Lost my first nursing job... now how do I find another?

Nursing Students ADN/BSN

Published

Hi friends out in nursing land... I just joined to see if anyone might read my insane tale of nursing woe and have some seasoned advice...

I'm a 2011 BSN graduate who held out for his dream position and eventually found it. I started as a new grad RN on a pediatric med-surg/IMC unit at one of the top-rated hospitals in the US. I couldn't have been more thrilled to be there, but from day one, things were nothing short of a disaster...

My orientation period was fraught with anxiety despite excellent preceptor support (most of the time) and pretty much general "stage fright." I was absolutely useless on my own. I worried about things that were never issues and constantly missed things that were important. I made mistake after mistake after mistake (though thank God, never a med error). The biggest problem was that no matter how much I tried to hide it, I was (apparently) receiving numerous complaints from other nurses and patient families how much I looked like I didn't know what I was doing (because I didn't). I was spoken to several times over the course of my orientation by preceptors and my supervisor that my performance was unsatisfactory, but they knew I was a smart guy passionate about pediatrics that could really succeed. I was placed on an official warning that if my performance didn't improve I would be terminated at the end of orientation.

At my supervisors' suggestion, I went to see a counselor through the hospital's faculty-staff assistance program. I was immediately involuntarily placed on indefinite unpaid medical leave and instructed to resolve both physical and emotional issues that they felt were affecting my performance. I was told my position would still be there whenever I was ready to return. Six weeks later, I was cleared to return under the agreement that I would have two weeks' remaining orientation and I needed to demonstrate competency before then. After working my first shift back, it became clear to me that nothing had changed and there was absolutely no way I was going to be ready to be on my own in five more shifts. This opinion was supported by my preceptors.

The hospital had, from day one, fostered an atmosphere of concern for your individual success as a nurse. We were told in no uncertain terms during general hospital orientation that if you were unhappy with your position or not performing well, under no circumstances should you quit - the hospital would be more than happy to work with you to find the best placement for you. My preceptors also assured me multiple times that this was what would happen if it didn't work out on this floor, and that at this point I needed to let my supervisor know that I felt I was not a good fit and she would assist me to find another position...

I was told in order to be considered for another position, I had to provide a letter of resignation from the current position and I foolishly did so. My supervisor arranged for me to shadow a nurse on the children's psych unit, and I thought this was a much better fit. The NM of that floor was supposed to meet with me that day to discuss the possibility of my transferring, but she did not show up. I received an e-mail the following day from my supervisor informing me that no other positions for someone with my lack of experience existed within the entire hospital and they were going to process my resignation as termination. Horrified, I replied that the letter stated I only wished to resign from my position on that particular unit and not from the hospital itself, and that I only gave such a letter because I was told I had to. I requested to simply finish my orientation to the best of my ability, at which time I would accept their judgment of whether or not to retain me. The NM told me this was not an option, citing patient safety concerns and terminated me anyway.

I filed for unemployment and was rejected because technically providing a resignation letter meant I left voluntarily without good cause. I took my case to the state appeals court. When no representative from the hospital showed up, I told them what happened and was granted unemployment since the state ruled that I was unfairly discharged. So I know at the very least the termination was not totally my fault.

So here is where I need help. I have absolutely no idea how to explain this to any future prospective employers. I have been applying for just about any job I can think of for the past three months since this happened and I haven't gotten a single interview. I've been putting on applications that I left voluntarily (because I technically did) and been putting "will gladly discuss in interview" as my reason for leaving. I know it's a horrific job market, and three months experience basically equals zero (although I have been rejected from new graduate positions because of it) so that's more likely why I can't get an interview. But I am an absolute loss for how to put a "positive spin" on this situation. Do I mention that I had medical difficulties that were affecting my performance and I chose to leave to focus on them (this is pretty much true anyway) or will that get me the boot immediately? Do I explain that I didn't "mean" to quit (because I didn't think I was) and the whole story or does that just make me look foolish and like I'm bad-mouthing my former employer? I have zero idea of what to say when I am inevitably asked to explain why I left. I know this is tl;dr but if anyone has any kind of idea how I can talk about this, I would be extremely grateful for your suggestions.

