Tuesday, August 31, 2010

Nursing Procedure # 4: Wound and Skin Care,I nternational Nurse Must Understand

By:  http://www.skybluecross.org/
To work in Canada or USA as a nurse, a international  may face  up to  different nursing procedure requirement; To do a good job, all international nurse must understand Canada/USA Nursing Procedure very well. Wound and skin care is a very important part of nursing procedure in any health care setting. Wounds come in all sizes and forms, and each one offers unique challenges to infection prevention. Skin care is essential for all patients, but especially for those who are bedridden and run the risk of ulcers and sores.


Basic Nursing Procedure for Wound and Skin Care

When it comes to wound and skin care, there are a few basic caveats:

Keep the area clean and dry.

Watch the area closely for any signs of infection.

At the first sign of infection, take aggressive measures to control it.

Instruct the patient in ways they can help.

Nursing Tips for Skin Care

Good skin care can prevent more serious issues, such as bed sores or ulcers. Keep these tips in mind:

Swing into action at the first sign of redness or irritation. Wash and dry the area, then apply the appropriate lotion or gel. Try to keep the patient from resting on the irritated area.

If your patient cannot move by themselves, reposition them at least every two hours to prevent pressure wounds from developing.

Always use warm water, never hot or cold.

If incontinence is a problem, use moisture barriers to help prevent sores.

Help prevent wounds for diabetic patients by ensuring their blood sugar levels are within normal range.

When drying the skin after a bath, pay special attention to areas you might not normally consider, such as under the arms or between the toes.

Nursing Tips for Wound Care

Sometimes, the most basic nursing procedure is not enough. Don't be afraid to get creative. Check out these enterprising tips from seasoned nurses:

Have trouble irrigating a wound? Attach a flexible female catheter to the syringe. The tubing may get deeper into the wound than a traditional syringe, and it's flexible enough to reach all areas.

Warm the irrigation solution to help promote healing.

Creams with zinc oxide often work well for patients. Check with their physician first, however.

Always put your initials, date, and time on the final piece of gauze before you tape it down. This ensures that everyone knows when the dressing was changed.

Never use Betadine on healthy skin--it may kill any new cells that are trying to form.

Learn the Best Nursing Procedure

Nursing online degree programs often offer community message boards, and you might be surprised at the wealth of nursing procedure information you can find there. Turn to your seasoned colleagues for good nursing information on wound and skin care, and your patients may thank you.

Source: www.medi-smart.com

Monday, August 30, 2010

Nursing Procedure # 3: Controls & Checks, International Nurse Must Understand

By: http://www.skybluecross.org/

To work in Canada or USA as a nurse, a international  may face  up to  different nursing procedure requirement; To do a good job, all international nurse must understand Canada/USA Nursing Procedure very well. Hospitals should run like well-oiled machines. Good nursing procedures include controls and checks that keep everything in balance. Not only do these regular checks of nursing procedure keep the staff safe and the facility costs down, they also protect the patients in a wide range of ways.


Tips for Controls and Checks

One of the most important jobs in nursing is the certainty that everything is running smoothly. Here are a few tips and tricks to make certain that your ward is running at optimum efficiency:

Sign and date dressings. Every time a dressing is changed, the nurse should put his or her initials, the date, and the time. This prevents mix-ups and keeps everyone accountable.

Write everything down. Even the smallest detail that might not seem important at the time could mean the difference in patient care at some point in the future.

Check--and then check again. Look over your charts often and make certain you have covered everything for your shift.

Notepad and pen. Keep a small notepad and pen with you at all times, and use it.

Be accurate. When counting meds, being "close" is not good enough. It has to be entirely accurate, and if the numbers don't add up, follow the proper procedure for reporting it.

Use safety precautions. Make certain everyone uses the common safety precautions, including the use of gowns, masks, and gloves. Ensure there are more than enough supplies for everyone.

Understand procedures. Know the procedures to follow in the event of violence in the hospital and practice what you would do in that situation.

Five rights. When giving any kind of medication, remember the five rights, and double-check them: Do I have the right patient, right drug, right dose, right time, and right route?

Document. If a patient comes in with a wound or bedsore, document it with photographs. This protects you and the hospital from lawsuits that claim you didn't give the proper care.

Nursing Procedure Controls and Checks

These points are just the tip of the nursing iceberg. Each medical facility has its own guidelines for controls and checks, so make certain you always have the most updated information.

If you want to brush up further on general information you learned in nursing school, try visiting an online nursing degree program and search their message boards for tips from seasoned nurses. The more you know, the more accurate your controls and checks should be. As a result of your diligence, everyone around you--including doctors, patients, visitors, and fellow nurses--should be safer and more confident in their workplace procedures.

Sources

Doc Stoc

Add Tips

http://www.medi-smart.com

Sunday, August 29, 2010

Nursing Procedure # 2:Hygiene Procedures, International Nurse Must Understand

By http://www.skybluecross.org/
To work in Canada or USA as a nurse, a international  may face  up to  different nursing procedure requirement; To do a good job, all international nurse must understand very well Canada/USA Many people visit hospitals in the anticipation of getting better, but some might contract infections that actually make them worse. An extremely important aspect of good nursing is following the proper health protocols and hygiene procedures that keep you and your patients safe.


