I've been following this forum for quite some time now, and what strikes me the most is how different nursing seems to be in the the States than it is here in Canada. The biggest things I've heard talked about a lot that I've never heard of in Canada are:1. drug tests for nurses and nursing students. I have NEVER heard of a nurse or nursing student being asked to complete a mandatory drug test. It wasn't a part of my education, and I haven't heard of it in my workplace or any of my friends work places. 2. Customer satisfaction surveys. I have never heard of a hospital in Canada having customer satisfaction surveys, or really ever referring to clients as customers. I would imagine that this is a result of the private vs. public sector. In my experience, nurses in Canada are still over worked, but there is no fear of clients reflecting poorly on their 'experience'3. In Canada, everyone is guaranteed 'free' medical care, which for the most part seems that everyone is guaranteed equal access to mediocre health care. In the States, it seems that there is a big divide between the wealthy and the middle class. 4. Job market. While I understand that there are different job markets for nurses within countries, there seems to be a stark difference between new grads ability to get jobs in Canada vs. the States. Literally everyone that I graduated with a year ago is employed full time, most in their area of preference.What are some of the biggest differences that you guys have noticed?