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| No. 40 | 
Sep 01, 2008, 03:26 PM
 Re: Attention: Philippines nurses - there is no nursing shortage in America
Working visas for nurses just do not exist, there are very specific requirements that are needed to be met; the US government is actually reviewing all that have been issued since it turns out that only about 11% of all of the H1-B visas actually went to the specialists as they were designed to be used for.
The VA facilities actually require US citizenship now, in the past it was only a green card; but they have new rules in place as well.
Travel nurses are not considered full-time employees and are actually paid from a separate account as contract workers. The hospitals also get tax breaks as well on these. And the nurses all come with experience and can jump right in and begin to work in a day or two, not requiring the orientation that the employee needs. So there are views from both sides on this as well.
 | | Advertisement Sponsored Links | | | | No. 41 |
Sep 01, 2008, 04:24 PM
Re: Attention: Philippines nurses - there is no nursing shortage in America
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It is very expensive for any hospital to hire a new-grad RN. This is probably the main reason why hospitals prefer to hire experienced RN's and understandably so. You have to train a new-grad at a considerable cost and there is no guarantee that that new RN will stay after he/she gets her necessary hospital experience.
I know this is very frustrating for any new-grad RN who are in this situation. I experienced the same problem when I was a newly minted California RN, but in the end I was hired and acquired the valuable acute care experience that no one can take away from me. Just be patient, keep on trying, make yourself more marketable by attending nursing-related classes, and don't forget to pray.
Good luck to all of you.
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| | No. 42 |
Sep 01, 2008, 04:28 PM
Re: Attention: Philippines nurses - there is no nursing shortage in America
Yes, there is a nursing shortage in some areas, but not all. And the economy is getting bad in the US, so it is very hard for any hospital administration to spend over $10,000 to import a foreign nurse at this time when the money can be spent on training an American for the same job.
The other issue is that most facilities want nurses that have actual experience working in the role of the RN, or then the nurse requires a longer orientation on top of everything else. Most nurses coming to the US do not have the two years of experience that most facilities want to see. Even in the Bay Area, new grads have problems getting jobs; if they have at least two years of experience, then there are no issues at all.
So when it is hard for an American to get hired in some areas, it is most definitely not going to mean that a foreign nurse will get hired and then have to wait to get thru the immigration process.
Hospitals are hiring based on what their needs are now, how are they going to know what the specific needs are going to be five years from now? And chances are that administration will change it as it usually does every five years or so, then the facility can also decline to hire any foreign nurses at that time and we have seen that happen many times over as well.
| | No. 43 |
Sep 01, 2008, 06:27 PM
Re: Attention: Philippines nurses - there is no nursing shortage in America Originally Posted by pinoy_guy  I'm not a teamplayer because they all take coffee breaks 2 to 3 times a day--and I don't have time for coffee when I'm checking my patient and the MARs; when my patient poops, I have to get help from another coworker, and they would rather enjoy their coffee than deal with poop...thus I'm "not a team player" for forcing them to deal with poop. (when I ask for help in turning patients to clean them up, they reply, "I'll help you when I get back. I'll just get coffee, OK?" when I point out that lying on poop is uncomfortable, they reply, "hey, nobody dies from lying on sh*t. relax!" I wonder how long their patients lie on sh*t while they enjoy their coffee and breakfast and snacks.)
Are you suggesting, perhaps, that the labor laws previous generations of American workers have fought long and hard to see enacted should be ignored? The law in most states is that people are entitled to a certain number of minutes of break time each shift they work, based on the number of hours in the shift. When I take my breaks, I do so after having ensured that my patients will need nothing routine while I'm gone... They're clean, dry, had meds for pain if needed, tube feeds and IV fluids topped up. I expect the same from my break buddy. We know when our break times are and plan our interventions accordingly. Breaks fall under the heading of "working conditions". Originally Posted by Daly City RN Want to hear one proof of a U.S. nursing shortage?...In our unit alone we employ several "traveling" RN's from various parts of the U.S. working on a temporary basis. Our nursing department can't find enough experienced RN's to staff our hospital. Therefore we employ "traveling" nurses. These "traveling" RN's are expensive, they get good pay as well as a housing allowance of up to $3,000/month, in cash. I think they are worth the price of their salaries. They make work that much easier for the permanent nursing staff of the hospital. And all of these "traveling" RN's have years of valuable experience, they adapt easily, they are independent and are reliable.
We need more nurses in America!
Imagine if all that money that is being spent on transients was poured into making working conditions safer and more reasonable. How many of those same nurses who aren't working as nurses would find their way back to the floor?
| | No. 44 |
Sep 01, 2008, 06:41 PM
Re: Attention: Philippines nurses - there is no nursing shortage in America
I think there are several issues going on.
First, new RNs ( despite where they went to school, international or domestic) without experience are finding very difficult to find their first job. Most hospitals have newly licensed nurse programs which are very competitive. This makes it hard for dosmestically trained new RN to get there first position and next to impossible for internationally trained new nurses. Nursing education alone is not enough to make an employable new RN, the new nurse needs future training at the employer's expense.
