Please give me some advices

  1. HI ,I'm Thai nurse who are living in Missouri.I'm going to move to CA for working as RNI(registered nurse interim permit )I haven't schedule for NCLEX test yet but have passed TOEFL score 207 from 300 .I just want to have some experince from working before I schedule the test .
    I'm waiting for Interim to be issue sometime this week or maybe next week.I would like to know how much do they pay for this position?
    You can mail me in person or at wimonmat@yahoo.com
    •  
  2. 31 Comments

  3. by   IamRN
    You will have to call the specific hospital where you want to work at. Different facilities pay different rates.

    Good luck!
  4. by   BJONEAL
    Quote from IamRN
    You will have to call the specific hospital where you want to work at. Different facilities pay different rates.

    Good luck!
    HI, I just got e-mailed from Sharp hospital.They said "they don't accept foriegner nurse who obtain Interim Permit .This is not my fault about being minor here .I don't know where can I get a job ib CA then.Anybody got an ideas?
  5. by   suzanne4
    First, what type of work permit are you on? If it is a temporary permit, they will no longer sponsor you at most hospitals. And for most of the hospitals, and this is the new law that is in effect, you also need to have completed TSE and TWE. They need documented proof of your English skills. California hospitals want you to have a green card. Have you taken CGFNS? Also, if you are a foreign graduate, you need to have NCLEX completed before you can get a job.

    If you have specific questions, you can e-mail me directly at:
    suzanne@RNSpecifics.com

    I am based in Bangkok so I am aware of many of the concerns that you have.
    Good luck.
  6. by   BJONEAL
    Quote from suzanne4
    First, what type of work permit are you on? If it is a temporary permit, they will no longer sponsor you at most hospitals. And for most of the hospitals, and this is the new law that is in effect, you also need to have completed TSE and TWE. They need documented proof of your English skills. California hospitals want you to have a green card. Have you taken CGFNS? Also, if you are a foreign graduate, you need to have NCLEX completed before you can get a job.

    If you have specific questions, you can e-mail me directly at:
    suzanne@RNSpecifics.com

    I am based in Bangkok so I am aware of many of the concerns that you have.
    Good luck.
    Hi, Thank you for your advice.I already have green card and know all of information about TOEFL ,CGFNS .I 'm obtaining permanent resident in USA right now and I passed TOEFL score already .I have failed CGFNS twice .In CA they doesn't need CGFNS .TOEFL have sent report to CA board that why I will get Interim Permit in next week or 2 .
    I found eligible for NCLEX test but haven't schedule yet because need to my license as benefit to work with American staffs.I wonder if CA hospital will let me work for them because of I'm a foriegner .That is not fair for Interim permittee .If they issued my permit why can't I use it ?
    If they reject my licnse because of I'm not English or American .Just make specific rule about Interim Permit license .
    "like non english speaker must to be pass NCLEX only"
    right ?
  7. by   suzanne4
    The hospitals won't honor an interim license if you did not go to school in the US. How do they have proof of what your training is like? In NY you can get an interim permit, ONLY if you have passed CGFNS. I wouuld recommend taking a course over there to prepare you for the exams, you won't get it in work experience. The exam covers all aspects of nursing, if working, you would only be working in one area. Thai nursing is very different from US nursing. In the US, critical thinking skills are expected and taught throughout your schooling, in Thailand they are not. Nurses in Thailand do not do assessments on their patient every shift, that is the doctor's responsibility over here. I would suggest that you first attend some classes over in the US.
    This is the reason that I have set my program up in Thailand, to help with this very problem.

    Without even worrying about type of Visa, the hospitals will not hire a foreign nurse who hasn't completed all of the English requirements, either. The hospital can be sued if you do not understand something in an emergency, then what happens to you and the hospital? That is why new laws go into effect this year..................nurse + US ==fluent English in all aspects

    You passed TOEFL, but what did you get on your TWE part?

    If I can be any more help, please e-mail me.
  8. by   BJONEAL
    Hi, I 'm so upset right now.I got my interim permit already and got a phone call from Stanford university .They sounded like they were interested in me.THen I told them I worked as CNA in MIssouri for 7 months then they turned me down.If Interim permit doesn't work for foreigner nurse or reserve for only Philipines or NUrses from Taiwan .I understand about that ,but please.......Not easy for me to passed English test and I did whatever they wanted.I'm thinking about calling other hospitals tomorrow .It wasn't their fault ,it wasn't my fault to be foreigner nurse either .I'm very active nurse and open for new thing .They didn't know about this point .Why judged me before you have a chance to get to know me .If it to difficult for them to accept me as interim permittee then I will go ahead and take NCLEX.What if I pass NCLEX-RN ? THey might come up with I'm foreigner and we don't aceept that !!!!!!!!!!!!right ?
    I really disappointed by CA board right now .Should they still give interim permit for foreigners nurses ??????????????????????????????
  9. by   suzanne4
    I know that it is my view point, but personally, if I was the Human Resources Manager at a hospital I would not hire a foreign nurse on an interim permit. Students in the US are taught differently in their nursing programs than the overseas programs. Critical thinking is used throughout, and it doesn't matter what other country that you were trained in, some things are also going to be different. Sure, an interim permit is fine as in New York, where they will only issue you one if you have already taken CGFNS. You have documented skills then. But without an exam, remember that you will not be put on a floor immediately, you will be in orientation for several months. If you don't pass your exam, then the hospital has paid you for several months and nothing to show for it.