Basic Hygiene Procedures

No matter where you put your nursing degree to use, there will be a few very basic hygiene procedures that must be followed. These are universal in the health care field, with no exceptions.

Wash your hands frequently.

Avoid contact with bodily fluids.

Wear gloves for safety.

Cover wounds with the appropriate bandages.

Advances Since Nursing School

Nurses must keep abreast of new and improved hygiene procedures. What you learned in nursing school could quickly become outdated, and new protocols may be required. But some tips should always remain the same:

Only very basic jewelry is permitted, and sometimes none at all, depending upon where you work.

Wear short sleeves to prevent passive contamination.

Keep nails cut short, clean, and unpainted.

Follow hand washing with alcohol disinfectant gel.

Practice the "cuff glove" technique to ensure your gloves remain sterile.

When using soap, shampoo, and the like, always open a fresh supply for each use.

Do not recap a used needle--place it directly in the sharps container.

When unwrapping tubing and other sterile essentials, ensure the connecting ends do not touch the patient, the bed, or any other surface that is not sterile.

Watch for skin breakdown in patients who are bedridden. The key to preventing complications is catching the irritation before it can become a lesion. Wash and dry the area, apply appropriate lotion, and try to prevent the patient from lying on the irritated spot.

Don't forget oral health. Help your patient brush their teeth and provide water to keep their mouth moist.

If you are using drainage tubing, keep it below the patient at all times.

If the sterile item is ever out of your sight, consider it contaminated.

When you open a package, remove the top completely, and avoid leaning over the contents.

If you have even the smallest sniffle, wear a mask to prevent spreading illness.

Hygiene Procedures Keep Nursing Safe

The more you know about hygiene procedures, the healthier you and your patients should be. When you spot hygiene procedure not being followed, stop the offender immediately and clue them into the proper method. Nursing is about looking out for people, and that includes taking care of each other with the best hygiene procedures.



Sources

Principles of Aceptic Technique

http://www.medi-smart.com

Saturday, August 28, 2010

Nursing Procedure # 1: Oxygen Therapy, International Nurse Must Understand

By http://www.skybluecross.org/
To work in Canada or USA as a nurse, a international may face up different nursing procedure requirement; To do a good job, all international nurse must understand very well Canada/USA Nursing Procedure Sometimes, it feels like there is just not enough air in the room. For those who need oxygen therapy, that is a frightening truth. Good nursing procedure not only gives the patients the oxygen support they need, but offers reassurance in the process.


Basic Nursing Procedure: Oxygen Therapy

Oxygen therapy is just what it sounds like: concentrated oxygen is administered to raise the oxygen saturation of a patient's blood to a normal, healthy level. This can be done via a nasal cannula, a mask, or a tent. Oxygen therapy can be given in the hospital or at home.

Often the respiratory therapist works closely with the doctor to decide what oxygen therapy the patient needs. Your job focuses on making certain the patient is comfortable, and closely monitoring their condition.

Beyond Nursing School

The best information about oxygen therapy can be learned through hands-on training. Go beyond what you learned in nursing school with these tips from the experienced pros:

Anxiety can make it even harder to breathe. Calming the patient can work wonders.

Sometimes a change in position can help. Sitting up or leaning forward can open up the lungs a bit.

A BiPap machine might look scary and feel frightening. Take the time to teach the patient exactly what it does, and why they need it.

Never use any kind of petroleum jelly or aerosol sprays around a patient receiving oxygen.

If a patient's lips become dry or chapped while on oxygen, lip balm can help, but make certain it doesn't have a petroleum base.

Cannulas can cause irritation. Tuck a bit of gauze under the tubing to prevent this.

When using a cannula, the patient might need to use a humidifier as well. Check with respiratory therapy about any discomfort the patient might experience.

Though a high oxygen saturation is good, anything 92 percent or above is acceptable for most patients.

Remember that oxygen stats might naturally drop a bit when someone is sleeping.

Instruct patients to inhale through their nose and exhale through their mouth. This may not only aid in breathing, but the focus required can help calm them as well.

A Final Word on Oxygen Therapy

Whether you opt to get your traditional or online nursing degree, you can learn about oxygen therapy--but you might not learn enough. Pay attention to your respiratory therapist when they show you the little "tricks of the trade" for patients under your care. Those little details can enhance your good nursing procedure, and can make your patient even more comfortable.

Source

Healthline.com

ENotes

Respiratory Therapy Care

www.medi-smart.com

Friday, August 27, 2010

International Nurse's guide------ how to compare, and choose an international nursing agency

By http://www.skybluecross.org/

Immigration and Sponsorship


Nursing is a great opportunity for nurses to live and work in the U.S.A and to expand their professional experience.

Foreign-trained registered nurses who want to work in the United States must meet several educational and professional requirements and pass the NCLEX-RN licensing exam. In order to immigrate, they must also secure a permanent residency visa, a job offer and other certifications and documents. This process can be lengthy and even confusing if attempted alone.

