Register a SA Forums Account here!
JOINING THE SA FORUMS WILL REMOVE THIS BIG AD, THE ANNOYING UNDERLINED ADS, AND STUPID INTERSTITIAL ADS!!!

You can: log in, read the tech support FAQ, or request your lost password. This dumb message (and those ads) will appear on every screen until you register! Get rid of this crap by registering your own SA Forums Account and joining roughly 150,000 Goons, for the one-time price of $9.95! We charge money because it costs us money per month for bills, and since we don't believe in showing ads to our users, we try to make the money back through forum registrations.
 
  • Post
  • Reply
Etrips
Nov 9, 2004

Having Teemo Problems?
I Feel Bad For You, Son.
I Got 99 Shrooms
And You Just Hit One.
So, I've read through this entire thread and poked around some on allnurses.com. And I really do think that I am interested in becoming a nurse. I've recently been given a chance to go to school completely paid for, only catch is I have to maintain a certain GPA average. Now when I was first presented with this opportunity, I was pretty convinced that I wanted to go for my IT degree. But then my SO asked me if I really wanted to do that for the rest of my life and to really think about it. After mulling it over for about it week, I decided I really didn't want to be sitting in front of a computer for the rest of my life.

Anyway, I'm getting all my ducks lined up in a row to start taking classes come May. I'll be starting off with my prerequisites at my local community college and *hopefully* I won't have to wait too long to get into the program. However, what I wanted to ask is this: My current classes I should be able to breeze through without breaking too much of a sweat. I'd like to if possible, to start doing some self studying more advanced stuff I suppose? Does anyone have any recommendations on what I could start studying? NCLEX study guides? Pharmacology memorization?

Adbot
ADBOT LOVES YOU

Enigmatic Troll
Nov 28, 2006

I'm gonna be there! I got to see!

Etrips posted:

So, I've read through this entire thread and poked around some on allnurses.com. And I really do think that I am interested in becoming a nurse. I've recently been given a chance to go to school completely paid for, only catch is I have to maintain a certain GPA average. Now when I was first presented with this opportunity, I was pretty convinced that I wanted to go for my IT degree. But then my SO asked me if I really wanted to do that for the rest of my life and to really think about it. After mulling it over for about it week, I decided I really didn't want to be sitting in front of a computer for the rest of my life.

Anyway, I'm getting all my ducks lined up in a row to start taking classes come May. I'll be starting off with my prerequisites at my local community college and *hopefully* I won't have to wait too long to get into the program. However, what I wanted to ask is this: My current classes I should be able to breeze through without breaking too much of a sweat. I'd like to if possible, to start doing some self studying more advanced stuff I suppose? Does anyone have any recommendations on what I could start studying? NCLEX study guides? Pharmacology memorization?

I wouldn't fool with NCLEX or the actual nursing school stuff yet. Focus on your pre-reqs. If you really have the time for extra studying, Anatomy and Phys. would be helpful (if you find that you don't enjoy reading an A+P textbook it might be an indication that you won't like health care). Maybe micro-biology. I think chemistry was another class that people had a lot of difficulty with if they had lousy high school teachers.

Pharmacology is tricky - don't learn individual drugs, learn the class of drugs. I'd wait on that until you take the actual class.

Etrips
Nov 9, 2004

Having Teemo Problems?
I Feel Bad For You, Son.
I Got 99 Shrooms
And You Just Hit One.

Enigmatic Troll posted:

I wouldn't fool with NCLEX or the actual nursing school stuff yet. Focus on your pre-reqs. If you really have the time for extra studying, Anatomy and Phys. would be helpful (if you find that you don't enjoy reading an A+P textbook it might be an indication that you won't like health care). Maybe micro-biology. I think chemistry was another class that people had a lot of difficulty with if they had lousy high school teachers.

Pharmacology is tricky - don't learn individual drugs, learn the class of drugs. I'd wait on that until you take the actual class.

Awesome thanks, I'll look to see what my school uses in terms of books for A&P and Microbiology.

Do you have any other recommendations?

E: Oh any iphone / ipad apps that are useful?

Enigmatic Troll
Nov 28, 2006

I'm gonna be there! I got to see!

Etrips posted:

Awesome thanks, I'll look to see what my school uses in terms of books for A&P and Microbiology.

Do you have any other recommendations?

E: Oh any iphone / ipad apps that are useful?

Just try to make good grades and if the school you're going to apply to has an entrance exam then study up on that as well. I did neither - I think I was accepted because I had taken a whole lot more math and science than they required. So that's something else to think about if you don't get in the first time around. Talk to students in the program already and try to figure out what the admissions people weight heavily.

Can't advise on the apps stuff - maybe someone else can help with that.

