misswoosie

Has the patient had an acute stroke? If so, then you should only be testing the side affected by this stroke. That's why for ataxia, it only gives you the option of 0 (no ataxia) 1 (ataxia in upper or lower limb) or 2 (ataxia in both limbs). Deciding if it's ataxia or just weakness can be a judgement call, but also comes to some degree with experience of stroke and it's classification according to Bamford http://www.medquarterly.com/mq88/MQPDF/MM/OxfordStrokeClassification.pdf If you're not assessing a stroke patient then don't use the NIHSS. Edit- are you NIHSS certified?

Surely it depends on the individual patient? For example, the NIH(SS) is a Stroke scale, and would not be appropriate for someone with MS. FAST (Face, Arm, Speech,Time of onset) again , was specifically developed for use in the emergency assessment of suspected stroke. I would have thought the Glasgow Coma Scale would be appropriate for some patients on a neuro floor. Also need to be aware of restrictions due to pre-existing conditions eg an older patient may not be able to perform a straight leg lift, but it may not mean they have a neuro deficit. Also- how about whether they can transfer in and out of bed, feed themselves, etc etc ie Activities of Daily living (ADLs)?

I would start applying for positions. The forms will ask you if you are legally allowed to work in the US and you say " No". Then they will decide whether they want to interview you. I would only apply for positions that REQUIRE (not prefer) a BSN. Try and look for positions with the words manager or coordinator in them. You might be able to get an H1B in this situation. If you apply at a not for profit and cap-exempt hospital (one that's associated with an educational or research institution). Not knowing where you were born makes it difficult to advise. Once you have your Masters immigration might be easier, but since you will be applying for Masters REQUIRED positions your experience will be more important. Silverdragon- the wait for EB-3 for ROW, Mexico and China is currently just under 4.5 years. It jumped forward more than a year in a month recently.

I don't believe that article has much credibility. It's more what it doesn't say than what it does. The nursing shortage may have temporarily decreased during the recession because some nurses have returned to work and the US is training more nurses. BUT- the healthcare employment has continued to grow throughout the recession. On March 9, 2012, the U.S. Bureau of Labor Statistics (BLS) reported that job growth in the healthcare sector was outpacing the growth realized in 2011, accounting for one out of every 5 new jobs created this year. Hospitals, long-term care facilities, and other ambulatory care settings added 49,000 new jobs in February 2012, up from 43,300 new jobs created in January. and the department of labor predicts that the number of nursing positions will grow by 26% between 2010 and 2020. It is expected that the number of employed nurses will grow from 2.74 million to 3.45 million. American Association of Colleges of Nursing | Nursing Shortage With and ageing population and more emphasis on prevention this makes complete sense. Also- how many of these 1,000,000 new nurses will actually stay in nursing? I'm betting less than two thirds. I'm not from PHL but I have aROW PD of Jan 2008 (so my date is current) and am living in the US now as husband has a work visa. I contacted the hospital that sponsored me originally are they are still keen to give me a job (they have over 200 RN job vacancies) and have agreed to pay the fees for adjustment of status for myself and family. Here's something else to look at. Predictions for nursing shortages by State. http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&cad=rja&ved=0CDEQFjAA&url=http%3A%2F%2Fdigitalcommons.unl.edu%2Fcgi%2Fviewcontent.cgi%3Farticle%3D1148%26context%3Dpublichealthresources&ei=XknTUayEPZPU9QTikYG4Aw&usg=AFQjCNGEPLo0rW_72g5SSOpTooVkQPFeOA&sig2=ePIYPPxulRnj65CNGNyUNg Of course- the US knows all it needs to do is say the word and make Green cards available and RNs will come flooding in from the countries where their wages and conditions (as well as the political climate)are bad. Some planning in advance might be a better way though.