    This is what I have been trying to tell you all along. If you have only taken TWE and TOEFL, I would highly suggest that you take the TSE also, as most hospitals want documented English skills, a complete set. And if you have already been accepted by the BON, why don't you just go ahead and get your exam done. As per my previous postings, working for a few months on the floor is not going to make it any easier to pass your exam, as you must be well rounded in all of the areas.

    You have stated that you have taken CGFNS exam twice and have failed. Is this the reason that you moved to California, so that you wouldn't have to take it a third time? That doesn't quite show the hospital that you know your material. Also, how long has it been since you actually practiced as an RN? Most hospitals prefer that foreign trained nurses have at least two years current work experience as an RN. I would seriously think about taking a refresher course and get up to date on US standards.

    Sorry if I am sounding hard on you, but you also need to take some responsibility for your actions, or lack of. Seriously think of what would you be doing if you were the one that was doing the hiring......................

    Keep us posted.....................................
    Last edit by suzanne4 on Mar 16, '04
  10. by   suzanne4
    I was just going over your previous notes, forgot that you have trained over in Thailand..........................I live here and love the country, but the nurses over here practice entirely different than we do in the US. Over here, nurses are not responsible for assessmenst, that is the doctor's job. You are not responsible for listening to breath sounds, etc. The medications are completely different,sure, some are the same, but some very different. Examples: ativan is only available oral form here, for chest pain they use isordil sublingual in the government hospitals. For any problems, you are required to phone the doctor for everything. In the US, you have to use your brain first. This is the reason that I have opened my school over here, because of the differences. I am actually making a difference! Yes, I would like to change the whole system here, but I am doing it slowly, one day at a time. My students are all quite fluent in English within a few weeks of starting my program, even though many could not understand a word that I was saying the first day.

    If you feel that you need more help, you are more than welcome to come back to BKK and take my program. I can guarantee that you will not have a problem with any of the exams.

    Good luck.................................
  11. by   suzanne4
    Another thing that came to mind, you said that you received a 207 on your TOEFL exam, but you do not mention the score for TWE that you did at the same time. Did you pass it? I don't think that you being a CNA previously was the ultimate deciding factor in being turned down by Stanford and the others. From your previous writings, your English writing skills are definitely not where they should be. Don't take this the wrong way but in order to work as a nurse in the US, if you were obtaining a green card on your own, you would have to have English skills that are equivalent to those of a native speaker. It is not your fault nor those of anyone else that English is your second language, but you need to improve on your skills. You need to conform to what the rules are over there, not expect someone to bend them for you.
    I am giving you this information to help you, not to hurt you. I work with Thai nurses 7 days per week IN Thailand, so I know exactly what I am talking about.

    Last edit by suzanne4 on Mar 16, '04
  12. by   traumaRUs
    Suzanne - I'm not a foreign nurse, but you give solid advice. I will also say that in our hospital we are having trouble with foreign trained nurses taking report over the phone - we seem to be spelling a lot of things. It can be very hard between the different foreign nurses.
  13. by   suzanne4
    Thank you for the heads-up.

    This has been my view all along, and now of the US government. In order to get any type of visa to work in the US in Healthcare, you will be required to be fluent in English, with documented skills. Previously you were able to get a job in the US if you could pass the nursing exams and just have TOEFL, but it has been documented that you can pass that test and not be able to speak or understand a word of English.

    My students actually get dictation every morning, from emergency phrases such as "Call a code in 226" or "Page anesthesia stat" to giving a list of medications that are needed stat from the pharmacy.
    Some days they are given admitting reports from the ER to the floor, perhaps five patients at a time, and are responsible for getting all of the information down and recorded appropriately so that they are able to pass the report on to the next nurse. And this includes drips, abx, blood cultures, abgs, etc.
    I can guarantee that any nurse going through my program over here will be able to handle about anything. They are able to phone me and understand everything that I say, harder to do when the person isn't directly in front of you. They will also be completing their English exams before they even take any of the nursing exams, the only way to properly do things.

    I am quite proud of all of them........... :hatparty:
  14. by   Sheri257
    Hey Suzanne. I just wanted to say that I always enjoy reading your posts on this topic. There's always so much misinformation, it's great to read first hand information from a knowledgeable source.

    So, I just wanted to say: Thanks for the posts.
    Last edit by Sheri257 on Mar 16, '04

close