i just wondered if any of you have had any experiance of the above named company for obtaining your car on arrival to the USA?
i recieved some information about them from OGP in a relocation pack
in the pack it states that they can obtain USA finance for you on a brand new car/truck, which seems competitively priced, this will go a long way to starting a USA credit history.
They deliver the car on arrival the tag and insurance are taken care of by them, it seems to make the buying process less hassle (one less thing to think about)
any opinions?????
am off to town now to get my international driving licence- hurrah!!
the transition was good for me i have worked in the UK med/surg, ortho and ICU and high dependancy to name a few i was assigned a fantastic american nurse on arrival and she was my mentor in the UK on nights i had 12 pts minimum on surgery here i work on a heart lung tele unit that specializies in lung transplants and have 4 pts max at first i thought OMG transplants but really enjoy it, even though you only have four pts i am kept going most nights so to speak but find theres not that running around like the UK the biggest difference i found is the checking and correcting the med sheets etc i initialy was on orientation for 12 weeks but found that to be to long and i cut it down to 6 weeks. The shift goes as follows i arrive at the hospital at 1830 sign in at the staffing office go to my floor find out my assignment i then sit down look on the PC for their notes and vitals etc any impending test etc then at 1900 find the RN and get report on the 4 pts then go around introduce myself to my pts listen to their lungs, heart check for bowel sounds and do a quick nearo assessment (this takes approx 10 min) on each pt, in the mean time the PCT does the vitals when i go back i check the pts notes for any change of orders and get the MARS (wardex) and double check doses times ect or any that have been discontinued and alter or add accordingly then fax new sheets to pharmacy etc then i chart my vitals on PC write a brief note on each pt. Then its usualy around 2100 when the 1st meds are due, themeds are retrieved individualy per pt from a machine called an omnicell i go and administer each pts meds after i go round make the pts comfortable etc in my unit they do somthing called hourly rounding were during my shift i go back into the pts rooms and check on the 3 P's as thye call it pain, potty and position all this is documents in the PC at midnight pharmacy send the new MARS and you sit down and go through them again double checking yours orders are correct pts go for CT Xrays and other test and procedures during the night the RN is responsable for filling our the consents etc in the morning in my unit RNs do line blood draws from PICC lines and porta cath and any blood test that involve a needle stick the lab techs come up and do them 0600 morning meds are due and given finish PC charting and then the day RN take over. So as you can see the night ticks over nicely, i find that 99% of the time im off well on time unlike the UK were i was mostly of late. I hoppe you find this helpful
thanks you so much betty boop..how do you find american patients they said they are very legally aware for every single thing? and that they are very demanding...is that true?
i'm sure that is not a problem as long as we're doing our job right...but is that true...
the information you gave was very useful....do you get breaks when you're at night...do you do twelve hours.
Specializes in Stroke Rehab, Elderly, Rehab. Ortho.
Hi Fruit Shoot,
I have to say that when I did night shift (I have been on days since May and I am in Florida) that BB's night shift sounds a lot like mine. We get report at 7pm, and the maximum Pt's I got up 11pm was 6 (went up to 8 after that unless I was shift leader then it was 7 - I work on an Ortho floor which is 23 bedded unit)
The rest of the night would pretty much go like BB's - checking the Pt's doing the assessment, giving the meds (we get ours from a machine called the Pyxis), checking the Mars (treatment sheets) against the orders etc.
Now I am on days - it is pretty much the same but no chart checks.
The Pt's here compared to the UK are usually very knowledgeable - but you get the odd clueless one. I dont think they are anymore demanding than UK pt's - yes you get the odd one but it isnt the norm - well not where I work anyway.
I do find the english accent has advantages - they all LOVE it and it is a good conversation point. It can be a disadvantage if you **** a doctor off as they would know who you are - but so far that hasnt happened to me - we have lovely doctors here and we have a system if a doctor is not being nice we can report them...but I have been here 3 years and only 2 doctors have been slightly "funny" with me and that was when I first started here and I get on well with them now.
On nights if you have to call the doctor - first make sure it is appropriate to call in the middle of the night or is it something that can wait til like 5 or 6am, and if you do have to call - make sure you have everything you need - Vitals, lab results, your assessment and any other info you think you might need.....nothing worse than calling a doctor and having to fumble around for the info he is asking for....
I work on a tele floor and am really busy most of the time. I start at 6.45am and finish 19.15. I have to clock in via a card swipe and out. If I am sent home early because of low cencus then I dont get paid for the rest of the day, you earn your time off and I earn 12 hours a month. We get paid every 2 weeks which is great. No sick time allowance it is all part of your paid time off. However if you have worked for the same hospital for longer than a year you get something called FMLA and can up to 12 weeks half pay.
The doctors in my hospital treat nurses very different from back in the UK it is a little more old fashioned attitude.
Here the worse thing you can worry about is being 'written up' it is a term which is used far too frequently for my liking and it means if you make an error no matter how minor then somebody can write up the event, so it does make you a little wary. It tends to be a blame blame environment sometimes.
On the positive side the nurses you work with are lovely and make you feel very welcome. The patients are patients and I love them even the grumpy ones, they Love as Sue said the British Accent, and love to talk to you about anything british, and it is a great conversation breaker. Not a day goes by when somebody comments on my accent and I have even heard pts say it calms them.
You get a lot of pain med seekers here and it drives you crazy especially when you are busy and they want their pain meds on the clock. Everything is given IV. Everybody has an IV. I am still useless as putting in venflons.
Like sue and MW said the accent is a huge advantage they adore the accent i have a strong northern england accent and they seem facsinated and sometimes it can be a little time consuming as they just want to hear you talk and of course i do get pts and staff who dont understand me due to the thick accent, pts i find are not more demanding but as sue says they are very knowledgable about their medical problems and most know medical terminaology unlike in the UK i find the pts here very polite as are the people still find it amusing to hear staff pts etc all me miss so and so or ma'm and thats the norm rather than the exception. Aslo forgot to mention i do only 3 nights a week here not 4 or 5 and they try to give you the same pt assignment back each night but unlike the UK the pts get discharged very quickly.
i'm scottish ...the accent is very thick...so what happen if you get written up...are you gonna be terminated from work... what are the things that you like most there...aside from weather of course...its very gloomy here and cold we didn't have a great summer...not a surprise. i met an irish nurse she came to work there 2-3 years ago...she didn't like it much there...she said she is worried all the time and that she needs to read books all the time as you said patients there are very knowledgeable...what if you can't answer all their questions do they get to complain...
Dont worry too much if your practice is good you sail under the wind. I love it here now the people, the weather, my life. Somebody asked me yesterday 'why did you come here to live' and my answer was because I love America. My work environment is not great anymore long story. But my co-workers are great. The patients love you especially if you have an accent and you can use that to your advantage. They understand me well enough face to face because I slow down the way I speak and use American terminology, but put me on a phone and it is more difficult. I am from manchester I dont have a particularily strong accent but it is enough to confuse.
Nurses can get written up for everything and No you dont lose your job initially but eventually you could get fired if you were written up enough. I have seen nurses fired something I never ever experienced in my life before in the UK.
I 'll leave Sue and Letina to discuss nursing in Florida, though if you come with an agency the chances of you getting Florida are limited if not impossible. Plus recently the nursing shortage is not as evident as it was.
fruit shoot
11 Posts
hi silverdragon...silly to ask what do you mean by US transplants?
thank you.