Anyone who has come to the United States to work understands that the process to obtain a visa, proper certification and a job offer can be time consuming and frustrating-especially if you attempt the process on your own. Sponsoring agencies will do the work for you; they set you up with a knowledgeable representative to assist you throughout the process and match you with the right nursing position

If you are a nurse who was trained and educated outside of the U.S.A or Canada and are interested in international nursing in the U.S. you must obtain a work visa in order to work legally in the U.S.

There are two types of american visa, temporary and permanent (green card). Presently, with the exception of Canadian citizens, temporary visas are not available to most foreign trained nurses.

You can register with one of the U.S.A international nursing agencies. They can sponsor you, and assist you with the green card procedure. However, obtaining a green card is a long process and can take anywhere from ten months to two years. Other than that many nursing agencies will require from you an employment commitment of minimum 18 months in return for their sponsorship.

Moreover as you probably know there is a global nursing shortage, which also includes the U.S.A market, and international nurses are in a great demand. This puts the healthcare companies with staffing challenges.

Therefore don't rush to sign with the first company. Take your time, investigate, compare, and choose an international nursing agency that has the best solutions for you.
Before Deciding On An International Nursing Agent Company
Check what does the benefit package of the company contain – Does it include health, life and dental insurance coverage, professional nursing liability insurance, retirement plan participation, free continuing education, referral bonuses, private housing, assistance with the relocating overseas expenses, etc'.

With a green card you are allowed to bring your spouse and children under the age of 21 to live and work in the U.S.A. Will the international nursing company assist you to bring your family to the U.S.A?

Can you choose where to work and live in the U.S.A? Will the International nursing agency help to match your skills and expertise with the job that fits your needs?

For how long will you have to sign an employment commitment?

Will the nursing agency assist you with preparing for the NCLEX-RN (National Council Licensure Examination-Registered Nurse) exams?

Will the company assist you to find a new job after your contract is ended?
Requirements For International Nursing in U.S.A
Must have a current registered nursing license in your home country.
Must have at least 2 years of work experience as a nurse
Good references.
Obtain a green card

Have a visa screen certificate – This is evidence that you have completed a required screening program for healthcare professionals in order to qualify for a permanent residency visa for nursing employment in U.S.A.

Pass the NCLEX-RN examination - National Council Licensure Examination for Registered Nurse. The exam covers five areas of nursing and is designed to test your knowledge and ability to provide high-quality patient care. Only if you pass the exams you will be eligible to work as a nurse in the U.S.A. There are also test centers outside of the United States.

You will most probably need to be CGFNS (Commission on Graduates of Foreign Nursing Schools) certified – This is required by more than 85% of U.S. State Boards of Nursing. However licensure requirements differ from state to state and do change over time. Therefore, we suggest that you contact the Board of Nursing in the state where you wish to practice to verify its licensure requirements.

English proficiency exams - The American Immigration process requires you to take either the IELTS (International English Language Testing System) or the TOEFL/TSE (Test of English as a Foreign Language/Test of Spoken English) tests.

Reference: http://www.nursezone.com

Thursday, August 26, 2010

The Tasks, Minimum Requirements & Specializations for International nurse whoever want immigrate into Canada or work in Canada as a Registered Nurse.

By http://www.skybluecross.org/

Definition of Canadian Registered Nurses is to  provide direct nursing care to patients, deliver health education programs and provide consultative services regarding issues relevant to the practice of nursing. International nurse whoever want immigrate into Canada or work in Canada as a Registered Nurse should know clearly what is The Task, Minimum Requirements & Specializations for Canadian Registered Nurse




The occupation of Registered Nurse is listed on the Canadian Priority Occupation List (POL). Candidates who score 67 points and appear on this list are eligible for skilled migration to Canada without the requirement of having a job offer from a Canadian employer and are able to emigrate to Canada as a matter of priority, with the potential to arrive within months of beginning the application process.





Tasks

Assess patients to identify appropriate nursing interventions

Collaborate with members of an interdisciplinary health team to plan, implement, co-ordinate and evaluate patient care in consultation with patients and their families

Administer medications and treatments as prescribed by a physician or according to establish policies and protocols

Monitor, assess, address, document and report symptoms and changes in patients' conditions

Operate or monitor medical apparatus or equipment

Assist in surgery and other medical procedures

May supervise licensed practical nurses and other nursing staff

May develop and implement discharge planning process on admission of patients

May teach and counsel patients and their families on health-related issues in collaboration with other health care providers.

Specializations'

clinical nurse

community health nurse

critical care nurse

graduate nurse

intensive care nurse

nurse researcher

nursing consultant

nursing researcher

occupational health nurse

private duty nurse

registered nurse (R.N.)

registered psychiatric nurse (R.P.N.)

Minimum Requirements

Completion of a university, college or other approved registered nursing program is required.

Additional academic training or experience is required to specialize in a specific area of nursing.

A master's or doctoral degree in nursing is usually required for clinical nurse specialists, clinical nurses, nursing consultants and nursing researchers.

Registration with a regulatory body is required in all provinces and territories.

If the above NOC code 3152 for Registered Nurses is your current occupation then you have a very good chance of qualifying for a skilled Canadian visa. For more detailed visa information, please complete a no obligation Online Assessment and select a call back time when a Visa migration consultant will call you and explain the migration process in detail.