Not sure, as you say immi' attorney would be able to help, but the criteria says [h=3]Eligibility Criteria[/h] You may be eligible to receive a green card under Section 13 if you can establish that: You entered the United States as an A-1, A-2, G-1, or G-2 nonimmigrant You failed to maintain your A-1, A-2, G-1, or G-2 nonimmigrant status Your duties were diplomatic or semi-diplomatic There is a compelling reason why you or your immediate family cannot return to the country which accredited you as a diplomat You are a person of good moral character You are admissible to the United States for permanent residence Granting you a green card would be in the national interest of the United States

Do you?

Toothbrush (preferably electric) and toothpaste twice daily. Mouth Care in Patients Receiving Mechanical Ventilation: A Systematic Review - Nursing and Midwifery Studies - - Kowsar

Yes technically it is, BUT, clinically, if someone has a SAH it is referred to as a SAH-not a hemorrhagic stroke. Part of the reason for this is that the risk factors and pathology are different from hemorrhagic and ischemic strokes.The most common cause of non traumatic SAH is an aneurysm. Other causes include vascular malformations, tumors, and infection. Unlike hemorrhagic or ischemic strokes it's most common in 40-40 yr olds and almost twice as common in women as in men. The bleeding occurs in the sub-arachnoid space in a SAH, rather than in the cerebrum. The risk factors aren't the typical stroke vascular risk factors, although they do think smoking and perhaps hypertension increase risk.

You need to apply for CES AND visa screen through CGFNS. As Jeweles says, there are some genius' there.

I understand your want to finish your Masters, but what I meant was that it will be easier to get a Green card/visa via your husband than through your nursing and if he has a PhD then it definitely would. He may be able to get an O visa or he may be E-B1 (NIW) category. NIW WOULD MEAN HE WOULDN'T NEED A JOB OFFER OR SPONSOR. I'm wondering how you have a social security number? What was your visa status when you lived in the USA? I see no reason why you would have to quit nursing if your husband got sponsorship- if you are allowed to work because of his visa status then you could start in nursing here as a bedside nurse or any other position you qualify for if you don't need sponsorship for a visa .Good Luck!

Would like to see where the research based evidence for this is. I hope they do a full assessment of the "sleepiness" ie sleep apnea secondary to stroke, insufficient amount of night sleep (monitored-amount of quality sleep and reasons for lack of eg pain, noise, urinary frequency etc), side effects of other meds, depression etc before putting them on these drugs. I would have thought that in elderly patients with a history of vascular disease and hypertension etc they would be a no no. Are you happy that the patients can reliably tell you if they're having chest pain, and have you looked at the other side effects eg anxiety, dyskinesia?

SAH isn't usually classified as a Hemorrhagic stroke- it's a SAH! To answer the OP it really depends on the location and size of the bleed and the patients condition and comorbidity.

Masters will be a good thing- but bare in mind that most Masters prepared RNs here are either NPs or CNS and they have to have done a recognized NP or CNS course and be certified via the American Nurses Credentialing Center.http://www.google.com/url?sa=t&rct=j&q=clinical%20nurse%20specialist&source=web&cd=6&sqi=2&ved=0CFsQFjAF&url=http%3A%2F%2Fresources.css.edu%2Facademics%2Fnsg%2Fgrad%2Fdocs%2Fadvancedpracticenursingrolescnsvsnp.pdf&ei=v49RUdurO5Ca9QTSroHwBA&usg=AFQjCNHXtmcR8ziLVgYvVhdcGQsO5k8r_Q Nurse manager would be another option for you if you will have some management experience in the UK, or some sort of teaching position. Have you considered trying to get a visa via your husband if he is a lecturer? Does he have a Masters?

I think you can forget about H-1b unless employer is cap exempt as they expect the cap to be reached by April 5th this year and there may be an H-1b "lottery" for the first time since 2007

For most (all?) states you only need to sit NCLEX-which is the US RN licensing exam. You will need to apply for CES via CGFNS as a first step to getting a license. You will only be allowed to sit NCLEX if you meet the requirements for number of hours of theory and practice in MED/SURG/PEDS/OBS/PSYCH so start there. They can be very slow!