Agencies and contracts -- revisited - page 4

I am not against agencies in general, but only the ones that take advantage of nurses. Things to consider when going the route of using an agency: 1. There is absolutely no such thing as free... Read More

  1. by   trix_ctrn
    my point is...this agency doesn't charge you of anything.
    so what's wrong with hiring a lot of nurses? all i know is this hospital excels, and has low-turn over. a lot of nurses who works here was here for 20-35 years. we are all satisfied with the working condition. and be it what hospital, there are always conflicts. our hospital's goal is patient satisfaction...that's why they're aiming for 1:4 nurse patient ratio.

    lastly...just be happy for those who are happy & contended with what they have. i can say...this is land of milk and honey. so happy with it!



    Quote from suzanne4
    1. they cannot even be hired until they have passed one of the nursing exams, that is per legal requirement of the us government.

    2. if the hospital needed to hire 100 nurses from them, then that says that there is a problem there. magnet hospital does not mean anything in the scheme of things with hiring.

    right now, not one facility is doing anything anyplace because of the retrogression that is in place. they are not paying anything towards the visa bill, etc.

    we have seen so many people that have gone thru such horrible issues that i am unable to trust most of what i see coming out of manila. most of us here have.

    and twelve went to your unit? then they were really short-staffed. what happened to the nurses in the area for not wanting to work there? there is more to the story. have been doing this for way too long. sorry.

    still stick by what i posted. a hsspital is only going to pay those fees if they are really desparate.
  2. by   suzanne4
    And in order for the nurse to be working if they have not passed the NCLEX exam, it means that they have taken the CGFNS exam. That exam is not required for most states. That is the only way thru immigration process.
  3. by   MARI 1
    Please....
    All agencies are in business to make money... so there is a price paid for every service they provide the nurses... some agencies are better at hiding where that money comes from, but please know that they are not charities and doing it for free. No employer will cover that much to recruit nurses or healthcare staff... especially those without experience...
    Hospitals do not cover all those benefits... I have been around for a long time, they do offer some things, but they all have budgets and people that they have to answer to for the money they spend. The can't and won't offer all of those things for free... the cost of those perks comes from somewhere and there is a price to be paid.....
    If that hospital was so wonderful they would have American nurses lined to join... there is something wrong here... please check and check and check again. I have seen people go to hospitals and they promise the world before they started and when the RN gets there things change.. I have never seen a hospital cover that much even underserviced areas that no one want to work in... Why does that hospital have so many vacancies if it is such a great place to work and pays so well.....???
    No one pays three months rent on an apartment and provide you with all the other items you stated they provide. The highest paid sign on benefits and relocation packages are along the southern borders with Mexico in areas that most people dont want to work or stay after they have completed their contract... there is some sort of a catch that your not disclosing here... been around too long to believe fairy tales sorry....
    If they pay that much in benefits they can hire travellers with American experience and they get tax write offs for hiring them... so there comes a point when it is not cost effective for them to recruit and pay all those sign on packages. Again it boils down to dollars and cents....
    Last edit by MARI 1 on Mar 8, '07 : Reason: errors
  4. by   trix_ctrn
    Now I realized that I am so lucky to work in a very good hospital, not only they're excellent, but also generous and supportive. I know business is business. Think about this, instead of giving sign-in bonus to nurses, they spend it for nurses' requirements and also would cover for agency's fee. That's how they do it.

    All new hired nurses are given the option: free 3 months housing or relocation fee. Our hospital doesn't have to worry about expenses with housing coz they have a lot of apartments for nurses.

    And a lot of hospital in our area, offers almost the same benefit. They all offer sign-in bonus, and also referral bonus.

    I don't know if it's just our area. I'm sure other states offer the same package too, others might not be that generous. I know in Texas, they offer $50,000---but that's for 10 years contract. Ours is just 2 years, but of course is less than that. Nurses from the Philippines don't get sign-in bonus...duh, they got everything for free ( a part of the supposed-to-be sign-in bonus goes to the agency.

