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? Nurses Announcements Archive Article

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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

 

Specializes in Pediatrics, Emergency, Trauma.
Once again, TheCommuter, you have a brilliant way of framing an issue.

I second THIS. :yes:

One of the most pleasant jobs I've ever had as a newer nurse (

It depends on the place, not the specialty.

Anyone here ever went from private duty into a specialty such as ICU or L&D?

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
Anyone here ever went from private duty into a specialty such as ICU or L&D?
I know of a few pediatric private duty nurses who were later able to transition into more acute specialties such as peds, PICU, and mother/baby (postpartum).
Specializes in Pediatrics Telemetry CCU ICU.

I am an LPN just finishing up my BSN. I spent my first year of nursing on Med/Surg...did a little stint on the ortho floor (about 2 months). I was the one with my hand raised high in the air anytime it was time to be pulled to another floor. Not that I didn't like my floor, but i wanted to experience everything. I worked the ER for 2 weeks while someone was out and liked it. Then while transfering a patient to the CCU I was approached by the CCU nurse manager. She had an opening in CCU and wanted to know if I was interested in trying out. A long time RN was retiring and she thought as she watched me with the transfer that I had the makings. She didn't realize that i was an LPN. When she found out she got permission to allow me into the unit on a trial basis. i spent the next 4 years in the CCU. I was allowed to take all the extra certifications courses that the RN's took but I wasn't certified. I did gain the trust of the rest of my coworkers and we did practice primary nursing with each RN taking one of my patients to push the Cardiac Meds and blood. When our hospital opened up their own Cardiac Cath lab I signed on. I spent only a year there until a larger university hospital bought out our hospital and effectively got rid of each and every LPN within the hospital. Only RN's and CNA's. From the hospital I went into home care trach/vent pediatrics. I was assigned to take a child who had a trach and a ventilator to school every morning. This child came from a pediatric facility that had all kinds of children from abuse cases to genetic disorders to birth disasters. Most were trached, more than 75% were on ventilators. I spent the last 20 years there as well as keeping my home care position for part time. They call it subacute. I call it acute most of the time. For example, one of us always has to go to the ER if one of the kids has to go. They don't know ventilators and they don't have a respiratory therapist that can hang out while the child is being seen. Our facility has respiratory but it is mandatory that the nurses know the ventilators and settings and what pressures are for what etc. Sometimes respiratory called out. I also had the lovely job (for about 8 years until I passed it on) of teaching the ventilator course for the new incoming employees. I don't know about you, but looking at a degree without hands on knowledge would not comfort me in the least if it were my child. To go across the board and say that because I don't have 1 year of RN experience to get into acute care so I am not able to be hired is silly. At that point, would I even WANT that position if they were that simple minded?

Karol

Specializes in Pediatrics, Emergency, Trauma.
I know of a few pediatric private duty nurses who were later able to transition into more acute specialties such as peds, PICU, and mother/baby (postpartum).

I'm one of them

Pediatric Home Care/pediatric prescribed extended care to the PICU.

That Home Care experience helps with thinking in your feet, education, knowing how to be creative....those intangibles help with getting into CC; and knowing how to monitor one pt is the perk as well; however, the more complex your case (ie vents, wounds, etc) the more probability to get into a Stepdown unit/CC unit, at least in my experience.

Specializes in Pediatrics, Emergency, Trauma.

@explorereb96, that was the MAJOR reason for me to return to school to get my degree; I wasn't able to be certified in my specialties despite my evolving knowledge and support from many RNs. :yes:

I tried to get a hospital job to no avail. I ended up taking an RN position for a medical information/tech company. I am on the phone all day either doing health coaching or helping members find resources or current medical information, but so far it's great. Normal hours, decent pay, no weekends, and something very simple as finding a cancer patient a ride to their treatment makes such a difference in their lives!

Specializes in Pediatric Cardiology.
Anyone here ever went from private duty into a specialty such as ICU or L&D?

While not a "specialty" to some, I was able to land a job on a post-surgical floor in a teaching hospital after a year in peds private duty.

Thank you so much for this! I will be graduating in May with my ADN. I am so worried about finding a job! I am curious though; As a new nurse, the idea of working in home health terrifies me. I feel I will not have the experience to notice when a patient is starting to go bad. HAs anyone went straight into home care? How did it work for you?

This is such great Information thank you very much.

Yes! When I graduate (in June) I will work just about anywhere. Nothing is beneath me. Experience is golden and I'm willing to put in the time and energy into getting it.