Posts Tagged ‘nclex RN

22
Mar
09

THE RN CONTRACT TRAP by Reeves & Elias

I am posting 2-part articles that I’ve read on Manila Bulletin and googled on the web about possibilities of Nurse’s deployment to US. My unsolicited opinion about this is for everyone concerned to be very CAREFUL and INTUITIVE before signing any contract with any agency/employers.
The old cliche applies : An ounce of prevention is more important than a pound of cure.
Now, read on and learn…

The RN Contract Trap
Posted on: 03/05/2009

http://www.rreeves.com/articles/immigration_en_10558.php

By Attorney Robert L. Reeves and Joseph I. Elias

For many foreign nurses (RNs) the chance to immigrate to the U.S. is the opportunity of a life time. For so many, immigrating to the U.S. is the reason they went to nursing school and took up the profession. Many others, such as marketing majors, physicians, computer engineers, etc. have switched professions to become nurses in order to immigrate to the U.S.

Immigrating as an RN is one of the fastest paths to a green card or permanent residency. This is because the U.S. Department of Labor has determined that there is an acute shortage of RNs across the entire U.S. The steps for sponsoring an RN were subsequently streamlined allowing RNs to immigrate faster than most other occupations.

The shortage spurred the growth and creation of hybrid industries such as nurse registries and temporary nursing staff companies. These types of companies assign nurses on a temporary basis with their client hospitals, medical facilities, and private homes. A nurse working for one of these companies for example, might find herself working at Hospital A for 2 days out of the week and Hospital B for 3 days. Then, a few months later, working 4 days for Hospital C. The RN goes wherever her employer has been contracted to provide services. She is not an employee of the hospital, but rather the registry company.

Because of the shortage, various RN employers (hospitals, agencies, RN staffing companies) heavily recruit for RNs overseas. Foreign RNs who wish to immigrate are delighted at the opportunity the recruiters offer and are often all too eager to sign up.

While this path may be one of the easiest ways to immigrate, it is not without its pitfalls. Employment-based sponsorship means the RN will be allowed to immigrate if the RN intends to work on a permanent basis for the petitioning employer. This is a critical condition of immigrating that carries consequences if not fulfilled.

During the typical recruitment process, the RNs are promised sponsorship in exchange for working for the employer. Contracts are prepared and representations are made regarding the nature of work, type of work, place of work, working conditions and wages. Many RNs are so eager to immigrate, they do not carefully read these contractual documents, ask serious questions regarding the terms and conditions, or have the contracts reviewed by their own attorney.

In the excitement of the prospect of immigrating to the U.S. many RNs are seduced with the notion that the dream job awaits them in the U.S. For some this is true, but for many, it has drastic consequences. The RNs gloss over the contracts and assume an attitude of, “I’ll deal with it later.”

The most common contractual clause that wreaks havoc on an immigrating RN’s life is the breach of contract damages clause. Most contracts typically require the RN to work for a specific number of years and failure to do so triggers the damages clause. The damages can range from $15,00 to $50,000 dollars!

Many RNs signing these contracts are unfamiliar with the litigious culture in the U.S. Some come to the U.S. and find the working conditions and salaries they were told they would receive are not the same as represented when first recruited. Some conditions are so unbearable. For example, being placed in graveyard shifts in hospitals far from home. Or, not being placed in any hospital and collecting no salary while the sponsor tries to obtain a new client for the RNs placement. Many of these RNs then leave their employers and this is when additional tragedy strikes.

The employer begins a campaign of harassment and may sue for breach of contract and obtains a judgment against the RN for the penalty amount. The judgment typically comes with a wage garnishment order. This means the RN’s new employer is required to pay a portion of the RN’s wages to the sponsor to cover the judgment. Because RNs are in a licensed occupation requiring a reporting of where they work, it is very simple for the sponsor to locate the RN and exact the judgment.

But, worse than a breach of contract is the possible immigration consequence. The RN has obtained permanent residency because she stated she intends to work on a permanent basis for her sponsor. By leaving or changing employers shortly after entering the U.S., she has now opened the door for the Immigration Service to revoke the green card! Some employers immediately notify the Immigration Service when an RN leaves exposing the RN to possible green card revocation and deportation.