AmbassadorTaxicab
Sep 6, 2010

Etrips posted:

Awesome thanks, I'll look to see what my school uses in terms of books for A&P and Microbiology.

Do you have any other recommendations?

E: Oh any iphone / ipad apps that are useful?

Don't waste your time on apps. Real nurses know what the hell they're doing and don't need much more than a simple calculator.

If you really want to learn, pick up an anatomy textbook, and start mulching over terms until they start to make sense to you. It will make actual class about 100x easier when you realize anatomy class is all about total recall.

TheFarSide
Jul 24, 2001

Nay, we are but men... ROCK!
There are a few basic apps that can be useful based on where you are. Some places have the facility-approved lab norms on any lab results you may see, some places don't. There are a few lab results apps that give norms and common reasons you'll see an increase or decrease in labs.

I finish up in 3 quarters, and I still use the free Medscape app from WebMD. It updates often, and is a quick way to look up the generic name/drug class of a trade name you may not be familiar with, and there are a few clinical sites that aren't entirely on electronic systems that have built-in interaction checkers, which Medscape also has. Epocrates is the other big free one that shows a lot of the same information, and has images of the medications, too.

The Antidepressant
Oct 9, 2010
Hello everyone,
I am graduating this spring with my bachelors degree and I believe I would enjoy working as a mid-level health care provider. I had a few questions about possible career paths I was hoping goons could advise me about!

1. First, I was curious - what exactly differentiates a nurse from a physician assistant (PA)? I gather that PAs work under the medical model while nurses work under the nursing model, but I'm not sure about the specifics - do a lot of the responsibilities overlap?

2. I plan to shadow both PAs and nurses later on, but for those of you who had to decide, what made you choose nursing over PA?

3. If I were to pursue nursing, since I'll have a bachelors, should I go for the accelerated BSN instead of the 4 year BSN? And will I miss anything important by doing so?

4. Finally, one thing I'm worried about is (based on browsing allnurses.com), it seems like a lot of nurses - mostly new but even some experienced nurses - can't find work. I realize the economy is bad, but is it possible that nursing has become over-saturated and will remain so for a long time? Should I be worried about future job opportunities if I'm applying to nursing school? And does anyone know if PAs are having this problem?

Thanks in advance everyone! :)

Apkallu
May 8, 2007
A BSN will not make you a mid-level provider. An MSN will, at which point one would be an APRN/NP or Certified Nurse Specialist, depending on the course.

1. NP versus PA: NPs have various levels of independent practice. In the state I hope to work in, there needs to be a written agreement with an attending MD, but they don't need to co-sign Rx or be present in the office. PAs have to work more closely with MD/DOs per their scope of practice. That being said, in places like Alaska NPs have even more freedom; in Illinois they have less. The medical versus nursing model has been a conflict for me in class, but hasn't come up in clinical. (Ok, except kind of on my psych rotation, but that's another story.)

As for responsibilities, it really depends on what job one has. If I were to work in the ICU, for example, I'd be relatively interchangeable with a PA per my hospital's policies. PAs are more common in a hospital setting, and APRNs are more common in outpatient settings (including outpatient clinics at hospitals and, in some states, independent or semi-independent practices.) Many of my fellow students are unhappy working in the hospital setting and can't wait to be in the community; I'm kind of rare in that I looove working in a hospital and with acute inpatient populations.

2. I chose NP school over PA school for two reasons: scope of practice would let me eventually practice outside in a practice with other NPs, if I wanted to, and, frankly, I didn't have the pre-requisites and had no access to a formal post-bac program. Since I am planning on going into Acute Care and want to work as a hospitalist, I'm kind of in a minority and what I want to learn is similar to PA stuff. Most of the people in my program are in FNP (Family) so that they can go be general outpatient clinicians or CNM (cert nurse midwives, which can do Gyn as well as Ob.)

Can't answer #3 or 4 - I'm in an accelerated 3-year MSN but I already have an MA in another field (BA/BS was a requirement.) I don't know about the job issue. I have a lab job in the hospital I want to work in as a form of 'keeping my foot in the door' for later applications once I pass my RN boards.

Apkallu fucked around with this message at 05:45 on Mar 8, 2011

Tufty
May 21, 2006

The Traffic Safety Squirrel
Got a letter in the post this morning: I've been invited for an interview regarding my PGDip Mental Health Nursing application. It's in about a month and I'm both excited and bricking it. I don't suppose any of you have ever been on the admissions board of a UK University nursing department and could give me some tips? Some tips in general would be appreciated also :)

raton
Jul 28, 2003

by FactsAreUseless
Hey maybe you nurses can help me out. I'm currently an EMT and am going to enter a medic program when the next cycle comes up. In the meantime (and during the medic program) I'd rather not make Wendy's money so I was looking at Dialysis Tech as supposedly those people get like 25 an hour (in NYC) and the cert program for it is fairly cheap and like four weeks long. Here's what I'd like to know for now:

1) Do dialysis techs really make that or is that a conflated number between the techs and the RNs that watch over them?

