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Many members of this forum as well as moderators have given their views regarding the sad but realistic truth regarding US migration for nurses that is.... an X amount of years of long wait.
We often misunterstood some members for not being supportive and often critical to all of us who are on the line with a wishful thingking.
( It should be noted , when i first started at allnurses I was not even an NCLEX and IELTS passer then,I was a nobody.:Dsuzanne,lawrence and few others,were their to answer my inquiries,for free, my imaginary cyberfriends:bow:)
I must admit that sometimes I get upset with the feedbacks/responses that I read pertaining working in US...things which is not I wanted to hear..,after all our sacrifices,paper works,shouldered expenses,expectations, we are still here waiting.It struck me,that could it be, through those long years of wait,... will my employer or probably agency be there when the time comes my PD becomes current? will I have the same enthusiasm?I would like to believe that I was brought up to be optimistic person but I am also open to the possibilty of what if?
Having said that, we should always have back up plans, a more realistic goal in pursuing our career. we should always find ways to be productive and trying to making a difference during this hard times. It is not enough that we pass any licensure,english exams,but morse so, it should be our responsibility to hone our skills and be the best nurse that we can "claim" to be. not just through words but actual clinical performance and consistent professionalism at work.
One of my favorite verse, is from Habakuk 2:2.. " Write your vision on the table and wait for it, it will not be late it will surely come"..
Hospitals are concerned that new grads are not independent in nursing practice. In the USA the nurses are observed in assessment skills and nursing procedures such as catherization and tubes.
I am guessing the Philippine nurses don't use Pyxis machine or bar coding for medication admin.
For what I have read on this forum, the Philippines are taught by US standards, but in reality student have to take months to review for months for the NCLEX, so basically you are studying for the test only, and not really learning nursing.
American graduate nurses, take the NCLEX as soon as they graduate and most don't take review courses or if they do it is a very brief course ( a week). and they have a higher rate of passing.
Don't count on the hospital training you, hospital will give an extensive orientation geared towards the US new grad, the new nurse is expected to have skills like assessment skills and basic nursing skills, the hospital is not going to do nursing 101.
Hospitals are concerned that new grads are not independent in nursing practice. In the USA the nurses are observed in assessment skills and nursing procedures such as catherization and tubes.I am guessing the Philippine nurses don't use Pyxis machine or bar coding for medication admin.
For what I have read on this forum, the Philippines are taught by US standards, but in reality student have to take months to review for months for the NCLEX, so basically you are studying for the test only, and not really learning nursing.
American graduate nurses, take the NCLEX as soon as they graduate and most don't take review courses or if they do it is a very brief course ( a week). and they have a higher rate of passing.
Don't count on the hospital training you, hospital will give an extensive orientation geared towards the US new grad, the new nurse is expected to have skills like assessment skills and basic nursing skills, the hospital is not going to do nursing 101.
Must say when I worked as a nurse in the UK we didn't use Pyxis machines or bar code. Ward kept some stock and others was sent up individual to patient and the RN would dispense using either drug trolley or cupboard. Know it has been a while but can't see it changing that much
Must say when I worked as a nurse in the UK we didn't use Pyxis machines or bar code. Ward kept some stock and others was sent up individual to patient and the RN would dispense using either drug trolley or cupboard. Know it has been a while but can't see it changing that much
Pysis and Omincell is being rolled out most hosptials do not have this yet.From what I have read here on this board and talking to UK trained nurses, is that UK nurses have more authority in dispensing common drugs such as a laxative or asprin without calling a doctor.
I do know from personal experience, UK nurses are hignly regarded and able to make nursing judgements independently.
Pysis and Omincell is being rolled out most hosptials do not have this yet.From what I have read here on this board and talking to UK trained nurses, is that UK nurses have more authority in dispensing common drugs such as a laxative or asprin without calling a doctor.I do know from personal experience, UK nurses are hignly regarded and able to make nursing judgements independently.
