me insight as to what areas are best to live in and I could tell she saw my drive for NICU and potential. I also like that she is very involved in orientation, adds many components to it, re-orients people again like 6 months after hire and provides a mentor after the 12 week preceptor, however I worry if I will be able to do all nights. Or would the rotating days/nights at hospital #1 be too much? I love hospital #1 as well though!!!

I am so confused! I think I should stay with offer #1 and stay close to home but part of me says to move and venture out to a new city! Sorry this is so long. Any advice would be great!!!!

Specializes in NICU.

One other thing I want to add....How important is HR in a hospital????

While I have interviewed at a few diff hospitals, hospital #1 has a horrible HR! The staff at that hospital as well as other hospitals have mentioned how horrible the HR is at this hospital. The reason it took so long to apply, interview, shadow, get offer is because of HR. They just run the hospital poorly and very slowly. I am supposed to get a letter with my official offer in it but I'm sure it will be weeks and weeks before I get it. The other places I interviewed at, including hospital #2, has an awesome HR. They are on the ball and seem to know a lot about the hospitals they work for.

Thanks again!

Specializes in Nursing Professional Development.

Lots of hospitals have terrible HR departments. That's pretty common and shouldn't be a big factor in your decision. You won't be working for the recruiters and secretaries in HR: you'll be working with and for the nurses in the NICU.

Specializes in NICU.

So I haven't officially made my decision yet but, after much deliberation, I think I am going to stay with hospital #1 which is the children's hospital. I know that whatever I choose, I will probably always think "what if" but there is nothing to do. I just feel this is probably the best choice for not only me but my fiance who will be there by my side as well. No matter which hospital I am to choose, I know I will be in a great NICU and learn a lot. I just hope I don't change my mind by tuesday which is when I have to call back!

Thanks to everyone for your help, support and advice!!! It was greatly appreciated during this difficult time of choosing my job! YEA!!!! I'm finally gonna be a NICU nurse (I just have to finish out theses last 10 weeks first)!!! :)

Specializes in Neonatal Intensive Care.

I think that hospital number one sounds like a better job. However, I have been a nurse in NICU for many years and have tried the rotating thing. Not a good situation at all. My body never knew when to sleep and when to be awake, consequently I was tired ALL of the time. Try to get a straight shift, even if it is night shift. 36 hour nights are not bad.

Good luck.

Specializes in NICU, Telephone Triage.
Thanks for the advice! Yes this is a very hard decision as you can tell. When it comes down to it, I am really wondering how the 2 weeks days/2 weeks nights will effect me...my health, my sanity, being sleep deprived! I do know that I would not be able to change that shift at this 1st hospital. That is the only shift they really have....i guess to make it fair to everyone so no one get stuck days or nights.

That is what makes hospital #2 so more attractive. Not that I want to work nights....I'm quite afraid to actually because I do have a hard time staying up with all-nighters in the past during school, but I guess it will be different considering I will get used to it. And actually, I will be working nights at both hospitals, it just depends on if I want a rotating shift or just nights...and that I would work 4 days/nights at hospital #1 versus 3 nights at hospital #2. However, after I work for a year at hospital #1, I can change to 3 12-hrs which would make the day/night rotation a little easier. Also, although the pay will be better in the long run at hospital #2 , it won't be at first. During my orientation I will work days and nights to get a more well-rounded experience meaning no shift diff on days or extra bonus for working nights...so I will be making $1-$4 less each shift for the 1st 12 weeks.

So if i do chose hospital #2, is it wrong to call hospital #1 and tell them I've changed my mind or is that completely rude???? I got the offer a few days ago and haven't received a letter yet that HR will be sending me with the details about the job...and I haven't signed anything yet.

I really don't know what to do. I have a lot of thinking to do this weekend!

But in all, it is exciting getting these job offers and knowing that whatever I decide, I will be a NICU nurse!!!! :D:D:D

I think job #2 sounds better. I think the schedule of just being on nights is better than rotating. Also, being salaried does not sound good...as a nurse, doing overtime is always un-predictable, and would you get the same pay if you worked 12 hrs. instead of 8?

The bonus pay sounds good, I would try #2.

Specializes in NICU.

I've been so busy lately i forgot to post my official decision!! I decided to take job #2 because of many reasons but mainly because I feel I will learn more and be supported greatly as a new nurse. That was very important to me in my decision. I had to call and turn down the first job but they said they understood when I said I had to do what was best for me...and that's the truth!!

So, I will be moving to Cincinnati in September or October, depending on boards and when my fiance gets a job in the area as well. I live about 4 hours north so i'm looking forward to a little bit better weather! I know I will be kind of far away from home but I am up for the move! I am so excited to start in the NICU!! I hope my decision was the right one...I feel it is right now!

Thanks everyone!!!! :)

+ Add a Comment