-Hopeless in PA

Here is what will work. First off, what happened to you is called self-fulfilling prophecy. Your own thoughts and feelings about yourself did you in. You have self-doubt, low-self esteem and expectation of impending disaster. You behave in such way, instead of challenging your negative thoughts you let them run rampant. This type of behavior usually happen to people who had very critical anxious upbringing. The thoughts and core beliefs that come to mind and spin in your head every waking moment are "I am going to screw up!", "she is watching me and thinking that I am an idiot", "People must know I look like I don't know anything"; " I will kill someone", "i am working in the best hospital in the world, and they don't know that I am an impostor", " I am surely going to get fired any moment". These types of thoughts spin around in your head all day, and unless you consciously put them to lie, they won't leave you alone and will influence your behavior. To do this you must write them down on paper. For example, when you tell yourself that you don't know anything, you can remind yourself that this is not a fact, you surely know how to handle the situation. and you don't have to be perfect. you have to be good enough, and I am sure you are, as if you were a good student, I am sure you know enough"

This is a process, and if you do it consistently, you will improve in about a months. The key is to be consistent, and write this down every time. More on this in a book Mind over mood by Podesky. Also, PA is the state where Cognitive therapy was created by Dr. Aaron Beck. It deals with precisely this type of issues and has been proven work in every study over the last 50 years. Good luck!

Hi! Did you find a job now? I was terminated in skilled nursing facility 3 weeks ago because of, I can't even explain. All there was an accusation with no evidence to their statements, I am now struggling in looking for another job, it is very hard. Especially if the reason is termination. I am feeling a bit hopeless too.... :( I hope to hear from you.

Specializes in Public Health Nurse.

I am sorry SugarPie, it is tough when one tries hard. I have yet to land my first job and I graduated one year ago.

I think most here on allnurses will recommend not to put the job down on your resume. You were still within your trial period.

Best wishes.

Hi, I just lost mine as well , I too have anxiety issues that needs to be dealt with :( I am devastated about the whole situation ... I am going back to school to finish my last year of BSN, I was to foolish to have not worked right away after I finished my college degree nursing cause I wanted to concentrate in passing my licence exam which I did, than I right away started my first year of BSN. The studies went well (knock on wood), but the problem is that I have lost my bedside nursing skills and when I hired to work this summer it showed that I lacked confidence and skills on my techniques... therefore I was terminated. I feel so depressed and disappointed at myself. My confidence level is so low right now. I somehow feel ashamed that although I was succeeding in school I can`t seem to succeed in the work environment. School starts in two weeks, I recently got a call for a possible job position at another hospital, I hope they will call back for an interview. I didn`t put in my previous job since i didnt pass the probation period so I don't think that you can even count that as experience. For now I'm reviewing my notes, reading books.... watching videos on youtube on how to perform certain techniques.. I really want to improve. I want to be better at my next job and hopefully have better confidence.

I wanted to know how you are doing now, If you got through this situation?

I wish you all the best, Don't give up .. Never give up

There are things far worst in life,

If we made through Nursing School and passed our board exam, means that we can make it through out there !

Specializes in Public Health Nurse.
...I was to foolish to have not worked right away after I finished my college degree nursing cause I wanted to concentrate in passing my licence exam which I did, than I right away started my first year of BSN...

Do not be hard on yourself NewNurse, I did the opposite, I waited to start my BSN, because I wanted to start working right away and wanted time to really get to know my new unit well in my new job.... well guess what? It has been a year since I passed my boards and still no job :no: I will be starting my BSN in the fall after a year of no work. I will be in the same boat as you, I have lost my skills, I think if you ask me to do a head to toe right now, I will miss something.

Your idea of watching youtube videos is great, however, for me, nothing beats hands on experience. I am about to accept a job offer that has nothing to do with nursing only because I cannot wait any longer to be without a job, I even put an application to work for Starbucks. It is so disappointing for me because I worked so hard for this degree, I followed my heart and my passion. I see some of my classmates with no medical experience get hired as new graduates, while I, who has experience in patient care cannot get in the door. So I am hoping that once I get my BSN, by that time things will have changed. I will probably have to take one of those Med-Surge review courses :writing: and hope not too old to start being a nurse.

Best of luck to you and the OP, things are tough, but we must continue to look forward, forward forward! We all face challenges, but it is how we work through them that we know how special and strong we are. :yes:

+ Add a Comment