For many others, the immigration consequence comes several years later when the RN is applying for U.S. citizenship. The Immigration Service reviews the basis of the green card and determines how long the RN worked for her sponsor. If it determines that the RN has only worked for a short period of time, it may begin revocation and deportation proceedings against both the RN and her family members who obtained green cards through her.

These tragic consequences can be avoided by careful review in the beginning. For many of those currently in the position, there is still immigration and contractual relief available. The U.S. Constitution prohibits slavery and indentured servitude and because in many cases the sponsoring employer breaches the contract, the employee is not liable for any damages. This core constitutional value is the basis for providing relief to those forced to leave their sponsors. This will be the subject of our second part of this article.

The RN Contract Trap Part II
Posted on: 03/19/2009

http://www.rreeves.com/articles/immigration_en_10560.php

By Attorneys Robert L. Reeves and Joseph I. Elias

This is the second of a two part article on RNs who immigrate to the U.S. and find themselves the subject of penalizing employment contracts. In the previous article we discussed the RNs immigrating to the U.S. with a hope and promise of a good job and a green card. But, sadly, upon arriving, they experience an entirely different picture than what was represented to them when recruited overseas.

For many, the working conditions are not as promised. They were told that they would be working at a specific hospital in a safe environment, only to find out that the position is in a different hospital, in unsafe neighborhoods, or even in completely different cities and states than promised. Others find that the “agency” or employer has no work for them. They wait several weeks or even several months without receiving a pay check or full time work hours. Many others find that the wages they are receiving are lower than the actual wage they were told they would receive when recruited. Others become virtual prisoners because they are told that they cannot leave their homes because they are on call 24/7 and will need to report to work at a moment’s notice. No set schedules force them to stay home, by the phone, waiting for the call to come into work. If the RN does not show up for work, she can be found in breach of contract.

These experiences are more typical of nurses recruited by staffing companies or nursing agencies. The staffing company may have had a contract with the hospital promised, but lost it prior to the RN’s arrival to the U.S. The staffing company then must try and find new clients to place its RNs.

RNs who find themselves in these predicaments can only tolerate this for a limited period of time. They are in a strange country with no friends or family and do not know what to do or what their rights are. They must borrow from friends, or life savings to survive. They have limited access to the outside world. Eventually they can tolerate no more and forge out on their own to look for more stable jobs and better living conditions.

This is when the employer’s harassment campaign may begin. The employer may even sue the RN for breach of contract and damages in the tens of thousands of dollars. The contract usually sets a state other than where the RN is living or working as the forum for disputes. The RN does not appear in court to defend her actions and the employer receives a default judgment. The employer then uses the judgment to garnish the wages of the RN who is very easy to track. Typically, an attorney in the city the RN is residing in is hired by the employer to obtain a local order to enforce the out of state judgment. The employer may also notify the Immigration Service that the RN has left employment and has not honored her requirement to work for the employer. Many employers also file, or threaten to file complaints, with the nursing board that the RN is a threat to her patients and that her license should be revoked. This can lead to revocations of licenses.

Any of these actions, if left unchecked carry very serious consequences. The RN’s credit rating can be ruined as a result of the judgment. Wages at new employers can be garnished which leaves an unpleasant taste in the new employer’s mouth. Segregating a portion of wages is an additional administrative burden most employers do not want to handle. Many RNs, after a few years of savings, try to buy homes and cannot because their credit has been ruined by the judgment.

Perhaps the harshest consequence is for those RNs who have their green cards stripped and find themselves in deportation proceedings by the Immigration Service. This is done because the RN was given a green card to work permanently for the employer. The Immigration Service interprets a resignation within a few months of immigrating to the U.S. as proof the RN never intended to work permanently for her employer. She therefore was not eligible for the green card to begin with and it must be revoked.

It is therefore of the utmost importance that RNs who find themselves in an unbearable situation to nip the employer’s action in the bud. The RN should not ignore the employer’s legal and immigration threats, but should address them head on at the outset.

