HiI am a community cardiac nurse specialist with 6+ years experience in ITU and 3 years experience in cardiology. All the agencies I have contacted all say that I would need to go back to ITU for at least 12 months to have up to date experience before they would consider me, but reluctant to do this because it would be a large drop in salary. However I am aware that in order to work in the usa I would have to go back to itu and am fully prepared to do this when I get there. Has any experience nurse applied direct to hospitals and been offered a job and sponsorship without this golden 12mths current experience. I have passed my nclex and would appreciate anyone sharing their experience of contacting hospitals direct for sponsorship rather than agencies.