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YeXinZhi

YeXinZhi BSN, RN

Telemetry, Emergency, Cardiology, Respiratory
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YeXinZhi has 11 years experience as a BSN, RN and specializes in Telemetry, Emergency, Cardiology, Respiratory.

YeXinZhi's Latest Activity

  1. YeXinZhi

    Breach of contract with conexus

    You should ask your agency directly. They and they alone can set a figure or penalty for pulling out of a contract. If you have no intention of ever moving to the US, I wouldn't worry about it. Your US-based agency can do little to enforce a breach of contract penalty.
  2. YeXinZhi

    Request Copy of NCLEX Passing Letter

    You need to send a written request to CA BON, there is a fee involved which was $40 last year. (call them for the exact amount as it is always changing). You should include which State BON you want CA BON to send your NCLEX results to.
  3. I have worked in 3 different countries (NZ, Australia, USA) and I have to say, in terms of needing orders from doctors, there really isn't much of a difference, if I had to quantify the number of times I had to chase a doctor for an order. In both Australia and NZ, nurses can make use of medication standing orders for commonly used OTC drugs. Say for example you need paracetamol (acetaminophen) for a patient but it is not prescribed, you can initiate a once-only order (without a doctor's approval) for that medication as long as your patient meets all criteria. In NZ, I worked in an ER setting and I could basically obtain blood specimens and order blood tests on my own based on the patient's presenting complaints. In the U.S., there PowerPlans. These are order sets where you can choose which orders to initiate based on your patient's needs. For example, your patient complains of a dry nose, so you can select normal saline nasal spray and initiate that order based on your patient's condition. So technically, it's already been approved by a doctor for that specific patient and all you need to do is initiate it (after making sure your patient does not have allergies to it and they meet criteria). There are certain blood tests that you can order for a patient too but they have to be again, part of a PowerPlan. An example of this would be the Electrolyte Replacement Protocol. If for example, your patient's potassium levels fall below normal, you can initiate potassium replacement and order a basic metabolic panel test for the following day. The U.S. Healthcare system is so diverse that working in different hospitals can be entirely different experiences. So what other hospitals allow nurses to do without a doctor's order, other hospitals don't. And vice-versa. For most other things though, because of insurance and litigation purposes, a doctor's order is warranted.
  4. YeXinZhi

    Breaching contract from a petitioner

    Anyway, that should not lead to the revocation of your green card. It looks like you tried your best to stick to your commitments by working for them for 28 months. Sometimes, it just doesn't work out and there is now law in the U.S. that will compel you to work for someone against your will. Your green card CAN be revoked if your agency can prove that you engaged in fraud to obtain your green card. An example would be using forged documents or credentials (such as a fake nursing degree). Other examples that could lead to a green card being revoked is the green card holder having no intent of working for the petitioner. So for example, if you got your green card in January and started working for your employer that same month, then resigned your position in February, that can be considered construed as fraud because it appears as though you never had the intention to work for the employer. Unless you can present proof of extenuating circumstance (like your employer not paying your wages). Okay honestly I don't know why you couldn't have waited to apply for a job until you finished your contract with your agency. Are they asking for the full breach of contract amount or just a portion of it?
  5. YeXinZhi

    Best Hospitals to Work in WA

    I work at EvergreenHealth and I love it so far!
  6. YeXinZhi

    Best Hospitals to Work in WA

    Which part of the state are you planning on relocating to?
  7. YeXinZhi

    Australian nurse wanting to work in America

    Hi MikkieZhzh, I guess mine and Silverdragon's points are, what one state accepts as sufficient credentials do not necessarily mean another state will accept it as so. However, your NCLEX-RN exam is valid in ALL U.S. states. Having said that, passing the NCLEX-RN exam does not automatically grant you licensure as a nurse. The NCLEX-RN exam is ONE of the components of a licensure application, which may include criminal history check, credentials evaluation, mandatory education (i.e. HIV education in Washington state). Your best bet is to apply to the State where you are planning to relocate to. If they say you need to do obs or peds or whatever deficiency they say you have, ask for a list of accredited schools. I say this because, as previously mentioned, states like California have very strict rules, and will only accept supplemental education from a very short list of schools within California ONLY. Most states also require an SSN or an ITIN (tax number) before they will even consider your application while some states like Vermont, do not require. You will have to check with the relevant state board of nursing as each one has unique requirements.
  8. YeXinZhi

    Australian nurse wanting to work in America

    I would use caution when saying 'you can endorse in any other state' because as I mentioned earlier some states are much stricter in terms of educational requirements than the others. Some states like California have very stringent concurrency rules and will deny your application based on that. Others will require a credentials assessment from an agency like CGFNS. While your NCLEX-RN exam is valid in all States and territories, each individual state has its own eligibility criteria.
  9. YeXinZhi

    Australian nurse wanting to work in America

    The State boards of nursing evaluates each application on an individual basis. The only way to know for sure is to submit an application and wait for a decision by the relevant State board. There are some states which are lenient in terms of educational requirements i.e. Vermont or North Dakota, however, these states are usually not desirable desirable destinationsfor nurses. Bigger states like California are very strict and are known to have high rates of dening applications from internationally-educated nurses.
  10. YeXinZhi

