I work at a hospital where a number of Indian and Spanish speaking nurses speak broken English, at best. Sometimes I wonder if they understand everything I am saying to them. Also ran into a Vietnamese nurse who everyone was giving a hard time to on her orientation because her English was so bad. The Spanish and Vietnamese nurse were brought to the States by the hospital. The Vietnamese nurse could read written english well, but had difficulty speaking. The Spanish speaking nurses seem to have trouble with passing the NCLEX. I wonder if recruiters evaluate the nurses command of English. I can understand them and am patient, but a number of my colleagues are impatient with them. I feel sorry for them.