As seen by a Registered Nurse from the United States, who is now on assignment, it can be hard to adjust to hospital nursing in Saudi Arabia. That is particularly true in the hospital complex that serves the Saudi Royal Family. The very size of this facility is daunting. It is a 1 km straight walk from the front door to the back entrance.
The Policies and Procedures that fails to fall within any framework of prior hospital experiences. This is a place where the patients tell you when it is time for an assessment or for treatments or for meds. When a member of the Royal Family is admitted to a unit he/she is accompanied by a minimum of 3 and up to 14 servants. This includes a private nurse. You will get to know this nurse well because you do not administer the meds, but rather give them to the private nurse who gives them to the patient.
There is a high degree of racial prejudice against persons of color, South Africans, Hindus, and Filipinos, in this hospital. They are not allowed to work in the Complex of the Royal Family. A nurse with an American passport is considered white and is highly sought after. Co-workers will go to the American nurse and take her along with them when they want to communicate a plan of treatment to a family member of a patient. She is introduced as an American nurse and does the speaking for the co-worker.
The lifestyles of the Royal Family have contributed to staggering poor health. By the time they are 40-50 years old, you will find patients in this unit, male and female, have osteoporosis from lack of activity. By the time they reach 50 most of these patients have often given up on life because they have nothing to do except indulge themselves. It is sad to see them on heparin because they choose to stay in bed. They can be observed sleeping all day and eating all night. Since they are royal, you cannot tell them what to do or how to do it, even if it is for their own good. A patient may be on an insulin drip for a week while gorging on food the whole time. These patients have an inordinate amount of cancer and genetic disorders, and one in three are diabetic. It is not unusual to see a handsome prince, dressed in pristine white, clean and sweet smelling, with a body wasted by muscle atrophy.
An order for DNR does not exist, except on paper. There are upwards of 6,000 members of the Saudi Royal Family. Each one is eligible to receive a share of the Family fortune, as it is doled out. Therefore, the aged and/or infirm are kept alive by all means possible. This hospital houses an entire wing of patients who are in persistent vegetative states or are on vents or other means of artificial life support. As long as they live, their family members have a closer link to the crown and they are eligible for stipends that will be managed by their guardians.
American nurses command the highest rate of pay. Transportation, to and from Saudi for each assignment, is paid. A one year contract can include a 2 week paid vacation. A Re-up bonus for a second year is often offered. There is no Saudi tax to pay and very few living expenses since housing is provided. There may be favorable tax treatment by the IRS as well. Uniforms are provided and will be worn, without covering, only while on duty. At all other times, when in public, a nurse must be covered head to toe with the burka. Segregated swimming pools, tennis courts, and fitness centers, etc. are provided and offer diversion. Taxis or buses are available to provide transportation to leave the complex to go shopping or site-seeing. Everything in the shopping center seems to be made in China. But, the Super Markets are great. There, you will find food from all over the world. You can spend hours just tasting special imports of the best honey, or 28 different kinds of olives on the olive counters. Hint: You might find the sweet olives are horrible. However, you may never have seen such dates. They are to die for.
Disadvantages of going to this outpost need to be pointed out. American nurses are sometimes vulnerable because they can be naive. They have enjoyed the Constitutional protection of a democratic government. They do not always carefully consider that they do not have that same protection when they leave the borders of their homeland. A study of the customs and culture of the country to which they are going is a must. Most important is an understanding of the system of government and laws.
According to the U.S. Department Reports on Human Rights Practices for 2000-2001, this Islamic country is ruled by Sharia Law, and Women's Rights are virtually non-existent. Although a state of world-wide unrest exists with the Radical Islamic countries, because of oil reserves, a policy of appeasement has been adopted by the United States. Americans in Saudi Arabia must depend on this fragile relationship to continue in order to have a semblance of safety while they are in that country. It is important to know the facts and not live in the romantic fantasy of The Arabian Nights.
