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ThinkerBelleRN

ThinkerBelleRN BSN, RN

Nurse
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  1. I am an international nurse who recently just migrated and started working in the United States. So I am not familiar with the hiring process and timeline involved, as well as the timeline and process for resignation here in America. Overseas, where I am from and other countries I previously worked in, we were just asked to submit one resignation letter addressed to manager, director of nursing, and HR, and I just had to give the letter to my immediate manager and she starts the process. We were also required to give 3 months notice and within that time frame, we get through with clearance forms, getting our employment/experience certificates, getting written recommendations, and attending an "exit interview" wherein HR and other bosses would ask about reasons for leaving etc. With the hiring process, it also takes a couple of months for interviews, background checks, and medicals. Currently, I am employed somewhere in the Midwest and just not happy in my facility and area of work I was assigned in; while my fiance is a thousand miles away in another state. I signed a 2 and half years contract with hospital, but I am just so miserable here which starts affecting my health, so I am currently saving up to pay for the breach of contract fee. My fiance and I both agreed about moving to a different city where we can finally settle, start our lives together and build a family. Given our plan, I would prefer to not be unemployed for a significant amount of time and would like to make sure I can secure a job in the new city we plan on moving to before I give my resignation in my current hospital. I just need to somehow figure out the realistic timeline and logistics of moving to a different state, getting a job and endorsing my RN license. I'm sure 10 months will go by quick so I am trying to gather as much information as I can to make this move possible. My question is, how is it usually done here in the United States? I understand my question seems a bit too general, since maybe it does differ per state, city, or facility. Specific to my situation, If I plan on leaving after 1 year of working here, I am not sure when I should start sending out applications, and if I should even let my manager know I am moving to another city and not going to finish my contract. I'm sure the prospective employer will call my current facility and inquire about me, and I am not sure how that will affect my situation even before I give my notice. With regards to the license, should I try and obtain a license in the state I am relocating even before sending out applications? Also, what other things should I try to get before leaving my current facility (certificates, recommendations, etc)? I would appreciate any advice or input as I am just completely clueless at this point, as it turns out its just so different here.
  2. ThinkerBelleRN

    Trying to find my niche in nursing

    Thank you for the reply. I will definitely look into the areas you suggested.
  3. ThinkerBelleRN

    Trying to find my niche in nursing

    I have been a RN for about 10 years now, and I feel like I have not really found my true calling. I do know I never enjoyed any inpatient work, and when I did wound care and hyperbaric, I actually really enjoyed it and think that it is a good area to focus. However, now in my new facility, I am forced to work in the medical floor and I feel so unhappy. It's almost like I have no choice to even pick the area I want try and pursue. Oftentimes I consider a complete career change, something that is not as stressful, that matches my personality. On the other hand, I don't want to go back to school for a different career path, and not even sure what I want to do outside of nursing. I am very laid back, and don't handle stress very well. Stress triggers my alopecia areata, so I am trying my best to avoid it if possible; and working on the floor does not help my condition. I still enjoy clinical work, and would like to stay in the nursing profession. That being said, what could be a good area of nursing for me to focus my practice that is not as stressful. Thanks.
  4. ThinkerBelleRN

    Residency Contract Buy-out

    Cant you request for a transfer? I am not a new grad, but extremely unhappy in my workplace. I am currently saving up to just buy out my contract and move out of place. I have not heard of other hospitals buying out a contract, but perhaps you can use your sign on bonus to cover some of the amount of your contract. Look at the terms of your contract and see what the total amount is, and figure out how much will be deducted from that amount after a certain period of service in the hospital
  5. ThinkerBelleRN

    Trying to request for transfer. Advice needed.

    Maybe your facility require wound certification prior to hire? Most postings I see just want med surg experience, and certifications to be done within a certain period after hire. I am looking at moving to another state, so I am just worried that the next facility will be the same and will want to keep me at a job I don't like.
  6. ThinkerBelleRN

    Trying to request for transfer. Advice needed.