    Nursing Immigration within the US

    Oh, thank you but it's okay. I'm not looking for a job or a sponsorship for a visa. I'm just interested to know what your general location is. I'm just curious.
  11. YeXinZhi

    Nursing Immigration within the US

    Where are you located?
  12. April 22, 2019 Processing Times
  13. For the week beginning April 15, 2019, processing times seem to have advanced by 1 week for most categories.
  14. YeXinZhi

    Questions regarding applying to NZ nursing programs

    Hello, I would directly contact the university or polytech you are interested in. NZ nurses do their Bachelor of Nursing straight after graduation from high school. There is no need to do prerequisites. The BN programme in NZ is 3 years long. I thik NZ education is cheaper than in the US but as a non-resident, and I'm presuming you are, you will not be eligible for government subsidies or loans and will need to pay the fees upfront, if and when you are interested. On a student visa you are allowed to work a maximum of twenty hours per week unless it is semester break then you can work however many hours you wish. The cost of living is high in most places, especially food. You will have to factor that in when making a decision. As a nurse with 10 years experience I was earning $32 per hour basic pay, but after weekend and shift differentials I ended up earning more than $NZ80,000 last financial year of which $21,000 was taken out in taxes (so left me with roughly 6 $60,000+). My rent was $1,560/month for a very tiny studio in Auckland. At the end of the day, it is not bad. NZ has an excellent healthcare system that is totally free for residents and citizens, so you don't have to pay for health insurance. The working conditions are so worker friendly. Kiwis love their work-life balance and I got so used to it that when I moved to the US I was appalled at the working conditions here. Kiwis get a minimum of 4 weeks annual leave, an additional 1 week if you work shifts. The weekend penalty rates are 150%, night and afternoon shifts 125%, public holidays 200%. On my 12 hour shifts I got three (yes three!) 30-minute breaks (here in the US I get one 30-minute break and one 15-minute break). The nurses union is powerful and there is no culture of frivolous litigation like in the US (unless you are negligent of course). I had the time of my life living there for 5 years. I enjoyed every single corner of the country I explored and if only my family and friends lived there I would've stayed for good (not to say I didn't make any close friends,I did). New Zealand is a beautiful country and it will all be worth it. I wish you luck!
  15. YeXinZhi

    Australian nurse wanting to work in America

    Hi AussieRN123, The first step would be to apply for licensure by examination with the relevant state board of nursing. Each state has a different criteria and requirements but they all have commonalities as well, like the NCLEX requirement. The relevant nursing board will assess your education (as well as other licensure requirements) and will determine if you are eligible to write the NCLEX-RN. If your education is found to be deficient in obs or paeds, you will need to sort that out by attending classes either in the states or Australia (check the other posts here, some Aussie nurses have been able to complete that requirement in Australia). Some Aussie nurses have reported some state boards like Massachussets accepted their Australian degree but take note each application us considered in an individual basis. After writing and passing the NCLEX-RN, then you pay for the license fee and you become officially licensed. You only need to sit the NCLEX-RN once in your lifetime once you pass. You may also need to write the CGFNS exam and the IELTS exam if you plan on immigrating to the states. A Visa Screen certificate is required prior to granting an immigrant visa. A visa screen certificate requires both the CGFNS and the IELTS. Some states will require either an SSN or an ITIN so check which ones don't. My advice is: 1. Pick another state that does not require the SSN or ITIN and will not require supplementary courses in obs and paeds. New York and Montana are two states that I know don't require this. You have to be flexible in terms of where you want to live and practice. 2. Find out what Australian universities offer obs and paeds courses so you can make up for your deficiency. If you want the option of being able to move to anywhere you want then you will most definitely need these supplementaries. You have to apply for a separate license each time you move states and they all assess your education as well so you will be assured that they will ask for obs and paeds as well. 3. Whatever you do, start your application ASAP. The licensure process can take several months. 4. Share your experiences on allnurses so other Aussies nurses can learn from your journey. Hope this helps.
  16. YeXinZhi

    Transfer courses from Philippines to Australia

    Hello Shindy, Technically, you can apply for the Philippine nurse licensure even if you're not a Filipino citizen. Article 13 (a) of the Philippine Nursing Act states : He/she is a citizen of the Philippines, or a citizen or subject of a country which permits Filipino nurses to practice within its territorial limits on the same basis as the subject or citizen of such country: Provided, That the requirements for the registration or licensing of nurses in said country are substantially the same as those prescribed in this Act; Why don't you find out by contacting the Philippine Board of Nursing first. As the Act implies, eligibility of foreigners to sit the PNLE is determined on a country-by-country basis. It is not a blanket rule. If your country of citizenship allows Filipino nurses to practise in your home country based on requirements that are similar to the Philippines', then you should be eligible to sit the exam. If not, try contacting the universities you are interested in studying at. They will assess your completed courses and determine which ones they will accept or not.