Career Planning for Registered Nurses in Ohio: A Comprehensive Guide, Assignments of Nursing

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Running head: RUA CAREER PLANNING 1 RUA Career Planning Brittany Evans Chamberlain University NR 452 Capstone Assignment Due Date

RUA Career Planning The purpose of this assignment is to provide a short analytical outlook, to the steps needed to obtain a nurse licensure in the state of Ohio. The structure of this assignment provides a description of the transition into the wonderful world of professional nursing, holistic life balance, stressors and challenges, life-long learning and professional contributions. Each section includes self-reflection on the various emotions I have explored, as I transition from a student nurse, to a registered nurse. Transition into the Professional Nursing Role I am so excited to be graduating from nursing school. However, many mixed emotions have been explored as I go from a student nurse to a registered nurse. Nevertheless, I plan to seek employment in the state of Ohio, shortly after passing the NCLEX. With this in mind, according to Ohio State Board of nursing, the minimum requirements to obtain a license is an individual must first graduate from an accredited/approved nursing program. In order to register for the examination, the nurse would need to submit their application approximately 60 days before graduation. In addition, a criminal background check that intel’s fingerprinting. In order to obtain the authorization to test, the nurse board must receive and clear the individual fingerprint report (Ohio state board of nursing, 2016). With regard to the employment process, it is important to seek opportunities in advance. This may include but not limited to attending nursing career fairs, seeking nurse residency programs and seeking these various opportunities through search engines. Typically, websites include filters that would allow an applicant to specific positions open on units, by and/or shifts/locations that are to a graduates’ preference. In order to apply to a new graduate position, most “prefer” a Bachelor degree. However, associate holding registered nurses are not exempt

from the applicant pool. Basic Life Support Certification, a copy of your resume and cover letter (Cleveland Clinic, 2018). I have found that most positions offered within the nurse residency program include but not limited to the Intensive Care unit, Emergency room, Neonatal Intensive care unit and the Operating room. Three employers that I could potentially work for, as a new graduate nurse in the state of Ohio include Cleveland Clinic-Main Campus, University Health, and the Metro Health System. All offer great employment opportunities, as a nurse residency program. Motivators to apply for these companies include a mentor program, accepting new graduate nurses with under one year of experience, sign on bonuses and competitive health benefits. However, some deterrents may include a high amount of competition one may face when applying for these programs or jobs. For example, Cleveland Clinics Main-campus RN Surgery Resident position Intel’s that an individual must have graduated from an accredited school of nursing with a current license from the state of Ohio. Basic Life support certification, and under one year of experience. It provides direct nursing care, alongside a coach, in accordance with established policies, procedures and protocols of the healthcare organization. Typically, the nurse can transition to an RN Surgery Resident II upon successful completion of the core curriculum (Cleveland Clinic,

Furthermore, a new graduate Medical Surgical Ortho position offered at University Health hospital offers a 3,000-dollar sign- on bonus. An applicant must have graduated from an accredited school of nursing. However, an individual is not required to hold an Ohio RN license to be considered for a new graduate position. Typically, if you are selected to move forward, employment offers may be made contingent on a candidate successfully obtaining RN license within time frame discussed at the time of an offer acceptance. Additionally, a current BLS

Provider Certification, issued by the American Heart Association, must be obtained during Nursing Orientation (University Health, 2019) Metro health offers a “Nurse Residency Transition to Practice Program” in the emergency department. They require a graduate from an accredited school of professional nursing, a registered nurse licensure and a Basic Life Support certification. However, this is required WITHIN 90 days of hire. They offer planned opportunities to develop your clinical skills and professional career in the simulation lab AND on your clinical unit or clinic. It allows you to work with other nurses who know and apply best practices to patient care. The “Professional Development Specialists” support success by guiding a new nurse’s professional growth and development. To conclude, I plan to seek an entry-level position within a critical care setting, within a nurse residency program for the experience, skills and practice for at least two to four years (Metro Health, 2019). Holistic Life Balance I currently work as a clinical technician and find it challenging at times to balance work life and dealing with life after work. I can only imagine as a new registered nurse, working nights, other extrinsic stressors, can be impactful to your well-being. However, as nurses, we have the power to help, heal and change lives — beginning with our own. While nurses’ subjective well-being is relatively low, some useful strategies are implemented to support their well-being in and outside the workplace. Specifically, implementing holistic life practices. This in turn, creates a work/life balance that is conducive to stress that new nurses (1 year) and/or vetted nurses (5 years or more) often face in the workplace. For instance, associated activities to improve your well-being in the first year may include obtaining a gym membership, enrolling in