    This may be the reality in most institutions and it makes me feel even worse, because what you just described seems to really explain why I am in this situation. I spoke to the wound care nurse and she said they do need nurses, and that those who she had in the clinic all run out the door screaming coz they dont like it; and she was very excited to have me especially because I wanna get my WOCN certification soon. Seems like the unit isnt so sought after here. I hope we can someday move out of the high stress environment and pursue our passion.
  7. Hi everyone. I'm a foreign educated RN just recently started working in the US. I signed a contract of over 2 years with my current facility, who petitioned me to come to the United States as a nurse. Most of my previous work experience was in hyperbaric/wound care, and I am passionate about the specialty and have been looking at getting wound certification (once I get to the US) ever since. However, I am now assigned in a stepdown unit despite my lack of experience in this area. I am completely uncomfortable and not confident working inpatient as I have not done so for at least 6 years. I already expressed this and my desire to keep doing hyperbaric/wound care to the coordinator but all I get are vague answers with no assurance. I am just overwhelmed by this new assignment, and it's not helping that I am not motivated because of my lack of interest in stepdown (or any inpatient setting). I am getting depressed because I know exactly what I want, but feel so helpless. I am still in my orientation period, and it seems like the unit I am in is short staffed. I have talked to a few people who advised me to just speak to my manager about this, but Im not sure how she will take it. I do know I would absolutely love to be transferred to hyperbaric/wound unit and get my clinical hours for when I start my certification program, but I don't even know what to say or how to ask my manager, especially knowing the unit needs nurses. I would appreciate any advice on this. Please help.
  8. ThinkerBelleRN

    Job in an area where I have no previous experience.

    You might be right. I wouldn't have guessed that because in the other 2 countries I worked in, and 4 other hospitals in these countries, foreign nurses were placed in both inpatient and outpatient units, and even in specialized areas. Of course these assignments were based on the nurse's previous experience and qualifications. The United States could be different. The irony is, recruiters prefer nurses with previous experience and sometimes even specify area of experience/specialty when looking for foreign nurses for their affiliated facilities. That maybe could just be a front, but these nurses will just be placed anywhere as these hospitals see fit. A bit misleading, but oh well... whats an immigrant to do? í ¾í´·*♀️
  9. ThinkerBelleRN

    Job in an area where I have no previous experience.

