Should I work in the Philippines as an RN or in Hong Kong as a nursing assistant before coming to the States?

[Nurse Beth, MSN]

Congrats on passing the NCLEX!

You are facing a significant decision regarding your career path, specifically concerning long-term versus short-term goals.

Returning to the Philippines to work as a bedside registered nurse (RN) will help you regain essential clinical experience for your future RN role in the United States. Although many U.S. employers do not recognize foreign RN experience, none give credit for time spent working as a nursing assistant.

Even though your salary will drop, direct experience in a clinical setting is invaluable, especially considering you haven't worked in bedside nursing for over a decade. It will help refresh your skills and increase your confidence.

Staying in Hong Kong and working as a nurse assistant gives you exposure to the healthcare environment, but the role is not comprehensive regarding nursing duties. Nursing assistants typically perform supportive tasks rather than the full scope of nursing care, so this position will not equip you with the hands-on experience needed for Med Surg nursing in the U.S.

Ultimately, the best option depends on your long-term goals and willingness to adapt. Working as an RN will serve you better if you aim for a strong foundation before transitioning to a US RN role. However, if immediate financial stability is a concern, continuing as a nurse assistant in Hong Kong keeps you in the healthcare field, albeit with potentially limited experience related to your future role.

When deciding, consider factors like the potential for professional development, networking opportunities, and the impact on your visa situation. It may also be beneficial to connect with others in your field to gather insights on how best to prepare for your upcoming transition.

Very best wishes,

Nurse Beth