2) Is there some kind of catch that people aren't telling me about getting a job once you have a cert? Or some kind of catch about the certification in general (not necessary / no one cares / whatever)?

3) If you're feeling really ambitious and happen through a dialysis clinic in the next few days could you ask some of the techs (the people doing the work, not the nurses chilling out behind the counter) what their certification is, was it hard or easy to find a job in the field, and what kind of flexibility they have on their hours.

Thanks. And BTW I also posted these questions in the EMS thread but maybe they won't know because I'm EMS and I don't know either.

raton fucked around with this message at 12:34 on Mar 14, 2011

leb388
Nov 25, 2005

My home planet is far away and long since gone.

Sheep-Goats posted:

Hey maybe you nurses can help me out. I'm currently an EMT and am going to enter a medic program when the next cycle comes up. In the meantime (and during the medic program) I'd rather not make Wendy's money so I was looking at Dialysis Tech as supposedly those people get like 25 an hour (in NYC) and the cert program for it is fairly cheap and like four weeks long. Here's what I'd like to know for now:

1) Do dialysis techs really make that or is that a conflated number between the techs and the RNs that watch over them?

2) Is there some kind of catch that people aren't telling me about getting a job once you have a cert? Or some kind of catch about the certification in general (not necessary / no one cares / whatever)?

3) If you're feeling really ambitious and happen through a dialysis clinic in the next few days could you ask some of the techs (the people doing the work, not the nurses chilling out behind the counter) what their certification is, was it hard or easy to find a job in the field, and what kind of flexibility they have on their hours.

Thanks. And BTW I also posted these questions in the EMS thread but maybe they won't know because I'm EMS and I don't know either.

I googled "dialysis technician nyc" and found a lot of info, including salary ranges and job postings, so try that. Certification seems to be required. I can't speak for techs, but I got to shadow in a dialysis center of a hospital during my clinicals. RNs were running the place there, and they were on their feet the entire time answering alarms (the machines constantly monitor people's vitals, and if someone's BP drops down you have to be there right away) or setting patients up to the machines/doing cleanup afterwards. It was a very fast pace--people were waiting in beds in the hallway, and when one patient goes out the next patient comes in immediately. That's about all I know.

Poisonary
Dec 2, 2006

Sheep-Goats posted:

Hey maybe you nurses can help me out. I'm currently an EMT and am going to enter a medic program when the next cycle comes up. In the meantime (and during the medic program) I'd rather not make Wendy's money so I was looking at Dialysis Tech as supposedly those people get like 25 an hour (in NYC) and the cert program for it is fairly cheap and like four weeks long. Here's what I'd like to know for now:

1) Do dialysis techs really make that or is that a conflated number between the techs and the RNs that watch over them?

2) Is there some kind of catch that people aren't telling me about getting a job once you have a cert? Or some kind of catch about the certification in general (not necessary / no one cares / whatever)?

3) If you're feeling really ambitious and happen through a dialysis clinic in the next few days could you ask some of the techs (the people doing the work, not the nurses chilling out behind the counter) what their certification is, was it hard or easy to find a job in the field, and what kind of flexibility they have on their hours.

Thanks. And BTW I also posted these questions in the EMS thread but maybe they won't know because I'm EMS and I don't know either.

I used to work as a per diem unit secretary for an outpatient dialysis center so I will try to answer this as best as I can.

1) This I don't know, I never bothered to ask how much the PCTs at my unit made. It's definitely a lot though, the transportation guys kept asking me how to get a job as a tech ("because they make a lot of money!") when they would come through.

2) Certification is necessary. The company I worked for has a policy in which if you get hired as a tech and aren't certified yet, you have a certain amount of time to get it done (I think 18 months) or you won't be able to provide direct patient care and you will have to find an open position that doesn't involve patient contact or quit.

3) They all got their CCHT, that's the only certification I'm aware of. I would say it is easy but I'm in southern California and I also have connections so don't take my word for it. Techs work 3 days a week for 10 hours (either MWF or TThSat).

Hopefully that answers a little bit! You can PM me if you have any more questions and I'll try to help you out.

Poisonary fucked around with this message at 01:49 on Mar 15, 2011

raton
Jul 28, 2003

by FactsAreUseless

Poisonary posted:

I used to work as a per diem unit secretary for an outpatient dialysis center so I will try to answer this as best as I can.