    This relocation package is not for Mexican nurses...as I said, to Filipino nurses.

    I don't have to make-up stories. I thought you guys will be happy if I share this experience. A lot of nurses in our hospital appreciated that. At first, most agencies does this. I guess not. Probably, the only ones serving tri-state area.
  5. by   nurse_po_me
    Just a few questions:
    1) What is the estimated total capita per cost to recruit a nurse from the Philippines?
    2) What is the most reasonable amount to buy out your contract if the employer just paid for legal, recruitment and other admin fees?
    3) Whats the worst thing that will happen if you dont meet your obligation to work for your employer/sponsor?
    Thanks and I appreciate all your responses...
  6. by   suzanne4
    Quote from trix_ctrn
    Now I realized that I am so lucky to work in a very good hospital, not only they're excellent, but also generous and supportive. I know business is business. Think about this, instead of giving sign-in bonus to nurses, they spend it for nurses' requirements and also would cover for agency's fee. That's how they do it.

    All new hired nurses are given the option: free 3 months housing or relocation fee. Our hospital doesn't have to worry about expenses with housing coz they have a lot of apartments for nurses.

    And a lot of hospital in our area, offers almost the same benefit. They all offer sign-in bonus, and also referral bonus.

    I don't know if it's just our area. I'm sure other states offer the same package too, others might not be that generous. I know in Texas, they offer $50,000---but that's for 10 years contract. Ours is just 2 years, but of course is less than that. Nurses from the Philippines don't get sign-in bonus...duh, they got everything for free ( a part of the supposed-to-be sign-in bonus goes to the agency.

    This relocation package is not for Mexican nurses...as I said, to Filipino nurses.

    I don't have to make-up stories. I thought you guys will be happy if I share this experience. A lot of nurses in our hospital appreciated that. At first, most agencies does this. I guess not. Probably, the only ones serving tri-state area.
    Sorry, but that same package must go to any foreign nurse that the facility hires, and that would be the same if they came from Mexico as well. They cannot tell those from one country that they do not qualify for the bonus. Same as if they came from Canada. Or any other foreign country. They cannot select some to get it and others not.
  7. by   suzanne4
    Quote from nurse_po_me
    Just a few questions:
    1) What is the estimated total capita per cost to recruit a nurse from the Philippines?
    2) What is the most reasonable amount to buy out your contract if the employer just paid for legal, recruitment and other admin fees?
    3) Whats the worst thing that will happen if you dont meet your obligation to work for your employer/sponsor?
    Thanks and I appreciate all your responses...
    Cost alone of immigration expenses like that? Or added in the cost of training, etc?

    Reasonable amount would be between $8.000 to $10,000 to cover all of their expenses. But we are seeing up to $40,000 plus from a few now.

    Obligation to work for your employer? It would depend on why ones wants to leave. If because you decide to work someplace else because your friends are there, you are required to pay the buy-out fee. If the facility/employer does not meet the job specifics as to what was promised in your written contract, and in a timely fashion, then there should not be any penalty for wanting out.
  8. by   suzanne4
    Quote from trix_ctrn
    Now I realized that I am so lucky to work in a very good hospital, not only they're excellent, but also generous and supportive. I know business is business. Think about this, instead of giving sign-in bonus to nurses, they spend it for nurses' requirements and also would cover for agency's fee. That's how they do it.

    All new hired nurses are given the option: free 3 months housing or relocation fee. Our hospital doesn't have to worry about expenses with housing coz they have a lot of apartments for nurses.

    And a lot of hospital in our area, offers almost the same benefit. They all offer sign-in bonus, and also referral bonus.

    I don't know if it's just our area. I'm sure other states offer the same package too, others might not be that generous. I know in Texas, they offer $50,000---but that's for 10 years contract. Ours is just 2 years, but of course is less than that. Nurses from the Philippines don't get sign-in bonus...duh, they got everything for free ( a part of the supposed-to-be sign-in bonus goes to the agency.

    This relocation package is not for Mexican nurses...as I said, to Filipino nurses.