Usually, an RN in this situation has her own cause of action against the employer for its breach of contract. The RN can sue for back wages and challenge out of state judgments. While many states find an employer has a right to recover the reasonable costs for replacing an RN, the large dollar amounts are viewed by many courts as prohibited and unconscionable penalties and liquidated damages. Unfounded complaints, or threats of complaints to licensing agencies, can also be grounds for defamation suits against the employer. Many courts may find the contracts one-sided and unconscionable that the entire contract is voided out.

Immediately challenging the employer also creates a record that can be used to prove to the Immigration Service that the RN had every intention of keeping her obligations to work permanently for the employer. The RN can show that her employer breached the contract and promises. Forcing her to remain working for the employer under these circumstances could be considered endorsing slavery or indentured servitude.

RNs who did not challenge the employer from the outset will have to work harder to demonstrate to the Immigration Service that they had the intent to work permanently. The challenge typically comes when an RN applies for citizenship. The Immigration Service will revisit the basis of the RNs green card and then determine if the RN met her obligation to her employer. The complaint filed by the sponsoring employer, no work history, or a short work history will be deemed by the Immigration Service as proof that the RN never intended to work for the employer. This will be the basis for revocation of the green card.

RNs in this situation must document the circumstances that forced them to leave. They must show why remaining with the employer would have been tantamount to slavery or indentured servitude. The U.S. Constitution prohibits slavery and indentured servitude and because in many cases the sponsoring employer breaches the contract, the employee is not liable for any damages. This core constitutional value is the basis for providing relief to those forced to leave their sponsors. RNs trapped in an unconscionable contract should seek immediate legal assistance in order to preserve their rights, their dignity, and their immigration future.

05
Feb
09

NURSING in USA: RECESSION-RESISTANT

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According to an article in yahoo news, the U.S. Bureau of Labor Statistics (BLS) approximates 3 out of 10 jobs by year 2016 in the US will be on
teaching & health care.
And here are the AVERAGE YEARLY WAGES of the 6 hottest US occupations which are recession-free based on 2007 census :

Registered Nurses….$62,480 per annum
Health Care technicians………$31,450
Computer Information Scientist….$100,000
Computer System Analyst……$75,890
Employment Recruiter & Placement Specialist……$50,000
Special Education Teacher….$50,000

Nurses, here’s the big reason for you not to waste time but to review and take up NCLEX-RN / CGFNS / IELTS; the basic requirements to land a nursing career in the land where CHANGES & HOPE personified by Barack Obama offer a great opportunity towards a secured future.

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Visit http://www.allgen.net for more details of Allgen the Intelligent Review.

30
Jan
09

MORE THAN A TEDIOUS PROCESS

To say that the process one should undergo to become a registered nurse in any state in America is tedious must be an understatement. But hey, if one is dead serious about it, nothing is impossible.

Today I went to the bank to ask for a demand draft (manager’s check) of USD 70 payable to Board of Registered Nursing-California in order for them to submit the NCLEX-RN result of, ehem, my wife (applause, applause!) to CGFNS/ICHP in Philadelphia for that office to evaluate her documents and if found complete, they’ll issue a Visa Screen Certificate. This Visa Screen Certificate is required to secure by the nurse applicant in order for her/his US employer represented by US Immigration lawyer to petition her/him for a Visa (working non-immigrant visa or an immigrant visa).

Back track 4 years ago when we were on vacation in Auckland, New Zealand, she was just convinced by the author of this blog to take IELTS/International English Language Testing System in Manukau Institute, Auckland, NZ with barely a day of review. It was fortunate for her that few steps from my cousins’ place where we stayed for 7 weeks was a public library where my wife listened to audio CDs of IELTS’ practice / simulated tests plus she browsed some review books in less than 12 hours of preparation. And she made it with band score 7.0 (which means GOOD USER of english language; perfect score is 9.0) . But since all we had then were Visit Visas extended for a year, we (including me) didn’t have a chance to land a job in Auckland (OK, we did hunt jobs in between, just took chances). So we flew back to Manila, did the same routine and after 2 years, my wife’s IELTS result expired. Before its expiry date, she retook it this time in Manila and the gods were on her side since she got another band score of 7.0 without any review. DON’T GET ME WRONG here, I don’t promote no-IELTS-preparation but I’m just being factual with my wife’s experience. Actually, in my own honest opinion, what she did with her IELTS 2x were both risky.