I guess we do to a certain degree have more autonomy in some areas compared to our US counterparts but this is why I think it is great we can move countries and share the pot and experiences hopefully making things better all around for work environment and patients. I do hate seeing some countries being taken advantage of and I do think the Philippines is turning our more nurses than they can afford to making it harder for the ones that really want to be a nurse be a nurse and gain nursing experience. Especially now it is getting harder and harder with some countries due to immigration issues
I have always been wondering how would it be like working in US environment, i am a foreign educated nurse. I have finished my degree in the philippines and took the philippines board and after passing i was given an opportunity to work in one of the university hospital in Riyadh, as my first job in a foreign country its kind of difficult especially with culture and language adjustments and aside from that they have different standards there although most of our doctors were british but still its way different from the practice back in the philippines and now i am here in CA i know i have to face new challenges as new approach in nursing sets in and the standard and working environment will be different. But as to what i am saying no matter how hard it may seem dont ever give up on your dream,just pray and be strong... it is for you to take chances and decided on what you want in your life...being a nurse is not just a profession, its a calling...and if you are happy on what you are doing it reflects and you are able to touch lives and be the best nurse that you can be.
Must say when I worked as a nurse in the UK we didn't use Pyxis machines or bar code. Ward kept some stock and others was sent up individual to patient and the RN would dispense using either drug trolley or cupboard. Know it has been a while but can't see it changing that much
Still the same although we also have Patient own medication now so if your patient has capacity then they are responsible for taking thier own medications, obviously not if they are really poorly or need IV's but the run of the mill stuff they can do themselves.
"American graduate nurses, take the NCLEX as soon as they graduate and most don't take review courses or if they do it is a very brief course ( a week). and they have a higher rate of passing."
Its true that the passing rate of US nurses is higher than International nurses, and it should be. It would be a shame if US nurses would be outdone on their own turf. As to the review courses lets put it this way.The Philippines trains its nurses for its own need which is different than of the US. The way of teaching is different as well as the culture and health care delivery. If a Phil. RN would want to work in the US, then he or she should know what were those concepts that were peculiar only to the US setting. Phil nurses has to study how healthcare is being provided to the Americans. They have to know what HIPAA is , EMTALA, JCAHO, no family at the pt bedside to sit. They have to know that they will be responsible for LVN/LPN (since they were all BSN) once they start working. Phil RN will be slow at first but they will catch up sooner or later. Pyxis and Omnicell can be learned in a day or two and even sooner once you are in the system.( I could see the eyes of the seasoned nurse rolling when a new RN uses a Pyxis, looong lines) . International nurses have just to learn it on their own. Experience is the best teacher.
"American graduate nurses, take the NCLEX as soon as they graduate and most don't take review courses or if they do it is a very brief course ( a week). and they have a higher rate of passing."Its true that the passing rate of US nurses is higher than International nurses, and it should be. It would be a shame if US nurses would be outdone on their own turf. As to the review courses lets put it this way.The Philippines trains its nurses for its own need which is different than of the US. The way of teaching is different as well as the culture and health care delivery. If a Phil. RN would want to work in the US, then he or she should know what were those concepts that were peculiar only to the US setting. Phil nurses has to study how healthcare is being provided to the Americans. They have to know what HIPAA is , EMTALA, JCAHO, no family at the pt bedside to sit. They have to know that they will be responsible for LVN/LPN (since they were all BSN) once they start working. Phil RN will be slow at first but they will catch up sooner or later. Pyxis and Omnicell can be learned in a day or two and even sooner once you are in the system.( I could see the eyes of the seasoned nurse rolling when a new RN uses a Pyxis, looong lines) . International nurses have just to learn it on their own. Experience is the best teacher.
I think you made my point the training is different and not the same like so many try to post. As an American if I traveled to another country there would be a steep learning curve. A review course is not the same as learning in clinicals which foreign nurses don't have ( US based clinicals) and probably need supervision just like the seasoned nurses did when they learned Pyxsis.
Sweet Jelly
97 Posts
Dont get me wrong and that is not my intention. You can do it but according to law not allowed unless you take some training in IV insertion. Yes, you see some nurses doing that but they had done trainings in IV insertion. You can ask them anyway. And it is just a little portion of the % of nurses.
In every company or country there is a law, and you must follow the rules so that you might not get caught when something happens. As much as possible, it should be by the book. Nurses in the Philippines has the heaviest load in terms of work, as compared to other country.
Everybody wants to learn, so much as the neophyte but sadly no hospitals available. What can we do.
I know having lots of experienced puts you ahead of us and you are lucky to have it. Well, dont worry if opportunity comes our way, we'll grab it not just one hand but with our both hands so that it wont slip. And one thing more thank you for your comment.