US demand for Filipino nurses declining - educator - page 6

by pinoy_guy 12,905 Views | 76 Comments

us demand for filipino nurses declining - educator change in work attitude... i wonder if this is related to the nurses who got "fast track" bsns, all in less than 6 months. cgfns & uscis have to crack down on these... Read More


  1. 0
    Quote from crossbow
    (besides, what happens to their future if they are sent back anyway? just stating the reality.)


    well, they are not being sent back.

    they are all over the us, and they brag about walking away from their contracts, and even advise other rns in the philippines to do the same thing.


    Quote from crossbow
    1:4 ratio!! man i'd die for a 1:4 ratio!!! my med/surg tele unit has 1:7 or 1:8 ratio. (pinoy guy, the nurse to patient ratio is the reality of us health care. 1:6 ratio isnt exploitation for me...its a blessing!!)
    it depends.

    from what i know, med tele units in california is going to 1:4 by january 2008, and some hospitals started implementing that a few months ago.

    i'm really curious about the gap in nursing practice between california and new york.

    a friend had been persuading me to go to nyc, because he said the work was easy.

    he has 3 jobs, and he still has time for outside activities.

    i asked him how he could do that, when i'm really exhausted after a duty, especially if one of my patients was on kayexelate.

    we don't have cnas, so i clean up the patient.

    he told me that the only time he handles stool is when there's a stool specimen to be labelled and sent to the lab.

    i don't know if he was joking. but he does have 3 jobs at this time.

    Quote from crossbow
    no imho, once the newbies arrive here, they want it easier.
    exactly.

    actually you only have to read some posts online, from rns still in the philippines.

    i think part of the disparity is because we have medical students and interns in philippine hospitals, and they handle a lot of the vital signs and iv starts, plus pushing of iv meds.

    when you have these other jobs on your plate...it is impossible to handle 30 patients in one shift.


    Quote from crossbow
    its not going to be easier!!! this is the reason why the united states is recruiting from outside its borders...because nursing here is not easier. the new nurses are supposed to be the solution and not the problem on top of a bigger problem.
    exactly.

    money doesn't grow on trees.

    but your hard work does have its just reward.




    Quote from crossbow
    to new nurses who have just arrived:
    . . .
    2. before you think of yourselves as a valuable commodity, think first if you can cut it in your unit before transferring to other units because chances are the units or hospitals that you are planning to transfer to, may have the worse nurse retention problems or working conditions than the ones that you are in now.
    nobody's a "valuable commodity."



    it's all teamwork.
  2. 0
    Quote from joe li
    ...having a bossy attitude, inability to work well with others or follow instructions, having a demanding and selfish nature, etc. the kind of characteristics that can get anyone let go if it rises to an intolerable level, shich is probably is given the option of having one less nurse to help the team.
    ah.

    i know what you mean.

    i've met this kind of prima donnas on the job.

    they can kill camaraderie and esprit de corps really fast.
  3. 0
    Quote from crossbow
    1:4 ratio!! man i'd die for a 1:4 ratio!!! my med/surg tele unit has 1:7 or 1:8 ratio. (pinoy guy, the nurse to patient ratio is the reality of us health care. 1:6 ratio isnt exploitation for me...its a blessing!!)
    california nurses association ratio basics

    er trauma 1:1

    or 1:1

    pacu 1:2

    icu 1:2

    er 1:4

    sdu 1:3

    telemetry 1:4

    med/surg 1:5
    these ratios are for california, and will be fully implemented by 2008.

    they cut costs by firing the cnas, so i've been doing vital signs and i&os, and cleaning up and bathing patients.
  4. 0
    Quote from pinoy_guy
    california nurses association ratio basics



    these ratios are for california, and will be fully implemented by 2008.

    they cut costs by firing the cnas, so i've been doing vital signs and i&os, and cleaning up and bathing patients.
    i work nights so...no bathing. i havent sponged a patient since phc.

    work without cnas is a crazy notion!! is this althroughout california?
    i used to work as a cna in socal before getting my license and moving to ny.

    our cnas are invaluable. some draw blood and do ekgs. very helpful if you have 4 rule-outs that need troponin draws and ekg in the next 30 minutes. vitals and i&os i also do. vitals at start of shift so i know how my patient is doing and whether the report i get from my colleague is true or not. i&os because the surgery guys are anal about it.
    'm really curious about the gap in nursing practice between california and new york.

    a friend had been persuading me to go to nyc, because he said the work was easy.

    he has 3 jobs, and he still has time for outside activities.

    i asked him how he could do that, when i'm really exhausted after a duty, especially if one of my patients was on kayexelate.

    we don't have cnas, so i clean up the patient.

    he told me that the only time he handles stool is when there's a stool specimen to be labelled and sent to the lab.

    i don't know if he was joking. but he does have 3 jobs at this time.
    nyc is different from long island ny(where i am). nyc has all the help they can get. higher wages and one can get around anywhere they can in the city. (sort of like manila except we use trains) but the downside is that everything is expensive over in the city. and the living spaces are small and yet expensive. (which is probably why your friend has three jobs)

    (hey, conditions in manila are the same - expensive rent, expensive food, easy accessibility, anything you want is available at 3am)

    actually you only have to read some posts online, from rns still in the philippines.
    well i hope i dont have to work with them. if i do.....

    if they come to my unit i will make sure they realize what working here is really all about.
  5. 0
    Quote from crossbow
    i work nights so...no bathing. i havent sponged a patient since phc.
    the baths are usually at night here, because mds are passing by during the daytime, so it's harder to do your job if you're in the middle of bathing a patient.

    if the patient poops though, you'll be forced to give a bath. especially the confused patients who smear stuff all over the bed.

    restraints are not indicated for such patients.