About 9 months ago, she decided to sit in our classes at now called Allgen (www.allgen.net) for intensive review of NCLEX-RN. She temporarily dropped her work as a clinical instructor in a college of nursing to focus on her review. It was really a BIG SACRIFICE on her part. She attended live lectures religiously, did several practice tests in classes & listened to rationalization and sat in simulated exam- review on the web which was also done in the center as part of the review package. She jot down essential notes not only from review lectures & copied rationales from her on-line review but also made her own cue cards sourced from various NCLEX-RN review books.

Prior to her review for NCLEX, she did register, apply and schedule her exam after receiving her eligibility notice and ATT (authorization to take test) and paid the necessary fees, whew!

I am a witness to all of her efforts just to ace it to NCLEX-RN. I stood not only as her supportive husband, but as one of review instructors to her and her batchmates at the center. Even at home during weekends, I recall she did locked herself for 2 to 3 hours just to concentrate on reading review materials. Two days before she takes the exam, she requested me to accompany her to St. Jude’s (patron saint for the hopeless cases) Church in Manila where we both asked guidance, divine interventions and a miracle that could move mountains! On the day of her exam at Trident tower in Makati, she obediently followed my “over-the-counter” advice and wore her RED shirt for good fortune (told you I might be chinese in my past lives, LOL. read my previous entries here) and true enough, most of examinees that day wore the same shade, possibly for the same reason. It wouldn’t hurt probably if we sometimes follow who, Confucius? LOL !

Her official exam started a little past 9AM. I was waiting at Starbucks Coffee in RCBC Plaza, the nearby building of the NCLEX-RN venue in Makati City. After 2 hours and 20 minutes and a cup of grande iced caramel macchiato and a slice of cake, I already received a text (SMS) that she’s on her way to where I am waiting. I met her at the lobby of the building. Just like other examinees who took it, she had the same reaction post exam. She was distraught; in shock instead of being thankful that she hurdled CAT(computer adaptive test) conducted by Pearson vue for Board of Registered Nursing across US. My wife cannot speak for few seconds the first time I saw her. Until I heard she uttered that her computer stopped at question # 75 after 2 hours. She barely recalled the specific questions that came out. All she can attest until now is the fact that the exam was so difficult & mind-boggling. We were supposed to attend to our respective classes in the college of nursing where we were working as instructors but I decided it would be better if I’ll be the only one to go to work that afternoon and she’ll go home straight to rest. Afterall, she rightfully deserved it.

She started applying for Visa Screen Certificate by the end of October last year. And as stated at the start of this entry, process is on hold until Board of Registered Nursing-California receives the fee through bank demand draft that I sent this morning through DHL for them to forward the NCLEX-RN result to CGFNS/ICHP. In between all these processes since last year, I accompany her to various agencies to attend orientation and see what these offices affiliated with US hospitals have to offer.

I’d like to share my two-cent-worth of advice to those (mostly Filipino) nurses (particularly those who sat in my classes in both academe and review centers) who are aspiring to work in the US :
KNOW WHAT YOU WANT & AIM FOR IT.

I highly suggest to nurses wanting to take the path that my wife has trailed to attend review classes where not only the basics are taught but discipline, focus & motivation towards a goal are instilled. In a difficult undertaking such as registration of nurses in the US, one needs professional help. Remember even the Filipino boxing champ Manny Pacquiao always prepares for his fights. He trains well to win as Nike puts it. One thing is for sure, exerting efforts to any endeavor will surely yield success in the end. Nothing is put to waste if you devote your entire heart to it. Even those who failed the first try or the second surely gained something from the experience.

The journey is long and difficult but it’s up to the traveler to make it worthwhile.

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30
Jul
08

CRISTINA T. SANTOS, USRN !

