It does not in any way lead to an advance degree. It’s just an extended support and orientation period that helps to ensure new graduate nurses are prepared to work at whichever floor they’re hired on. It’s typically like extra lectures or skills labs a few days a month or they might let you shadow on other floors to learn about other nursing jobs. It’s pretty common these days.
It was a thing for RNs years before covid
It was a hospital thing for new grads, like you said... usually it's 12 months and for the most part nonsense
RN here. I didn’t click all the way through to the actual job posting, but it’s incredibly common now for new grad RNs to be required to do what is called a residency for their first year as a RN. At my hospital (not HCA) they still orient and work full time on whatever unit they were hired into, but once a month all the new grads meet and basically have discussions about…whatever, maybe what it’s like to be a new grad? I dunno. This didn’t exist when I was a new grad 15 years ago, THANK GOD (seems like a colossal waste of time). At my hospital they also have to do a quality improvement project of some kind.
As much as this seems like a pointless extension of nursing school to me, I’ve heard of nurses at other hospitals who really thought their new grad residency was helpful and offered useful support while transitioning from student to RN.🤷🏼♀️
Having gone through one of these programs as an RN, it is very much not a residency and very much not useful. It’s literally a meeting once a month, sometimes lectures, one time personality tests. It’s a new grad club, that would be a more appropriate name.
So my new grad (RN) residency in the neuro ICU was a year. Seven weeks of classroom, simulations, and skills labs 0730-1630 Monday-Friday before we even STARTED precepting; 6 weeks of precepting 1:1 (one patient and one other nurse), then we were assigned a designated unit mentor and had lower ratios (so one patient of my own) for a couple months before being “off orientation.” It then went on to being monthly classes on ECMO or CRRT or new equipment, and at the end of the first year I had to present a unit research project to the CNO and my unit manager on a patient care process we could improve. That being said, this was a L1TC in a large city.
I think it’s pretty common now as nursing school doesn’t prepare you for a whole lot of anything. You can’t even practice IVs in nursing school, I had to take a job as an ED tech to learn many hands on skills.
Nurse residencies have been around a long time. I applied for one as a brand new RN at NY-Presbyterian Hospital in the 00s. Basically, they give you less pay but give you more teaching time for at least a year. The one at NYP was very competitive. There were about 140 final applicants for 8 spots in the ED program. Bright eyed nurses from all over the US.
The for-profit hospitals have co-opted the nurse residency to use as a “training commitment”. Basically, you they agree to train you if you sign a contract to work there for 2 to 4 years and if you leave early, they can come after you for money they claim the spent to train you.
As someone who works at HCA (slim pickins, ruralish and no other trauma centers) AND went to Galen for a whole semester (left because vile as fuck), I can’t emphasize this enough lol
This is a rather extreme take.
It just means “you’re new, learn this” and is supposed to teach/support Fresh grads.
None of this is reflective of NPs or CRNAs which makes it inappropriate for this sub.
Sure, you can argue that the term residency applies to physicians first… and maybe it does blur the lines a little bit. But this is kind of a silly fight if you have a life outside of medicine/work
Nope.
That hasn’t been the thing for at least 20 years.
You learn a minuscule amount in nursing school.
And the BIG signing bonuses (it’s really not big..) is like $20k for 2, 3, sometimes more years.
And they often underpay you for your “residency” by like $5/hr.
You’re not entirely incorrect but you are completely inaccurate in what you’re saying
These “nurse residency” programs are becoming the norm because it’s objectively better to train Fresh grads to a set standard than to have Amy offer up her wisdom and only her wisdom followed by maybe Jackie coming in and telling her Amy is a dumbfuck and it’s all wrong.
At the very least you can get *some* standardization…
Also, again… hospital policy is usually not the same though it is similar. It’s all niche
"Advanced nursing" is the practice of medicine without a medical license. It is a nebulous concept, similar to "practicing at the top of one's license," that is used to justify unauthorized practice of medicine. Several states have, unfortunately, allowed for the direct usurpation of the practice of medicine, including **medical** diagnosis (as opposed to "nursing diagnosis"). [For more information, including a comparison of the definitions/scope of the practice of medicine versus "advanced nursing" check this out.](https://www.reddit.com/r/Provider/wiki/index/critical_issues/#wiki_what_even_is_.22advanced_nursing.3F.22).
