I was just browsing allnurses.com and found this post - very interesting. I am a foreign graduate from the Philippines. At 21, I am already a nurse in my country, at 22 a nurse in the state of New York. To enlighten you fellow nurses: Nursing in the Philippines. We have to get our BSN degree first before we take the national exam, no Assciates degree, No LPN – straight BSN then RN. That is why all Filipino nurses who were educated in the Philippines and working here are BSN degree holder. It is a 4 year course. Gradeschool- 6 years Highschool- 4 years College- 4 years (BSN degree) My experience when I was still in college pursuing nursing: I was already on my HANDS-ON CLINICAL EXPERIENCE by 2nd year 2nd semester. By hands-on meaning – assisting and delivering a newborn, injecting hundreds of vaccines to children, doing public health nursing, assisting the surgeon during Operating Room surgery, doing assessment, diagnosis, planning, implementation, evaluation. Rotation involves – MEDICAL SURGICAL FLOOR, ICU, PEDIATRIC, ER, OR, OUTPATIENT, RADIOLOGY, PSYCHIATRIC, LABOR AND DELIVERY. 8 Hours 5 days on a school year. Summer time 8 H for 2 weeks By the end of our school year we have to make sure that we Assisted – 5 deliveries Delivered – 5 deliveries Assisted (OR) – 5 Circulated (OR) – 5 1 Evidenced-based study / research. EVERYTHING HANDS-ON. We interacted to our patients, made sure that their needs are being met, and understand every purpose of our actions and do charting on patients chart. One of my rotations was on a public maternity unit while the physician was assisting the delivery and I was on her side ready to handle the newborn after the delivery she told me to exchange position with her and to PULL THE BABY OUT, imagine a 3rd year nursing student going to pull out a baby – she instructed me what to do and how to do it and it was such a fulfillment!!! And one of my OR rotation, I assisted a brain surgery related to MVA, witnessed a mother deliver a conjoined twins and many more. At an outpatient surgery, most of the time it’s you and the surgeon doing the work, while the STAFF RN is doing the circulating nurse job – yes, they let the student nurse handle every case and they want the student TO LEARN THE REAL DEAL! Our HANDS-ON experience starts at the middle of our 2nd year (some 1st year or 1st semester of 3rd year) with a total of 2500+ hours – if you are wondering how my school did this ( we had 1 month LECTURE CLASSROOM, 1 MONTH – RELATED EXPERIENCE or CLINICALS. As far as I could remember my OR surgery cases were – mostly THYROIDECTOMY, appendectomy, spinal surgery, bone surgery, Cesarian Section and many more, me, the OR nurse, Circulating Nurse and my ‘dutymate’, surgeon, anesthesiologist and whoever wants to observed the ongoing surgery is allowed inside the operation room as long as the ‘obervants’ wont touch the patient and whatever is sterile since STERILITY IS STRICTLY IMPOSED. I remember that if my surgical gloves are bloodless then my partner - OR RN will let me assist and pass to the surgeon the needed instruments. Surgical handwashing, gloving and assIst the surgeon in EVERYTHING – PUTTING ON HIS Sterile scrub, gloving, etc. Assisted angry surgeons- who can throw instrument and can kick you out of the OR room if he is not satisfied with your work, friendly surgeons who are willing to teach you every detail on what is going on. During my 4th year or clinicals – I had the opportunity to act as a CHARGE NURSE in the station I was assigned for 2 weeks 8 hour a day. Transcribing medications, calling the attending physician if anything happens and so on that a Charge Nurse should do. That is why when I came here to pursue more oppurtunities, I was disappointed when I found out that the clinicals here are way different than ours. I witnessed by myself, when my Aunt was about to deliver my cousin at a city hospital – then a nurse did not let the student nurse touch / go inside the delivery room, I was shocked. Then I asked her if it is really like this here and she said yes. I did not tell her that I am a foreign nurse. I did my observation while my Aunt was delivering my cousin and right there an then, I told myself – THANK GOD, I AM A FOREIGN NURSE, TRAINED AND EDUCATED IN A COUNTRY WHERE YOU LEARN AND EXPERIENCE THE REAL DEAL. Plus, our attitude and dedication to our chosen profession. Those not-so-good news about Filipino nurses in a foreign country are nothing compared to the positive news, report that MOST FOREIGN CLIENTS have for my fellowmen. I know someone who works as a CNA at a private facility nursing home and he was told this exact word ( I DON”T KNOW ABOUT YOU FILIPINOS, WHY YOU ARE SO DIFFERENT FROM OTHERS? WORK ETHIC, PROFESSIONALISM, RESPECT, COMPASSION ETC.) this and there are more positive remarks about Filipino workers. It’s not all about the training, experience etc., I believe that it’s the attitude, compassion. And if there’s more foreign nurse in your floor/ unit, it’s not them who is responsible why they are there. Go ask your nursing manager/s if you have the guts to do so. It’s not their fault that they are more ‘hireable’ than you, more competitive than you. I respect every foreign nurses, job-seekers who are seeking employment outside their comfort zone, because nobody but us knows how hard it is to compete with others yet we chose to be competitive and challengers. And I believe that it is more enjoyable to work in a diverse culture with different types of people, that’s how you learn. And also, your patients are not only AMERICANS/ CANADIANS, if you are in a diverse community then you should expect diversity of clients and workers. Let’s drop the inferiority and racial issues, and be open-minded and enjoy the learning we can gain from each other J Peace and love to you all! and BTWm it's FILIPINO not PHILIPPINO. THANK YOU!!!!