Who is to blame for the CA BON mess and a solution?

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Hi, to all my fellow kabayans out there! I have been following these topics for almost a year now and so saddened by the current state of affairs that has been troubling all of us in dealing with the issues with the CA BON.

I too along with several of my batchmates with either having the same concurrency problem or not enough hours in those certain courses to satisfy the CA BON requirements. Even their friends from other Phils colleges are in the same boat and everyone trying to get their ATT, some having been denied twice, told that to meet the minimum requirements going to a US approved college will help get us thru, etc.

From all my readings here on this site, who is to blame in this crisis we are all facing?

-- The CA BON? NO, we are in their territory, we have to meet their requirements, their rules, their regulations, their minimums. So many of our batchmates and their friends have been reapplying twice or more times or not even having to be able to get a chance to take the NCLEX exam.

-- The CA evaluators/analyst? NO, they are only doing their job. They must also enforce and apply the same rules/regulations to not only us but to any applicants, be they from a local to other states to other overseas countries) wanting to get licensed in CA. If, not, then they could lose their jobs and in this economy, it would be very hard to find another type of job they have working with the CA BON and still put food on the table or pay for the lights in their living places.

-- CA rules and regulations? NO, it's been there for many years from my understanding in other posts here, we're not going to change their rules or requirements. There has been NO recent changes or additions to their requirements, only the current enforcement of the ones already in place for years. There's no reason for them to accomodate us and with understanding as there's no longer any more nursing shortage in CA or in 99% of the US. Too many US unemployed nurses everywhere and very little available job openings that doesn't need experience and more so, if so many of us are new grads.

On another note: one of my friend's has a good family member who is from Phils and a practicing CA lawyer for over 16 years, he is not an employment nor labor attorney, he is in business and taxation ligitation, but as a favor to her, he was asked about the CA BON denial letters received of the concurrence and insufficient hours requirements, after several months of inquiries and investigation, it was of his professional opinion, that the CA BON stands correct in their position and that legally, we "don't have any legal grounds to stand on". The advice of either trying to find some kind of remedial classes or re-taking of a complete CA approved nursing program is the best and main option open to us affected. He also finds it very suspicious of those applicants getting their ATT and others being denied from the same batchmates, same schooling, same instructors and could result in future legal action taken against them for "knowingly and willfully submitting false information" to the CA BON, even if the RN licensee claims he/she didn't know it was not the truth. There is NO limitation that the CA BON could revoke or suspend the CA license even if endorsed to another state. What is worst is if other state has severe financial or other penalties, they can enforce it and could be much worse than in CA.

 

So who is to BLAME?

-- Our own colleges and universities? YES, a definite yes! I have a very good and reliable source from one of our batchmate's relative/father who is very well associated to the CHED. They (CHED) have always known of these same minimum CA BON requirements for many years. But they have always thought that why fix our own country's nursing management and philisophies if it's not broken and we're not obligated to our Phils to move on to the US, even though, it's understood there's a very high percentage will be leaving Phils and mostly to CA, but that's their problem, not ours. Well, it is now! It's now insane to attend a Phils college if anyone today wants to get a nursing job in CA.

They never imagined that one day the CA BON would clamp down on their requirements. It was always preached to them (not from the US side, but from so many of the members of the CHED) that with the nursing shortages in CA and all over the States, they could keep teaching new nurses to meet the growing demand in the States. However, it's been a real problem in the States since 2009, but CHED didn't want to believe that or did believe it but wanted to keep the process going and why alert the students already enrolled and wanting to enroll, maybe the problem will be washed away.

-- Ourselves? YES and no. We should have known that even though, many of the Phils are accredited and some are even ISO-certified, but it means nothing to the outside of the walls of the Phils borders. Yes, it's true that we are just poor students studying hard every day and night, having so much stress and worries for 4 years, finding ways to pay for our education, our families making the tough sacrifices both emotionally and financially, giving up many good times that our other non-nursing friends enjoyed, but figured it will be worth the long sacrifices once we get a job in the States.

