CA BRN new requirements for NCLEX RN international students - page 35

by jamalang | 267,774 Views | 1113 Comments

I had already registered online in Pearson Vue but I think I'm not yet eligible to take the test. Is there an expiration date for my registration at PV? I received a letter from CA BON requesting for new requirements such as:... Read More


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    Wow those are harsh statements, but sadly all true.

    Going through these countless posts about frustrations with CA BRN denying applications is so depressing, especially when the problem is a TECHNICALITY. My heart goes out to all those Filipino aspiring nursing graduates trying to get their chance to sit the NCLEX-RN exam. They don't deserve to suffer the consequences brought about by these circumstances. This generally shouldn't be that big of a deal since there are 49 other states (49 Boards of Registered Nursing) where they can apply to. Unfortunately, not everyone has the luxury of relocating at will, be it because of family, finances, or other reasons.

    The technicality here is a very frustrating one. Just like what was stated in other posts, the Philippine nursing curriculum does have their theory and clinicals concurrently during the same semester. Students get supervised clinical training in the hospital setting with actual bedside care, while also having classroom lectures on the same nursing rotation they're on at the same time. The problem arises with the "25 cases" requirement for Philippine nursing licensure. Since CA BRN considers these "cases" as part of the "clinical instruction" component of the nursing curriculum, completing a case outside of the semester it was supposed to be done automatically deems it "not concurrent" with theory. Application denied.

    "Say what?! How the heck could I have finished all my cases on time?! This is unheard of!" Much of the frustration stems from this very situation. Speaking from my experience as a nursing graduate from the Philippines myself, BSN program enrollment in the Philippines peaked in the mid-2000's in the midst of the so-called "nursing shortage". Even colleges that were known for their computer degree programs opened their own nursing programs to cash in on the hype. Because of this, college-affiliated hospitals were squirming with nursing students. Too many nursing students + not enough patients = not enough cases. You're lucky enough if you don't go home from a day in the OR or L&D empty-handed. Students completing their set of cases before the end of the semester was very uncommon and they frequently had to attend "completion duties" just to obtain all those missing cases. They have to do this on their days off school, or if time does not permit, much later (explaining the lack of concurrency, sometimes even having cases completed well after graduation).

    So what happens to all future Philippine nursing graduates? Are they all automatically barred from CA nursing licensure before they even graduate? Unless things are changed, seems like the answer is yes. All involved agencies (PRC, BON, PNA, CHED?) have got to do something. I see three ways to solve this issue:

    1. Have both boards of nursing discuss the issue

    Since the grounds for application denials here really appears to be a "technicality", I don't see why this can't be clarified or discussed somehow. Perhaps the Philippine BON can have correspondence with CA BRN to show how the Philippine nursing curriculum does indeed have their clinicals and theory concurrently and that the "cases" are a requirement for Philippine licensure, not graduation (since CA BRN doesn't require these cases anyway)

    and if that doesn't work...

    2. Enforce completion of cases as requirement to advance to next semester

    With so many nursing students and little patients, I only see this happening if colleges decide to limit their number of enrollees per year. Ummm, yeah right...

    3. Abolish the case requirement altogether

    This has been a requirement for Philippine nurse licensure since who knows when. I don't know if the Philippine BON would be willing to change this just because of one US state's standards.

    In the end, this is CA BRN's decision. They have all the right to uphold whatever standards they adhere to. We have to comply with their regulations; they don't have to change their regulations to be more convenient for us. It's just sad when a life-changing issue for many Philippine nursing graduates is the result of...I'll repeat it again...a technicality.

    I've also read other people's comments frequently bringing up the court ruling involving Excelsior College and comparing it to this issue. Please stop doing so. While both involve determination of nursing curriculum not meeting CA regulations, this particular college got a lot of negative attention because it offered an RN curriculum that had NO actual clinical supervised training and instead issued some clinical test every week. That's hardly the case here.

    Whew! So many thoughts I still want to dump, but I guess I'll cut it here, haha!
    Bluecross and retetestis like this.
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    [QUOTE=Santo_Nino;6503186]Denied. The California Board of Registered Nursing current policy dictates that all your clinical cases should be finished before the date of your graduation ceremony. I have my cases concurrently with my OB and MS lectures but i didnt use it as my own case before i graduated coz its too far for me to have them signed by the chief nurses.. I think its just how you talk to your school on how will they help you regarding this matter. I just graduated this march so i think i still have 50% advantage to change my cases.. Hoping this will work..
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    "In the end, this is CA BRN's decision. They have all the right to uphold whatever standards they adhere to. We have to comply with their regulations; they don't have to change their regulations to be more convenient for us. It's just sad when a life-changing issue for many Philippine nursing graduates is the result of...I'll repeat it again...a technicality."