1) This I don't know, I never bothered to ask how much the PCTs at my unit made. It's definitely a lot though, the transportation guys kept asking me how to get a job as a tech ("because they make a lot of money!") when they would come through.

2) Certification is necessary. The company I worked for has a policy in which if you get hired as a tech and aren't certified yet, you have a certain amount of time to get it done (I think 18 months) or you won't be able to provide direct patient care and you will have to find an open position that doesn't involve patient contact or quit.

3) They all got their CCHT, that's the only certification I'm aware of. I would say it is easy but I'm in southern California and I also have connections so don't take my word for it. Techs work 3 days a week for 10 hours (either MWF or TThSat).

Hopefully that answers a little bit! You can PM me if you have any more questions and I'll try to help you out.

Thanks, that's fairly helpful. I don't know what more I can ask you really as my other questions are all NYC based (job market / state rules for licensure, blah blah blah) and you're in California.

leb388 posted:

I googled "dialysis technician nyc" and found a lot of info, including salary ranges and job postings, so try that. Certification seems to be required. I can't speak for techs, but I got to shadow in a dialysis center of a hospital during my clinicals. RNs were running the place there, and they were on their feet the entire time answering alarms (the machines constantly monitor people's vitals, and if someone's BP drops down you have to be there right away) or setting patients up to the machines/doing cleanup afterwards. It was a very fast pace--people were waiting in beds in the hallway, and when one patient goes out the next patient comes in immediately. That's about all I know.

As an EMT you usually start out in transport and that means maybe every third or fourth job you do is running you through a dialysis center. In NYC the RNs usually chill out behind the desk while techs do most of the work, though, of course, if someone's BP drops or some guy has a seizure (happens a lot, the dialysis filter washes sizure meds out of the blood just like it does everything else) they RNs have to go over there and at least pretend they're going to do something.

I don't like fast paced but if you knew what I made as an EMT you'd see why I was looking for other options...

Tufty
May 21, 2006

The Traffic Safety Squirrel
The panic is really setting in now. I've just been invited to another interview, this one is in a week and a half and I have to give a 5 minute presentation on my skills and knowledge gained from past experience and how it applies to mental health nursing. I finish all of my assessments today and look forward to a slow few weeks where I have a bit of leisure time and now this :( On the bright side I got interviews for both universities and no rejections :)

Gonna read up on some nursing stuff I guess.


Edit: Experienced nurses out there: If you were interviewing a graduate for a nursing diploma and they had to give a 5 minute presentation on the above topic what would you like to hear, what would you not want to hear, and what could I say that'd really blow your socks off? Not gonna lie about my experience, but I'd like to know about what you (they) WANT to hear.

Tufty fucked around with this message at 21:55 on Mar 16, 2011

leb388
Nov 25, 2005

My home planet is far away and long since gone.

Sheep-Goats posted:

As an EMT you usually start out in transport and that means maybe every third or fourth job you do is running you through a dialysis center. In NYC the RNs usually chill out behind the desk while techs do most of the work, though, of course, if someone's BP drops or some guy has a seizure (happens a lot, the dialysis filter washes sizure meds out of the blood just like it does everything else) they RNs have to go over there and at least pretend they're going to do something.

I don't like fast paced but if you knew what I made as an EMT you'd see why I was looking for other options...

If the RN job is so easy, why not go for that? More schooling, but in the long run you'll get paid more than the techs and will be behind the desk.

Tufty posted:

The panic is really setting in now. I've just been invited to another interview, this one is in a week and a half and I have to give a 5 minute presentation on my skills and knowledge gained from past experience and how it applies to mental health nursing. I finish all of my assessments today and look forward to a slow few weeks where I have a bit of leisure time and now this :( On the bright side I got interviews for both universities and no rejections :)

Gonna read up on some nursing stuff I guess.


Edit: Experienced nurses out there: If you were interviewing a graduate for a nursing diploma and they had to give a 5 minute presentation on the above topic what would you like to hear, what would you not want to hear, and what could I say that'd really blow your socks off? Not gonna lie about my experience, but I'd like to know about what you (they) WANT to hear.

I'm not in the UK, but maybe talk about why you want to go into the mental health field and how you feel you can make a difference in people's lives? It's really a question only you can answer.

Tufty
May 21, 2006

The Traffic Safety Squirrel

leb388 posted:

I'm not in the UK, but maybe talk about why you want to go into the mental health field and how you feel you can make a difference in people's lives? It's really a question only you can answer.

I know that, but there's no harm in asking. So far I'm making sure I'm prepared in regards to: the role of a mental health nurse (skills, qualities, knowledge included); current issues in nursing; what I have to offer (knowing my personal statement and reference inside out); and mental health strategies and psychological therapy plans shown on the Department of Health's website.