Permanent (skilled) migration:

If you are looking to live and work in Canada on a permanent basis, you can apply to emigrate to Canada through the Canadian Skilled Migration Program.

The program aims to meet current skills shortages in Canada by attracting skilled migrants under the age of 50 who can make an immediate contribution to the Canadian economy.

Registered Nurse jobs Canada - If your profession is Registered Nurse as described above then there is a good chance that the SkyBlueCross.org can help you find a job in Canada. There are jobs available now in your occupation but you will require a Canadian visa to work in Canada.

Reference: http://www.visabureau.com

Wednesday, August 25, 2010

International Nurse want to know if you are qualified to H1B visa requirement of International nurse applicants?

By http://www.skybluecross.org/

H1B visa is like a ENTRY--Ticket for a nurse to work as Registered Nurse in USA. Once you have idea to work in US as a nurse, you should know if you are qualified and how you can be qualified first, then try your best to make your dream come true.




There is no specific answer to that question. What is important to realize about the H1B Visa is that for the applicant to be considered employed in a specialty occupation, the minimum training required for entry to practice should be a Bachelor's degree. In the US, nurses are trained either in an Associate's Degree or Bachelor's Degree program to enter into professional nursing practice as an RN. Many institutions do not have a requirement for a Bachelor's Degree for any staff nursing positions even for senior ICU nurses who do work in a very specialized area of nursing. On the other hand, some hospital positions such as nurse managers and case managers require at least a Bachelor's degree. Advanced Practice Nursing positions such as NP, CNS, CNM, or CRNA require at least a Master's degree from a program approved by the nursing board that grants the specific advanced practice title.



Advanced Practice Nursing fields are difficult to break into for foreign nurse applicants trained outside the US because of the strict requirement that the training program must be approved by the specific specialty nursing board in the US in order to receive eligibility to sit for any of the advanced practice certification exams. The trick then is how do you prove as an H1B Visa applicant that you have specialized training and experience in an area of nursing that requires at least the equivalent of a US Bachelor of Science in Nursing degree. It has been suggested that the more experience you have in your field of nursing coupled with carrying specialty certification in your specialized field of nursing may possibly convince the USCIS that you fit the criteria to receive the H1B Visa. Again, these have been suggested in these threads but surely, approval of H1B Visas have been largely dependent on individual cases and there seems to be no specific pattern in those who have been approved lately.

Reference: http://allnurses.com

Tuesday, August 24, 2010

International Nurse hoping for Nursing Job Market Demand to Return

By http://www.skybluecross.org/
As global economic situation getting better, Both USA & Canada Nursing Job Market Demand keep getting warmer. It is really good news for those International nurse who had pass NCLEX exam / English Exam.


Three months ago, Stefania Tutino-Eslow graduated from the registered nursing program at Fresno City College, and she’s still looking for a job. She says out of about 130 graduates, only a handful found nursing positions.

“(Most) kept their old jobs to put themselves through school,” she says. “They’re still working at a grocery store or as bank tellers.”

In this economy, a three-month job search is typical. Others have looked much longer. Compare that to a few years ago, when hospital recruiters were eager to hire graduating nurses. Colleen Grande is a nurse at Kaiser Permanente in Fresno and teaches at Fresno City College.

Grande advises nursing students about the current job market. She says four to five years ago, graduates could easily negotiate with hospitals over their desired positions and schedules.

“We’ve had a 180 in the job market, without a doubt,” Grande says.

With an ever-increasing demand for medical services, why aren’t health care providers simply hiring more nurses? Grande says there are several reasons. New graduates can cost $70,000 to $100,000 to train. And many part-time nurses went full-time after their spouses lost their jobs.

Retired nurses are also returning to the field because of the recession. But when the economy improves and those older nurses quit working, a real shortage could occur, especially as aging baby boomers require more care. Meanwhile, the National Student Nurses’ Association says graduations from nursing schools are at an all-time high, so it’s hard for many students to get work experience in a hospital.

Tutino-Eslow had previous experience working in a nursing home. She says it taught her about the realities of caring for patients. Some of her classmates quit the nursing program because they couldn’t handle the demands of the field.

“I know some students that didn’t expect they had to clean a patient, they didn’t expect that they had to physically be there, not only physically supporting a patient, but also mentally, and it can be draining,” she says. “Some people don’t want to have to deal with that. They just think that nursing is passing out meds and they make a great paycheck, and that’s not what nursing is about.”

The nursing association advises graduates to be willing to take jobs in nursing homes and other settings outside hospitals. Tutino-Eslow says she’ll take any nursing job in the Fresno area, and she’s looked everywhere from dialysis centers to the state prison system.

A passion for nursing will always provide an advantage for job seekers. Grande first changed a bedpan when she was a little girl.

“I think I was born a nurse, honestly,” she says. “Some people are literally born to do this. It’s not a profession for me, it’s who and what I am 24/7. It’s not something I do.”

Refer:  http://bakersfieldexpress.org/

Monday, August 23, 2010

International Nurse, Canadian Registered Nurse Examination (CRNE), and Nursing In Canada

By http://www.skybluecross.org/

Thinking about working in Canada as a Nurse?


