US lawmakers are not first in the line among well-wishers for immigrants

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dear suzanne,

thanks a lot for your assistance and support,

could i ask you: it seems that us lawmakers are not first in the line among well-wishers for immigrants, i hope the situation with foreign nurses will not become even worse.

i know that the future of cir and nursing retrogression unpredictable, however:

1. could you describe the poor scenario if there will be no any congress actions toward immigration. how long should we wait from pd- 5 years or more?

2. if i-140 has already approved, does it mean that the congress or senate still able to cancel or delay an immigration process? in other words, does the process irreversible or not?

suzanne, please understand that my questions is not complex of fears and doubts, i have to planning my future and seek other options in case of us immigration process will be retrogressed, so your answers are critical for me and for my friends.

many thanks!

Just giving a friendly reminder to everyone to keep every discussion friendly and always respect the opinions of others.

thanks a lot suzanne for your detail explanations. you are definitely the most competent here.

you posted:

«theory has nothing to do with actual clinical skills. being able to start an iv, give an injection and drawing up the medication, and inserting a foley catheter are not on the exam. priorities are.»

i have to disagree with you. you forgot that all nurses have to fill out clinical skills list before immigration process starts. do you think that foreign nurses who claim that their have necessary skills are liars?

another point: i have more that 14 years experience in emergency and critical care, moreover as a nursing supervisor i able to teach nursing skills for young nurses. have i any benefits from that in immigration process? our skills have nothing to do with immigration process, everything depends on good (or bad) will of your wealthy and healthy (for the present!) lawmakers and nursing lobby, which is sleeping successfully.

bets wishes and god bless you.

there are nurses that come here and do not have the actual skills. i do not deal with the immigration process and what you need to put on which form. all that i can state is when you have 15 students to one patient, and this does happen, then you are not getting the skill set that you need. and we are seeing it alot. this does not happen with all, but it is happening.

if you have a master's in nursing, or have been given a special award by your country, etc,. then you do qualify for the eb-2 and could get petitioned quicker.

and remember, not all nurses that are coming over have work experience as an rn. it is actually not a requirement to work in the us. there are quite a few that come over as new grads, and then the experience that they have is dependent 100% on what they covered in their schooling.

nclex exam only tests theory, it has nothing to do with physical clinical skills. you will find it easier to get a job in the first place because of your skills.

thanks a lot, suzanne for your reply. of course, there are many different nurses with different skills not only in the us, but in europe and other countries. i have a lot of experience, including job in uk, sweden, norway where the healthcare system is very well developed. do you know, everywhere there are the same problems - different level of nursing skills.

in accordance with research about nursing negligence in sweden for example, the vast majority of accidents were connected with young swedish native nurses, not immigrants.

i just want to ask you: do you think it is correct to blame immigrants before any serious research in this term will be performed?

moreover, such opinions from us nurses and nursing unions may stop nurisng immigration at all. may be we should support a serious discussion and research about nursing negligence and lack of skills and only after that decide who is the main problem for us healthcare system?

thank you, suzanne.

Dear Suzanne!

You mentioned that a nurse with Master's can be petitioned quicklier. My husband has M.Med Sc. - not exactly nursing, apart from his Bachelor' in nursing. How can it help? We have our case approved by NVC in August, 2006, bill paid, but stuck with DS forms because of this damned retrogression. Do you think the fact of having Master's (both my husband and me) can help now?

And in general, as far as I can see, things are not moving at all with CIR or recapturing visas. We need some boost periodically to keep the spirits up!

What do you say?

Thanks a lot for the wonderful site, you and Lawrence.

Specializes in Hemodialysis, peritoneal dialysis, transplant..
Do you mean that NVC have to ask an additional skills checklist? Or NVC or US Congress should provide their own skills exam?

It may carry an immigration to the point of absurdity.

The truth is following: they are seeking cause to say "good-by" politely.

It is dishonestly: if you do not need foreigh nurses anymore you should say it clearly without any dodges.

Only employer has legal right to assess prospective candidates, and if employer agrees to sponsor foreign nurse, it is not the business of US authorities to put obstacles in the way of immigration.

I have immigrated twice. First time from the former Soviet Union/Russia, the second time from Israel to the States. I have never been asked about my skills for immigration purposes.

Specializes in Hemodialysis, peritoneal dialysis, transplant..
Dear Suzanne!

You mentioned that a nurse with Master's can be petitioned quicklier. My husband has M.Med Sc. - not exactly nursing, apart from his Bachelor' in nursing. How can it help? We have our case approved by NVC in August, 2006, bill paid, but stuck with DS forms because of this damned retrogression. Do you think the fact of having Master's (both my husband and me) can help now?

And in general, as far as I can see, things are not moving at all with CIR or recapturing visas. We need some boost periodically to keep the spirits up!

What do you say?

Thanks a lot for the wonderful site, you and Lawrence.

Dear!

I am sorry, but it can not help.

Dear Suzanne!

