Question for the nurses out there.

Who is hiring them, though? Skip the Associates and get a BSN. There is a reason many places are phasing out the associates nursing program.
The school I’ve applied to is associated with a hospital and hires their graduates as kind of a nursing residency program. Others around here do the same. That’s what I take those “90% of grads are hired” stats to mean.

But totally agree on the BSN. I’m interested in anything OTHER than long term care so it’s a must for me and my goals.
 
The school I’ve applied to is associated with a hospital and hires their graduates as kind of a nursing residency program. Others around here do the same. That’s what I take those “90% of grads are hired” stats to mean.

But totally agree on the BSN. I’m interested in anything OTHER than long term care so it’s a must for me and my goals.
Pea N Me already mentioned it, but most hospitals are requiring employees to obtain their BSN and won't hire anyone who isn't a BSN for a nursing position.
 
i'm just going to throw this out to you- it seems like the type of nursing you would need to go into would have to be fairly flexible so have you thought about talking to temp staffing agencies that handle nurses to see what they look for in a candidate? I suggest this b/c I have allot of rn's in the family-in California and at one point one needed more flexibility than their hospital job afforded them so they opted to go w/a temp agency where they could name their days/hours of availability. they were rather surprised at the variety of temp job assignments available to them and how they differed in educational requirements (so long as they had their rn).

if you are looking at the job w/a school district have you considered giving yourself a chance to see if that might pique your interest in another career path? w/a degree in English you may find that some types of special ed services careers may be attainable that will allow your previous degree's general education credits to count.

p.s.-as a mom of a special needs kid (no longer a kid now) i'll just share that you need to keep in mind that as they age up, depending on their special needs, their reliance on us can become more vs. less time consuming. I swear that the challenges of dealing with an iep and supportive services became MUCH MORE time consuming when my ds hit high school. between district graduation requirements vs state vs university minimum application standards vs what the high school saw as 'appropriate' (read-the easiest/cheapest route for them) combined with ongoing service needs vs. school's 'historical high school offerings' (again-read the easiest cheapest route) I spent WAY more time on that aspect of ds's life than ever before. it was one of the few times I saw the glass half full regarding having been retired out on disability (b/c my job no way would have had the flexibility to deal with it despite being very flexible w/me over the years).


good luck in whatever you choose to pursue.
 
Hospitals in my area are requiring a BSN for all new hires. Only place I can think of right off that would likely hire an RN with an associate degree is a doctor's office. They generally don't pay as well as a hospital, and even though you would get week-ends and holidays off (because doctor isn't working then), the benefits are sorely lacking. Oh...and you leave only after the last patient has been seen and that may be well into the evening, depending on the specific doctor you're working for.
 

Who is hiring them, though? Skip the Associates and get a BSN. There is a reason many places are phasing out the associates nursing program.
That is the question. Of course there are some places that will still hire. But is that the type of place you will have a good experience working as a nurse? Idk. Talk to people who work there. See what it's like. What are their staffing ratios like? How are the nurses treated? No nursing job will be sustainable if you're not treated well. Burnout rate is high among nurses. And experiencing burnout is not pretty. That happens when more is required of you than you can possibly do, day after day, shift after shift. It doesn't take long to feel defeated. And at that point, what kind of care are you really giving? I've experienced it myself. Cried my way home after leaving late every day, which I never got paid for. Trying to do more work than was humanly possible. (15 patients per shift, anyone?) Everyone's mad at you. Trying to put out fire after fire, but never really being able to give the kind of care that you went into nursing for in the first place. Horrible. So yes, where you work does matter in nursing.

Hospital Nurse Staffing and Patient Mortality, Nurse Burnout and Job Dissatisfaction:
http://dpeaflcio.org/wp-content/uploads/2010/08/2003-1-The-Aiken-Study.pdf
 
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That is the question. Of course there are some places that will still hire. But is that the type of place you will have a good experience working as a nurse? Idk. Talk to people who work there. See what it's like. What are their staffing ratios like? How are the nurses treated? No nursing job will be sustainable if you're not treated well. Burnout rate is high among nurses. And experiencing burnout is not pretty. That happens when more is required of you than you can possibly do, day after day, shift after shift. It doesn't take long to feel defeated. And at that point, what kind of care are you really giving? I've experienced it myself. Cried my way home after leaving late every day, which I never got paid for. Trying to do more work than was humanly possible. (15 patients per shift, anyone?) Everyone's mad at you. Trying to put out fire after fire, but never really being able to give the kind of care that you went into nursing for in the first place. Horrible. So yes, where you work does matter in nursing.

