They have spoken..

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Specializes in intensive care, recovery, anesthetics.

ha,ha at least he got a job, eh and has given us sth to discuss:wink2:

Its a pretty good thread

5cats

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Specializes in Nurse Anesthetist.
I think you don' t understand an Ombudsman is a paid person to make recommendations about policy, majority of the times their views are ignored.

http://en.wikipedia.org/wiki/Ombudsman

I fully agree with you. Ombudsman are paid for his job. But sad to say, His views are often ignored.

As defined in Encarta Dictionary, An Ombudsman is someone responsible for investigating and resolving complaints. Someone investigating complaints raised against the Government or public authority.

Ombudsman are also human beings, and as always they take side. They are one-sided fellows.Especially if they are being extra paid to declare something that is untrue. :banghead:

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Specializes in ICU,ANTICOAG,ACUTE STROKE,EDU,RESEARCH.
I think you don' t understand an Ombudsman is a paid person to make recommendations about policy, majority of the times their views are ignored.

http://en.wikipedia.org/wiki/Ombudsman

So apart form Wikipedia, where is your hard evidence to support such a sweeping statement? Perhaps you have sone a review of the pertinent literature?

Please share-we are all interested

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Specializes in ICU,ANTICOAG,ACUTE STROKE,EDU,RESEARCH.

So PhillyRN

If I may quote a post of yours

Hi. Reading all of these posts for the past 3 months finally made me decide to join and share my thoughts. A sad reality, but I strongly agree with what our moderators and some of the members of this forum says on the present picture of AMERICA and its bad impact to our profession.

Like most of you here, I consider myself as a foreign-nurse who learned to love and embraced America, while at the same time still showing some degree of concern to my fellow country men, Filipinos.Proud to say,I am a graduate of one of the most prestigious nursing school in the Philippines, UST, came over to USA and worked as a nurse roughly 14 years ago. America at that time is great, booming while already boomed, splendid and such heaven..not until recently that everyone got trapped with this economic menace.

By my Maths you came to the US about one year after you qualified 15 years ago. So, now that you believe the US economy is worse than any other developed country you are discouraging nurses from applying? You brought very little experience to the US all those years ago,whereas many nurses from abroad who are waiting patiently for GC have much to offer and don't consider the US economy to be any worse than that of their own country.Nowhere is a bed of roses at the moment, and I'm not just talking about nursing. I still think USA is a better place to be than my own country, all things considered and I am happy that I got job offers because of my knowledge,experience and skills in Nursing.

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This does not alter the retrogression, since the issue of number of visas being given out has not been addressed. Only means more applications approved with nowhere to go, despite the nurse having a ton of experience. Not to discourage those who insist on pursuing applying for the USA, but just the cold reality that it will take maybe 10 years before you can get to America. Those already in the USA are still fortunate, good luck to them.

:stone

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Specializes in Nurse Anesthetist.
By my Maths you came to the US about one year after you qualified 15 years ago. So, now that you believe the US economy is worse than any other developed country you are discouraging nurses from applying? You brought very little experience to the US all those years ago,whereas many nurses from abroad who are waiting patiently for GC have much to offer and don't consider the US economy to be any worse than that of their own country.Nowhere is a bed of roses at the moment, and I'm not just talking about nursing. I still think USA is a better place to be than my own country, all things considered and I am happy that I got job offers because of my knowledge,experience and skills in Nursing.

When I posted that message, My intention was to let my brothers and sisters in the Philippines be aware of the present condition of the USA. That it is no longer the America as it was 14 years ago when I first stepped the american soil. It's not a point of discouraging people from applying or coming over here. It's their choice afterall.

I know that my posts are so discouraging. But the truth that lies in every word written must be taken as non-offensive, but rather a good eye opener for everybody. I am really concern with my filipino brothers and sisters. I don't want them to hope or dream for something that would just not happen over time.