-- Global recession? YES. From what we read in the other topics here, many of the older US nurses cannot afford to quit their jobs now due to so many have lost so much money in their retirement banks, many nurses have to come back to work and reactive their US license so they can make more money either due to their own spouses are unemployed or have had some changes in their lives and need to come up with some extra money, so in all of this, many are not leaving their jobs or have refilled them and leaves no more empty spots to be filled. With the US unemployment rate so high, many cannot longer afford the health insurance or have lost it completely and much less patients coming in to see a doctor, so many sick people and their family members don't have the financial means to pay for the medical cost, which in turn, helps to pay the nurses.

So guys, we can no longer depend on getting a license in CA or in other states that are affected by this, much less find a good job in the States like years before. My batchmates and many others we know are being more realistic now and understand we just need to pack up, move on and find some other states to apply into or even other countries. Maybe there still might be a few of us that will get pass and be able to pass the NCLEX the first time in CA. We are all tired from getting those rejection letters!

Some of my batchmates have heard that other US states may soon do what the CA BON has been enforcing, if it is already the other state's requirements, which is only going to squueze all of us into a tighter area.

Solution(s):

-- I don't have any of the immediate problems, maybe others do here?

-- I think once the US economy does get better one of these years, we'll hopefully be employed in the other states and able to come back to CA (which honestly is about another high percentage of Phils grads wanting to work in CA due to family, weather, salaries, etc) with years of experience and then, maybe then, we'll truly have the nursing shortage that is so hyped up in the media and in our schools.

-- Hope that if a big nursing shortage does happen later on, the CA BON will be able to "bend" the rules for us.

Well, I have vented long enough, what do you guys think? We can do this, but probably not in CA for the present time.

from geegeebaby82
....yes, at the end of the day, a nurse is a nurse. but for me and my other batchmates, we didn't spend four years of our lives to eventfully become a lvn.

yes same here,but its one of the step that some need to do in order to move forward,some choose to enroll for their deficiency because like me i really want to stay in california and as i have mentioned in my previous post its still up to us to pursue our profession in a higher level..but given the chance to be a lvn,i will still be proud of it because its still a decent job,and i can still do the things that i really like that is to care for the sick,the calling of being a nurse..

quote from gegebaby82

.....doing all the "crap" work (not just the dirty stuff) is okay, it's part of their job and yes,
rn
's have to do so in a pinch, it's like being a maid (not my words, but what they tell me). what's real hard is when it's a young new grad
rn
giving out the instructions and thinking that should be me doing that job. it's a matter of pride, sorry, just hard to accept after almost a year as a lvn. so yes, i do share her (their) sentiments and feelings.

if your friends feel that way then why not pursue their profession in another level?..and if you think that it should be you in their shoes(
rn
)then well advance your nursing career..

sorry to say too but pride is not in my vocabulary for i know it will not help me anywhere in my career...

Those statements remind me of the old saying "pride goeth before the fall".

Here in Canada, we've had many RNs from the Phillipines work as LPNs because their education wasn't deemed equivalent to that of a locally educated BScN. They actually had to admit to never having done certain skills before that are considered the norm for LPNs in my province. They admitted they found total care difficult because the families provide much basic care "back home". They discovered that despite passing the English language requirements, being able to converse with a patient took more than what they had.

If you really feel that working as an LPN is so far beneath you, just maybe you should consider trying to find employment back home. No-one in North America held a gun to you and said become a nurse. You and your family bought into a dream of a "golden ticket" with a nursing degree.

@geegeebay82.."In all honesty, from my friends working as

a LVN's (was Phils BSN's), while they don't mind taking instructions

from an RN, like most of the other LVN's they come into contact with are

mostly wishing to get out of the LVN work load and become an RN one

day, so you can imagine the frustrations they are having of being so

close yet so far away. "

Doing all the "crap" work (not just the dirty stuff) is okay, it's part

of their job and yes, RN's have to do so in a pinch, it's like being a

maid (not my words, but what they tell me). What's real hard is when

it's a young new grad RN giving out the instructions and thinking that

should be me doing that job. It's a matter of pride, sorry, just hard to

accept after almost a year as a LVN. So yes, I do share her (their)

sentiments and feelings."