    Hello Jennylee and Inthecosmos. Well, i just came across a job post on some jobsite that the hospital is looking for nurses for hyperbaric and wound care, which means there is a vacancy. I applied, and got a reply. But when they found out that I am a foreign educated nurse, the lady I talked to said that the hospital only allows international nurses to work inpatient. I asked her why but she said she doesnt really know. Im surprised by her answer. I dont know what to do anymore.
  10. Hello fellow nurses. Excuse this long post, but I just don't know how to go about my situation and would like to ask for your insights. I am a foreign RN recently hired by a hospital in the United States. I prefer not to mention the name of the hospital for privacy reasons. During my interview, I was told that I will be assigned to Hyperbaric and Wound Care based on my nursing experience as I have been working in this area for the past 5 years. After almost 2 years since the interview, my immigrant visa finally came through, and prior to commencing employment, about 2 weeks ago I was informed by a coordinator from the hospital that I will be assigned in step-down/progressive care. I have no previous experience in this area, and the last time I worked in an in-patient setting was 6 years ago, in a medical floor where patients did not require close monitoring. I am fully aware of my limitations in skills and knowledge as a nurse, and do not feel comfortable about this assignment. Also, my goal is to get a certification to become a WOCN and really focus on wound care, and hopefully get a certification to become a hyperbaric RN as well. My passion is in wound care. I emailed the coordinator regarding this but she hasn't replied for almost 2 weeks now. So I decided to email the recruitment agency who paired me with the facility. However, they couldn't give me a clear answer either and pretty much telling me that it's still "business" and the hospital's priority are the patients. I am keeping an open mind regarding this, but still anxious about the situation. How can a nurse pursue her passion and be able to specialize in a field that holds her interest, where she will be happy in? What can I do in this situation? Thanks in advance.
  11. Hello fellow nurses. Excuse this long post, but I just don't know how to go about my situation and would like to ask for your insights. I am a foreign RN recently hired by a hospital in the United States. I prefer not to mention the name of the hospital for privacy reasons. During my interview, I was told that I will be assigned to Hyperbaric and Wound Care based on my nursing experience as I have been working in this area for the past 5 years. After almost 2 years since the interview, my immigrant visa finally came through, and prior to commencing employment, about 2 weeks ago I was informed by a coordinator from the hospital that I will be assigned in step-down/progressive care. I have no previous experience in this area, and the last time I worked in an in-patient setting was 6 years ago, in a medical floor where patients did not require close monitoring. I am fully aware of my limitations in skills and knowledge as a nurse, and do not feel comfortable about this assignment. Also, my goal is to get a certification to become a WOCN and really focus on wound care, and hopefully get a certification to become a hyperbaric RN as well. My passion is in wound care. I emailed the coordinator regarding this but she hasn't replied for almost 2 weeks now. So I decided to email the recruitment agency who paired me with the facility. However, they couldn't give me a clear answer either and pretty much telling me that it's still "business" and the hospital's priority are the patients. I am keeping an open mind regarding this, but still anxious about the situation. How can a nurse pursue her passion and be able to specialize in a field that holds her interest, where she will be happy in? What can I do in this situation? Thanks in advance.
  12. Hi everyone. I will be starting in a new hospital here in the US after working in my previous institution for about 5 years. Since I am a foreign nurse, and this will be my first hospital in the US, I would like to get an idea about the acute care setting here in the US and what I can expect during the first few weeks of my orientation period. I understand it may be different per institution, but I am just curious if there will be classes, written exams or competency tests, training, and how long the average preceptorship is. I'm just extremely nervous and don't know what to expect. Thanks.
  13. ThinkerBelleRN

    International educated nurse: License endorsement or NCLEX transfer?

    Hi NurseBlaq. Florida BON allows nurses to take the NCLEX but will not issue a license unless a SSN is available. So technically, even after passing the NCLEX, I still am not a RN in Florida. I guess license endorsement only applies if I have a RN license, but since I don't, Missouri would have to just go through the application by examination but I will have to just forward my NCLEX result to them. What I'm not sure is which procedure will be quicker because I wouldn't want to have to wait months for my license to finally be able to practice. I am absolutely clueless about this and have been considering to just wait for my SSN and complete my RN registration in Florida then endorse to Missouri. How does a compact license work anyway? As an example in my case, if I get a compact license in Fl, will I still need to register in Mo? Will it be just changing addresses but will have the same license number?
  14. I am a foreign educated nurse and passed the NCLEX-RN under Florida BON. However, I have no active license because I am required to have a SSN to register my license. Now, my employer will be a hospital in Missouri so I am currently looking into getting a license in Mo. I understand that both states are members of eNLC which theoretically will allow me to practice in Mo with a Fl eNLC license, but Mo BON advised me to transfer my NCLEX result from Fl to Mo since my home state will be Mo when I migrate to the US. Transfer of NCLEX result means applying by examination as opposed to the endorsement process which requires an active RN license from the original state. I wonder if there are foreign nurses here who was in the same situation. Which would be more effecient and quicker? Should I just wait until I get a SSN register in Fl and try to get a eNLC license/or go through endorsement? Or should I just try and transfer my NCLEX result as early as now?
  15. ThinkerBelleRN

    EB3 consular interview

    Hi guys, Id like to know if unemployment affects your US visa interview for EB3? is it required that the RN be currently employed during the interview?
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