hi there, welcome to allnurses. I am a USA trained American who is a neonatal nurse practitioner but also happens to have a NMC license in the UK so I'm a bit familiar with the UK licensing system, although I have never practiced there.
If you want to do NICU for your career, I would definitely do it in the UK so that you can show that you have experience. In general there is a shortage of experienced
NICU nurses (note to others reading- not a shortage of new graduate RNs that want to do NICU), particularly children's hospitals. Most major cities have a children's hospital and a bunch of other NICUs. If you wanted to do pick another specialty ER would probably be the next best off your list. The other two sound more like clinic type work and would probably be harder to get a job.
Have you looked into getting your RN license here? Most UK nurses are "adult trained" only and have a deficiency in hours in things like OB, peds, and mental health, etc etc. Look in the international forum and do a search- there are quite a few threads on the subject. If you fall into this category you'll probably have to take a semester or two at a nursing school
to get the required hours. These kinds of programs are fairly rare. You may need to live in a different city for awhile if there is not one available in the city where you and your spouse will go. My best guess to find these would be to do a general google search and then barring that emailing nursing schools
directly. You'll know which hours you'll need once you file your CGFNS which is the company which validates your nursing credentials (CGFNS Certification Program(R) | CGFNS International, Inc. | Global Credibility
) to be eligible to take the NCLEX.
I have never heard of anyone doing their masters as a NNP there and then transferring over to the USA (in the USA there is a separate NP license unlike the UK). I highly doubt that this would work, but the National Certification Corporation (National Certification Corporation - Home
) is the one that administers the board exam that you would need to take and you can check with them on if you would be eligible. Actually come to think of it I think it has to be a Canadian or USA school. Plus then you would have to wrangle with the state board to get a NP license and make sure you took the "right" courses like patho, phys assessment, and pharm across the lifespan per our consensus model, so no best to not do it unless you want to do it twice.
What you could do thought was to apply for school as soon as you got here because you would meet the requirements for school by having a visa & having the NICU RN experience. I bet schools let your RN NICU experience in the UK count- most require at least 2 years of experience.
best of luck to you. keep me posted on how it all turns out : )