This video is now shown in local stations not only in California but also in other states. This just shows that there is strong call for the government to slow down legal immigration and prioritze to give jobs to the US unemployed. This means even longer processing times to those who are waiting for visas and smaller opportunities for immigrants to get job especially without experience. This is reality but how do others feel about this?
Specializes in Dialysis, Nephrology & Cosmetic Surgery.
I can understand people getting angry if local junior nurse jobs were being given to overseas nurses while local nurses were being over-looked. I'd be surprised if this was the case. As a UK nurse who was seeking immigration to the US the job I applied for was for someone who had experince in acute and chronic renal replacement therapies and plasma exchange. There is an on-call rota so you would be expected to work autonamously on the acute med/surg wards and ITU. Surely if there was surplus of such qualified and experienced nurses locally then there would be no need to look to other contries to fill these gaps?
If there are local unemployed nurses who could step into that role they would've snapped them up, so when I see statements re, overseas nurses taking local jobs when there are local nurse unemployed I am a little sceptical. I can appreciate that there will be newly qualified nurses struggling as the same situation applies in the UK at the moment, but they cannot fill the specialist vacancies that exist.
As an ex ward manager there have been times when we've recruited overseas but this has been a last resort we only recruited experienced nurses.
At this time as far as I can tell there is no active recruitment by the US for overseas nurses, as any glance in the job section of nursing magazines will confirm. Also agencies have gone under or stopped sponsorship to the US. There will be a trickle of nurses coming through and I'm sure this will slow further.
This is the US where frequently corporations rule.
There are thousands of unemployed nurses, mostly new nurses but also many inexperienced nurses in the USA. Several of those that precepted with me have put in 30-100 applications with little success. These are well trained nurses, some from programs that are among the top rated in the nation.
Facilities cannot have "experienced" nurses without providing some way for the nurses to get experience. But too few are willing to nurture and provide that experience. Thus they have created their own shortage.
One can see why they want experienced nurses. And there are occasions when it is warranted to seek very specific specialized staff. But they also need to be "growing" their own experienced nurses for that specialty. And very few are willing to spend the time/money to do so.
I realized there are some very talented foreign nurses who could replace very hard to replace positions. There is one English nurse who posts here who is a specialist in anticoagulation, with all the new to the USA drugs , her experience would be invaluable during this time of rapid change in anticoagulation. So many times we have to do a literature search to find the experiences over sees in this area. But once again I don't see too many experienced talented foreign nurses looking to move. Also in the USA most of these senior positions require a MSN and special certification which a Talented foreign nurse does not have.
But for the most part- why not educated the US Junior Nurse to the Senior position ? Nurses should have upward mobility, it does not speak well for an institution that does not provide support for growth and rather import help that will also need an extensive orientation to the position.
Most of the posts I read here and elsewhere are inexperienced nurses graduated from countries that don't share similar standards such as experienced clinical instructors, ratios instructor to student, and access to first rate clinical experiences with 21st century systems ( computer charting, electronic BP cuffs, telemetry, etc). Sadly many of these inexperienced nurses are waiting in their home country and not able to find paid employment. When there Petition Date comes through, not only will be inexperienced but their nursing knowledge will be stale. I don't know how you could justify not hiring a US inexperienced nurse to hire a foreign nurse when the foreign nurse ( no fault of their own) will need a more extensive orientation and cost the employer more money.
Medicare stopped reimbursing for expenses to relocate nurses from foreign countries when it was popular it was about $30K probably more, how can a hospital justify this expense to their current nursing staff ? Sorry you can't have a raise since our recruiting expenses are too high? Sorry you can't have XMAS since the new nurses are not ready to work independently ? Sorry you have to take a more acute patient load due to the fact the new nurses are not ready for a full assignment due to their extended orientation. Last with the new patient satisfaction surveys how will foreign nurses score, when I see a hospital that has a dominance of foreign trained nurses, I see very low scores. I am not faulting the nurses, but the institution since I think there is a decision to hire foreign trained nurses who are afraid to speak out to bad situations ( since I think they fear going home).
I also have a hard time believing their are hospitals that have had open positions left unfilled for past 6 years . Who has been taking care of these patients? I don't believe overtime could cover positions for years and years. Why haven't these hospitals come to US Nursing Schools to recruit new grads?