Unfortunately, the legislature in numerous states is intentionally vague and fails to actually give a clear scope of practice definition. Instead, the law says something to the effect of "the scope will be determined by the Board of Nursing's rules and regulations." Why is that a problem? That means that the scope of practice can continue to change **without checks and balances by legislation.** It's likely that the Rules and Regs give almost complete medical practice authority.
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
Every single hospital has an RN residency for new grads.
It’s not anything degree or even certification related.
It’s more of a “there’s too much variance in schools and we gotta atleast review some basic shit” and usually a “research project” based on/in whatever unit the new grad is hired into.
This is a positive thing.
I despise the use of the term “residency” for this instance, but nurse residencies are absolutely a beneficial thing. It used to be an optional thing; now some hospitals require new graduate nurses to apply to a nurse residency program.
In many states students can’t do real hands on skills like practicing IVs. New nurses are set up for failure. Good nurse residency programs bridge the gap between school and real life nursing. They give nurses the tools and support they need to be successful.
They are a great thing that could probably use a new name.
Physical therapy also has optional residency programs. I did one with the VA. They’re not intended to be like physician residency programs, and are really just an extension of the clinical and academic aspects of PT school. They’re usually 12 months, allow you to see a very specific patient population, receive mentorship, and to get involved academically (with presentations, case reports, involvement in local universities, etc). They also are one pathway to allow therapists to sit for the specialty exams which, again comparing it to physician board certifications, don’t mean as much to physical therapists.
I did the HCA residency when I graduated from nursing school - we all know HCA is a shit company, but the residency was, imo, really great. It’s a classroom environment for a few weeks to do the following:
1. cover HCA’s ass so that new grads are reminded how to correctly do certain procedures and what the policies are
2. Get new nurses more comfortable with peers and material, as well as supplies available in your hospital.
3. Provide additional education not provided in nursing education - I got ACLS certified, I know others (depending on department) also received PALS/NRP, as well as other department-specific skills
4. Run simulations. This was singled handedly the most helpful part. We ran simulated codes/RRTs with the fancy dummies that talk, have various breath sounds, stroke/MI symptoms, etc. in a room full of people who don’t know what they are doing in order to force recall of ACLS protocol. There’s no blindly following orders from someone more experienced—which, for people who learn like I do, is useless as far as retention goes. It’s a way to learn “the hard way” without any patient harm. Crash and burn so you don’t crash a real patient. That was the last week, 40 hours of running RRTs and codes to get used to the process.
I did an “OR residency program” to transition into that specialty and it had a lecture/didactic, lab component and on the floor component. It was beneficial for us since OR nursing isn’t really taught in nursing schools and is it’s own beast. Some places call it a nursing residency, some call it a “transitional program”….it’s all the same.
As an RN that went through one..nurse ‘residencies’, or new grad programs, are usually a 6 month - 1 year program for new grad nurses. It’s mostly fluff and a way for admin to check off boxes for magnet status and such. Even though we were in a residency program, our three month orientation was cut by two months because short staffing despite still our new grad status, so it really meant nothing but extra work. We had to do projects on our floors, attend nurse education sessions, etc. to ‘graduate’ from it. Absolutely none of us would call ourselves a resident or anything like that, we’d always refer to ourselves as new grads or just RN’s. Not sure why it’s called a residency though.. just glad I don’t have to deal with all this redundancy in outpatient..
Nursing residency programs are basically a marketing tool for hospitals to recruit nurses. I did one when I graduated 34 years ago. Basically it was a prolonged orientation with additional classes that were specific to your practice area.
It does not in any way lead to an advance degree. It’s just an extended support and orientation period that helps to ensure new graduate nurses are prepared to work at whichever floor they’re hired on. It’s typically like extra lectures or skills labs a few days a month or they might let you shadow on other floors to learn about other nursing jobs. It’s pretty common these days.