Woodsy Owl
Oct 27, 2004
I pretty much failed out of college due to schizophrenia and I am making efforts to return. I have met with a reinstatement adviser and was readmitted to the university. I have registered for some Summer term classes, a few of which will boost my GPA substantially. I want to try to get admitted to the local nursing program at my university. It is pretty competitive, but I have no illegitimate for doing poorly in school. I am working on my GPA for entrance requirements and to help my chances of getting in early.

In the meantime, however, I am pursuing CNA training at the adult education annex. I am registered to take the entrance test and complete the application. My sister has half a dozen in-laws who started their nursing career as CNAs. I have a cousin who entered nursing school after working as a CNA. My suspicion is that having experience as a CNA will help your chances of being accepted into a nursing program. Also, my efforts in pursuing CNA training will serve as evidence of my competence and commitment to finishing school well.

Is this a smart idea?

Chiken n' Waffles
Mar 11, 2001
Looking for any advice.

My lady is a R.N. and has been working at an retirement home for the last 3 years. However, she works about 50 miles away working the 3 p.m. to 11 p.m. shift and it's just not a commute that I like as I don't think it's very safe.

Since we moved out here to Northern California from Ohio she's not sure where she should apply or, more importantly, where she should begin looking. She doesn't have the connections that she would know back in Ohio as we don't know a ton of people. A lot of the staffing agencies and offers she has recently gotten are mostly temp work or contract over a limited time and she really does't want to do that.

Anyone have any suggestions on how and where she should begin her look for a new place of employment?

Baby_Hippo
Jun 29, 2007

A lot of people enjoy being dead.

Woodsy Owl posted:

In the meantime, however, I am pursuing CNA training at the adult education annex. I am registered to take the entrance test and complete the application. My sister has half a dozen in-laws who started their nursing career as CNAs. I have a cousin who entered nursing school after working as a CNA. My suspicion is that having experience as a CNA will help your chances of being accepted into a nursing program. Also, my efforts in pursuing CNA training will serve as evidence of my competence and commitment to finishing school well.

Is this a smart idea?

If you genuinely want to work as a CNA, yes. If you don't, no. You spend your first semester of school learning and doing CNA tasks regardless of whether or not you've done them before.

Tufty
May 21, 2006

The Traffic Safety Squirrel
I had an interview today. I asked for feedback afterwards so that I might do better in future interviews but the guy was just like "Oh yeah, you've definitely got a place". I clarified that what I really wanted was some actual feedback - some advice on what I could have do differently to improve and he said "Pretty much nothing really". On one hand I'm flattered and extremely pleased with myself but on another I really would have liked some points I could work on :(/:)

I'm gonna be a nurse :D

leb388
Nov 25, 2005

My home planet is far away and long since gone.

Tufty posted:

I had an interview today. I asked for feedback afterwards so that I might do better in future interviews but the guy was just like "Oh yeah, you've definitely got a place". I clarified that what I really wanted was some actual feedback - some advice on what I could have do differently to improve and he said "Pretty much nothing really". On one hand I'm flattered and extremely pleased with myself but on another I really would have liked some points I could work on :(/:)

I'm gonna be a nurse :D

Congrats!

raton
Jul 28, 2003

by FactsAreUseless

leb388 posted:

If the RN job is so easy, why not go for that? More schooling, but in the long run you'll get paid more than the techs and will be behind the desk?

I've thought about it but for now I'd prefer to go EMT to Medic to PA because I like those work environments better than EMT to RN to NP (though NP is basically the same thing as PA most of the time so that part doesn't matter). The dialysis tech thing is more of a stopgap idea because school is cheap and short for it.

AmbassadorTaxicab
Sep 6, 2010

Sheep-Goats posted:

I've thought about it but for now I'd prefer to go EMT to Medic to PA because I like those work environments better than EMT to RN to NP (though NP is basically the same thing as PA most of the time so that part doesn't matter).

You've got more independence as an NP, including prescribing some drugs, and making diagnoses. If you're the s in D&s, sure, go for a PA.

Littlepuppingtoto
Dec 24, 2009
Has anyone gone to a one-year accelerated program, particularly in New York?

I am taking the prerequisites right now, and I'm hoping to go to Stony Brook next June... anyone have any experiences?

Zeitgueist
Aug 8, 2003

by Ralp

AmbassadorTaxicab posted:

You've got more independence as an NP, including prescribing some drugs, and making diagnoses. If you're the s in D&s, sure, go for a PA.

Don't both PA's and NP's need a supervising physician?