In Saudi Arabia, the government seems to be made up of a system of checks and balances. The Royal Family controls the money. Money is "Power". The Islamic Radicals are the Rulers because they interpret the Law of Sharia; a system of national laws derived from the Koran and the traditions of Mohammed. The Mutawwa'in are the religious police who are the enforcers of the Law. Religious Law is Civil Law in this country. Because it is interpreted literally, it is enforced without mercy. Sharia Law identifies anyone who is not a Muslim as an Infidel and an enemy. Muslims are specifically ordered to not befriend unbelievers. Mateen Elass explains the implications of this in her book, Understanding the Koran. According to standard Islamic jurisprudence, Sharia Law today interprets the Koran as obligating Muslims to be under the rule of expansionist jihad (holy war). This is understood as an armed struggle against unbelievers, whether or not the Muslim community had been attacked. This is a country that has a history of 1,600 years of revolutions, political assassinations, and massacres, and has ruled it's populace by subjection or death. Today, Arab media often incite Arabs to street rage and violence by feeding misinformation. You will remember that the world witnessed Muslims dancing in the streets, celebrating the destruction of the World Trade Center 9/11.
There is a difference, between being a judgmental person and being a person of rational judgment, that is worth remembering. If you choose to go, Saudi Arabia, be careful about how you conduct yourself. Right now, the long arm of the U.S. Embassy gives a sense of safety. However, there are things that you must do to protect yourself from embarrassment, from derision, from humiliation, from attack, and from arrest. Be prepared for unwelcome gazes and advances from the Saudi men while you are working in your uniform. They have been brought up to believe that a woman who does not cover herself is available for sex or is a prostitute. Never accept an invitation to accompany a Saudi man anywhere for the same reason. He has an expectation that you can be bought and because of his wealth may offer very expensive jewels and gifts. Outside of your unit, you will always be covered with a Burka. You will ride in the back of a bus, by Law. You will not get into a Taxi unaccompanied because you cannot be alone with a man. Men and women are separated even in the Marketplace. If you want to buy a cup of coffee in Starbucks, you will go to a segregated area for women. Is Saudi Arabia a good idea for you? Only you can decide.
hopefully, the good nurses will continue to do what they do best: *use their nursing skills to relieve suffering; *show compassion to all that they have contact with; * & seek after things that are good, moral & right. no matter their religious backgrounds, those influences will be felt around the world.
working in Saudi:
1-how advanced are some hospitals/computer documentation available? (never worked anyplace without the nice computerized physician order entry programs)
2-are there any burn units in saudi? (i currently work in a burn ICU and love it)
3-what the pt load (nurse to pt ratio) in med-surg in rayadh hospitals??
i plan to apply to an agency at the end of the yr.
thank you all!
for RNgirlie:
1. king faisal is a paperless hosp, orders are placed and carried-out on computers.
2. haven't heard of a burn unit in saudi usually these patients are also placed either on surgical or medical unit.
3. ratio usually is 1:5
hope that helps1
Other hospitals in S.A. are not accepting male nurses, but in the hospital that i worked with in jeddah, there are many male nurses all over the world.
To just say this, my husband and I are Muslims, and we live in US, but traveled to KSA(Kingdom of Saudi Arabia) this past July. We stayed for three weeks, and I did not want to leave! Yes Islam segregates women and men, but in this case separate but equal does exist. The women in Saudi are spoiled. When you step down from the curb to cross the street(you will be jaywalking and traffic is a NIGHTMARE! Vehicular Manslaughter is the #1 cause of death) the cars stop for a woman, and they flash their lights signaling you to go. I don't have to drive, and I get chauffeured around. They shop! shop! shop! like it's no ones business. Also you are treated with dignity and respect.
Now there are some who interpret Islamic law into something of their own, and use it for their own benefit and gain, and they demonize Islam. But we have people who do that all over, not just within the folds of Islam.
Yes the people are lazy, but this is because this country spoils its people. This country takes care of its citizens. There is good & bad with everything, but why must I constantly here about the BAD, BAD, BAD in Islam?
I am a bright young woman, I'm always told about how smart/mature I am for my age. I can make my own decisions, I have not been brainwashed by any man. I accepted Islam way before my marriage, and I am truly happy!
I actually look forward to being a Nurse overseas! I do think that we(Nurses who work in other countries) can work hard to make a difference in the medical facility we are at. We just have to move forward with positive thinking.
Jazakallaha Khair,
I had contacted a recruiter who worked for hospitals in Riyaddh, Jeddah and places where the oil companies are. I am interested in Mecca and Madinah only.
