nurse_pam

I don't know if this helps but I had to set a date & wrote my NCLEX. Then I had to go the CGFNS website and download all the forms, mail them off to the school, the nursing school, each nursing licensing authority I belonged to--pay the appropriate fees. Then go to the border with the VISA SCREEN certificate that I bought from CGFNS/Homeland Security once you finally obtain it, with the letter of employment offer, my nursing license from the State of Michigan, my $ for application, and show the border officials. Then you get your TN VISA! Simple (not) No red tape involved (NOT) Fast (Definitely NOT). Good Luck tho! It's obtainable but a big pain in the butt The VISA SCREEN lasts 5 yrs tho but is expensive.

I call them. They get paid to answer their pagers. They are the ones who have to know about the pt's condition. And when they start to yell... I ask them "I'm sorry...I'm writing this down to put in my nurses notes... are you saying you don't want to give the pt anything?" ... tah duh!!! instant Rx...and a curt goodbye :) Get a tough skin. It is YOUR license too and remember the doctor will NOT be in your corner. They can always say "The nurse never informed me of the problem." and there goes any leg you have to stand on in court. Cover your a**. Always... nobody else will do it for you.

It is a very different experience going from home care to a facility. There are many things that happen in facilities that they don't teach you in school. A pt load of 8 on an acute floor without any assistance is just crazy. Hopefully, you have an LPN or an aide to help you with your assignment. Did they give you an orientation? You could ask for a little more orientation if you feel your's wasn't long enough. The facility would rather give you a little more than have you quit and wasted all the money they've invested into you in the first place. When you get your orientation pay special attention to how the nurse you're with organizes her workload and her day. Most times it's get everyone's vital signs, doing quick 5 min head to toe at same time, meds & then break. Dr's orders & sending pt's for tests kind of throw you off but be flexible & move to the next pt. Don't let it slow you down. Good Luck. Just getting into a routine will help you organize your day better. There's not a lot of time for chit-chat with the pt's...that's the stuff they don't teach you in school. Take care! Let us know if it improves.

You need to complete an NCLEX prior to getting any american nursing license... and CGFNS visa screen is needed prior to employment as well (It is part of the homeland security crap). You may not have to do the English test for the cgfns. visit the website. It's user friendly. The whole process from start to finish...nclex, license, visa screen...is an expensive process and sometimes american hospitals will reimburse. hope this helped

Hi AlbertaRose, I had nursing prep books when I first started nursing school, but most of the time I found them frustrating because I hadn't learned all the things I needed to know to answer the questions correctly. I put them down, and didn't really open them until final year when I was able to answer the questions with better results. I don't see any harm in looking at the books when you start, but remember things will come together to make more sense as you come to the end of your nursing program. Just a thought.

Thank you Old Gal for your advice, and kind words. I appreciate all of it. Sometimes the best advice, is well worn advice--never fear sounding "Polly-Anna-ish" :wink2:

Hi, I'm new in Long Term Care. There is a situation I've encountered in which the call bell is being rang constantly by a resident who is for the most part self sufficient--staff are frustrated that now the resident states that since they "pay" for their time at the facility we should do everything that the resident would like. Staff have many times attempted to health teach and reinforce the need and benefits of remaining independent with ADL's but the resident resists. The resident's family are aware but unable to help with the situation. The resident cries out, swears, and exhibits other hysteric behaviours until some staff just give in to the demands. Has anybody had similar situations, and solved this dilemma? If so, what interventions have you tried~especially ones that you believe worked?? Any help would be appreciated--we've got a good caring staff that are trying to help. Mental Health has been notified.

Did you have any luck at the Timmy's in Espanola or Blind River? I make the drive from the Sault to Manitoulin a couple times a week and stop at these places and NEVER won anything yet! My friend's mom says she thinks there's more winners in the Medium Size cups than the large sized ones--she's a gambler paying attention to the odds

Very well stated susan! Being Canadian, and being an RN I see how much our own people pay for prescription medications! It's outrageous! I can't believe that the same medication in the U.S. is even more--I thought it would've been the other way around. I have no problem with Americans buying Canadian drugs if that is the only option available to them. Seniors must find it terribly difficult to cope with those prices. Sometimes money takes front seat to common sense and decent morals and values. Hope it changes someday.

A very good answer.

I'm sorry to hear you didn't pass, but I wish you the best of luck for the next time

funny!!!