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 nursing education.
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:

Now THIS ^^^ would be a great AN article!

Specializes in Acute Care Psych, DNP Student.
When I was a new grad LPN , I got hired pretty quickly at a detention center. Don't count corrections out fellow new grads :)

I started as a new grad at a violent correctional facility. I learned more in that prison job than I have in my current hospital job.

Specializes in Med-Surg/urology.
I started as a new grad at a violent correctional facility. I learned more in that prison job than I have in my current hospital job.

I learned a lot too! Im glad I worked there before I came to med/surg.

I graduated in May of 2011 with my ADN. I applied to over 100 positions (mostly hospital positions), with no response. I applied to a random position posted for a local private school... thinking that I didn't have a chance in hell to get it. 3 school years later, I'm still here, loving my job.... working with great kids.

I also started working with a flu shot clinic company, and administered shots to the community during health fairs, and stuff. I was just happy to have a job that paid, and for any experience.

I've always been in an unsure position as to whether I'm a new grad or not. I graduated from my ADN program in May 2012 and from my BSN program in October 2013. Nonetheless, I am a new grad. I totally agree with this post.

Upon earning my BSN, I focused my job solely on hospitals, hoping and praying that I'd get a call for an interview. I never did and haven't to this day which can be due to the fact I have no experience outside of a preceptorship and clinical experience but one thing I know for sure is I wish I hadn't gone that route. If I could go back and give myself one piece of advice to stick to, it would be to grab any opportunity I can and not limit myself to what I apply to. In this day and age, you can't afford to be picky at all. Experience is experience and you can always figure out how you can apply to your accrued experience to whatever you apply to in the future.

Being a new grad among a group of friends who are also graduating from different fields, we can all attest that the job market is tough for everyone. Grab what you can and work your way to where you want to be.

Good luck to everyone and keep on pushing!

Specializes in LTC, Agency, HHC.
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've tried. Either I didn't do it right, or it really is because they want one year "required!" I was just sent this this AM by a recruiter I contacted: "At this time we are targeting RN's with recent and direct RN experience in LDRP or OB. If we change the requirements we will do our best to let you know and could potentially move forward at that time."

And this is the 2nd time I've applied to the same job they keep reposting!

Specializes in Home Health, Geriatrics, Women's Health, Addiction.

Thanks so much for this article. I graduate in May and I have been so stressed out about my options as a new grad. Being a second career student with a family and student loans I don't want to have to wait a long time to secure employment. The other side of the coin is I want to like my job. Is that too much to ask for? I currently work in a hospital as a nursing assistant on a busy orthopedic-surgery floor. I have also been fortunate enough to float to other units. I had the opportunity to do a rotation with a home health agency and I loved it. I have been told to seek out med-surg positions upon graduating just to solidify my "rep" as a "real" nurse. I just don't buy into this. The nurses I met at the home health agency had to be trained on the job just like all other nursing positions. They spent 3-6 months going out with another nurse depending on how much time they needed and they use so many different skills. The hours were beautiful-8:30am-5pm, minimum on call time and every 4th weekend. The nurse I shadowed was really organized and showed me how to stay on top of the paperwork. I realize this company is unique as they offered great benefits and pay and the manager was supportive and jumped in to handle cases when needed (again not typical). I wrote all that to say I think I am leaning toward home health as an option even though I thought I wanted to pursue labor and delivery. I have case management and supervisory experience in supported living so I'm hoping this helps me out. I would still like to do some contingent work in hospitals, but for the most part I feel I want to find something that fits closer to bankers hours other than working in a doctor's office (I would be bored). I'm not able to safely do a night shift and I would like to get daycare out of my pocket so this seems like a good fit. It is just hard to get past all of the naysayers who say you need to have so much med-surg experience under your belt. I have always been one to cut a different path than most but it is good to read articles like this that give me the courage to do something different than what other nurses with years of experience are advising me. Being a second-career student I am worried about screwing things up but I feel I have to go with will make me happy and be conducive to my family life. I hope it works out for me and the others who are brave enough to step off the acute care path. Again, thanks so much for taking the time to write this article, it came at a good time.

Specializes in Pediatrics, Emergency, Trauma.
I've tried. Either I didn't do it right, or it really is because they want one year "required!" I was just sent this this AM by a recruiter I contacted: "At this time we are targeting RN's with recent and direct RN experience in LDRP or OB. If we change the requirements we will do our best to let you know and could potentially move forward at that time."

And this is the 2nd time I've applied to the same job they keep reposting!

You have a contact; if anything else, cast your net wide, then start joining orgs that are based in this specialty and keep networking. That's how you will get your job; tweaking means not only working in your résumé, but WORKING on your résumé-meaning, getting experience while learning and keeping up with the area of nursing that you are interested in.