This year, I visited S.A. for Umrah (smaller pilgrimage than Hajj), and was pleasantly surprised to find what beautiful, cosmopolitan, safe and liberal cities they are!
I would get out of the hotel at 04:00 a.m. and walk to the mosque alone, and have no fear but that of Allah.
We were a large group, and when we arrived in Mecca, it was time for prayer, so as soon as the baggage was unloaded from the bus, everyone left for prayer, with all our baggage in the lobby. I was shocked, but later I realized, it was the safest place on earth.
Not one female member of our party was harrassed (I went with a youth group). The dress code was lax too. Since these cities are so cosmopolitan and the economy is based on tourism, it is just impossible to police everyone.
Most of all, the peace and contentment I exprienced was nothing I felt ever before in my life. I forgot I had a job back home, bills to pay, or a teenager home alone.
I just can't wait to go back.
Regarding burn units in Saudi, there are. I know of one in Dammam in the central hospital, however, central hospitals are under the Ministry of Health and they generally do not higher western staff secondary to the inability to pay high enough salaries. It is not a question of the lack of money. It is an issue, as I understand, of how the system was designed.
I work in an Ministry hospital and I am from the States, however, I was hired by a hospital management company and since then, our hospital has come under the MOH but as a special project. Hospitals under these special projects such as the research hospitals in riyadh and jeddah, the addiction hospitals (where I work) and are projects that are self run with the MOH as project management. They have their own budgets (vs. being under a centralized budget for health facilities in a particular area) and have other flexibities such as in hiring, purchasing, etc., but everything must stll go through the MOH.
We have an E-file system, but ordering is still in paper. The system has not evolved much.
Saudi has several large and seperate health care systems with the MOH carrying about 60% of the health care burden. Each military branch has a system, Ministry of Ed. has the medical schools/teaching hospitals, privates, etc.
If you look for work in Saudi you will see the main large hospitals that hire western staff. You can inquire about burn units. They are there, I am sure.
Depending on what your looking for, including lifestyle, check UAE and Qatar. Cost of living is hire there but I understand salaries are significantly higher.
I work in Dammam and can answer questions about the Eastern Province and I know about Riyadh which is only about 4 hours by car. It is terribly hot and humid in the Eastern Province and this summer seemed worse then past years. Even my cats have a tough time with it.
Feel free to ask questions.
Regarding burn units in Saudi, there are. I know of one in Dammam in the central hospital, however, central hospitals are under the Ministry of Health and they generally do not higher western staff secondary to the inability to pay high enough salaries. It is not a question of the lack of money. It is an issue, as I understand, of how the system was designed.I work in an Ministry hospital and I am from the States, however, I was hired by a hospital management company and since then, our hospital has come under the MOH but as a special project. Hospitals under these special projects such as the research hospitals in riyadh and jeddah, the addiction hospitals (where I work) and are projects that are self run with the MOH as project management. They have their own budgets (vs. being under a centralized budget for health facilities in a particular area) and have other flexibities such as in hiring, purchasing, etc., but everything must stll go through the MOH.
We have an E-file system, but ordering is still in paper. The system has not evolved much.
Saudi has several large and seperate health care systems with the MOH carrying about 60% of the health care burden. Each military branch has a system, Ministry of Ed. has the medical schools/teaching hospitals, privates, etc.
If you look for work in Saudi you will see the main large hospitals that hire western staff. You can inquire about burn units. They are there, I am sure.
Depending on what your looking for, including lifestyle, check UAE and Qatar. Cost of living is hire there but I understand salaries are significantly higher.
I work in Dammam and can answer questions about the Eastern Province and I know about Riyadh which is only about 4 hours by car. It is terribly hot and humid in the Eastern Province and this summer seemed worse then past years. Even my cats have a tough time with it.
Feel free to ask questions.
Hi Saifudin,
Interesting article, I am flying to Riyadh in december for 2 years will be working in KFHSC do you have any information on this city or the hospital? Many thanks
Marisabel
Hello Marisabel,
Is it the specialist and research hospital? If so, its considered the best in Saudi. There is a specialist hosp in Jeddah and Dammam. Dammam opened a few years ago and I was the head of the first nsg committee to site review the units and I lead a nursing recruitment team to the Philippines. We hired the first batch of nurses for the hospital.