If you are a foreign-trained nurse who wants to find employment in Canada, you have chosen the right career. Starting a new life in Canada can be a challenge, especially in these hard economic times, but you have the advantage because Canada is greatly in need of skilled nurses. To become a registered nurse in Canada, you must first achieve a minimum score on an English proficiency test (such as the CELBAN or IELTS) and pass the Canadian Registered Nurse Examination (CRNE). The CRNE is a seven-hour-long test which measures 190 competencies (abilities) necessary for safe and effective nursing practice in Canada.



It is a comprehensive nursing exam that tests nursing knowledge within the Canadian context. Becoming a registered nurse in Canada means you have to have a nursing license and you have to pass the nursing entrance test for Canada in order to get a license.

There has been a an exam for entry to the nursing profession in Canada since the first school was established in 1874. Originally each province administered their own nursing exam.



In the 1930's it was proposed that the different provincial standards for the registered nurse exam be harmonized to a national standard and the Canadian Nurses Association passed a resolution that called for a national nursing exam for all registered nurse applicants in the country.

The first national nursing entrance test for Canada was a US based exam that the CNA purchased from the National League of Nursing. In 1966 the Canadian Nurses Association developed the first national nursing exam. It was the first time that a national nursing entrance test was developed by and for Canadian nurses. It was called the CNATS exam (Canadian Nurses Association Testing Service)

The CNATS exam tested the 5 traditional specialty areas of nursing. Maternity (obstetrics) pediatrics, psychiatry, surgical nursing, and medical nursing were each tested separately in a 3 hour exam.



Upon graduation from nursing school a registered nurse applicant would sit the CNATS national registered nurse exam over a 2 1/2 day period.

The contemporary nursing entrance test in Canada is called the Canadian Registered Nurse Examination or CRNE. It is a comprehensive exam written over 4 hours and has about 200 multiple choice questions.



It is called a comprehensive exam because content is not separated out in different specialties. This was done in order to more closely simulate the real client situations that a registered nurse might encounter in daily practice.



Typically the case scenario questions on the Canadian Registered Nurse Exam will be written to include a number of different concepts that the nurse must then recall and apply in order to answer the questions. A case scenario will have anywhere from 3-5 questions.

You can expect up to 60% of questions on exam to be case based



Writing the Canadian Registered Nurse Exam (CRNE) is usually the final step to becoming a nurse in Canada. You will not be allowed to sit the Canadian nursing entrance test until all other criteria needed to obtain the nursing license are met.



Once the Canadian Registered Nurse Examination is completed successfully, you can register with the regulatory provincial nursing organization.

Sunday, August 22, 2010

International Nurse's Step by Step Guide for taking NCLEX EXAM.

BY: wwww.SkyBlueCross.org

To take NCLEX EXAM., All international nurse Candidate should know How they can pass the exam and the tips to take the NCLEX EXAM.


Candidates will pass the NCLEX examination when:

they answer at least the minimum number of questions, within the time allowed, and achieve a competence measure significantly above the passing standard; or

they answer the maximum number of questions, within the time allowed, and achieve a final competence measure above the passing standard (even if not significantly above); or

they answer at least the minimum number of questions, but not the maximum, using all of the time allowed, and have a competence measure above the passing standard consistently for all of the last 60 questions. Not all of the last 60 items need to be answered correctly, but the competence estimate must remain above the passing standard after each of the last 60 items answered.

Candidates will not pass the NCLEX examination when:

they answer at least the minimum number of questions, within the time allowed, and achieve a competence measure significantly below the passing standard; or

they answer the maximum number of questions, within the time allowed, and achieve a final competence measure below the passing standard (even if not significantly below); or

they answer at least the minimum number of questions, but not the maximum, using all of the time allowed, and have a competence measure that has not been above the passing standard for all of the last 60 questions; or

they answer fewer than the minimum number of questions before the maximum time allowed elapses.





* The maximum number of questions is 265 for the NCLEX-RN examination and 205 for the NCLEX-PN examination.

** The time limit for the NCLEX-RN examination is six hours and the NCLEX-PN examination is five hours including tutorials and any optional breaks.



Pay attention in nursing school. This may seem oversimplified, but the better you do academically, the less stressed you'll be when the actual test comes around. That is, if you learn the material in the first place, you won't be trying to play catch-up in your senior year and beyond.





Take a prep test while you are still in school, such as the Mosby Assess Test, which is a set of NCLEX-style practice questions. These pre-tests can really show both your weak and your strong points, and give you a point to focus studying from. Also, doing it while you're still in school allows you to get help from your teachers while they are still easily accessible.



If you are unclear on a concept, be dogged about learning it. Whatever it takes, if you know your weaknesses, hone in on them and don't give up. Eventually, many of them will become clear to you if you come at them from a couple different angles. And 90% of learning is perseverance.



Seek new opportunities in clinical. If you can learn concepts hands on, you will be a lot more likely to remember them later when you study. Look up your patients' labs and find out why they are the way they are. Look up your patients' meds and learn the side effects, proper dosages, etc, even if they are meds you've seen a hundred times. The key to learning pharmacology is (sadly) repetition.



Get a good NCLEX-RN prep book early in your academic career. It is never too early to start reviewing and practicing answering NCLEX-RN style questions. Getting used to the way the questions are worded is one of the best prep tools there is.