    The reality is the majority of the international students ( and the majority are from the Philippines ) fail the NCLEX at a rate of 70%. If they went to school in the USA, their school would be asked to fit their program STAT or be closed. Research has shown concurrent clinical improves the passing rate for the candidate. Considering from what I have read, nursing instructors often have little nursing experience, students often have to "share" patients, and the differences in health care system, the Board of Nursing needed to do something to protect patients from unsafe nurses.

    Since these students choose to leave the USA to get there education instead of being educated in the USA, unfortunately they have to suffer the consequences, one being they could meet the requirements requested and take the NCLEX.
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    Quote from Ginger's Mom
    "In the end, this is CA BRN's decision. They have all the right to uphold whatever standards they adhere to. We have to comply with their regulations; they don't have to change their regulations to be more convenient for us. It's just sad when a life-changing issue for many Philippine nursing graduates is the result of...I'll repeat it again...a technicality."

    The reality is the majority of the international students ( and the majority are from the Philippines ) fail the NCLEX at a rate of 70%. If they went to school in the USA, their school would be asked to fit their program STAT or be closed. Research has shown concurrent clinical improves the passing rate for the candidate. Considering from what I have read, nursing instructors often have little nursing experience, students often have to "share" patients, and the differences in health care system, the Board of Nursing needed to do something to protect patients from unsafe nurses.

    Since these students choose to leave the USA to get there education instead of being educated in the USA, unfortunately they have to suffer the consequences, one being they could meet the requirements requested and take the NCLEX.
    While you make some very valid points, the denial letters applicants have been receiving all point to the concurrency issue, about the cases being completed out-of-sync with theory. My impression now is that CA BRN is using this concurrency issue as an opportunity to turn down the graduates on the get-go. That just sounds...wrong...

    Also, it sounds unfair to judge nursing education in the Philippines as a whole. While there are many sub-par nursing colleges there, there are excellent ones also. I'm sure CA BRN has statistics of the NCLEX-RN pass rate for each international nursing college. Shouldn't they adjudicate every application on its own merit, not be partial because it's another foreign trained/Philippine graduate?

    BTW, I recognize you from one of my previous posts from years ago. Funny you mention about students leaving the USA for education, because that's what we were discussing back then also lol.
    retetestis likes this.
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    Quote from Santo_Nino
    I have my cases concurrently with my OB and MS lectures but i did not use it as my own case before i graduated coz its too far for me to have them signed by the chief nurses.. I think its just how you talk to your school on how will they help you regarding this matter. I just graduated this march so i think.... I still have 50% advantage to change my cases.... Hoping this will work...

    1. How do you know for sure that your cases are concurrent? Nobody knows the structure of "concurrency" required by the CA-BRN. "cases = matching the correct semesters" This is a secret, available only at their discretion.

    2. If by any means you are hinting that you can falsify or submit fraudulent documents with doctored or altered information, thereby giving the impression to pass for licensure exam-approval, I sincerely suggest you re-think it through.

    One of the main reasons why the California Board of Registered Nursing came up with this new requirement was the fact that certain Filipino candidates were caught red-handed, submitting falsified Nursing documents from Recto Avenue in hopes of complying with the NCLEX licensure process. Some even submitted Nursing transcripts claiming to have studied internationally, while physically living in the United States of America.


    Altering cases, their clinical dates, locations, procedures etc. qualifies under the penalty of fraud. I would not test the investigative capabilities of the CA-BRN, as they have been very diligent in monitoring fraudulent information... and their licensing analyst "cross-check" through out all the datas for consistency and accuracy. This is why they require all the other "extra" documents like rotation, calendar etc.

    What will a candidate say when the Board finds out the cases he/she claim to own have been already claimed by another student in file system? or that the cases conflicts with the date already purported by another NCLEX candidate. Tricky step, and a very risky gamble in my opinion.


    But in the end, only you know what is the best decision to make for yourself. Calculate your steps well, and calculate them wisely so you can persuade the licensing unit----or not be caught.
    Last edit by Santo_Nino on May 20, '12 : Reason: tre soie
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    guys please help me. i have no idea about what's happening with the BON in cali, ********** what are they're requirements? thank u so much. i dont wana lose hope.
    Last edit by Silverdragon102 on May 20, '12 : Reason: Tagalog removed
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    Reminder to post only in English as per the Terms of Service of the site
  8. 0
    I just got denied and now im stuck. I dont know what to do anybody here have a very useful advise? :'(
  9. 0
    Like others have said, there are many other states you can apply to, although you will have to go through more hoops such as CGFNS, TOEFL, etc. Or you can apply as LVN if moving out of state is not an option for you. Frustrating, but better than nothing. Sorry to hear about your denial.
    Last edit by Mobiusrain on May 21, '12 : Reason: Misspelling
  10. 0
    i also dont know what to do.. im from va, its strict here.. i dnt know what state will i apply in taking nclex..
    that is easy as in cali before..


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