Second, the US policy towards immigration has shifted to close our boarders policy. This has nothing to do with the nurses trying to come in legally to the US, but a side effect of the massive amount of illegal immigrants who are in the USA. You may ask how are illegal immigrants effecting legal immigrants. Illegal immigrants do not pay taxes, they don't have health insurance this drains the US economy and more importantly the budgets of hospitals that treat the illegal immigrants, Unfortunately the people who are trying to do the right thing by processing their paperwork and waiting their turn and being hurt.
Third, as Suzanne has mentioned there has never been unlimited immigration, it may have seen so, but the funds that supported this effort have gone away.
| | No. 45 |
Sep 03, 2008, 07:47 PM
Re: Attention: Philippines nurses - there is no nursing shortage in America Originally Posted by Alexk49 I think foreign nurses need to know the reality of the US nursing situation and not be given false hope. I just don't see the need for importing nurses when our graduate nurses are unemployed.
If and when retrogression is lifted the Phillipine nurse will not be the only nurse trying to get into the US. English nurses, Indian, Korean, and other countries all have nurses who have similar training and desire to move to the US.
I have to agree. Dreaming is nice but if people aren't able to accept a more realistic picture of what is happening in US medical facilities, they are only hurting themselves.
While I don't claim to have an in-depth understanding of the complexities of funding healthcare, I agree that upcoming changes in medicare (as well a strong general desire to close our borders) will VASTLY curtail immigration of RN's to the US. This thought upsets many, but it is much more helpful to give an honest portrayal of things.
A huge hospital in my area was recently forced to fire 127 "Nurse Techs" due to a shortfall in medicare reimbursement. These "Nurse Techs" were all students in their final semester of a BSN program. Most of those fired had expected to graduate and work as full-time RN's at this hospital.
JMO, but it's upsetting to think some foreign nursing schools continue to reap huge profits by selling an unrealistic or outdated dream.
| | No. 47 |
Sep 04, 2008, 09:09 AM
Re: Attention: Philippines nurses - there is no nursing shortage in America Originally Posted by Silverdragon102 Sadly it isn't just schools selling the unrealistic dream but agencies as well
... and family pressures from what I read on these threads. People just have to accept that they can't always get what they want. Life has a nasty habit of not being under our direct control. Governments make and change rules all the time, doing what is in their nations best interest.
Oh, and a rested, hydrated nurse who takes their breaks are just as effective (if not better) as those "super nurses" who look down on the break takers. Team membership is about more than who takes breaks and who doesn't. It's about the overall attitude and behaviours of the staff. Failure to take breaks can be due to poor time management skills, a heavy workload (and yes, I've worked shifts where no one has had a break because the unit was slammed), and working short staffed. BUT to state that you don't take breaks because you provide better care than your co-workers is just arrogant.
| | No. 48 |
Sep 04, 2008, 09:51 AM
Re: Attention: Philippines nurses - there is no nursing shortage in America Originally Posted by Fiona59 ... and family pressures from what I read on these threads. People just have to accept that they can't always get what they want. Life has a nasty habit of not being under our direct control. Governments make and change rules all the time, doing what is in their nations best interest.
Oh, and a rested, hydrated nurse who takes their breaks are just as effective (if not better) as those "super nurses" who look down on the break takers. Team membership is about more than who takes breaks and who doesn't. It's about the overall attitude and behaviours of the staff. Failure to take breaks can be due to poor time management skills, a heavy workload (and yes, I've worked shifts where no one has had a break because the unit was slammed), and working short staffed. BUT to state that you don't take breaks because you provide better care than your co-workers is just arrogant.
Agree getting a break makes a much better nurse, Sometimes reading the various forums makes me sad that some nurses don't help others that have either a lot heavier workload or some emergency delaying the care. At the end of the day we are all nurses and all will at some stage have a bad day and would be nice to think that support is there, I have always tried to help even when my workload was heavy because it is nice to work as a team and all leave at the same time at the end of the shift. I have worked in some busy units the main being an admission unit and we all pulled together and helped making it a much better workplace. I know there was times when we was all busy but was nice to know we helped each other
| | No. 49 |
Nov 08, 2009, 03:51 PM
Re: Attention: Philippines nurses - there is no nursing shortage in America
i came across this site when i was googling if there is really a nursing shortage in America. I am born in the phil and emigrated to US about 6 years ago. i graduated from nursing school here in the US in May 2009, six months have passed but still cant find a job. 98% of our class passed NCLEX but only a few have successfully landed to their dream job. i've sent tons of applications not only to the hospitals and nursing homes in the state where i live but to other states as well.i am willing to move or travel miles away from my family just to get a job. in spite of hundreds of applications that i sent out, no interviews...no job offers! its crazy!!it is very frustrating! i now start to question whether there is really a nursing shortage in America or this is just a hoax.
i went to a job fair a month ago and very suprised to see people who graduated 2 semesters before me. it's been very difficult to find a job.its easier to pass the NCLEX exam than getting a job here in the US. the sad thing is even if i would be willing to work as a nurse tech, my license as an RN will not allow me.
goddluck to all the nurses in the phil!!
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