“I want to go to USA and work. How can I do it?”
“I will have arranged marriage with Nepali guy who is living in Texas, USA. what do I do?”
“I want to get M Sc in nursing in USA. (“and are there are any scholarships?””)
(note: I originally had trouble getting USA web links, I added them after about 300 people had seen)
I get asked about this all the time. “How can I go to USA and work?” My first answer is – we need you in Nepal! But if you must go, plan carefully.
I am not an immigration lawyer. I do not work for a consultancy. I have a recommendation as to a specific consultancy, but I am not employed by them in any way nor did they ask me to write about this. I’m writing this because I don’t want you to make a mistake.
Here is a story:
I live in Hawaii and one day I got an email from a Nepali nurse who just moved to New York City. “Please help. My husband and I just moved to New York. I need a nursing job. Can you help me get a license and nursing job?”
My reply was ” Sorry. New York is 8,000 km away from Honolulu Hawaii and I don’t know anybody there. did you already take NCLEX?”
her answer. “No”
I told that I don’t know anybody in New York and she did not plan properly. They lived there for five months until they ran out of money and moved back to Nepal. She never worked as a nurse in USA. she may have gotten a job as a “nurse’s aide” – performing personal care tasks which in Nepal are given to the family to do, such as cleaning incontinence and feeding and bathing. such jobs pay minimum wage and are often not enough to support a family.
It didn’t need to be that way.
From what I have seen, it takes more than a year of planning to get all the documents lined up.
all educational transcripts; IELTS or TOEFL; CGFNS; and NCLEX; then you need a work visa or a student visa that allows work; then you need a social security card. This is not the final list. You will need to pay for attorney to help you.
Let’s go one by one.
educational transcripts: if you have PCL with just SLC you probably will get your transcript rejected. So if you have just a PCL, stop right there. I have never yet heard of a PCL nurse whose transcript was sufficient unless they had SLC plus 2. For all those PCL schools in Nepal, they need to stop promising that PCL with only SLC is good enough. it is not true. In my opinion, CTEVT needs to begin mandating that all PCL nurses have SLC plus two.
Hate to tell you this, but if your intention was to go to USA, you should have gotten B Sc, not PCL. it’s probably too late, but – that is the case.
Note: there is no place anywhere where this is written down. If there is somebody who can prove that I am wrong by giving me the actual name of a person now working in USA as an RN with just a PCL, please email me at email@example.com and give me their contact info.
DO AS MANY OF THESE STEPS AS POSSIBLE, BEFORE YOU MOVE THERE unless you have somebody to support you financially, because you will wait around and work until you do them. I can’t stress this enough. IT MIGHT TAKE A YEAR to get all this completed. Can you afford to pass the time with no income? It will take money.
IELTS or TOEFL: you need a score of 7 (seven) or better in all areas, -speaking, reading, writing, comprehension. take the language test first. www.ielts.org
CGFNS stands for Commission on Graduates of Foreign Nursing Schools. Click here to go to cgfns. USA has fifty states and you apply to a state, not the federal government. Most states ask for documents from CGFNS before you can take NCLEX exam. CGFNS application costs about $300 US Dollars. You begin the process by creating an online account.
CGFNS also administers “VisaScreen” in addition to credentials evaluation. click here to learn about Visa screen.
at that site, it says:
For nurses educated outside the United States, all U.S. State Boards of Nursing require credentials evaluation, certification, or verification as a first-step in the application process. Specific requirements differ by state.
NCLEX: only after you have done the above, can you take NCLEX. Click here for link to NCLEX. you can take NCLEX in Delhi, but you must choose one of the fifty states to apply. click here for list of all fifty state agencies for nursing. NCLEX costs about $300 USD. There is NO guarantee that you will pass. In USA, the first-time taker’s pass rate is 80% to 90%.
According to this document from NCSBN, https://www.ncsbn.org/Table_of_Pass_Rates_2014.pdf the pass rate for first-tme takers who are internationoally educated is 30% in 2014 so far. do not underestimate this exam.
M Sc program: you need to do all of the above before you can apply for USA M Sc program. You must be a USA RN to enroll in RN-to-BSN program or in M Sc program.
WORK VISA: here is where you need a lawyer. I am told that USA Immigration Service will reject application for spelling errors, but won’t tell you where they found the error and what to fix. This will drive you crazy.
social Security number: nobody is allowed to give a job unless they can show record that you have this. The US government will fine the employer if they do not supply this. Every employer is strict for that reason.
I wrote about this two years ago!
link to my previous blog on free resources. click on it to find another link to a free document. http://joesar.wordpress.com/2012/04/21/resources-to-help-foreign-nurses-get-a-usa-rn-license/
My recommendation: my friend Shirley Evans, RN, BSN, is part of SLI Group, in Chaubahil, and she has been doing NCLEX review in Kathmandu for ten years. click here for SLI Group link. She has a proven track record. She will meet with you and give personal evaluation about chances of success. Yes, her group charges money. Here is link to their FaceBook page.
If a consultancy says they have a USA nurse working with them, don’t pay any money until you ask for the name and to meet that person. Shirley’s photo is on the FaceBook page. She is a native English speaker. She has a good sense of humor.
IMPORTANT NOTE AT 7:30 PM
Shirley tells me that there are some inaccurate things here. I will fix them when I learn what they are. In the meantime, the most important point is the same: make a plan make a plan make a plan
FINALLY, I almost forgot.
If you are in USA, I invite you to go to Amazon and buy my book about Nepal health care. It’s a novel. and yes there is a love story. http://www.amazon.com/Sacrament-Goddess-Joe-Niemczura/dp/1632100029/
If you are in Nepal, be advised that The Sacrament of the Goddess will be available here soon. go to the Facebook page, https://www.facebook.com/thesacramentofthegoddess