I also do admit that when I came here. I was fresh from school and is bringing little experience. I do not in any way deny that. But hey, that doesn't mean I am skillsless or less knowledgeable at that time. I graduated from school so famous for quality nursing education. I had a good clinical exposure during my RLE. I obtained good scholastic records, graduated as cum laude of my batch. Had my nursing board exam and took pride to be dubbed as one of the topnotchers at that time. These achievements prompted the employer to hire me despite of my short post-graduate experience. Yes experience is important and I was just lucky that experience is at no big deal in my case just as the employer's attention was diverted to my other significant achievements.

My dear, I advise you not to be very happy at this point in time. You have a job offer. No doubt. But with crisis going on, no matter how many years your experience is, how deep is your nursing knowledge is,and how skillful you are bears nothing. again, Nothing. Job offers are getting cancelled. I've seen many already. So be careful of what you've been happily dreaming of. The road to USA is slippery at the moment. You might stumble and fall along the way.

Goodluck.

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http://www.dhs.gov/xabout/structure/gc_1171038701035.shtm

The Citizenship and Immigration Services Ombudsman (CIS Ombudsman) provides recommendations for resolving individual and employer problems with the United States Citizenship and Immigration Services (USCIS). As mandated by the Homeland Security Act of 2002 452, CIS Ombudsman is an independent office that reports directly to the Deputy Secretary of Homeland Security. The CIS Ombudsman:

Assists individuals and employers in resolving problems with USCIS;

Identifies areas in which individuals and employers have problems in dealing with USCIS; and

Proposes changes to mitigate identified problems.

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N

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By my Maths you came to the US about one year after you qualified 15 years ago. So, now that you believe the US economy is worse than any other developed country you are discouraging nurses from applying? You brought very little experience to the US all those years ago,whereas many nurses from abroad who are waiting patiently for GC have much to offer and don't consider the US economy to be any worse than that of their own country.Nowhere is a bed of roses at the moment, and I'm not just talking about nursing. I still think USA is a better place to be than my own country, all things considered and I am happy that I got job offers because of my knowledge,experience and skills in Nursing.

What I have seen in England during my vacations there was a very high standard of living. What I have read about nursing is that there is very high standard of care.

What makes you think America is so much better then the UK? Or the working conditions are so much better?

I have read pro/cons to both systems and in my mind they are about the same.

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Specializes in Medical and general practice now LTC.

Job offers do get rescinded and that happened to me back in 2005 and I had to start all over again finding a new employer and starting I140 even though I already had approval. At that time the US was not affected by recession

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I am not a big fan of the per country quota system actually, The visas were provided to allow foreign RNs and PTs to relieve the severe shortage in US i.e. for the benefit of American patients and not to provide equal career oppurtunities to nurses from each and every country. If Philippines had more number of qualified applicants when visas came out last time, there was no reason to hold them back as the whole point was to bring in qualified workers immediately to relieve the nursing shortage crisis. Sorry for going off the topic.

You are from the country with a population of over 1 billion. Look what's going on with H-1B visas, there is no per-country quota and 75 percent of people coming on those visas are Indians. Does it mean that there are no qualified candidates from other countries? Of course not. But the major companies who sponsor those visas (so-called bodyshops) belong to Indians. There was much said and written about that. The current policy with no per country quotas for H-1B resulted in visa shortage for the rest of the world, so they have to conduct a lottery every year now.

The same situation with schedule A. Various agencies were bringing those nurses from Philippines. Was it because they could not find enough qualified candidates somewhere else? Probably not. It's just because it's cheaper to hire there. There is a zillion of new grads there with virtually no skills but ready to work 24/7 for less money. Speaking of the best interest of the patients, the current policy does not even require applicants to have at least one year of paid experience. It was all about large quantity at a minimal cost, and nothing about patients' best interests.

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You are from the country with a population of over 1 billion. Look what's going on with H-1B visas, there is no per-country quota and 75 percent of people coming on those visas are Indians. Does it mean that there are no qualified candidates from other countries? Of course not. But the major companies who sponsor those visas (so-called bodyshops) belong to Indians. There was much said and written about that. The current policy with no per country quotas for H-1B resulted in visa shortage for the rest of the world, so they have to conduct a lottery every year now.

