Will it hurt to wait to start working as a new grad?

Dear About to Graduate,

New York is a tough market for new-grad ADN nurses, and I applaud your trying to strategize. I'll give you some things to consider as you make your decision.

New-grad status

While each hospital has the flexibility to define "new-grad" status as they choose and can also make exceptions to their own rules, it is typically conferred on newly licensed RNs. The status remains valid for one year after passing the NCLEX. This period is the golden year because new-grad status offers eligibility for nursing residencies and extended orientation programs.

Most healthcare facilities and hospitals have separate onboarding processes for new graduate nurses and experienced nurses.

 Since you are pursuing your ADN and planning to take the NCLEX, you will not be considered a new grad once you complete your BSN program. You will either be an RN with experience if you work after taking the NCLEX or an RN without experience if you don't work after taking the NCLEX.

An RN with experience would not be eligible for new grad residencies and more extended orientation.

A one-year-old RN  without experience may or may not be eligible for new grad residencies and more extended orientation.

Again, each hospital sets its criteria and can make exceptions as they choose. 

Externships

Regarding student nurse externship programs, it's common for such programs to require BSN students, as hospitals often prioritize BSN-prepared nurses for these opportunities. They can be a valuable way to gain experience in a competitive hospital setting and potentially secure a position after graduation.

While you may not be eligible for these programs in your ADN program, you could consider applying for them once enrolled in your RN-BSN program and have a BSN student status.

However, you probably won't be eligible for a student externship if you already have your nursing license. They are designed for nursing students who are not yet licensed.

Generally, once you take the NCLEX, it's best to start working if possible.

In the meantime, gaining clinical experience and networking with healthcare professionals during your ADN program is a good idea. This experience can be valuable when you seek employment. Make contacts during your clinicals.

While it may be more challenging for ADN graduates to land nursing jobs in competitive areas like New York City, it's not impossible. You may have to settle for sub-acute to land your first job. Being enrolled in a BSN program may help your application.

Additionally, once you have your BSN and a year of experience as an RN, you'll have more opportunities available to you and be more competitive in the job market.

Ultimately, your decision should align with your goals and circumstances. Gaining experience and networking as much as possible during your educational journey can benefit your future nursing career.

Best wishes on your decision,

Nurse Beth