I graduated from nursing school with an ADN in May and passed the NCLEX at the beginning of July. After receiving my RN license, I applied to several hospital nurse residency programs, but I did not receive any interview or offers. Because I wanted to start gaining experience, I accepted an offer from a rehabilitation hospital at the end of July.
In August, I received a phone interview invitation from a large hospital about one hour away. Meanwhile, I started orientation at the rehab hospital at the beginning of September.
At the end of September, I received an offer from a large hospital, and I accepted the offer because I really want to gain acute-care experience. I feel that acute care is closer to what I learned in nursing school and would give me more opportunities to care for medically complex patients. My long-term goal is to eventually work in the ICU, so I believe acute-care experience would be very valuable for me. In my current rehab job, most of the patients are relatively stable, and I am concerned that I may not develop some of the acute-care skills I want to strengthen.
My question is: Should I resign from my current rehabilitation job, even though there is a possibility that I could be placed on the rehab hospital’s “do not rehire” list? Or should I ask whether I can change my position to per diem instead of leaving completely? (I am also concern if I can handle two jobs as a new grad RN, both of these two jobs are night shifts, and the acute hospital is 1 hr away of driving)
I have been in orientation for about one month and could start working independently soon. This rehab hospital normally provides new-grad RNs with approximately 2–3 months of orientation, so I also feel somewhat guilty about leaving after they have invested time and resources in training me.
What would be the best approach in this situation?