Apkallu
May 8, 2007
The amount of oversight an NP is required to have varies wildly between states. In CT, outpatient providers need to have a 'collaborative agreement' in place, which, for the clinician I see, comes down to occasional meetings and the ability to reach each other by phone. I have friends who'll be going back to Chicago (home of the AMA) and rural Alaska - they'll be on two ends of the spectrum w/r/t supervision.
There's a gigantic PDF (50 pages) of APRN/NP regulations by state and US territory here: https://www.ncsbn.org/2010_Regulation_of_Advanced_Practice_Nursing.pdf , around page 29 or so. It looks like only a handful of states have 'supervision' still required, but the strictness of the 'collaborative agreement or protocol' can vary between states. I think the Pearson report is more thorough (like describing where DNPs can call themselves Doctor) but I can't find older ones and the most recent is inaccessible from outside a subscribing library.

Zeitgueist
Aug 8, 2003

by Ralp
Well since I'm on the subject, this is as good a place to ask as any:

Does anyone have any insights on the Los Angeles job market for PA's?

My fiancée is a PA, and fairly unhappy with her current place for a variety of reasons, but it looks like a lot of the opportunities don't want to pay her anywhere near what she's getting now. This leaves her with options of moving out to the boondocks, or rubber stamping stoners at dispensaries.

sushisleeper
Apr 3, 2010
I currently am doig my Prereqs for Nursing. I talked to the nursing department and they allowed me in to take nursing classes without being formally admitted into the department. (I can take diet therapy, gerontology, intro to nursing)

The nursing director told me that they only have 3-4 internal transfer positions open every year. Thus, only 3-4 applicants get in.



This would be good if I do get admitted - bad if I don't as I would have a bunch of nontransferable nursing classes.



I'm kind of worried as I have a 3.8 right now in College, but had a lovely GPA (around 3.0) at a community college where I dropped and retook a couple classes. At that time, I was transiently homeless/had no car/had a lot of family problems. My life definately improved, I definately matured, and am doing awsome in school now.

Can my previous Withdrawels and my bad slumps be justified and overlooked when applying into nursing? What can I do to make myself a more competitive candidate?

Space Harrier
Apr 19, 2007
GET READY!!!!
I'm about to graduate from my accelerated BSN program in May, and frankly I'm terrified. Nursing, I was assured, was a field that would always be in demand. I suppose that is still true, but how the hell am I supposed to get my first job? I am hearing nothing but doom and gloom from people searching for jobs right now in my graduating class. I know of only one person who has gotten into a new grad program in a bumfuck town where he personally knows the hospital director. How can I improve my chances? I'm applying to just about everything that comes up, and my grades are reasonably good (3.5 GPA) but not what I'd consider impressive.

Damn Phantom
Nov 20, 2005
ZERG LERKER

Space Harrier posted:

I'm about to graduate from my accelerated BSN program in May, and frankly I'm terrified. Nursing, I was assured, was a field that would always be in demand. I suppose that is still true, but how the hell am I supposed to get my first job? I am hearing nothing but doom and gloom from people searching for jobs right now in my graduating class. I know of only one person who has gotten into a new grad program in a bumfuck town where he personally knows the hospital director. How can I improve my chances? I'm applying to just about everything that comes up, and my grades are reasonably good (3.5 GPA) but not what I'd consider impressive.

My significant other knows your pain. Graduated from the undergraduate portion of an accelerated BSN/NP program with a 3.7, immediately passed the NCLEX and got her RN license, and took a year off to job hunt. No luck after dozens and dozens of job applications and about 3-4 interviews. Granted that she was applying in what are two of the most saturated nursing job markets (Boston and California), but the new grad hiring scene is a far, far cry from what it used to be several years ago with all the hiring bonuses and what not.

What all new grads in nursing need to realize is that although the NEED for nurses is greater than it has ever been, the BUDGETS necessary to actually hire nurses have evaporated with every flagging state economy. Hospitals and healthcare are intimately tied with government spending, and thanks to a bad economy and deficit chicken littles that spending has been murdered.

Non-coastal states might have been more promising a year or two ago (I heard Texas was not so bad a year or two ago), but I'm fairly certain that at this juncture every state budget has gone red or anemic black. You also have to consider the fact that there has been a major uptick in nursing program enrollment over the past few years due to people getting desperate and wanting to still believe that nursing is a way out of unemployment or crummy jobs. So even if the economy starts recovering over the next few years that ever-increasing backlog of nursing students is going to hit and make the job-to-applicant ratio stay low. Further exacerbating things is the fact that all those wiped out pensions, retirement funds, and home values means that a whole bunch of Jurassic nurses have come out of retirement or held on to their jobs longer than usual in order to make up for their lost funds. Oh, and hospitals STRONGLY prefer to hire from their existing pool of employees. Believe it or not there are butt-wipers and receptionists who are just an NCLEX away from getting their RN, and hospitals DO hold positions for said employees or let them vault clear over everyone else who applies. My SO has heard a while back that Mass General, for example, has enough internal applicants to fill up RN hiring for the next two years.