Hospital Nurse Staffing and Patient Mortality, Nurse Burnout and Job Dissatisfaction:
http://dpeaflcio.org/wp-content/uploads/2010/08/2003-1-The-Aiken-Study.pdf

do they at least touch upon this in nursing school these days? I ask b/c I always felt while working in social services that these types of demands/realities/burnout were sorely unaddressed for those pursuing degrees in the field. I think allot of it was that the professors were so long removed from actually working in the field (if they ever REALY had b/c allot had done just the time needed to qualify for licensing then turned around and went back to get their academic credentialing to teach) that they were grossly unaware such that when the grads hit 'the real world' there was a horrendous amount of turnover.

I would hope that with the time and money any degree entails these days there would be some discussion/disclosure.
 
do they at least touch upon this in nursing school these days? I ask b/c I always felt while working in social services that these types of demands/realities/burnout were sorely unaddressed for those pursuing degrees in the field. I think allot of it was that the professors were so long removed from actually working in the field (if they ever REALY had b/c allot had done just the time needed to qualify for licensing then turned around and went back to get their academic credentialing to teach) that they were grossly unaware such that when the grads hit 'the real world' there was a horrendous amount of turnover.

I would hope that with the time and money any degree entails these days there would be some discussion/disclosure.
Happy to answer. As best I can tell, not really, at least before entering the program of study. (My daughter is currently in nursing school and I attended many open houses and informational sessions with her, etc.) I suspect, though, that this is why many of the programs require a high GPA to get in, because they want people who've presumably researched the field and shown they can complete the work, that type of thing. They also spend the first year and a half plugging away at some tough courses that a lot don't actually pass, which weeds out some of the people who don't really strive to be there. Those who remain seem to get it by the time they start their clinicals second semester sophomore year, and that's really when they start talking more about nursing as a career, how to properly take care of patients, what's expected of the professional nurse, what the Nurse Practice Act is all about, etc.

I was a little surprised that many of the academics who teach required science courses, and even many people responsible for who they admit to the programs, are not nurses. They only start interacting with nurses when they hit their clinicals and upper level nursing courses. And the clinical nurses are generally still pretty close to the bedside. Part of the clinical instruction in the hospital setting is taking care of patients, but they also set aside time in their day for discussion of cases and ethics and all of that, and I imagine those types of talks come up, but the burnout factor probably really won't hit until you work somewhere, on your own, because up up to that point you're pretty protected. I always talk to new nurses about why they chose nursing and I'm surprised at the number of people who say they didn't actually know any nurses, they just liked the medical setting or had an experience themselves or with a family member in the hospital, so they wouldn't necessarily have heard, either, about how things can be from the bedside. But there are many nurses who are children of nurses so they've heard from their parents and in some ways lived the life, too, of what a nurse's life can be like. But a lot of it probably falls to discussions like this with other people who have experience in the field, and later, on the job experience. In some ways I was glad to have had that bad experience in my first job. It helped me appreciate what I had when I went to a better place.
 
Hospitals in my area are requiring a BSN for all new hires. Only place I can think of right off that would likely hire an RN with an associate degree is a doctor's office. They generally don't pay as well as a hospital, and even though you would get week-ends and holidays off (because doctor isn't working then), the benefits are sorely lacking. Oh...and you leave only after the last patient has been seen and that may be well into the evening, depending on the specific doctor you're working for.

Thank you for actually answering my original question.

I don't need benefits. That is all covered by my husband's job (and military retirement includes health care for life for us both).

I would be perfectly happy working in a doctors office. As I mentioned, pay is not important either.
 
i'm just going to throw this out to you- it seems like the type of nursing you would need to go into would have to be fairly flexible so have you thought about talking to temp staffing agencies that handle nurses to see what they look for in a candidate? I suggest this b/c I have allot of rn's in the family-in California and at one point one needed more flexibility than their hospital job afforded them so they opted to go w/a temp agency where they could name their days/hours of availability. they were rather surprised at the variety of temp job assignments available to them and how they differed in educational requirements (so long as they had their rn).

if you are looking at the job w/a school district have you considered giving yourself a chance to see if that might pique your interest in another career path? w/a degree in English you may find that some types of special ed services careers may be attainable that will allow your previous degree's general education credits to count.

p.s.-as a mom of a special needs kid (no longer a kid now) i'll just share that you need to keep in mind that as they age up, depending on their special needs, their reliance on us can become more vs. less time consuming. I swear that the challenges of dealing with an iep and supportive services became MUCH MORE time consuming when my ds hit high school. between district graduation requirements vs state vs university minimum application standards vs what the high school saw as 'appropriate' (read-the easiest/cheapest route for them) combined with ongoing service needs vs. school's 'historical high school offerings' (again-read the easiest cheapest route) I spent WAY more time on that aspect of ds's life than ever before. it was one of the few times I saw the glass half full regarding having been retired out on disability (b/c my job no way would have had the flexibility to deal with it despite being very flexible w/me over the years).


good luck in whatever you choose to pursue.