The same situation with schedule A. Various agencies were bringing those nurses from Philippines. Was it because they could not find enough qualified candidates somewhere else? Probably not. It's just because it's cheaper to hire there. There is a zillion of new grads there with virtually no skills but ready to work 24/7 for less money. Speaking of the best interest of the patients, the current policy does not even require applicants to have at least one year of paid experience. It was all about large quantity at a minimal cost, and nothing about patients' best interests.

You seem to believe that limiting the number of applicants from particular countries will imporve the quality of candidates applying. The eligibility crtieria for a visa is determined by the country issuing the visas. If certain countries are producing 'zillion' of new grads without any skills, does that mean US has to hire them? no. Only the candidates who have completed all eligibility formalities like exams and certifications are eligible for the job and the visa. If the current policy does not require the nurses to have any experience for the job, then its for US to change the rules if it is found necessary. As far as the recruiters and bodyshoppers are concerned, they will recruite people from anywhere in the world to maintain their profit margins and not necessarily look out for 'the best of the world' once the country quotas are in place.

Yes I am from a country with a population over 1 billion and there are more visa applicants from here than most coutries in the world, but does that mean that I have to queue up for years while other applicants scoot through years ahead of me, not because they are more qualified or more experienced or in any way better suited than me to look after the best interests of the patients, but only because they are from countries with fewer visa applicants?

The per country quotas are an unfair system discriminating between applicants based only on their country of origin and nothng else. Imagine such a system insituted in your work place.

Of course while formulating immigration policies, a nation need only take into account the best interests of its citizens and need not be fair to anyone else.

I apologise again for going off the original topic. Please PM for further discussions on this.

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Specializes in ICU,ANTICOAG,ACUTE STROKE,EDU,RESEARCH.
What I have seen in England during my vacations there was a very high standard of living. What I have read about nursing is that there is very high standard of care.

What makes you think America is so much better then the UK? Or the working conditions are so much better?

I have read pro/cons to both systems and in my mind they are about the same.

Again-you are making statements not backed up by evidence.

Have you been in a hospital in the UK? Have you lived in the UK?Do you know what nurses in the UK get paid? The cost of living here is phenomenal and I would think it is comparative to Ca-and about double that of NC.As for the standard of living-our houses are generally much smaller

Thing is the only nurses in the UK who get paid more because of where they live are those in London and the areas around it, and then it is only about 15% more than the national level.In the US if you live in a state where the cOst of living is higher then you get a higher salary and vice versa. Nurses salaries here are set nationally and you will not be aware that even though we are the largest group of employees in the National Health service we have no power and in the recent national restructuring of ALL NHS employees salaries nurses came out very badly, because to pay us similar amounts to say Physical therapists and pharmacists would be too expensive.The government have given us a pay rise which is less than the rate of inflation.

Compared to the police, firemen and teachers nurses have the lowest salaries ad it is far more difficult to move up the ladder as a huge percentage of nurses are on Band 5 salary scale (the lowest for a qualified nurse) and there just aren't enough band 6 and 7jobs within the system.If you want to be a manager then it's easier, but Clinical Nurse Specialists are being down graded to band 6s.

As for standards of care compared to the US-you really have no idea. Our hospitals have far fewer nurses,less equipment (eg scanners etc but also basic things like pillows!)and fewer support staff.On our acute stroke unit there are usually between 9 and 14 patients to each qualified nurse.There are only 2 toilets/bathrooms on the whole ward and the patients are in 6 bedded bays. I do not believe this compares favourably with most hospitals over there. In the majority of specialities our system is slower and less advanced than that in the US and there are fewer hospitals.Only the large regional hospitals will offer services such as Radiotherapy,Open heart surgery/interventional cardiology and neurology/neurosurgery.

The problem with the discussions about visa availability for nurses is that we are talking about 2 very different groups here. On the one hand we have foreign nurses with no/very little experience since qualifying and on the other those with many years experience and post graduate training so it's like comapring apples and pears.

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