As a temporary measure to keep herself from becoming irrelevant as a new hire my SO went back onto the NP portion of her program so that she can at least keep herself on the nursing "track". She's also continuing her job hunt while not in class. We both have mixed feelings about this solution: it does keep the loans at bay and mitigates the stigma of being an increasingly long-toothed "old grad" that has yet to get her first RN job, but on the other hand it's more loans and most NP positions quasi-require RN experience anyway. But all she can do is keep working at it and hoping...

My advice to you: nepotism/network/move. With regards to nepotism, it is the only thing I know of that significantly increases your odds of getting hired. But you or more or less have it or you don't at this point.

In terms of networking, I've heard various suggestions. Some people have said that volunteering at places like non-profit health clinics can come across as positive, at least as compared to other new grads who don't have *any* kind of time-filler related to the healthcare industry. Others have suggested trying to get absolutely any job at a hospital in order to get those preference points for hiring. But I've also heard that some hospitals are on the lookout for this kind of back-door approach and don't approve as they don't want to hire an employee who is constantly going to angle at leaving their position for an RN slot. YMMV.

Lastly, in terms of moving I don't know much about regions except that Boston and CA are probably the hardest to break into, as they have the largest concentration of prestigious health care institutions as well as the highest starting salaries for RNs (about $40/hour for ~$80k/year). And this is me totally shooting from the hip, but I know in many industries (such as law) smaller, secondary markets are extremely leery of outsiders, even if they are well-credentialed. In short, it may be the case that the magnified regionalism in such an area would make it just as hard for you to get as a city that is more used to hiring transplants. Check out forums like allnurses.com and read up on other markets if you haven't already.

Godspeed, good goon!

Damn Phantom fucked around with this message at 09:59 on Apr 2, 2011

Space Harrier
Apr 19, 2007
GET READY!!!!

drat Phantom posted:


You also have to consider the fact that there has been a major uptick in nursing program enrollment over the past few years due to people getting desperate and wanting to still believe that nursing is a way out of unemployment or crummy jobs. So even if the economy starts recovering over the next few years that ever-increasing backlog of nursing students is going to hit and make the job-to-applicant ratio stay low.


Thanks for your helpful post. Its true that many more people are trying to get into nursing right now, but where I am at I haven't really seen programs expanding their enrollment. Their pool of applicants is much larger, but they aren't letting more people in. I feel bad for all the people in this thread that are trying hard to get accepted to a program, but on the other side of the fence I'm glad that getting into nursing school is still a barrier to entry.

I'm willing to relocate for work, and I'm basically expecting to have to start out working in a place that no reasonable person would want to live, but in the past year it seems that even those jobs are drying up.

Arietta
Jul 30, 2008

Smile :3:

Space Harrier posted:

Thanks for your helpful post. Its true that many more people are trying to get into nursing right now, but where I am at I haven't really seen programs expanding their enrollment. Their pool of applicants is much larger, but they aren't letting more people in. I feel bad for all the people in this thread that are trying hard to get accepted to a program, but on the other side of the fence I'm glad that getting into nursing school is still a barrier to entry.

I'm willing to relocate for work, and I'm basically expecting to have to start out working in a place that no reasonable person would want to live, but in the past year it seems that even those jobs are drying up.

From what I hear, it's the lack of nurses wanting to be instructors that is the reason for programs not accepting more students.

On a lighter note, I just got accepted into a nursing program for the fall of 2011. I've been on cloud nine for the past few days :)

Webman
Jun 4, 2008
Are all of the new grads looking for jobs turning down per diem work in hopes of a full time position?

ADeviantGirl
Jan 17, 2005
I've read through this and other forums, and can't come to any clear conclusion on the matter...so I want to ask those who would know.

In the state of Michigan, what are the odds of a person with two DUI's and two misdemeanors being able to find employment as an RN? I know he can get in to the program he wants (he's going LPN to RN), and the adviser at the LPN program seems optimistic about his chances of being employed...or optimistic about her chances of getting his cash for classes. Either way, with the economy being as awful as it is, I don't want him to spin his wheels on a program/series of classes that will certify him in something he'll never legally be allowed to do.