Specializes in LTC, Agency, HHC.
You have a contact; if anything else, cast your net wide, then start joining orgs that are based in this specialty and keep networking. That's how you will get your job; tweaking means not only working in your résumé, but WORKING on your résumé-meaning, getting experience while learning and keeping up with the area of nursing that you are interested in.

Doing this, too. I'll keep you posted. :) Thanks!

If you had it to do over again would you have quit going to school after obtaining your ADN in order to get a year or two experience working as an RN before continuing your education to obtain your BSN?

Start working part time if no full time jobs are available. I kept hearing other people tell me about the opportunities so I decided to look into it. Well, it was all true and has totally changed my life. I love what I do…….

@TheCommuter Your post IMO is naively helpful. It isn't very accurate or realistic. Nowadays even having work experience won't get you too far... employers are requesting recent or a specified number of years experience (not clinical but licensed working hours) exclusively in the specialized field AND/OR post-graduate certification + membership in that specialty AND/OR only post positions internal AND/ OR request some other ridiculous red-tape barrier that you cannot get beyond. You could attempt to prepare for a job opportunity with some specific requirement by obtaining that specific requirement in the vain hope that "maybe in 6 months or next year" another employment opportunity like that one comes up... but it's pretty much like a lottery system whether your efforts will pay off. Also, almost every other nurse has the same resume and are competing for the same few and far-between jobs. I'm an Registered Practical Nurse (RPN) in Ontario Canada - here we have the same scope of practice as RNs but care for patients of different acuity (i.e RPNs only care for "stable" patients, meanwhile RNs care for "unstable & stable" patients, but that's not really the case so much as semantics). I am the type of person who always took whatever nursing jobs that came my way to earn both the "Licensed Nursing Pay" but more importantly my priority was always to get the "Licensed Nursing Experience"... most other nurses I know have done the same... and it doesn't mean that much to employers. Even after gaining some clinical experience, you can expect to still go several months and up to a year or longer with no call backs for more desirable positions and this is especially true if you are an RPN in Toronto (unless you are very well connected). I worked in all those areas you mentioned that are typically scoffed at by some new grads (i.e. LTC, nursing homes, hospital gerontology)... and all that "Licensed Nursing Experience" hasn't gotten me any closer to any clinical opportunities that are more tolerable or desirable.

In addition to being an RPN with a laundry list of clinical work experience, I have a baccalaureate degree and an even lengthier list of continuing education under my belt at the university level. I've consulted with career counselors at various nursing associations and they all tell me my resume is excellent and that I am doing everything humanly possible to obtain a nursing job and have great work/job hunting/interview skills.... but I am stuck in back breaking bedside nursing in gerontology at a hospital. Every day I hate it, but I smile and smile and smile through the pain and provide high quality care and consistently upgrade my skills in the hope that ONE DAY I will get out of here... and my efforts are beginning to feel like vain efforts, illusions...a dead end road to nowhere. I'm an RPN (working toward RN) so my current career options as an RPN are severely limited right now to gerontology/LTC/Nursing homes... In these environments, for RPNs anyway, the nurse-to-patient ratios are obscene, understating is the norm, administrative + nursing tasks are insurmountable and growing by the day, most of these environments are cleverly disguised psych units with abusive/violent/combative older adult patients who truly belong on locked units (you will be struck at least once by a patient at some point), and you work from a primary nursing care model... meaning PSWs (i.e. unregulated care providers) do not get delegated tasks to help alleviate your mountain of nursing tasks by helping changing your patient's beds or washing patients... depending on the type of facility you work in, as an RPN where I presently live and work... you will do ALL care for a minimum of 9 patients in an 8-hour shift shift, half of these patients require total care/total dependence for everything (feeding/dressing/toileting/ambulation/transfers). Oftentimes, it's total care and you will break your back! There is no nursing shortage, there never was. There's too many nurses and not enough jobs (even fewer for RPNs).

There's provincial funding cut backs to hospitals/most facilities are beginning to lay of both RNs and RPNs in addition to putting major pressure on RNs and RPNs to work at maximum efficiency with skeleton crews, ultimately compromising the quality of the care we can humanly provide to these patients. These "undesirable" alledgedly "readily available" nursing jobs are usually not properly staffed to address the complex mental health needs of the aging population, majority have some form of advanced and end-stage dementia. Over 20 years, the province has cut 19,000 hospital beds. AND... Despite what you may have heard, outpatient services have not made up for cuts to hospitals. In Ontario, there are still lots of options for RNs, but not so much for RPNs. I am hoping & praying & trying & studying & struggling to become an RN so I can have a better career future.

Also, most current job opportunities DO NOT offer full-time positions. It's mostly part-time (PT) or casual (CA) because neither status comes with benefits package, pension plan and/or guaranteed hours. Welcome to the current world of nursing. In short, the best way to survive is to get your RN. Don't waste your time becoming an RPN if you want a career in nursing with options & growth potential. Things like promotions and seniority don't exist for us younger generations, and things are especially bleak for us RPNs.