Nursing is team work, every member has a role, referring to another' s job as "crap" work or being like a maid erodes team work and is insulting and demoralizing. To me it gives the attitude, I am too good to be doing this work.... The reason your friends are working as LPNs is that are not qualified to be RNs. It doesn't matter if they spent 1000 years getting education it wasn't good enough for US standards.Sounds like they need an attitude adjustment or look for another field. Your friends do have an option going back to school and get an Associate Degree and pass the NCLEX. They can do this in one year. One suggestion, though, if they feel LPN work is demeaning, RNs in the agencies above do everything the LPNS do, their job is nearly identical except for doing more work such as admissions.

Your other point is that your friends would like to work for more money and better benefits, don't you feel every nurse would like this option?

Specializes in ACNP-BC, Adult Critical Care, Cardiology.

I have a different perspective on this.

If a nurse who trained in the Philippines have a BSN and is deemed eligible to be licensed as a Registered Nurse by examination in any given state in the US, my feeling is they should go for it and take the NCLEX-RN. California rules aside (which I would say for the record, that it is totally whacked out!), BSN grads from the Philippines, by and large, are eligible for RN licensure in the other 49 states.

If a nurse who trained in the Philippines have a BSN, and is deemed eligible to be licensed as a Registered Nurse by examination in any given state in the US, took the NCLEX-RN and failed, was allowed to take the NCLEX-PN and passed it, and now works as an LPN/LVN...then, that's the level of nursing they have proven to be competent in. They should stay as LPN/LVN and not whine about it. They should be glad they were even allowed to take the NCLEX-PN.

Regarding the "total care", "dirty work" reference...Oh please! Are these people saying these because they feel that nursing home work is demeaning? Because I worked as an ICU nurse in the Philippines from 1992-1995 at the Philippine General Hospital and guess what? we provided total care to our patients which ranged from suctioning thick, smelly tracheal secretions; emptying fecal material from ostomies; providing perineal care after a patient had a bowel movement; cleaning up all sorts of emesis; changing pressure ulcer dressings; among many other "dirty work". I never found doing that stuff demeaning at all. It's part of being the bedside ICU nurse who knows the patients in and out including what's wrong with every system in their bodies.

every one is entitled to their own career,gingers mom is correct there so many option study and advance their nursing career if they think its all about the dirty work..

@ sir juan de la cruz...I think for those who really want to stay in California they will really need to start again from the very beginning..that is to follow what CABON is suggesting..and regarding po that if not passing NCLEX-RN and passing NCLEX-PN it doesnt necessarily mean that they should be LVN forever.Every career is a continous process.Try until you achieve what we really want.

Specializes in ACNP-BC, Adult Critical Care, Cardiology.

@ sir juan de la cruz...I think for those who really want to stay in California they will really need to start again from the very beginning..that is to follow what CABON is suggesting..

And that is a choice you make yourself and I respect that. If it was me, I would take the NCLEX-RN somewhere else and work somewhere else.

and regarding po that if not passing NCLEX-RN and passing NCLEX-PN it doesnt necessarily mean that they should be LVN forever.Every career is a continous process.Try until you achieve what we really want.

I didn't say they should be LPN's forever. If they can find success in passing the NCLEX-PN and not the NCLEX-RN, that's a fate they have to accept. I agree that being a nurse involves a continuous learning process and you need to advance along the way. Education is such a powerful tool in nursing. I never stopped with my BSN, I have a MSN which I obtained here in the US and I'm now a certified NP since 2004. I also took specialty certifications as a means of assessing my knowledge and skill in the nursing field I'm in including CCRN and CSC. I encourage everyone to advance their knowledge regardless of where they came from.

was not good enough in California standard,for they have their own rules for those applying NCLEX-RN which was recently implemented....and not getting eligibility simply because of the concurrency of theory and clinical cases.....but does not mean our education is less than others....;)

Specializes in Peds/outpatient FP,derm,allergy/private duty.

