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 Multiple.

Glad to know psych nursing is considered "unconventional" because THAT's where I want to be.

Glad to know psych nursing is considered "unconventional" because THAT's where I want to be.

That's good to know because not a lot of new grads think to apply to psych hospitals because so many of them want that med-surg, ER, ICU, etc experience when they graduate and pass the boards. If you want to go on to be a Psych NP, there is a high demand for that as well.

Wonderful advice. I am a "second career" nurse who went back to school later in life. I took a job six months ago at a SNF - not what I thought I'd be doing, but it has proved to be one of the most challenging and rewarding things I've ever done in my life. Some look down on SNF and LTC but the pay is very good and unlike at the hospitals where they are sending nurses home because of low census, I'm usually getting called in for more hours than I was originally scheduled.

Experience is experience. Take it and be thankful for the learning experience! :)

Specializes in LTC, Agency, HHC.
Anyone here ever went from private duty into a specialty such as ICU or L&D?

No, but I am hoping to. The downfall here is that they see us having 1 patient, and they want to know that we can care for more than one. Going from LTC to PDN, I wonder if they even read work experience on resumes. Probably not, with the recruiting software these days.

Specializes in LTC, Agency, HHC.
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.

Oh good, you give me some hope then. Now....about that recruiting software...... :D

I agree with you. I think any kind of nursing job will be helpful in nursing career.

Thanks for letting me know your experience. It is very helpful as a new grad.

Specializes in Geriatrics, Home Health.

I agree with the article, but only to a point. The wrong job can be more dangerous to your license than no job; waiting tables won't put you in a position to violate the standard of care. Two years ago, a new grad working as a traveler during a strike ended up killing a patient. New grads need support, and private duty doesn't offer much. Some home health agencies and SNF chains are horrendous places for experienced nurses, and would be extremely dangerous for new grads.

I graduated in May 2008, and passed the NCLEX in July. At the time no home health or private duty agencies in my hometown hired new grads, though that has apparently changed. I finally found my first job, in an ALF, in March 2009, and I had to move 250 miles for it. I mainly passed meds, but I learned a lot; some good, some bad. After a year, I got a job in what turned out to be Nursing Home Hell. After 6 horrible weeks, I ran screaming to private duty. It's the lowest-paying nursing job I've had, but I've learned a lot. I've also done flu clinics, which would've worked very well for a new grad.

Specializes in Ambulatory Surgery, Ophthalmology, Tele.

Thank you for the wonderful article Commuter. :)

In the ambulatory surgery setting we hire new grads occasionally. As I am training I share that although bedside/hospital experience is priceless, Ophthalmic nursing is a specialty just like any other. I share my love for the specialty with them. I know they still long for the bedside/hospital job but I teach them what I can in our setting. One plus, they all become very good at IVs. ;)

Specializes in Pediatrics, Emergency, Trauma.
Oh good, you give me some hope then. Now....about that recruiting software...... :D

It's not just the software, it's tweaking the résumé that a recruiter is willing to take notice...a recruiter advised me on how to format my résumé, been a great candidate since. :yes:

I needed to read this at this very moment! I graduated in December '13 and completed and passed my NCLEX in the beginning of February. I have applied to every hospital in my area two of which had new grad programs. I landed a phone interview and then a unit interview for one of the new grad programs but was not selected. This was so discouraging and hard for me to have such an opportunity in front of me and to somehow "blow it" (I do not know what I did wrong). Until last week I was telling myself that applying to LTC facilities and home health were last resorts, but now being jobless for two months now is hitting me hard. I JUST WANT TO WORK AS A NURSE!! I am now so open to different types of nursing jobs and this post reassured me of that even more. I hate not working and I hate now being able to put my education and license to use. I feel like a brat for considering hospitals as a only current option when here I am, a new graduate, starting at the bottom of the totem pole with somewhat unrealistic expectations. I am thankful I have passed that mindset! :) If anyone has any advice on ways to standout in a nursing interview that would be cool too!

Specializes in Med-Surg/urology.

When I was a new grad LPN , I got hired pretty quickly at a detention center. Don't count corrections out fellow new grads :)