Just came back from yet another interview for a new grad residency program. Does this sound like kaka that is wrapped in a nicely designed wrap? I had a similar experience a few weeks ago with an interview for ICU position where I was told that they are in need of nurses right now, but in a few month they may not need me in ICU, so I would be transferred to a step down unit. Orientation on ICU was 15 shifts for a new grad.
I am feeling that search for a new grad position right now really demands a great deal of personal sacrifice to deal with the mind-blowing conditions that are imposed on the job seeker. If before it was just a 2 year contract and other minor things, now if you want a job, they pretty much own you.
I was ready for a 2-3 year contract and working any shifts they saw fit, but the rest of the information was certainly not in the job description and was shared in a very indirect way. Does this even legally go along with "assign additional job responsibilities within your general skill set for capabilities"?
"We have a modified orientation program. This modified version was implemented at the start of the pandemic. We hired April cohort at the times when everything was changing, so we couldn't support them in terms of precepting them right away. So we did not postpone or cancel that. We created a new nursing support role for them. So they start as a resource nurse on COVID unit or as nursing assistant in other units. We found that they really transitioned easily into RN preceptorship once they had this time to kind of learn culture, the work flow. They had extra time to master they nursing skills working as nursing resource and nursing assistant. Once they started to work into RN preceptorship, they really solidified their pathophys, they are able to being better at recognizing trends, patterns, and connect that data to seeing a full picture for every patient. So instead of being very task focused, which is typical of new grads, they are better critical thinkers."
"We are going to continue this model, because we saw how much more confident our new grads after that. They don't have to worry about learning the charting system or learning where all the supplies are, or learning what doctors are taking care of these patients. They already know that stuff before taking on full patient care."
"Our April cohort worked for about 3 months in that role, but we will see what October has in terms of the pandemic. It may be shorter than 3 months, but we will communicate with you."
"Do you have any questions for us?"
"As far as this goes, what is April cohort doing right now?"
They are on their preceptorship with their RN. They are doing 2 shifts a week with their preceptor, and 1 shift a week as a resource or CNA role. Because they had that extra time on the units doing patient care, some of our nurse new grad are ready to be off of orientation.
So 30 shifts of orientation is standard for a new grad?
Yes, but as you can see, many people get off earlier because of the time they spent in the alternate role. So we are able to pay them as an RN, even though they are not practicing independently as a RN.
You will still be considered a Clinical Nurse I. You will be able to pull meds, work with the nurses on the unit and do some of those skill, but you won't have that pressure of being the primary RN for that patient.
I was a new grad here as well, and when we started to change things up, I was like, "I wish I had this!" I would have known where everything was, who was the doctor assigned to my patients. So learning those nitty gritty details and then take full care of the patients... The difference between the April cohort and January cohort is big."