Unemployed New Nurses Would Be Wise To Remember These Equations

Many newly graduated nurses dream of landing their first positions in certain nursing specialties within the acute care hospital. However, what if the recruiters and nurse managers are not calling to set up interviews? Should you accept employment outside the hospital?

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Unemployed New Nurses Would Be Wise To Remember These Equations

As a newer nurse (RN or LPN / LVN), you should feel very proud of the milestones that you have worked tirelessly to achieve over the past year. For starters, you have successfully completed a challenging program of study that would perplex the majority of adults in the United States. Moreover, you have passed the NCLEX and attained professional licensure that allows you to lawfully practice as a nurse. After all the hurdles you have jumped, I am assured you are excited to begin your career in the vast field of nursing.

Many new grads dream of landing their first positions in certain nursing specialties. Labor and delivery, postpartum, the intensive care unit, the emergency department, and pediatrics seem to be popular specialties where numerous new nurses would like to work. Also, countless new grads are willing to start on medical / surgical floors to establish the foundation upon which the rest of their careers are built. Anyhow, you are eager to start working, so you begin submitting employment applications to various hospitals in the area where you currently reside.

Six months have elapsed since you first received your nursing license. You have submitted so many applications, resumes and cover letters that you do not have enough fingers and toes to accurately keep count. Not one single callback. You might have thought aloud, "What is going on? I heard there was a critical nursing shortage!"

At this point you might be feeling a little sick to your stomach because the student loans will be due for monthly repayments rather soon. Even though deferment is a possibility, this option will only add more interest and slowly increase your overall balance. Preferably, you need a licensed nursing job. After all, you graduated from nursing school because you wanted to actually work as a nurse. Right?

Meanwhile, a company that hires new grads into private duty nursing cases is constantly advertising on websites such as CraigsList, Monster, CareerBuilder and Indeed. A home health company has placed an ad in the local newspaper for nurses (no experience necessary). An assisted living facility within reasonable commuting distance seeks a full-time RN to complete tasks such as wound care, assessments and taking call every four weeks. A local nursing home has a permanent sign in the front window that reads, "Now hiring LPNs, RNs and CNAs!"

As tempting as these job openings look, you are feeling leery about applying because you are still clutching onto your dream of securing employment at an acute care hospital. You might fear that you will become a less attractive applicant in the eyes of recruiters and hiring managers if you take a nursing job outside the hospital setting. My advice is to remain cognizant of the following equations:

Nursing job outside the hospital = Licensed Nursing Pay + Licensed Nursing Experience

Waiting for the acute care hospital job of your dreams = Zero Pay + Zero Experience

As a newer nurse, the worst thing you can do is become an 'old' new grad who has never held a nursing job more than one year since passing NCLEX. Some experience is better than none at all. I know multiple nurses who were offered the hospital jobs of their dreams after starting at a nursing home, private duty case or home health company. Personally, I was offered a job at a major county hospital and another position on the floor of an outlying suburban hospital after having spent four years in the long term care setting.

Furthermore, the 'losing my license' mantra is grossly overrated. I pay close attention to the disciplinary action pages that my state board of nursing regularly posts. The majority of nurses in my state of residence whose licensing has been censured were working at hospitals, not nursing homes, home health, or other areas outside the hospital.

One more thought. . .hospital employment is on the decline as more patient care is pushed outside the inpatient setting to cut costs.

RESOURCES

Hospital Jobs in U.S. Decline for Second Straight Month - Bloomberg

 

TheCommuter, BSN, RN, CRRN is a longtime physical rehabilitation nurse who has varied experiences upon which to draw for her articles. She was an LPN/LVN for more than four years prior to becoming a Registered Nurse.

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Specializes in Dialysis.

You hit the nail right on the head! None of these jobs are beneath anyone, they establish a work history + they pay. Good luck recent and future grads!

Specializes in ER.

Amen! When I graduated way back when, hospital jobs were hard to get. I started at a nursing home, did some private duty, then moved into hospital nursing when the need increased, actually getting a sign on bonus for my first hospital position.

The important thing is to keep working in nursing! You will learn something at every job!

It is not as easy as what you have read in the articles about nursing shortage. Actually, you will still need to have work experiences before you can get your dream job. Good luck in your first jobs.

Specializes in School nursing.

I took a job in school nursing as my first job shortly after being licensed because I just wanted real world nursing experience of any kind. And you know what? I love it. It changed my thoughts of needing to wait for an acute care hospital job. Now I don't want that job. You never know...

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
I took a job in school nursing as my first job shortly after being licensed because I just wanted real world nursing experience of any kind. And you know what? I love it. It changed my thoughts of needing to wait for an acute care hospital job. Now I don't want that job. You never know...
I totally agree. People shouldn't look down on nursing jobs outside the hospital until they try them, especially when relatively few other employment options exist.

Someone wise once said, "Don't knock it 'till you try it!"

Specializes in LTC, Agency, HHC.

I'm not so sure about this!

"Nursing job outside the hospital = Licensed Nursing Pay + Licensed Nursing Experience"

I have 8 years LPN experience, and 4 months as a RN. While LPN's are also "licensed" it is not the experience people are looking for. It has to be RN experience. Unless I am doing something totally wrong.....and my HHC company pays crappy I'd get better pay in acute care. Significantly more! But I keep the job because of my seniority. And as much as I'd like to specialize, I can't even get hired in med/surg because of the "one year experience required".....and that year means RN.

*phew* I thought this article was going to go in a completely different direction. I am glad it didn't. I am a novice RN in private duty home care. My experiences have been amazing. It also showed me that a career specialty that I NEVER EVER wanted to do, is actually something I truly enjoy and am good at - Pediatrics. It's not all roses and sunshine in private duty, but neither is the hospital setting. I am also glad the old "lose your license" warning was called out. You can lose it in any setting where you provide care below the standard of practice.

Specializes in Pediatric.

These words were so encouraging to me! I have had my license for 8 months and a good chunk of people I graduated with are constantly talking about these amazing acute care jobs they landed. Despite having good grades through college and great clinical experience I was not able to find one such job. I am a triage RN in a suburban clinic and I spend much of my time on the computer or phone which wasnt what I had pictured for myself. Don't get me wrong, there are many parts of my job I really enjoy and I LOVE being a nurse- it just is not the idea I had in my head of a nursing job. It can be frustrating feeling as though i am somehow "behind" or "less than" some other new grads. However recently after some soul searching I have decided to stick with this job (for the time being at least) for the experience, pay, and wonderful hours. It was so great to read this post and realize I am not the only one who has ever been in this boat! Thank you!!

Specializes in Pediatric Hematology/Oncology.

Thank you for this! I definitely see the advantages of this and our program has clinical sites based in non-acute care settings. After being in both hospital and rehab settings, the RNs have very similar responsibilities between rehab and acute care, particularly when the pts in acute care (med-surg) are awaiting rehab placement - it looks nearly identical to me so far (pt-load is just a bit higher in rehab so med passes on time are challenging). I doubt I would turn my nose up at a rehab or long-term care job offer.

Specializes in nursing education.

Once again, TheCommuter, you have a brilliant way of framing an issue.

I am also glad the old "lose your license" warning was called out. You can lose it in any setting where you provide care below the standard of practice.

YES! When the BON rep came to speak at our school, she said that in all honesty, most nurses (in that state at least), lose their license for narc diversion or showing up positive for THC on random drug tests.