Take an NCLEX-RN prep class above and beyond what your school has to offer. Many independent institutions (such as Drexel University College of Nursing and Health Professions http://passnclex.drexel.edu/) contract with nursing schools and/or student groups across the United States to provide 4-day review courses to prep for the test. Some even offer reimbursement of test fees if you fail. If your school does not have this opportunity, seek it out elsewhere.



As soon as you graduate, set up your test. Your school should be able to help you out with this, but it's very important that you do it soon after graduating, while the knowledge is fresh in your head.



Study study study. Use more than one source for review information, and do as many questions as possible before your test. If you want to be confident going into the test, count on answering at least 5,000 test prep questions prior to the test itself. This takes a long time, so budget appropriately.



At some point before your test, sit down and do 265 questions in a row. Answering that many questions in a row takes discipline and stamina, but bear in mind that you can answer 265 questions and pass the test, so make sure you can.



Take computerized tests for prep if possible. Hopefully, your nursing school has already done this for you, but if not, get a review book with a CD-ROM in it, which will allow you to take the test on the computer, which is how you'll actually be taking it.



Drive to the test site the day before, especially if it is far from your home (i.e., in unfamiliar territory). This will cut down on stress the day of as you will already know where the test site is.



Try and relax and have fun the day before the test.



Your brain needs glucose to operate properly, so have a decent breakfast with the major food groups represented on the day of the exam, even if you are not hungry.



Make sure you use the bathroom before you take your test.



Ask the proctor for earplugs. They really cut down on the distraction of ambient noise.



Sit down and familiarize yourself with your computer station. Find the calculator. Complete the tutorial.



Take a moment, close your eyes, clear your mind, and visualize very clearly what you are about to do. This is also a great time to pray.



Calmly start the test, taking one question at a time and allowing each question to hold your attention completely. Remember that the test will shut off automatically. This can be quite jarring, but hey, you're done!



Get in your car and go buy yourself a treat.



Refer:http://www.wikihow.com

Saturday, August 21, 2010

Step by Step guide for International Nurse to work in Canada as a Registered Nurse

By http://www.skybluecross.org/
International Registered nurses may enter Canada to provide healthcare services. The applicant must be licensed as a registered nurse in the applicant’s home country. The applicant must also pass examinations set by Canada Province or State(s) of intended employment. In addition, they must comply with all Provinces or State licensing requirements for registered nurses following their entry. basically MUST meet following Eligibility criterion and pass2 Exams:


Eligibility criterion

A diploma or B.sc in nursing

With at least one year of clinical experience

Nurses interested to go to Canada, must write 2 exams.

CRNE (Canadian Registered Nurse Exam)

IELTS (International English Language Testing System)

In order to work in Canada on a temporary basis, International Nurses must also have a temporary offer of employment from a Canadian employer and be granted a Temporary Work Permit by Human Resources and Skills Development Canada (HRSDC).  There are several steps to this process.

Step 1: Employer applies for Labour Market Opinion, if necessary

Before a Canada Work Permit can be issued, the Canadian employer who wishes to hire temporary International Nurses may need to apply for and be granted a positive Labour Market Opinion (LMO) by HRSDC.  HRSDC will grant a positive LMO if they are satisfied that there is no Canadian worker available to do the job.

Work Permits may be issued by Canadian immigration officials without the LMO requirement in a limited number of situations, as follows:

Under international agreements, such as the North American Free Trade Agreement (NAFTA);

Due to the significant economic, social or cultural benefits the work activity will bring to Canadians;

As part of reciprocal agreements Canada and its provinces/territories have entered into with other countries, such as youth and teacher exchange programs;

So that international students studying in Canada can fulfill academic requirements, known as co-op placements;

To allow the spouses/common-law partners of Work Permit and certain Study Permit holders in Canada to work in Canada;

Because the nature of the work is charitable or religious;

In recognition that certain persons in Canada for reasons other than the above-mentioned, such as the making of a refugee claim, need to support themselves. 



Step 2: Employer extends Temporary Job Offer

Once the LMO is granted, the Canadian employer can extend a temporary job offer to the International Nurses.  The employer must send a copy of the positive LMO along with a detailed job offer letter to the foreign skilled worker. 



Step 3:International Nurses applie for Work Permit

With these documents, the International Nurses can apply to HRSDC for a Canada Temporary Work Permit.  If the Canadian employer that is hiring is in the province of Quebec, the International Nurses may also need to obtain a Certificat d'acceptation du Québec (CAQ) in order to work temporarily in Quebec.  



Step 4: Work Permit is issued

A Canada Border Services Agency (CBSA) officer will issue the Canada Temporary Work Permit at the point of entry when the foreign worker arrives in Canada.  

Depending upon the International Nurses's country of citizenship, a Temporary Resident Visa (TRV) may also need to be obtained in order to enter Canada.

Friday, August 20, 2010

Step by Step guide for International nurse to work in or immigrate to USA.

Have a dream to work in or immigrate to USA? you can find how to do-- Step by Step guide here; or simply contact one of SkyBlue Cross service representatives, you will be guided through every procedure.