Thanks for your insight. I have no desire to be a teacher, though . Plus, again, CA requires a 3.0 college GPA to get a teaching credential. So that disqualifies me. I am primarily interested in being a 1:1 aide or instructional assistant at the preschool or elementary level. Those jobs are easy to come by here.

I'm not worried about HS and IEPs. Our district is SO amazing with how they handle special education. I basically show up to every IEP meeting having done no preparation because they cover everything so well and provide all the services my kids need, no questions asked. They are on top of everything and make it so easy. It really is remarkable. At this point, college is out for both kids and only one is even potentially on the Diploma path, and only if he can improve his reading/writing to meet the state graduation requirements, which is unlikely as he is about 5 grade levels behind at this point (8th grade). I'll be happy if my kids finish school and find a part time job somewhere. We don't stress about their future too much . We are already prepared to support them forever.
 
Happy to answer. As best I can tell, not really, at least before entering the program of study. (My daughter is currently in nursing school and I attended many open houses and informational sessions with her, etc.) I suspect, though, that this is why many of the programs require a high GPA to get in, because they want people who've presumably researched the field and shown they can complete the work, that type of thing. They also spend the first year and a half plugging away at some tough courses that a lot don't actually pass, which weeds out some of the people who don't really strive to be there. Those who remain seem to get it by the time they start their clinicals second semester sophomore year, and that's really when they start talking more about nursing as a career, how to properly take care of patients, what's expected of the professional nurse, what the Nurse Practice Act is all about, etc.

I was a little surprised that many of the academics who teach required science courses, and even many people responsible for who they admit to the programs, are not nurses. They only start interacting with nurses when they hit their clinicals and upper level nursing courses. And the clinical nurses are generally still pretty close to the bedside. Part of the clinical instruction in the hospital setting is taking care of patients, but they also set aside time in their day for discussion of cases and ethics and all of that, and I imagine those types of talks come up, but the burnout factor probably really won't hit until you work somewhere, on your own, because up up to that point you're pretty protected. I always talk to new nurses about why they chose nursing and I'm surprised at the number of people who say they didn't actually know any nurses, they just liked the medical setting or had an experience themselves or with a family member in the hospital, so they wouldn't necessarily have heard, either, about how things can be from the bedside. But there are many nurses who are children of nurses so they've heard from their parents and in some ways lived the life, too, of what a nurse's life can be like. But a lot of it probably falls to discussions like this with other people who have experience in the field, and later, on the job experience. In some ways I was glad to have had that bad experience in my first job. It helped me appreciate what I had when I went to a better place.

interesting, thanks for sharing. yup, with allot of majors those that do the selection for admission have never worked in that field (strictly administration).

i'm only familiar with the nursing programs family went through some years ago in California. I know back then many of the colleges not only had a high gpa requirement and some prerequisite academic courses but prospective students who met the criteria had to enter a lottery to get one of the highly coveted slots. back then students would get accepted into the college, do the prerequisites and apply to the nursing program BUT if they weren't lucky in the lottery they were encouraged to continue on w/the same general ed classes that the nursing program required so that they could reenter the lottery the next year. I know that at least one of the colleges in the state we are now in still has a lottery.
 
Thank you for actually answering my original question.

I don't need benefits. That is all covered by my husband's job (and military retirement includes health care for life for us both).

I would be perfectly happy working in a doctors office. As I mentioned, pay is not important either.

Sounds much like the situation I had years back. Hospitals weren't a good fit for me at all. DH has always earned enough for me to stay home (he preferred it) and benefits were top notch, soooo...I chose specialties I liked and applied to doctors that specialized in my area of interest. Worked for a dermatologist that did a great deal of in office surgery. Learned a lot! Favorite was working with a reconstructive/plastic surgeon. Did in home care with respirator cases for a few years. I moved around and liked the option of doing that. Had I been a single person who was totally reliant on my own salary and benefits, I wouldn't have had the luxury of doing this. Just like anything else...different strokes. But a hospital...yep, the BSN becoming mandatory. Go for it and enjoy!
 