a yoga class. To add, as a five-year nurse, I may extend into other various relaxation tools, such a massage, breathing exercises and guided meditation during or after work (Kravits, et al 2014). According to an article by Gallison, “the core of workforce engagement is the relationship of joy and meaning in the delivery of care of health care providers: joy in having a sense of accomplishment and significance in the work through processes leading to successful outcomes” (Gallison, 2018). With this in mind, it is important that registered nurses include balance, self-reflection and self-love in order to care for and promote healing to our clients (Blum, 2014) Stressors and Challenges It is no secret, that more often than not, a new graduate nurse (1 year or less) may face situations that cause feelings of failure. It can become overwhelming to a new graduate to transition from a student nurse to the registered nurse and taking on three or more clients. This is to say, it is not uncommon for a new nurse to feel the stress of taking on more responsibilities then what they had in nursing school clinical (Latif & Nor, 2016). The new role encompasses delegating appropriate tasks to assistive personnel, licensed practical nurses, time management, and organizational skills. However, with the challenges being a new nurse poses in the first year, the best resolution to this common problem is time and experience. Nevertheless, I would like to become a part of a professional organization as I gain experience and more confidence. For example, join a professional nursing organization council within the first year or two, with the goal to help facilitate progression for higher learning and establishing ideas with overcoming current workplace challenges as a nurse. I would like to reach the goal of becoming a family nurse practitioner through Chamberlain University’s master’s program. I foresee the challenges associated with this career

path, to be the lack of experience as a new graduate nurse, diving head first into a master’s curriculum. However, it is important to establish trust in other health care professionals and put your best foot forward in acquiring the knowledge necessary to be successful. Lastly, working rotating shifts as required at Cleveland Clinic could potentially interfere with some goals. I know working three 12 hour shifts in a row, of any shift, can be very challenging on the mind and body. Not to mention, raising children, seeing family and accomplishing other set goals for yourself. On the other hand, giving time to the company, say five years or more can help with potentially obligating yourself to ONE shift vs variable shifts. Lifelong Learning My goal within the first year of becoming a registered nurse is to find employment within a critical care setting (medical intensive care unit) to utilize skills acquired through my practicum and gain experience as new registered nurse in the field I am most passionate about. Within the first five years of obtaining my nursing licensure, I plan to further my scope within in the healthcare field by enrolling myself back into school to earn my master’s degree (Family Nurse Practitioner) program at Chamberlain University. Professional Contributions I have several professional goals that I want to contribute to the nursing practice. One of which includes becoming a member of the American Nurses Association within the first year. Later, at five years or so, I plan to join a specialty association in the family nurse practice. By joining various associations, I can keep up with current practices, assess any further development that I may need to change in my nursing career and network with fellow registered nurses.

References Blum, C., (2014). Practicing Self-Care for Nurses: A Nursing Program Initiative. OJIN: The Online Journal of Issues in Nursing Vol. 19. Retrieved from: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/O JIN/TableofContents/Vol-19-2014/No3-Sept-2014/Practicing-Self-Care-for-Nurses.html Careers. Metro Health Hospital. (2019, March 12) Retrieved from https://www.metrohealth.org/careers Gallison, B., & Kester, W. T. (2018). Connecting Holistic Nursing Practice With Relationship- based Care: A Community Hospitals Journey. Nurse Leader,16 (3), 181-185. doi:10.1016/j.mnl.2018.03. Kravits, K., McAllister-Black, R., Grant, M., & Kirk, C. (2014). Self-care strategies for nurses: A psycho-educational intervention for stress reduction and the prevention of burnout. Applied Nursing Research: ANR , 23 (3), 130-

138. doi:10.1016/j.apnr.2008.08. Latif, R. A., & Nor, M. M. (2016). Stressors and Coping Strategies during Clinical Practices among Diploma Nursing Students. Education in Medicine Journal, 8(3), 21-33. doi:10.5959/eimj.v8i3. Ohio State Board of Nursing (2016). Instructions for Application for RN/LPN License by Examination. Retrieved from: http://ohionursingboard.org/wp content/uploads/2019/09/Final-app-for-lic-by-exam.pdf

Pushing the Boundaries of Performance. (2019, March 12). Retrieved from https://jobs.clevelandclinic.org/all-openings.html University Health Hospital. University Health System. (2019, March 12) https://www.universityhealthsystem.com/careers.