You mentioned that a nurse with Master's can be petitioned quicklier. My husband has M.Med Sc. - not exactly nursing, apart from his Bachelor' in nursing. How can it help? We have our case approved by NVC in August, 2006, bill paid, but stuck with DS forms because of this damned retrogression. Do you think the fact of having Master's (both my husband and me) can help now?

And in general, as far as I can see, things are not moving at all with CIR or recapturing visas. We need some boost periodically to keep the spirits up!

What do you say?

Thanks a lot for the wonderful site, you and Lawrence.

You are very much welcome, rozmaril. We do our best.

thanks a lot, suzanne for your reply. of course, there are many different nurses with different skills not only in the us, but in europe and other countries. i have a lot of experience, including job in uk, sweden, norway where the healthcare system is very well developed. do you know, everywhere there are the same problems - different level of nursing skills.

in accordance with research about nursing negligence in sweden for example, the vast majority of accidents were connected with young swedish native nurses, not immigrants.

i just want to ask you: do you think it is correct to blame immigrants before any serious research in this term will be performed?

moreover, such opinions from us nurses and nursing unions may stop nurisng immigration at all. may be we should support a serious discussion and research about nursing negligence and lack of skills and only after that decide who is the main problem for us healthcare system?

thank you, suzanne.

i am not blaming anyone. but there is a difference in the training of nurses coming out of several countries at the moment. when you cut the time of the programs as well as have more than 15 students per one patient, there is no way that the skills can even be learned or taught. add that in with the number of foreign nurses that are walking away from contracts once they get to the us, and facilities are running scared, and i cannot blame them. and there are programs out there where the nurses never even care for a patient in a facility, all training is done in the school in lecture. should that be allowed? no it should not, and the us is currently investigating. and they have been pulling green cards from some of them that went thru fraudulent programs.

there is not a main problem with the us healthcare system. just the population is getting older, simply supply and demand. the us has used foreign nurses for years, and will continue to do so. but when countries are training more nurses than the could possibly ever use with the idea that they will go to the us and that we need to take all of them, that is just not going to work. and it is being proved over and over again.

if there was a problem, then many would not want to be coming here to work, think of it that way. there will always be a need for foreign nurses, but the facilities are not starting to get very selective. and they are firing nurses if they do not work out, no longer spending a year trying to train someone that does not have basic skills experience.

sorry, but any new grad, whether coming from an rn program of any type should have experience with inserting foley catheters, placing ng tubes, know how to draw up medications and even give an injection. and some cannot do that, believe it or not.

Dear Suzanne!

You mentioned that a nurse with Master's can be petitioned quicklier. My husband has M.Med Sc. - not exactly nursing, apart from his Bachelor' in nursing. How can it help? We have our case approved by NVC in August, 2006, bill paid, but stuck with DS forms because of this damned retrogression. Do you think the fact of having Master's (both my husband and me) can help now?

And in general, as far as I can see, things are not moving at all with CIR or recapturing visas. We need some boost periodically to keep the spirits up!

What do you say?

Thanks a lot for the wonderful site, you and Lawrence.

With a MSN, then the nurse qualifies for the EB-2 visa, and there is not the wait that there is currently for the EB-3. But that is something that your attorney should have done in the first place with your petitions.

Check out the requirements for the EB-2 visa, and you will see exactly what I am speaking of.

Dear Suzanne!

You mentioned that a nurse with Master's can be petitioned quicklier. My husband has M.Med Sc. - not exactly nursing, apart from his Bachelor' in nursing. How can it help? We have our case approved by NVC in August, 2006, bill paid, but stuck with DS forms because of this damned retrogression. Do you think the fact of having Master's (both my husband and me) can help now?

And in general, as far as I can see, things are not moving at all with CIR or recapturing visas. We need some boost periodically to keep the spirits up!

What do you say?

Thanks a lot for the wonderful site, you and Lawrence.

And thank you for the nice note.

To make it easier to understand:

If the nurse went to school to be a nurse because that is something that they always wanted to do, and no matter what the pay was or the hours were, and where they worked was not an issue. Then you are a true nurse. I graduated and was getting $8.49 per hour, and there were those that were working on the line as they call it in the car industry with only a high school diploma and they were getting more than $11 per hour. And the check out clerks in the super markets were making more money. But this is something that I wanted to do. And we all loved what we were doing.

But now, there are people going into nursing that never would have even thought of it fifteen years ago, but because they lost their job have decided that this is something that they really want to do now, because the pay is so much better than it used to be. Or those that are going into nursing to have a quick trip to getting a job in the US. They have no idea of what they are truly getting into or what is really involved, And it is hard work. Nursing in the US is quite different from many different countries, especially in SE Asia where the physician is the one that is responsible for the assessment. In the Us, the nurse has to do one from head to toe on each of their patients in the acute hospital each shift, if not even more often. Hospitals are paying more, but they are also wanting more work out of the nurse.

And with everything that I have seen lately, I am starting to think that actual clinical work experience be a requirement in many countries before they can go overseas to work in any country.

Unfortunately, hospitals do not get to check the skills out until the nurse actually starts work. And this happens with American nurses that get hired as well. If skills do not quickly get up to where they need to be, they are released from the job. Same things that other places do as well.

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