HELP!! I am stuck in a situation! - need advice from experienced nurses

Most facilities in the US have not used the H1-B in more than four years as a start. They are using only the green card, and do not accept temporary visas.

The job also must require the BSN as the starting point for the job as well, and majority of jobs in the US do not require it either.

Where in the US are you planning to work? The other issue with the H1-B is that it is only open for a few hours at a time when the petition can be submitted and that was just done in April. The other issue with the H1-B, is that you cannot apply for it and remain in the US if the visa that you are expires until it is available, it is also extremely hard to get as there are only 65,000 per year and most go to the IT and other sectors. That was another reason for the green card, as well as that you would be permanent and could remain in the US.

Currently, there is no guarantee any longer that one will be able to remain in the US and be able to work when their OPT is completed. You are also going to find it more difficult to get hired as well with that.

Best of luck to you.

Sorry, but I have yet to see where one LTC actually requires the BSN for an entry level position when they use LPNs in management all of the time. And if you are working at the bedside, then you are not in a management capacity by any means and that is what you need to worry about.

Two and two are not equaling four here and it is not just me that thinks that same way either.

It just does not work both ways either. You keep mentioning doing direct patient care and about your supervisor, etc. That is not management at all, and could actually get you in trouble with immigration for not being in the capacity that your papers were submitted for.

And if this attorney was so wonderful, why were you never submitted when you had the opportunity for the green card last summer as well? If you are supposed to work only for two years for this facility, then what are you going to be doing afterwards as there is no way that you will have your green card within that time if you have been doing any reading here or with the Visa Bulletins that come out each month.

<I work on a sub-acute floor with people on vent machines. Are you saying that I don't have to take BP even if the MD order says that the BP has to be within a certain range and that the med should only be given within that range? The order sometimes even says that I have to call the MD if the BP is out of range.. This is mostly for people that have cardiac issues. But the other stuff about the glucose makes sense. We do ask the MD to cut down on the glucose monitoring if the pt is fairly stable.>

Subacute floor is not LTC it maybe a LTCH which is completely different, but a new graduate even with a BSN .....is not a manager.

I agree with your assessment.

Perhaps, but that's not what you're doing. You said you're working the floor in a LTC facility. Bedside nursing, even if you act in charge, is not "nursing management", and does not fulfill the specialty position requirements - because any RN without a BSN could (and does) do it.

Just because your visa application was worded cleverly and approved does not mean it's not fishy. Hope none of your antagonistic colleagues calls USCIS for an investigation.

Chances of getting an employer to hire you with the H1-B is quite slim to say that least. You are also a new grad that makes it harder as most entry level jobs do not require the BSN in most areas to get hired for it.

Depending on the state that you are in as well will have something to do with it, those that have strong unions do not even permit the H1-B visa for the bedside nurse either.

There are also a limited number of H1-B visas per year, actually 65,000 and they are usually gone within a few hours, the number of applications far exceeds what is available even before lunchtime on the day that it opens to accept them.

There are already many other threads that discuss the different types of visa, recommend that you check those out.

Thank you all for your replies (especially you Suzanne with so much patience to answer all of the questions). Now the things are much more clear to me, and I can only hope for something to change by the Spring of next year, although that seems very unlikely at this point.

You are quite welcome. But it is going to be almost impossible for anything to change as there were more than 800,000 petitions submitted last summer when the US did not have any visas available but got pushed into accepting them. When you figure that there are only 140,000 total green cards under the EB-3 category and that is what you would be under; and with that number of petitions, you do the math. And that does not even take into account all of those that are under CP processing currently. That is why we keep stating that it will be more like five years at the earliest for anyone to have a change at a green card now, and even longer if they are not already in the petitioning process.

Best of luck to you and please keep my posted as to how things work out for you.

I don't care how many patients/ residents there are I would want to know the BP if I was giving the med.
Id have the CNA's get the vitals if there low hold the med
I find as a new nurse most new nurses try to do things the way we are taught. The problem is when everyone is used to doing things the wrong way -they will have a problem with you for doing it the right way. If you cause any harm doing it the wrong way they won't be there to back you up in court.