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  1. Thank you all for your input, and unfortunately I have come to the same conclusion. Hospitals just won't hire a 'new-grad' given my situation. Even with my autonomy granted while at sea they will see it as irrelevant experience and treat it accordingly. I have come to the conclusion that skipping the hospital as an RN altogether and going straight to NP programs will probably be what I have to do. Then I can apply to hospitals and suddenly my autonomous shipboard experience matters as it would be relevant in their eyes.
  2. That's just the problem, I do have acute care experience. Almost 6 years of it split between the US Navy and as an EMT-B. My ship job pays better than any hospital will pay an RN so I won't leave my ship job, but I truly love the field of acute care and expeditionary medicine. I want to work in a hospital to better my skills as a provider and be able to put my ship experience to good use for my patients in a hospital. I don't 'need' to work in a hospital for the money, but I choose to in order to better my own skills and to impact a greater amount of people than those I care for on the ship. Plus being out here being an independent provider has put in my mind the idea of going to school for NP and although NP admission boards will like to see my independent practice on a ship they will also want to see hospital experience. Which puts my question back to square 1; how would I go about being a PRN/Per Diem RN given my situation?
  3. Xance

    Destined to Be a Flight Nurse

    I cannot agree enough adventure_rn, if you set your sights on the 'next thing' you may forget about the thing you're doing right then. To OP; don't ignore the steps along the way. Approach things not as a means to an end, but as a way to better yourself as a provider. Me for example; I dislike med/surg and most floor nursing but I will do so with the understanding that it will make me a better provider overall. However to get to your desired role of flight nursing you will require 5+ years of mostly high-acuity ICU experience and in your case you were placed in a step-down unit instead. Don't view that as a road block, instead view it as a way to better yourself as a provider so that once you become an ICU RN. Then you will have a better understanding of what that patient will face in step-down, and you'll also have practice with lower-acuity patients to hone your skills which were marked as deficient.
  4. That is the problem; no one will listen. I tell them what my responsibilities are out on the ship and once I mention I have less than a year of experience I can almost see the interest leaving their eyes. If I'm able to get to an interview I know they will be interested, but the hospital systems I apply to seem to discard my application because all they see is ADN, <1 year experience, not qualified, next. If I can talk to them and they listen to what I do out here and my experiences as such I'm positive I can talk my way into a hospital PRN/Per Diem job but when I ask to talk directly to recruiters all I get is the generic advice to put in an application. There are 3 RN residency pathways that I am aware of in San Antonio and I cannot complete any of them due to my ship work. So if I apply to any of those large hospital networks they will want me in that program that I am unable to complete, and that is my dilemma.
  5. Hi, I do have to mention this in the very beginning, my career is definitely non-standard and my situation is vastly different from just about any other RN I have seen yet. I don't think it is unique, but additional insight would definitely be nice. On to the good bits, so as previously mentioned I am a ship RN working aboard military ships. My exact job title is medical department representative, however I am my entire department as the medical department consists of only me. I deliver all medical interventions aboard and my responsibility extends to the health and wellness of all embarked personnel. What makes this even more unique is that this is my first RN job, I am a new grad and got this job directly out of school. Context; I was also a US Navy corpsman for 5 years and it was that experience which got me out here but being an RN certainly helped. My concern is this; how do I get a PRN/Per Diem job for once I return home? My ship rotation does not allow a standard RN job as I will be leaving relatively often to work aboard military ships as a civilian and employers desire someone who will actually be around more than I. However my job aboard the ship usually does not involve skills I would routinely use in a hospital. For example; urinary catheters are something that is extremely rare to perform out on a ship but very common in hospitals and I fear my skills will degrade if I do not seek employment at a hospital during the time that I am home. As I am a new-grad, hospitals will treat me as if I am useless and probably will not accommodate one bit. Even tho my ship job has me working as a pseudo NP hospitals care not as I am not licensed to do that type of work anywhere except aboard ships, but I have an RN license in Texas. Does anyone have any suggestions as to how I may acquire PRN/Per Diem work in Texas, specifically San Antonio, TX as I have a non-standard job and it may be difficult to explain my situation to potential employers and I fear they will not hire me given my circumstances.