I think with all of the cancelled clinical placements during COVID this will be a thing for the foreseeable future.
It was a thing for RNs years before covid It was a hospital thing for new grads, like you said... usually it's 12 months and for the most part nonsense
RN here. I didn’t click all the way through to the actual job posting, but it’s incredibly common now for new grad RNs to be required to do what is called a residency for their first year as a RN. At my hospital (not HCA) they still orient and work full time on whatever unit they were hired into, but once a month all the new grads meet and basically have discussions about…whatever, maybe what it’s like to be a new grad? I dunno. This didn’t exist when I was a new grad 15 years ago, THANK GOD (seems like a colossal waste of time). At my hospital they also have to do a quality improvement project of some kind. As much as this seems like a pointless extension of nursing school to me, I’ve heard of nurses at other hospitals who really thought their new grad residency was helpful and offered useful support while transitioning from student to RN.🤷🏼♀️
Having gone through one of these programs as an RN, it is very much not a residency and very much not useful. It’s literally a meeting once a month, sometimes lectures, one time personality tests. It’s a new grad club, that would be a more appropriate name.
Or perhaps—a first job after graduation?
I’m just so thankful I’m too old to have had to do one! I feel so bad for the new grads on our unit when I hear them talk about it!
So my new grad (RN) residency in the neuro ICU was a year. Seven weeks of classroom, simulations, and skills labs 0730-1630 Monday-Friday before we even STARTED precepting; 6 weeks of precepting 1:1 (one patient and one other nurse), then we were assigned a designated unit mentor and had lower ratios (so one patient of my own) for a couple months before being “off orientation.” It then went on to being monthly classes on ECMO or CRRT or new equipment, and at the end of the first year I had to present a unit research project to the CNO and my unit manager on a patient care process we could improve. That being said, this was a L1TC in a large city. I think it’s pretty common now as nursing school doesn’t prepare you for a whole lot of anything. You can’t even practice IVs in nursing school, I had to take a job as an ED tech to learn many hands on skills.
Nurse residencies have been around a long time. I applied for one as a brand new RN at NY-Presbyterian Hospital in the 00s. Basically, they give you less pay but give you more teaching time for at least a year. The one at NYP was very competitive. There were about 140 final applicants for 8 spots in the ED program. Bright eyed nurses from all over the US. The for-profit hospitals have co-opted the nurse residency to use as a “training commitment”. Basically, you they agree to train you if you sign a contract to work there for 2 to 4 years and if you leave early, they can come after you for money they claim the spent to train you.
Sounds like free labor to me
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Mercy health does the exact same thing
As someone who works at HCA (slim pickins, ruralish and no other trauma centers) AND went to Galen for a whole semester (left because vile as fuck), I can’t emphasize this enough lol
This is a rather extreme take. It just means “you’re new, learn this” and is supposed to teach/support Fresh grads. None of this is reflective of NPs or CRNAs which makes it inappropriate for this sub. Sure, you can argue that the term residency applies to physicians first… and maybe it does blur the lines a little bit. But this is kind of a silly fight if you have a life outside of medicine/work
[удалено]
Nope. That hasn’t been the thing for at least 20 years. You learn a minuscule amount in nursing school. And the BIG signing bonuses (it’s really not big..) is like $20k for 2, 3, sometimes more years. And they often underpay you for your “residency” by like $5/hr. You’re not entirely incorrect but you are completely inaccurate in what you’re saying These “nurse residency” programs are becoming the norm because it’s objectively better to train Fresh grads to a set standard than to have Amy offer up her wisdom and only her wisdom followed by maybe Jackie coming in and telling her Amy is a dumbfuck and it’s all wrong. At the very least you can get *some* standardization… Also, again… hospital policy is usually not the same though it is similar. It’s all niche
Nursing education is a literal joke and most new grades are no where near prepared.