Ive been a nurse for almost 30 years . I have an ADN and WILL NOT go back for my BSN at this point
Should i have? Absolutely!
Now my son is in college and my daughter not far behind so our saved money goes to their college bill not mine

Have I lost jobs due to not having a BSN?
Im sure of it
I now work at a same day surgery center and have for the past 15 years
Its Monday thru Friday no holidays or evenings so it works
Yes i could make alot more other places but at this point , it works for me

I have also done home care and insurance work. Neither would hire a new grad
The same day surgery place I work in would not hire a new grad

To work in an agency u also need experience
Truthfully the only job I know for a new grad is a hospital
Im sure you know you will work shifts weekends holidays
Most places are completely understaffed and nurses are more responsible than ever before
Yes i could probably make $10 more an hour if i worked in a hospital , but I would quit nursing before i went back to hospital nursing
I live in SW Pennsylvania . Hospitals say they require a BSN but there is such a nursing shortage in reality , they will take anyone
But Im sure its different state to state
Good Luck
 
I am an ADN nurse. When I graduated 8 years ago you could still get a job pretty easily with that degree. Now local hospitals are definitely upping their game for Magnet status and only hire BSN nurses or ADN nurses that sign a contract that they will obtain their BSN within 4 years (and begin the degree by a year)(this is at my hospital). I don't plan to get my BSN because I have kids starting college in the fall and we can't afford to pay for both of us. Well, if I wanted to work more we could (I work contingent so part time or less). The good news is that the price of bridging has come down a lot since I graduated, now you can do it for less than $10,000.

As far as Magnet, where I work it does not make for a better workplace for the nurses. There is a lot of change going on and a lot of unhappy staff. Always something being thrown at us to upset everyone. It's like a roller coaster.

I think as an ADN nurse you could work at a nursing home straight out of school, or a hospital that hires ADNs. To do home health care or agency nursing you really need some med-surge experience, which hospitals have plenty of. I have a coworker that works at a dermatologist office part time with an ADN (but she hired in after me and is in the middle of getting her BSN because she missed being grandfathered in like me by a couple months).

So with me being at ADN status, I am not very portable. I don't think I can move jobs within my hospital without them making me sign an agreement to upgrade the degree. Looks like I am stuck on my unit unless I find a job outside the hospital.

Nursing has been a flexible job for me as a mother of four young kids (they are all teens now) (at least after I put in my first year full time and then was able to go contingent and now I pick and choose my shifts). It has been a blessing in some ways and a curse in others (only took me three months to wreck my back with poor body mechanics). So now I have a good paycheck and a bad back. If I could go back in time I would have my healthy back and be poor. So be careful and protect your back!
 
interesting, thanks for sharing. yup, with allot of majors those that do the selection for admission have never worked in that field (strictly administration).

i'm only familiar with the nursing programs family went through some years ago in California. I know back then many of the colleges not only had a high gpa requirement and some prerequisite academic courses but prospective students who met the criteria had to enter a lottery to get one of the highly coveted slots. back then students would get accepted into the college, do the prerequisites and apply to the nursing program BUT if they weren't lucky in the lottery they were encouraged to continue on w/the same general ed classes that the nursing program required so that they could reenter the lottery the next year. I know that at least one of the colleges in the state we are now in still has a lottery.
I think I understand. Where my daughter is (and it was true for myself, and I've spoken to lots of nurses from lots of schools all over who've had the same experience), there wasn't/isn't so much a lottery, but there is a process for re-application for those who don't make it in initially. Those requirements are pretty stringent, though. You basically have to prove yourself in prerequisites, passing them all with a relatively high GPA, resubmit an application, and take a standardized test, as well. (In my state it's called the TEAS exam.) They seem to rely heavily on the GPA and the TEAS results for students already matriculated, and on GPA and SATs/ACTs for those just beginning. I've known some students who never made it in, and others who eventually did. All were pretty good students. I've also known some good students who weren't able to pass some classes, so either dropped out of the program or changed majors. Some public colleges have many thousands of applicants. (An admissions official at one public school where I live told me there were over 4,000 applicants to their program.) I'm not sure how many of the private colleges have that many, depending on the area. (We have a lot of private colleges with nursing programs, but not a ton of public ones.)
 
If you are willing to work in a doctor's office, I think you could go the ASN route and make your plan work. You could always complete an online RN-BSN program after you finish. Trust me, there are plenty of us out there doing just that.

I was similar to you, as far as starting later in life. The biggest difference was my income did play in the equation. I was very scared about making that financial leap when my kids were nearing college age themselves. So, I didn't even consider a four-year degree. That was never going to work financially for us. I went the ASN route. BUT, I really wanted a hospital position when I graduated. And around here, most ASNs start in nursing homes.