Also If a country plans to export nurses to the US, they should meet all US standards and get an American Accreditation such as the NLN, this would cut all the baloney about their education being equal. It would also raise the cost the foreign schools fees but it would ensure the grads they meet US standards.
I've been working in the US for 4 years on temporary visa, work is sponsoring my immigrant visa now. I do have specialized knowledge and experience which I was recruited for. I have gained double certification since arriving (to prove equivalency of my overseas-gained skills and knowledge) and am just completing a US masters degree as well.
I make no apologies for working here even if a US nurse is out of work - it's unlikely they share my expertise, so my employer needs me and not them, and I pay taxes and contribute to the economy just like everyone else (even though I am not entitled to government benefits), as well as paying "out of state" university fees despite living here several years with a job, license, lease, paying taxes etc. The experience I've gained is great; but it's a two way street that is mutually beneficial to both myself and my employer.
I don't begrudge the US or anyone else the right to secure their borders and take care of their own first; but everyone has to realize it's a small world now, and sometimes you do need to look outside your own walls; that's not necessarily a bad thing.
Having said that, I am not tied to the US and would be just as happy going back to Australia or somewhere else to work; it's a job. I realize I am playing in your field and I'm happy to play by your rules.
I realized there are some very talented foreign nurses..........
In my opinion you are looking at things backwards. Hospitals know how to count their money very well, especially in this economy. As it has been pointed out already, no new grads from the foreign countries get hired these days. As for some local nurses, for some reason they have an illusion that jobs will find them, instead of them looking for a job. As they fail to get a job, they start thinking of some conspiracy behind that. I constantly see some rumors posted on this forum about hospitals hiring foreign RNs and not hiring local new grands. That's convenient for many to believe, to justified their failure, but not true.
Also, many hospitals, including mine, have a lot of foreign trained nurses, but what you don't realize is that many of them came to to the U.S. years ago, when there was a shortage and a lot of them are U.S. citizens by now.
My hospital used to sponsor foreign nurses and bring them from oversees, but as there is no shortage of new grads anymore, I can not think of even one nurse who got hired from oversees for the job that local nurses can do. And to the best of my knowledge, they always look locally first. It's just a common sense.
Also, many nurses at my hospital were born in the U.S., but can easily be mistaken for "foreign" nurses just because they belong to the group that has a high prevalence of immigrant population.
I was responding to this thread, slowing legal immigration down.
A. I am aware of retrogression, with many nurses waiting since 2006 to come to the USA.
B. I am also aware the color of one's skin or accent does not mean a foreign trained nurse. Many American trained nurses are not native born but they are an American nurse not a foreign trained nurse.
C. Many US nurses ( native born or not) are unemployed.
D. There are several bills being filed in congress one, HR 129, the Emergency Nursing Relief bill, there is no emergency need for nurses.
E. Just because you work in the USA, it does not entitle one to instate tuition, having children who attended out of state schools they had to pay the out of state tuition despite the fact I have been paying federal taxes. Also the documentation to get in state tuition required documentation including voter registration, driver license, etc. Unlike Australia , that charged my daughter for health care and did not treat a broken ankle.
we all know that in past, and unto this day in some cases, hospitals have hired foreign nurses without considering USA nurses because they could do so at a favorable wage differential and under conditions that made the foreigner dependent on the employer in an imbalance of power. we all know that nursing homes have also done this, and that they often hired H1-b nurses in deliberate fraud against the USCIS into positions that did not require advanced degree. to say any otherwise is to deny a certainty.
I realized there are some very talented foreign nurses who could replace very hard to replace positions. There is one English nurse who posts here who is a specialist in anticoagulation, with all the new to the USA drugs , her experience would be invaluable during this time of rapid change in anticoagulation. So many times we have to do a literature search to find the experiences over sees in this area. But once again I don't see too many experienced talented foreign nurses looking to move. Also in the USA most of these senior positions require a MSN and special certification which a Talented foreign nurse does not have.
But for the most part- why not educated the US Junior Nurse to the Senior position ? Nurses should have upward mobility, it does not speak well for an institution that does not provide support for growth and rather import help that will also need an extensive orientation to the position.
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In Australia we often fill more senior clinical positions with nurses hired direct from the UK. I've never been able to understand the reason for this - it seems a shame as talented more junior Australian nurses are effectively shut out.
Also the more senior Uk nurses may have less education - hospital certificate plus post-grad certificate or diploma. The Australian (and any US ones) tend to have a BsN plus masters already completed.
