Published Apr 9, 2011
HeartOfGlass
11 Posts
Hi, I'm a new RN. I graduated in December, took my boards on Feb. 23rd and passed. I took a PRN position at a mental health facility in February. I have worked on all of the units so far. Since I am still applying for hospital positions, this is the only job that I have at this time so I schedule myself basically full time and I am never called off. I have discovered I really work well on the child/adolescent unit. This is where I have learned the most. The charge nurse on the unit has taken the time to actually teach me and I am able to do things there on my own. The staff on that unit is amazing, and by far the best teamwork I have seen yet at the facility. I dread the other units because of the lack of teamwork, and the charge nurses unwilling to take the time to teach me anything. So I tend to leave work on the days I'm called over to the other units feeling unsatisfied and stressed out. The past week I have been on the child/adolescent unit and have felt like a REAL nurse, taking report, giving report, admissions, medications, discharges, labs, taking off doctors orders, and so on. I think a lot of it has to do with the amazing staff over there.
Since I'm PRN, I go wherever they need me, so I can't deny working on the other units. During my time on the child/adolescent unit, the DON has offered me a full time position there. Monday through Friday, 3pm to 11pm. These are the hours I work anyway so its not a problem. If I take the position, this gives me insurance (and my husband just lost his job which was where we had insurance, so now we are without, and we have a 3 year old son so we need it), and gives me a gurantee that I will remain on the child/adolescent unit.
Here are my concers and this is where I'm asking for advice. I am not learning skills like you would have in a medical facility (as an example, IVs). Recruiters have told me not to take a full time position in psychiatric nursing because I will be overlooked for any positions at hospitals. I have applied at 4 different hospitals in ALL areas (med surg, emergency, ICU, neuro, etc) and I have not received any of these positions. I apply every time I see a new opening. Recruiters have been telling me that since I do not have my BSN, and no skills, that the BSN graduates are being hired first. If I had skills, I'd have one up on them, but I'm lacking in that department. I have looked into PRN positions at my local hospitals, but they request certifications (such as ACLS, PALS, etc) and offer minimum training (they want you to be experienced).
If I take this position, do you think that I will be overlooked in the future for hospital positions? If I was able to pay for the certifications (which I could later on), would this increase my chances? I don't want to stay in psychiatric nursing full time for the rest of my life, because I would really love to learn more medical skills. We plan on relocating in about 2 years to where the rest of our family lives across the state, so I know I'd be in search of another job in the future. I absolutely LOVE the child/adolescent and I thrive in that environment. I just don't want the rumors to be true for me (once a psych nurse, always a psych nurse) and I'm hoping some of you can share stories that this isn't true. I told the DON to give me one week to decide, and she's fine with that.
Any advice would be greatly appreciated and I apologize for the lengthy post, this is just a big decision for me being my first job out of nursing school!
chessknightRN
33 Posts
You might want to post this in the Psych specialty forum and you'll probably get more responses.