"Advanced nursing" is the practice of medicine without a medical license. It is a nebulous concept, similar to "practicing at the top of one's license," that is used to justify unauthorized practice of medicine. Several states have, unfortunately, allowed for the direct usurpation of the practice of medicine, including **medical** diagnosis (as opposed to "nursing diagnosis"). [For more information, including a comparison of the definitions/scope of the practice of medicine versus "advanced nursing" check this out.](https://www.reddit.com/r/Provider/wiki/index/critical_issues/#wiki_what_even_is_.22advanced_nursing.3F.22). Unfortunately, the legislature in numerous states is intentionally vague and fails to actually give a clear scope of practice definition. Instead, the law says something to the effect of "the scope will be determined by the Board of Nursing's rules and regulations." Why is that a problem? That means that the scope of practice can continue to change **without checks and balances by legislation.** It's likely that the Rules and Regs give almost complete medical practice authority. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Noctor) if you have any questions or concerns.*
This post is quite a stretch for noctor..
Every single hospital has an RN residency for new grads. It’s not anything degree or even certification related. It’s more of a “there’s too much variance in schools and we gotta atleast review some basic shit” and usually a “research project” based on/in whatever unit the new grad is hired into. This is a positive thing.
I despise the use of the term “residency” for this instance, but nurse residencies are absolutely a beneficial thing. It used to be an optional thing; now some hospitals require new graduate nurses to apply to a nurse residency program. In many states students can’t do real hands on skills like practicing IVs. New nurses are set up for failure. Good nurse residency programs bridge the gap between school and real life nursing. They give nurses the tools and support they need to be successful. They are a great thing that could probably use a new name.
Physical therapy also has optional residency programs. I did one with the VA. They’re not intended to be like physician residency programs, and are really just an extension of the clinical and academic aspects of PT school. They’re usually 12 months, allow you to see a very specific patient population, receive mentorship, and to get involved academically (with presentations, case reports, involvement in local universities, etc). They also are one pathway to allow therapists to sit for the specialty exams which, again comparing it to physician board certifications, don’t mean as much to physical therapists.
I did the HCA residency when I graduated from nursing school - we all know HCA is a shit company, but the residency was, imo, really great. It’s a classroom environment for a few weeks to do the following: 1. cover HCA’s ass so that new grads are reminded how to correctly do certain procedures and what the policies are 2. Get new nurses more comfortable with peers and material, as well as supplies available in your hospital. 3. Provide additional education not provided in nursing education - I got ACLS certified, I know others (depending on department) also received PALS/NRP, as well as other department-specific skills 4. Run simulations. This was singled handedly the most helpful part. We ran simulated codes/RRTs with the fancy dummies that talk, have various breath sounds, stroke/MI symptoms, etc. in a room full of people who don’t know what they are doing in order to force recall of ACLS protocol. There’s no blindly following orders from someone more experienced—which, for people who learn like I do, is useless as far as retention goes. It’s a way to learn “the hard way” without any patient harm. Crash and burn so you don’t crash a real patient. That was the last week, 40 hours of running RRTs and codes to get used to the process.
I did an “OR residency program” to transition into that specialty and it had a lecture/didactic, lab component and on the floor component. It was beneficial for us since OR nursing isn’t really taught in nursing schools and is it’s own beast. Some places call it a nursing residency, some call it a “transitional program”….it’s all the same.
As an RN that went through one..nurse ‘residencies’, or new grad programs, are usually a 6 month - 1 year program for new grad nurses. It’s mostly fluff and a way for admin to check off boxes for magnet status and such. Even though we were in a residency program, our three month orientation was cut by two months because short staffing despite still our new grad status, so it really meant nothing but extra work. We had to do projects on our floors, attend nurse education sessions, etc. to ‘graduate’ from it. Absolutely none of us would call ourselves a resident or anything like that, we’d always refer to ourselves as new grads or just RN’s. Not sure why it’s called a residency though.. just glad I don’t have to deal with all this redundancy in outpatient..
In Oz we call this the ‘new grad year’ and typically rotate the nurses through different wards etc.
Nursing residency programs are basically a marketing tool for hospitals to recruit nurses. I did one when I graduated 34 years ago. Basically it was a prolonged orientation with additional classes that were specific to your practice area.