Working in The USA
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UK nurses need to realise something, the US is NOTHING like the UK. The pay is not great, US nurses think everyone comes from the Philipines, the pay is similar to the US, ONLY the taxes ARE MUCH HIGHER! Try 35% Federal and 12% State tax in some states, e.g. California, that is 47% compared to 25% in the UK. Health care here is very expensive and not free, you get a bill for everything. And the staffing here is HORRIBLE, 1 ICU patient in the UK, 3 or even 4 ICU patients in the US, you will be run ragged. Everyone gets 2 weeks vacation, and if you are sick, they is no sick pay, you have to use your vacation or not get paid.
The managers talk to you like you are crap, the doctors talk to you like crap and the patients and families just sue you. This is like going back in time 20 years, the surgeries, the procedures, being a doctor's hand maiden is archaic. Doctors write orders in the patients chart like Nurse will ambulate pt 3 times a day (the pt was 850 lbs), or pt may not have bathroom priviliges, you are held accountable, and sueable, for everything. The secretary writes the wrong thing, your fault, pharmacy sends wrong drug, your fault, lab draws wrong blood, your fault, your fault, your fault.
I wish someone would have told me this before I came here, after 8 years of 5 States, I give up, glad to come home. They had slavery for 300 years in the US, officially, unofficially, it still exists, few unions, few rights and limited protection.
The UK isn't so bad, not hot as hell and humid, no earthquakes, forest fires, tornadoes, landslides AND NO GUNS, I have never seen poverty like the US, you will die for the sake of cheap meds, or you will get shot in car for your radio. The US is a vicious and violent, more people get shot here peacetime than in the rest of the world put together. See you back in UK SOON!