Before y'all ask, no, it's not me with the DUI's and the misdemeanors. I'm already working and law abiding, but this is a near-and-dear friend...I didn't have an answer for him, and since health care "runs" in his family, it'll mean the world if he can pursue this as a career. I want to gently encourage him to put the brakes on now and pursue...accounting? culinary services? basket weaving? if he really and truly will never find employment as a nurse.

He's willing to relocate if it means his record won't follow him, but I have no idea how shared-digitized those sorts of records are. If anyone knows anything about his odds, the work-rules, or wants to just be generally supportive, I'd love you forever.

Enigmatic Troll
Nov 28, 2006

I'm gonna be there! I got to see!
He needs to talk to the license board. That whole situation sounds like it's iffy at best. He might have a better chance if those incidents were about ten years or more ago and he can get others to swear that he's changed his life around. And that's just for the license.

Employers would probably balk with a history like that. Though it could help find a job working with detox patients.

Private Label
Feb 25, 2005

Encapsulate the spirit of melancholy. Easy. BOOM. A sad desk. BOOM. Sad wall. It's art. Anything is anything.

ADeviantGirl posted:

I've read through this and other forums, and can't come to any clear conclusion on the matter...so I want to ask those who would know.

In the state of Michigan, what are the odds of a person with two DUI's and two misdemeanors being able to find employment as an RN?

I'm from Michigan... and yeah, Enigmatic Troll is right. I know when you sign up for the NCLEX you have to write down every incident you've had with the law (excluding parking tickets). How long ago were those DUIs/misdemeanors, and how bad were the misdemeanors? It seems like an awful lot to be going into nursing... IIRC from my nursing school days, the board is super strict about this type of stuff.

Webman posted:

Are all of the new grads looking for jobs turning down per diem work in hopes of a full time position?

I wouldn't think so... I don't think I've seen any hospitals that hire new grads for per diem work. New nurses need to build up their skills after the (hopefully) lengthy orientation, so per diem wouldn't be in the best interests of them, either.

Private Label fucked around with this message at 00:12 on Apr 7, 2011

ADeviantGirl
Jan 17, 2005

Enigmatic Troll posted:

He needs to talk to the license board. That whole situation sounds like it's iffy at best. He might have a better chance if those incidents were about ten years or more ago and he can get others to swear that he's changed his life around. And that's just for the license.

Employers would probably balk with a history like that. Though it could help find a job working with detox patients.

Between this and Private Label...yeah. I mean, he DOES have a work background in health care (psychiatry)...but the second DUI and the two misdemeanors are a year ago as of February. He's still got a LONG way to go, academically/programatically, before he'd be able to apply for a license as an RN, so maybe by then it won't matter as much. He's going to start with attempting an LPN first, and a community college program HAS accepted him, so there's that. The misdemeanors don't have anything to do with violence, abuse, neglect, fraud, regulated/scheduled drugs and narcotics, or sex acts, so that's going for him...

But, nobody said...does this follow him out of state, if he moves? Like...if Michigan won't employ him but North Dakota will, he'll gladly go to North Dakota.

Poor guy wants this so bad. I don't want to see him flipping burgers at 40 because he made a drunken mistake, realized he was an rear end in a top hat, and got help for his problem, but nobody believes him. (no offense to burger-flippers!)

Enigmatic Troll
Nov 28, 2006

I'm gonna be there! I got to see!
I don't know about Michigan, but in Georgia there's one board that does all nursing licenses. So if he could get an LPN here with that record then he would probably be able to get an RN. The question is can he? Just because he's accepted in a program and graduates and passes the test doesn't mean the board will grant the license.

I would tell him to get into contact with the board now. Things that might help would be proof of participating in a treatment program, an AA sponsor who will swear under oath that he's been going to several AA meetings a week for the last year, a probation officer who states he's been cooperative and is now good and nice, things along these lines. He doesn't want to lie to the board about any of his history because they will do a very comprehensive background check - much more so than any employer would. And if you get caught lying you will get denied. Or your license revoked if something happens later on.

I'm not trying to raise false hopes, but those are the things that might help him. My facility's got a fair number of people working there with substance abuse backgrounds - administration is usually okay with that (unless your behavior suddenly starts to change and you come in reeking of alcohol). If he's gets the license, then he should be able to find work. But he still should contact the board now to find out this history will disqualify him before he starts schooling.

advion
Jul 25, 2005
I didn't read too far back in the thread but I was wondering if anyone had an recommendations of study guides/books for CCRN. Was hoping someone had done it recently and still remembered any good books they had used or a friend used or what not.

Adbot
ADBOT LOVES YOU

Atma McCuddles
Sep 2, 2007

Can any Canadian nurses confirm for me that Nurse Practitioners here can qualify to provide abortions?

  • 1
  • 2
  • 3
  • 4
  • 5
  • Post
  • Reply