1.NCLEX-RN Exam Preparation

Once you have been accepted into the USA Nursing Program, the first step is to apply for the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Nurses must pass the computerized, multiple-choice NCLEX exam in order to be eligible for American nursing employment. The NCLEX exam, which covers five areas of nursing (medicine, surgery, pediatrics, psychiatry and obstetrics) is designed to test your knowledge and ability to provide high-quality patient care.



O’Grady Peyton International is dedicated to helping you prepare for the important NCLEX-RN exam. We provide excellent educational programs and study materials to help you achieve the best NCLEX results.  Our NCLEX review and NCLEX study guide materials include books, audio tapes, CDs, DVDs, online Web training, practice NCLEX "questions and answers" CDs, practice tests, study plans and seminars (not available in all areas).* Due to our comprehensive training and support, our nurses have one of the highest NCLEX-RN pass rates of any international program.

2.English Language Testing

For nurses who have not undertaken their professional training in the United Kingdom, Ireland, New Zealand, Australia, Canada or the USA, the American immigration process requires you to take either the IELTS (International English Language Testing System) or the TOEFL/TSE (Test of English as a Foreign Language/Test of Spoken English) tests.

These tests are internationally recognized English language examinations that meet the criteria set by the USCIS (United States Citizen and Immigration Services) and ICHP (International Commission for Healthcare Professionals).

An O’Grady Peyton representative can assist/advise you with obtaining English language training and examinations.
3. There is currently no specific nurse visa available in the United States. However, there are two ways that foreign individuals wishing to work as registered nurses in the United States can apply:

H-1B Work Visa for Skilled Workers

TN NAFTA Work Visa (only available to Canadian and Mexican citizens)

H-1B Visa Eligibility Requirements: In order for the petitioning employer to hire a foreign RN (registered nurse), the registered nurse must qualify for a specialty occupation. Although general RNs will not typically be eligible for H-1B Visa status, certain specialized nursing occupations are likely to require a bachelor’s or higher degree as the minimum requirement for entry into that specialized field. Consequently, those positions have a great chance of satisfying the H-1B Visa requirements. Other requirements may be a state license to practice the occupation, completion of degree, experience and expertise.

TN Visa Eligibility Requirements: Registered nurses are also on the list of approved NAFTA professions. Note that a TN Visa is only available to citizens of Canada or Mexico, while the H-1B Visa classification is open for other nationals

4. Permanent Residency Visa

Once you have passed your NCLEX-RN exam, we’ll begin the Permanent Residency and Visa Screen process.

O’Grady Peyton International will sponsor you and your immediate family members to become Legal Permanent Residents (i.e. to obtain Green Cards). This will allow you and your spouse and children under the age of 21 to legally live and work in America. Your immigration specialist will help you complete all the required documentation for the USCIS and will be available to support you throughout the process.

This part of the process can be time consuming, but O’Grady Peyton International will keep in contact with you on a regular basis to keep you updated on any developments.

5. Visa Screen™ Certificate

The Visa Screen certificate provides evidence that you have completed a required screening program for healthcare professionals in order to qualify for a Permanent Residency visa for nursing employment in America. O’Grady Peyton International will handle all the paperwork and documentation required for your Visa Screen certificate.

Thursday, August 19, 2010

International nurse May learn something from International Nurse Recruitment Guideline

By http://www.skybluecross.org/

Maybe International nurse can have a good idea as to deal with Recruiter agency and employer via learning how they process recruitment; and can avoid some problems as to:


· hidden charges to the nurse applicant, for example, agency fees

· unreasonable or inappropriate charges for things such as the provision of induction training / the provision of unsuitable/poor quality accommodation

· double charging of the employer and the internationally recruited nurses (IRN)

· the provision of inadequate, inaccurate or false information to the nurse applicant about the conditions of work including clinical area or specialism and the geographical location (leading to conflict and/or failure to retain the nurse on arrival in the recruiting country)

· the substitution of different employment contracts when an IRN arrives in the recruiting country

[Selection of Good Practice Guidance For International Recruitment]

commercial recruitment agencies provide a high quality and ethical service and have extensive expertise in international recruitment. Such agencies can greatly assist employers who wish to recruit internationally. However, experience has also shown that employers must ensure that adequate quality controls are in place to protect themselves and the internationally recruited nurses (IRNs.) Examples of the kind of exploitative situations that can arise where quality controls are not in place include:

· hidden charges to the nurse applicant, for example, agency fees

· unreasonable or inappropriate charges for things such as the provision of induction training / the provision of unsuitable/poor quality accommodation

· double charging of the employer and the internationally recruited nurses (IRN)

· the provision of inadequate, inaccurate or false information to the nurse applicant about the conditions of work including clinical area or specialism and the geographical location (leading to conflict and/or failure to retain the nurse on arrival in the recruiting country)

· the substitution of different employment contracts when an IRN arrives in the recruiting country



Once an employer has decided to set up a contract with an international recruitment agency, the employer should check that the agency:



· is a properly established company

· does not charge the nurse applicant fees and that a partnership agency in the source country does not charge the nurse

· will supply information on other clients so that references can be sought

· has an equal opportunities policy that they implement

· charges appropriate and reasonable rents if accommodation is supplied.



Some EU countries have specific guidance for employers on working with commercial recruitment agencies. For more information contact the national nursing association/Nurse Association member in your country.