Anyway, Riyadh is a large, sprawling city. Way too much traffic for me. Lots of shopping. Actually, malls and super-malls are proliferating like bunnies!
Nursing wise, you will see things you didn't encounter in the States. (coming from the states?). That's both good and bad but, all of it is part of the learning curve. My situation is so different working in addiction and mental health. It is light-years away from where you will be working in terms of professional staff but I am sure we share some characteristics in terms of attitudes and behaviors especially with Saudi staff.
You will encounter Islam and Muslims. As one who embraced Islam from my former faith, I believe that is a good thing and I hope it will be an enriching experience. I must add that do not, I repeat, do not judge Islam by some Muslims you will see and meet!
You will likely meet some devout, beautiful Muslims and others who are the extreme opposite of what constitutes a good, believing Muslim. You will be able to learn about Islam and Muslims away from a media that is often far from truthful in its reporting about Islam.
When I go to Riyadh, which is infrequently, I like to eat at Ikea. (with all the places to eat in Riyadh, he likes Ikea?) They have steak with mash potatoes and gravey. mmmmm. And, coffee refills are free.
You'll be coming during the winter. Excellent weather! Actually, it may be cold then. It can get very cold!! Bring some long undies. Doesn't hurt. No snow though. I hate snow. Summer is HOT but dry unlike Dammam and Al khobar...miserable humdity and heat in the summer.
That's a bit of an intro. There is a woman in nursing education name Butler. Forgot the first name at the moment. I think she's Canadian. Very nice. We meant as speakers in a symposium here in Dammam a couple of years ago.
I hope your experience will be a rewarding one.
If you need any other advice before or after you arrive, drop a note.
Saifudin
I am coming from the UK Saifudin and yes it is the specialist and research hospital. My family live in Scotland so I know all about the cold winters, I cannot imagine Riyadh being as bad as Scotland though. I embrace any culture and religion I respect other people's beliefs so I will not have any problems in that area. Where are you from originally and are you working in Dammam? I will need to learn a little about Saudi geography
Anyway thank you for the info is nice to get an insight before I actually embark on this great adventure. I do enjoy working here in London and i am going to miss my colleagues terribly but the time has come when I need to see beyond the UK.
Marisabel
Marisabel,
I'm from the States and in Saudi since 1995. I am also an adult NP; left practice for my current position. I never planned on working in addiction and in 2000, the government (MOH) transferred all psychiatric services to a new facility attached to the current addiction hospital. By default, I became a 'psychiatric nursing administrator'. Got into this position in an unexpected way.
Riyadh does not get as cold as Scotland, but when you go from 120+ to the 40s (F) or lower you really feel it. But it is a nice change. If it rains, that's a special time. There has been drought conditions for several years but the first big rain, people will get out to the desert to enjoy it. In 1996 we had torrential rains and terrible flooding, especially in Riyadh. Highway underpasses were filled with water. There was baseball sized hail that damaged thousands of cars. Every once in while you find a car that has the ding marks all over the top of it from that episode. Winter just be like summer to you.
Just be ready for driving that you have likely never seen or experienced! Hold on to your seat.
I attended a symposium on movement disorders yesterday here in Dammam. Main speakers from Specialist hospital. They have a state of the art movement disorders program. It is an impressive program, cutting edge.... Learned quite a bit from it.
With your positive attitude, sounds like you'll do just fine.
Saifudin
Diahni
627 Posts
Hi Saifudin:
The Muslims I have met in my life have always been the warmest, most generous people. It is typical that we form opinions based on the actions of governments. I certainly wouldn't want to have somebody's opinion of me based on my country's actions in Iraq. To be sure, women are not equals in Saudi society but we have to remember that women couldn't vote in the US before 1920, and black people couldn't vote in South Africa until 1994, sorry to say. Violent radicals are in every religion, with the possible exception of Buddhism.
It's worth pointing out that the West in general has been profoundly ignorant about Islam. My husband was a religion major in college, and studied every religion with the exception of Islam. It is a shame that our collective "crash course" about a very large portion of humanity happened after 9/11. Things will change in the world, but not without a very large shift in the consciousness of many people. I don't know if this will happen before we blow up the entire planet.