Nursing Shortage!! It's real and it bites (new grads, can't find a job? Read this post!)

Nurses General Nursing

Updated:   Published

I had no idea, when I took a job as a nurse manager of an inpatient unit at a rural hospital that's 4 hours away from the nearest large city, that a huge portion of my job stress would come from the fact that we DO NOT HAVE ENOUGH NURSES!!

Every unit at our facility has job openings. We have dozens of travelers. My department basically has just enough nurses to cover core staffing. What that means is - if there's a sick call, or a PTO request, or a medical leave of absence, we're short.

Thank Dog that my unit is awesome and they are a team and a family and are invested in the unit, because when we're short, the nurses pull together and volunteer to take OT and work 16 hour shifts.

The point of this post...if you're a new grad, and you can't find a job because the market is so competitive and every place is wanting a BSN...consider relocating! Look for those facilities that are in rural communities, or small towns that are >2 hours away from the nearest metro area that probably has multiple schools and a steady stream of new grad nurses to fill positions.

Coming from Denver, I had no idea that there really were places in the US that had shortages, but it's true, and it sucks. For patients, for communities, and for the nurses who are working short-staffed or working 60-hour work weeks because, well, we have no other options.

Do you consider hiring international nurses? I'm an NCLEX-RN passer in NY state but still looking for a good institution to apply on. I'm in the Philippines by the way and need a visa sponsorship to work in the US.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
silent_rn said:
Do you consider hiring international nurses? I'm an NCLEX-RN passer in NY state but still looking for a good institution to apply on. I'm in the Philippines by the way and need a visa sponsorship to work in the US.

That's a good question that I do not know the answer to. I will find out, though.

In some of the large metropolitan areas, the only reason there is a "nursing shortage" is because the facilities REFUSE to hire enough nurses. They don't want to pay to staff their units well, so the "nursing shortage" excuse given to patients and families when they complain about the nurse to patient ratios is total bunk.

Specializes in Maternal Child.
DS22 MS said:
I have seen job postings in local hospitals here in SoCal for RN positions (A BUNCH OF THEM) but wanting 3+ years & vast experience. I wonder why they don't fill. Seems like they want a seasoned nurse for pennies and will hold out until they get someone. It seems that way.

I wish I lived someplace or knew EXACTLY where to go where I could get a position in healthcare as I attend school. I'm only in SoCal bc of school.

Try being 47, medicinal chemist with both BS and MS in synthetic chemistry, patents, inventor of a Phase II clinical candidate, pre-nursing student, 4.0 GPA in prereqs and a 90.7% TEAS score, bilingual and get DENIED a position as a transporter by one of the largest hospitals in Orange County. Talk about a kick in the teeth.

I heard that there is even a waitlist for volunteers.

I just applied locally to the nursing school here and will send apps to a few others next month. I've contacted programs outside CA to see if there's a spot open in their fall cohorts. I'm truly looking at any school with a high NCLEX pass rate and a strong working relationship with their local hospitals in placement. CA isn't convincing me there is much opportunity post licensure.

I hope once I've licensed, to leave CA forever and I'm a native. The place is beyond saturated. I wish I knew a rural town that would hire me and give me steady work.

The economy as a whole is not well imo. It seems like the balance is SO tilted in favor of employers that prospective and current employees are essentially dealt a hand of "do you want a job with crummy pay or would you rather be unemployed and/or homeless?"

Hi, if you are serious about exploring nursing programs outside of CA, I would recommend University of Northern Colorado, they have a 2nd degree BSN there that you seem like you might be a good candidate for. When I went, admission was largely based on a weighted GPA, particularly your science nursing pre-reqs. Tuition is the SAME for in-state and out-of-state students, area is affordable for CO, but still close enough to get to Ft. Collins, Denver, etc. A lot of my cohort works/worked at the local hospital, anD though I haven't stayed in touch with that many, I think everyone found jobs.

I'd love if you PMed me also Klone.

Specializes in IMC, school nursing.

When I started in 1989 (real nursing shortage), agency nurses were on our schedule. This was before contracts. The hospital was paying $1.5 million to staff these nurses. They were given a date, told we were going agency free and the hospital gave bonuses and incentives to encourage staff to pick up the shortages. We were assured this would be a temporary condition until the agencies had cleared their exclusionary clauses, about three months. Sure enough, as agency was not used, these nurses came back as staff and flex. The environment and clientele was too nice to leave. We were fully staffed in 6 months. Costs were all short term expenditures, as Baltimore is a "tight" salaried market. Could you approach management and ask to offer $5,000 sign on bonuses? These would probably pay for themselves in the first year.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
MrNurse(x2) said:
Could you approach management and ask to offer $5,000 sign on bonuses? These would probably pay for themselves in the first year.

We already are. As well as loan repayment.

mmc51264 said:
I work in an area where there are 2 teaching hospitals and they each have satellite hospitals. There are more hospitals (5 or so) within 100 miles. We are desperate for nurses as well. (Raleigh-Durham area as well and Winston-Salem, and Fayetteville area, and some more rural level 1 hospitals).

There are constant hiring open houses, new grad residency programs, it's wild. I have friends and classmates that are spread out in the area and all love where they are. Some leave due to higher education or going back home, but we need nurses in Eastern NC.

Eastern NC doesn't want to pay nurses what they should be paid. They also have hateful nurses and people who seem to despise people who aren't from the area as they all know one another. I know this because I've worked in eastern NC and you're underpaid, overworked, and super stressed and it's not because of the job, it's because the staff and patients & their families are all equally hateful. No one wants to work/live in that environment. They're hateful in general. Not everyone of course, before that's the gripe about this post, but enough that no one would willingly put up with that pettiness on a consistent basis.

klone said:
No no no!! I feel like nobody's listening to what I'm saying. They're just repeating their own version of what they believe to be true.

Spanked, I'm not saying what you're describing never happens. But that is simply not the reality in many places.

You say facilities would rather pay OT to staff than hire more nurses. Hire more nurses from WHERE?? Where are these nurses we're CHOOSING not to hire because we'd rather work our current staff until they're sick, exhausted, or burnt to a crisp?

This is what I'm trying to tell you - there ARE no nurses applying for these jobs because there are no nurses. Every new grad is snatched up, but there are not enough to take the place of those who are retiring or moving out of the community.

I wonder how and where they're advertising. Maybe if they go to the city and recruit a bunch of young nurses, assist with securing housing and staff so they could go have fun in the city frequently, they may be more willing to come.

Specializes in Home dialysis training coordinator RN.

I would absolutely be willing to go. Unfortunately, the relocation and hiring bonuses are only offered for nurses with experience (I think the website said 2 years, but don't quote me on that) and I am a new BSN grad. :(

If those bonuses, combined with decent pay, were offered to new grads, I can guarantee they'd have at least one applicant.

And yet for some other RN like me, job is nowhere to be found. I have a BSN and I have 5 yrs total experience with last 3 yrs in Med/Surg ICU. I have been actively looking for a job in Sacramento area for about 1 month now. No luck so far. The posted the position and i applied but never even get a call for interview.

klone said:
They (we) can't find staff because we live in an isolated community that nobody has heard of, and we have one small community college that graduates 30 new nurses each year, which isn't enough to take the place of the nurses who are retiring, or moving to other communities.

We're not unique. This is the plight of rural communities all over the US.

I would love to find something like that! Especially since I am trying to get into L&D and no one wants to hire w/o experience, at least I've heard, I'm still in school. Think you'll be hiring in 3 years? Jk I'm looking in rural places but not finding much demand there either, I'm in SC which is pretty over saturated but looking to move to North Carolina. Anyone know rural hospitals there?

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