    I don't have to make-up stories. I thought you guys will be happy if I share this experience. A lot of nurses in our hospital appreciated that. At first, most agencies does this. I guess not. Probably, the only ones serving tri-state area.

    And nurses from Mexico also qualify for the TN Visa, same exact visa as those from Canada. You forgot about that.
  9. by   lawrence01
    Most often times, if it's too good to be true then it must be so. Also, every agency in the Philippines will always say they have the best benefits, they process in just 8-9 months and so on and so forth.

    In addition, many nurses who signed w/ these agencies that seems to promise them the moon and stars usually recommend it to everyone else w/o even them finishing the process and have actually worked and most often times they get burned when it's already 1, 2, 3 years and everyone else are still in the Philippines. Many friendships ended this way or got cold. I've seen it happen.

    There are also those that recommends agencies left to right because they heard it was good but they themselves did not went through that agency (they may not even be in the US altogether) and therefore couldn't vouch if all promises were given. There are times that once a nurse steps put in US soils, every promise seems to have been forgotten already. Yes, this happens and some even don't get jobs on the original area of the State promised to them and sometimes not even in the State itself.

    Everyone, should be very careful on choosing agencies and try and research it for yourselves rather than just making a decision on how good their agency is. Almost all agencies, esp. that operate in the Phil. oversell themselves, including their track records. The best way to research if an agency will do good on their promises if to research (if there's way) the people behind it and their reputation plus the testimonials of those who are actually already working in the US that went through them.

    There are also some ways to know if an agency is truly good or not saying the truth. One is to know the nurses that have actually signed w/ them and how long it took them for the whole process. There are many nurses here that are still here after 2-3 years signing w/ their agency. That is one clue. Another is, if they use the same hospitals they supposedly recruited 1-3 years ago. If they have successfully deployed nurses there then why still keep recruiting for them and almost every year at that ?? Doesn't the hospital get full ? And if nurses keeps getting out of that hospital before finishing their min. 2 year contract then there must be something wrong w/ the hospital itself and if the agency claim that it has low turn-over ratios and how wonderful the facility is then why do they keep recruiting from the same facility every year? If everyone is happy w/ a certain facility then there should be minimal to no vacancies as everyone will finish their contract and will extend it after it finishes and therefore no need to recruit anymore for some time.

    Bottom line is everyone should be careful and also don't forget to research the location of the facility. There are certain areas that are not very safe and not worth the big signing bonus.
    Last edit by lawrence01 on Mar 12, '07 : Reason: Typos
  10. by   nurse_po_me
    Hi Suzanne
    Thanks for the reply.
    Just a follow-up though:
    Does the 8T or 10T cover the legal, exam, fare, admin overhead, fare?
    If the recruiter asked their nurse to pay the buy out fee but they couldnt provide the breakdown of their expenses, should the nurse still pay them?
    What are the possible consequences if he doesnt pay them because both couldnt meet an agreement with the amount and specifications of the contract-release-agreement?
  11. by   dizzydean
    Quote from suzanne4
    A guarantor also should not be required to sign your contract.
    Hi suzanne4, what exactly is a guarantor? Why is it a bad thing? I'm asking because I have with me an agency contract & it does have a space for a guarantor to sign at the end page. Thanks! :spin:
  12. by   suzanne4
    Run as fast as you can from that contract. The gaurantor becomes responsible to repay the agency if you do not have the funds and break your contract.
  13. by   suzanne4
    And to add in to one of the above posts:

    About the contracts in the tri-state area: Tri-state is NJ, NY, and CT.

    There are currently no hospitals that are petitioning foreign nurses, so that means nursing homes only. And the living conditions that those agencies have provided there are horrible. Ten people in a studio apt, or 8 women with one bathroom. That is treatment of unskilled laborers, not those with BSNs.

    And NJ does not give three months housing in all of the contracts from there. It is 100% inappropriate to state that with nothing to back it up.

    I still stand 100 by what I wrote.
    Last edit by suzanne4 on Mar 9, '07

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