I feel it's a preference for a certain training background and the view held by specific nurse managers that experience carries more weight than education
What I notice is that employer recruiting staff have quite a lot of influence re nationality and training type preference.
Just because you work in the USA it does not entitle one to instate tuition, having children who attended out of state schools they had to pay the out of state tuition despite the fact I have been paying federal taxes. Also the documentation to get in state tuition required documentation including voter registration, driver license, etc. Unlike Australia , that charged my daughter for health care and did not treat a broken ankle.[/quote']
Well, living and working somewhere and having instate residency for a certain minimum period generally does entitle one to pay instate tuition, at least according to the website of the university that I selected. That's why it's called that. It was irritating to discover there's a loophole that some visa classes actually have to pay out of state tuition in perpetuity, especially after reading the website, and speaking with OIS and advisors, and being assured that (like almost every other university I have ever heard of) students are eligible for instate tuition once they have been resident in a state for >12 months, as proven by: driver license, housing lease, tax records, employment records, bills send to your local address, utilities etc etc... However you look at it, if you are resident in a state for a certain minimum period (which they set), then you should be eligible for "instate" tuition. Or else they could change the name to "US citizen" tuition - which would be fine, and less misleading.
Whatever country you go to visit, I think you'll find you have to pay for medical care. God knows I pay a crapload for all my medical care here in the US of A, in addition to paying my medicare responsibilities back home. Again, I chose to work here so I don't begrudge that, but it's somewhat silly to state that having to pay for medical care in a country in which you are a non-citizen is unusual. That's why people get travel medical insurance.
Well, living and working somewhere and having instate residency for a certain minimum period generally does entitle one to pay instate tuition, at least according to the website of the university that I selected. That's why it's called that. It was irritating to discover there's a loophole that some visa classes actually have to pay out of state tuition in perpetuity, especially after reading the website, and speaking with OIS and advisors, and being assured that (like almost every other university I have ever heard of) students are eligible for instate tuition once they have been resident in a state for >12 months, as proven by: driver license, housing lease, tax records, employment records, bills send to your local address, utilities etc etc... However you look at it, if you are resident in a state for a certain minimum period (which they set), then you should be eligible for "instate" tuition. Or else they could change the name to "US citizen" tuition - which would be fine, and less misleading.
Whatever country you go to visit, I think you'll find you have to pay for medical care. God knows I pay a crapload for all my medical care here in the US of A, in addition to paying my medicare responsibilities back home. Again, I chose to work here so I don't begrudge that, but it's somewhat silly to state that having to pay for medical care in a country in which you are a non-citizen is unusual. That's why people get travel medical insurance.
I always get travel insurance, even though my insurance has world wide coverage. My credit card has travel benefits,but despite all this the Australian government required that my daughter pay for access to their system.
As far as tutition goes even paying the out of state rate is a bargain compared to private universites. And someome on a temp visa is just that a non permanent resident, to bad you are not ilegal since you would get the in state rate.
Is paying for Medicare in Australia your choice or duty in your case?
You have to do taxes both place, and pay the higher of what you would have to pay in either country. So generally because my Australian tax rate is higher, I pay tax on my salary in the US and then have to pay the difference in my Australian tax return, which includes Medicare levy.
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LiverpoolJane
309 Posts
I can understand people getting angry if local junior nurse jobs were being given to overseas nurses while local nurses were being over-looked. I'd be surprised if this was the case. As a UK nurse who was seeking immigration to the US the job I applied for was for someone who had experince in acute and chronic renal replacement therapies and plasma exchange. There is an on-call rota so you would be expected to work autonamously on the acute med/surg wards and ITU. Surely if there was surplus of such qualified and experienced nurses locally then there would be no need to look to other contries to fill these gaps?
If there are local unemployed nurses who could step into that role they would've snapped them up, so when I see statements re, overseas nurses taking local jobs when there are local nurse unemployed I am a little sceptical. I can appreciate that there will be newly qualified nurses struggling as the same situation applies in the UK at the moment, but they cannot fill the specialist vacancies that exist.
As an ex ward manager there have been times when we've recruited overseas but this has been a last resort we only recruited experienced nurses.
At this time as far as I can tell there is no active recruitment by the US for overseas nurses, as any glance in the job section of nursing magazines will confirm. Also agencies have gone under or stopped sponsorship to the US. There will be a trickle of nurses coming through and I'm sure this will slow further.