After my first semester of nursing courses, I found a job as an aide at a hospital while going to school. The hours were awful, the pay horrid, and I had no life, but I did anything they asked and created a good reputation for myself. I was hopeful it would help me get my foot in the door when I graduated. After a few months, I was able to apply for tuition reimbursement and they paid for my nursing courses, with a promise to work for two years after graduation if they were able to offer me a full-time position (if I wasn't offered a full-time nursing position, I owed nothing. A no brainer since my goal was to get a job there.) They did hire me immediately after graduation. It was night shift, which I expected, I had to pay my dues there.

I'm in an RN-BSN program now and will be finished in November (and the hospital is paying a significant portion of this program as well).
I'm finally working days, M-F, with call one night a week, and every 6th weekend. It's perfect, and I love the job.

So, for me, the ASN program worked out well. I got the job I wanted, got my degree for a fraction of the cost of a four-year school, and had about 70% of my coursework paid for by the hospital. A win-win as far as I'm concerned. With less concern regarding pay scale and no interest in a hospital job, I think you could make it work. You might not get the ideal job right out of the gate, weekends and holidays are a given in most cases, but I think you could work your way to where you want to be in a reasonable amount of time.

But, the other posters are right, you should plan on completing your bachelors at some point. And I wouldn't go LPN at all. They are getting phased out as quickly as the ASNs. And the programs to transition from LPN to RN are like starting all over again.
 
I texted my brother to ask him, and this was his response...

He went back and got his BSN in his late 30s, after earning a bachelors and master's in other fields. His wife is a doctor, so he was familiar with the medical field in general and he didn't need to "work for the money" so to speak(not that it's not nice, of course). He also has some health issues and personality quirks that led him to want to work daytime hours, in as low of a stress area as possible. Honestly, we the family, thought he was out of his mind, because those jobs aren't a dime a dozen, and often a "perk" of being a long time employee. He started out in ER, then ICU (basically hated both, was not cut out for either, but wanted to get into the system). Right before he was about to give up, he got offered a 30 hr a week research nurse position on a transplant team at a large teaching hospital. For him, it's *perfect*, but he will be the first to admit that he lucked into it (plus his other two degrees were in areas that kind of helped with it). I'm sure he'll stay there until retirement. He says thought that, looking back on it, he wouldn't have gone into it, because, like others have said, for him it is not a "calling", and, at times in his schooling and his earlier bad experiences, it was *very* hard on his health and his marriage (they have no kids). Just one person's opinion, of course.

Have you thought at all about all the other medical fields that are out there, especially ones that would play to your hard earned strengths with advocating for your special needs child? Even volunteering/shadowing to see what options are out there?

This type of thread comes up quite frequently on this board, so you might want to do a search for it, as well.

Terri
 
I am not a nurse. I am reading through this though. If pay and benefits are not a concern and you want a job helping people with hours that work for you then maybe consider the CNA or LPN route. It is less schooling and might be more flexible with regards to hours. Also, there are lots of other jobs too that help people without you having to be told you'll eventually need an additional bachelors degree. Best of luck to you!
 
I am not a nurse. I am reading through this though. If pay and benefits are not a concern and you want a job helping people with hours that work for you then maybe consider the CNA or LPN route. It is less schooling and might be more flexible with regards to hours. Also, there are lots of other jobs too that help people without you having to be told you'll eventually need an additional bachelors degree. Best of luck to you!

I am strongly considering the CNA/Home Health aide route. I have some background working for a home health company and it seems like a good fit schedule wise. There are several courses around where I can be certified in about 8 weeks. Ultimately, I would love to work with special needs children and adults, perhaps as a respite caregiver.
 
I am pursuing a job with the school district later this year as an instructional/behavioral assistant for special education students.

I am strongly considering the CNA/Home Health aide route. I have some background working for a home health company and it seems like a good fit schedule wise. There are several courses around where I can be certified in about 8 weeks. Ultimately, I would love to work with special needs children and adults, perhaps as a respite caregiver.

if you end up doing this program AND doing that job with the school district for a period of time it could work to your advantage.

we've never used respite services but have encountered several asd families who use it on a regular basis, and by and large if they manage to engage a respite worker who also has a professional background and familiarity with carrying out an existing behavioral plan then that respite worker is their first choice (and quickly becomes known w/in the local asd community by word of mouth). in our neck of the woods this is a highly desirable and in demand combination.
 











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