July 30, 2008. Lunch time. I received a text message from my brother that he already received the results of my wife’s NCLEX-RN from ordinary post delivered at my parents’ place in Pasig. I immediately called him and with asked him to describe the envelop as per Tina’s request. Because we know that according to others if the envelop is thick and large, the result would be negative for another re-application form & guideline will be inside but what my brother received is a legal/regular-sized envelop from Sacramento California. Tina told me to ask Mac, my bro to open the envelop and read the result, and the rest is HISTORY…

SHE MADE IT. I’M PROUD OF YOU HONEY. ALL YOUR EFFORTS PAID OFF. Thank you for listening to my nagging pieces of advice for I know that it is only you who can withstand my TOXICITY… 

God is truly BEST. The results came out on the day of the inauguration of ALLGEN the Intelligent Review where Tina had her review for NCLEX-RN.

We thank the LORD JESUS for giving this wonderful blessing for all we know this will open doors for both of us and our son Gabby. 

Thank you ALLGEN team for everything. I take pride in being a part of the BEST REVIEW CENTER for NCLEX-RN ! May God bless us more for us to continue to be a blessing for others too.

Here are some snapshots taken at the blessings of ALLGEN this afternoon. Visit www.allgen.net.

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I LOVE YOU HONET & GABBY !

25
Jul
08

ALLGEN THE INTELLIGENT REVIEW

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04
Feb
08

SO YOU WANT TO BE A NURSE ?

                   

                                              ONE SIZE DOES NOT FIT ALL…

                                     MANY WERE CALLED BUT FEW WERE CHOSEN…

                                 These are also applicable in medical profession. 

                         Image Hosted by ImageShack.us   

It’s a common knowledge that the Philippines has become a huge factory of NURSES for EXPORT. No less than the second highest official of the land encourages all Filipino High School graduates to take up and finish BS Nursing as their college course for them to get jobs abroad and for them to send their DOLLAR-REMITTANCES  to our third-world economy A.S.A.P. !!!  For as long as one knows his priorities, I honestly believe that there’s nothing wrong working abroad.  My wife and I are also wanting to work overseas. However, all of it, the WHOLE PROCESS IS NOT EASY. It starts on basic education.

To say that Nursing is DIFFICULT is an UNDERSTATEMENT.  It’s FAR from being SIMPLE.   

To  handle people’s lives is never easy. To study how to do it is painstakingly complex.

As an educator of so-called soon-to-be-nurses, I have observed that some of my students were just forced to take up Nursing by someone influential in their lives – either their parents or relative(s) who send them to school and support them.  As everyone knows, if we’re not enjoying whatever we’re doing, the outcome will always be NEGATIVE.  It’s so hard to do something if our INTEREST lies on something else. This should be a constant reminder to people who continuously convince their children to take up courses that they do not fancy. Because as I have stated, the outcome will always be FAILURE. 

For my students who are either in their 4th or 3rd year, taking up Medical-Surgical Nursing, I oftenly remind them that they should NOT stop wanting to reach for their goal since it’s too late for them to quit – they have gone far of their studies and stopping will be a premature failure. I always remind them that they have to :

                                       READ bookssssssss (read my lips : PLURAL ! )

                                                         enjoy studying,

                                        exert efforts to exceed their abilities,

                                                     challenge themselves,

                                                           be positive,

                                        always do some sacrifices for studies

                                      for the rewards will be great in the end.

This is the most satisfying part of my humble job. Though it’s not that financially rewarding compared to others, INSPIRING young minds to do more gives me the drive to live and enjoy my work daily.

NOTHING IS  ACHIEVED EASILY.  Even Manny Pacquiao prepares for all his fights. So it should be an iNSTINCT for all students & board reviewees to study wholeheartedly, ofcourse.

Nursing does not fit all. It’s not for all who just want a better life abroad. For those who cannot endure the demands of this course, you wont enjoy it. For those who are NOT DEDICATED to salvage people’s lives and understanding patients’ needs – you may be successful in other fields but not in Nursing.

      If I am not married to a nurse, perhaps just like my colleagues in the medical fields,

                                            I have also joined the league.

 

                      nursing            

                                            ———————————————–




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