I totally understand how frustrating it must be to have your expectations dashed when the CABON tightened up some of the implementation of rules that have been on the books for a long time. It must be very hard to have your friend or relative allowed to take the NCLEX-RN at some time before our current nursing employment crisis with the same background and qualifications you have. It is natural to be upset and disappointed. Welcome to the new world of almost everyone upset and disappointed because of these new realities.

You could have a letter of recommendation from George Washington himself and be a citizen - and facing an impending crisis in your family because you believed you would have a job upon graduation and Uncle Sam is still going to want those loans paid back. Hang out on this forum for a few weeks and find out for yourself what we are going through before displaying an attitude about what you should have "the right to do" in California, or who's job you feel entitled to.

If a nurse who trained in the Philippines have a BSN, and is deemed eligible to be licensed as a Registered Nurse by examination in any given state in the US, took the NCLEX-RN and failed, was allowed to take the NCLEX-PN and passed it, and now works as an LPN/LVN...then, that's the level of nursing they have proven to be competent in. They should stay as LPN/LVN and not whine about it. They should be glad they were even allowed to take the NCLEX-PN.

Thank you for saying that. I agree. I am thankful and grateful every day to live and work here, and I'm a 4th generation California girl. I'm struggling with my own job issues, too. None of us are immune.

The lifelong education principle and the humility re: "dirty" vs "clean" nursing tasks know no borders, either. I'm also grateful for the explosion of paths and access to further educaiton we can tap into anytime we want to.

Specializes in ACNP-BC, Adult Critical Care, Cardiology.
I totally understand how frustrating it must be to have your expectations dashed when the CABON tightened up some of the implementation of rules that have been on the books for a long time. It must be very hard to have your friend or relative allowed to take the NCLEX-RN at some time before our current nursing employment crisis with the same background and qualifications you have. It is natural to be upset and disappointed. Welcome to the new world of almost everyone upset and disappointed because of these new realities.

You could have a letter of recommendation from George Washington himself and be a citizen - and facing an impending crisis in your family because you believed you would have a job upon graduation and Uncle Sam is still going to want those loans paid back. Hang out on this forum for a few weeks and find out for yourself what we are going through before displaying an attitude about what you should have "the right to do" in California, or who's job you feel entitled to.

Thank you for saying that. I agree. I am thankful and grateful every day to live and work here, and I'm a 4th generation California girl. I'm struggling with my own job issues, too. None of us are immune.

The lifelong education principle and the humility re: "dirty" vs "clean" nursing tasks know no borders, either. I'm also grateful for the explosion of paths and access to further educaiton we can tap into anytime we want to.

Nursel, I am just so amazed at how these young folks talk in these forums (I can say young, cause I consider myself old...lol). Part of it is cultural. Filipinos continue to look at the United States as the land of opportunity. Frankly, I've been here since 1995 and while I'm now a proud American, the road was just as bumpy for me. Believe me, nothing came easy for me at first. I played by the books, I did what I had to do and never took short cuts in getting to where I am now. I just think it's the naivete and overall whiny-ness the young people today have and it doesn't matter what country they're from. This is reality...life sucks sometimes. I feel really bad though, everything's changed. My spouse is American (born and raised) whose parents never went to college but built their own home, and had a great life...new cars every five years, happy kids. You can't say that will be the same future for people with college degrees up the wazoo these days!

Specializes in Peds/outpatient FP,derm,allergy/private duty.

Juan you are awesome. And that's what I told everyone in the Guide Hangout a few weeks ago. If that embarrasses you I'm not sorry. :).

edit to add: You've really taught me quite a bit about the culture of the Phillipines that would be sort of a "between the lines" understanding that only someone who lived in it could properly explain. Well, I will admit to cultural insensitivity when it comes to balut.

It's clear you aren't advocating for or against anything - you are a conduit of information.

@ sir juan dela cruz...thats why its so nice reading almost all your posts here,because of what you've become with your successful stories.:cheers:and all the advices your giving in this forum.:yelclap:

The OP in this case was very much right on the points as mentioned in her opening dialogue.

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