    Quote from crossbow
    work without cnas is a crazy notion!! is this althroughout california?
    i don't know if it's throughout california, but it's in central california.


    Quote from crossbow
    our cnas are invaluable. some draw blood and do ekgs.
    blood draws are done by lab techs, except in icu.

    ekgs by unit secretaries.

    cnas are rare where i'm working.


    Quote from crossbow
    very helpful if you have 4 rule-outs that need troponin draws and ekg in the next 30 minutes.
    cardiac enzymes are done q6h x 3.

    i think icu rns have to do the blood draws themselves, so the 1:2 ratio works against them.


    Quote from crossbow
    vitals and i&os i also do. vitals at start of shift so i know how my patient is doing and whether the report i get from my colleague is true or not. i&os because the surgery guys are anal about it.
    vitals q4h.

    i&os...i like doing them myself, because when i go to med or surg floor with cnas (1 cna for 12 patients), i usually get indecipherable writing with inaccurate figures.

    current practice though is you'll have to serve the meals and take out the trays--additional jobs in an overburdened role.


    Quote from crossbow
    nyc is different from long island ny(where i am). nyc has all the help they can get. higher wages and one can get around anywhere they can in the city. (sort of like manila except we use trains) but the downside is that everything is expensive over in the city. and the living spaces are small and yet expensive. (which is probably why your friend has three jobs)
    so that's why he can do 3 jobs.

    my friend seems to be enjoying life in nyc.

    i'm afraid to visit nyc, because i might feel bad when i get back to work after seeing the work situation in nyc.



    Quote from crossbow
    (hey, conditions in manila are the same - expensive rent, expensive food, easy accessibility, anything you want is available at 3am)
    well.

    manila is kinda similar...but the scale is disproportionate.

    minimum daily wage in manila is $7/day...and a big mac meal is $2, almost 1/3 of your daily wage--leaving you with $5.

    minimum hourly wage is $30 in nyc, and a big mac meal is $6...so assuming you work 8 hours a day, that's $240 daily wage, leaving you with $234 after your big mac meal.


    Quote from crossbow
    well i hope i dont have to work with them. if i do.....

    if they come to my unit i will make sure they realize what working here is really all about.
    you know, i see such people more and more.

    they are the ones sitting at the nurse's station either eating or chatting...and are eager and ready to go home before time. we wonder how they do their jobs when we rarely see them go into the patient's rooms.

    they are usually the ones who pretend to work when the supervisor or manager is on the floor. i think they are called "brown nosers."

    bad for the morale.

    i don't think we need more of them.
  6. 1
    I do not agree to this statement because if it's the case now why are recruiters here in the Philippines still hiring Filipino nurses. I personally believe that this is just an opinion of someone who doesn't know the real score, commenting on an issue that is isolated and does not represent the general working ethics of the Filipino nurses in majority.
    SilverSurfer likes this.
  7. 0
    Quote from Rajiv
    I do not agree to this statement because if it's the case now why are recruiters here in the Philippines still hiring Filipino nurses. I personally believe that this is just an opinion of someone who doesn't know the real score, commenting on an issue that is isolated and does not represent the general working ethics of the Filipino nurses in majority.
  8. 4
    I don't think anyone meant that hospitals are not recruiting filipinos anymore. It's just that more and more hospitals would rather not want to because of nurses not fulfilling their contracts. Previous posters have shared their own experiences regarding that.
    crossbow, suzanne4, Silverdragon102, and 1 other like this.
  9. 1
    Quote from caloy
    I don't think anyone meant that hospitals are not recruiting filipinos anymore. It's just that more and more hospitals would rather not want to because of nurses not fulfilling their contracts. Previous posters have shared their own experiences regarding that.
    Other countries has noticed this as well. Some may not know but Spain actually has a Memorandum of Agreement w/ PH to hire workers (see POEA website for reference), such as nurses and it was stressed out that the reason why it is only a MOA and just a pilot program at that is that they know about thet non-fulfillment of contracts being practiced by some nurses in the US. The Spanish Gov't stressed out that if the employers complain about any news of 'jumping ship' that they would cancel everything and those jumping ships will have their permits canceled and be deported back. This news came out more than a year ago; it just didn't made much media hype.
    Last edit by lawrence01 on Sep 11, '07
    suzanne4 likes this.
  10. 1
    Quote from Rajiv
    I do not agree to this statement because if it's the case now why are recruiters here in the Philippines still hiring Filipino nurses. I personally believe that this is just an opinion of someone who doesn't know the real score, commenting on an issue that is isolated and does not represent the general working ethics of the Filipino nurses in majority.
    Sorry, but even though there are recruiters, most are not recruiting for hospitals, and there are also no visas available, and we do not expect them for sometime. Recruiters have been making promises there for years and many have been unable to live up to what has been promised. Many are also recruiting there illegally.

    And the better part is that the above posters are actually from the Philippines, and are actually in the US working in the RN role and have been doing so for sometime. They are quite factual in what they are posting.

    I understand that you are new here, but you need to be aware of what is actually going on, not the rosy picture that some of these recruiters are boasting about.

    Example, I am sure that the ones from the border towns in Texas, where they do not have the ratio laws have not told you that you will have 12 to 15 patients that you are responsible for and this is in a hospital and not a long term care facility. You must always check out everything before signing.

    And there are many other threads here where specifics as to what is going on in PI is actually discussed on this foum. Please have a read.
    pinoy_guy likes this.


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