Good practice in nurse recruitment agencies



This section lists the key issues to ensure good practice by nursing agencies recruiting internationally.



When nursing agencies consider recruiting nurses from abroad they should ensure that they understand the immigration and work permit rules in their country (see next section).



Some of the issues that nursing agencies should consider before recruiting internationally are:



· whether the Government in their country has identified if recruitment from the country they are targeting would undermine the delivery of health care

· whether they have sufficient familiarity with the professional registration bodies of the country from which they are considering recruiting, and how nurses from this country can register in their country

· matching skills and competencies to job vacancies to ensure that nurses are appropriately placed

· ensuring clarity about payment of IRNs while on adaptation courses with their new employer



Follow-up process



Nursing recruitment agencies should have a follow-up process to ensure that the IRNs they place are receiving help to settle successfully and are being looked after by their employer.



Agencies should also ensure that accurate information is given to nurse applicants about the type of jobs in which they might be placed. This information must be given prior to signing of any contract and preferably prior to departure from the home country. It should include the following:



· the health sector they will be working in (public, private, hospital or community based etc..)

· minimum terms and conditions of employment. If nurses are being recruited to a specific job/employer they should receive copies of the job and person specification in advance. They should have the opportunity to clarify anything they do not understand

· professional associations and trade unions they can join in that country

· the nurse registration process

· geographical area and the cost of living in the country where they will be moving. To avoid disappointment, nurses from some countries may need to appreciate what they can afford with what may seem like a very high salary

· all other costs that they might incur for example accommodation, uniform and transport costs

· how to change jobs and ensure compliance with immigration rules.





5. Immigration and Work Permit Guidance



Immigration legislation and arrangements differ in each US/Canada member State/Province but it is important that prospective employers and nurse recruiters are aware of the procedures in their country before commencing the recruitment process.





6. Nurse Registration



All US/Canada haS a national or regional regulatory system for nurses. In the majority of countries a nurse is required to register his or her qualification with the regulatory authority (which may be a government ministry or a separate body) before being allowed to practice in that country.

 

Other basic nursing qualifications gained in the US/Canada fall within the general systems directives. This means that the regulatory authority in another US/Canada member state/province has the right to assess these nurses’ qualifications individually to determine whether they meet the requirements of that country. If they do not they can be asked to undertake a period of adaptation or supervised practice. This may also apply to nurses wishing to gain recognition for qualifications from outside the US/Canada.

 Employers and nurses should contact the regulatory authority in the relevant country to find out more about registering nursing qualifications.

Wednesday, August 18, 2010

US/Canada Nurse Salary & Tuition Information for International Nurse

By:http://www.skybluecross.org/
The first question to most International Nurse is How much I may earn? How much I may have to pay for nursing school costs?, it's important for most international nurse know to be aware of the salary expectations that come with pursuing your passion in the healthcare field. www.SkyBlueCross.org gives you access to the average nursing school costs and the average salaries earned for each position based on comprehensive research--check it out below!


Certified Nursing Assistant (CNA)

Average Salary: $35,000 or independent hourly rate

Degree Time: 75-hour training course

Degree Cost: $200 to $500, depending on the state

Job Growth: 21% or more by 2014

Potential Perks: Can work in a wide variety of settings, including group homes, assisted living facilities, & doctors’ offices. If you provide private, in-home care, you can choose your own hours and hourly rate.

Licensed Practical Nurse (LPN) & Licensed Vocational Nurse (LVN)

Note: LVNs and LPNs are the same occupations—they are simply called different names according to what state in which you live.

Texas & CA = LVN

All other states = LPN

Average Salary: $39,030

Degree Time: 1 year

Degree Cost: $7,000 to $12,000

Job Growth: 21% between 2008 & 2018

Potential Perks: LPNs often have the chance to become charge nurses who oversee other LPNs and CNAs. Many choose to use this professional experience as a springboard to transition to an LPN-to-RN training program.

Registered Nurse (RN)

Average Salary: $62,450

Degree Time: 1 to 4 years, depending on pathway you choose:

Associate Degree in Nursing (ADN): 2-3 years

Bachelor Degree in Nursing (BSN): 4 years

Accelerated BSN: 12 to 18 months (must hold a Bachelor Degree in another field to enroll)

Degree Cost:

ADN:

  --Community College = $3,000

  --Private University = $20,000

  --Online = $7,900 to $14,000

BSN:

  --Public University = $20,000 to $26,340

  --Private University = $28,000 to $150,000

  --Online = $100 to $150 per credit = $20,000

Job Growth: 22% from 2008 to 2018

Potential Perks: Salary wise, many hourly RN's, particularly in CA, end up making more per year than Advanced Practice Nurses (Nurse Practioners, Nurse Managers, Nurse Educators, Clinical Nurse Specialists) because of "call-backs" and overtime opportunities.





Nurse Practitioner (NP)

Average Salary: $83,293

Degree Time: 1 to 2 years, depending on the program

Degree Cost: Program-dependent

Job Growth: There are twice as many nurse practitioners today when compared to 10 years ago.

Potential Perks: If you’re an RN looking to return to school, this degree program can offer you a rewarding challenge in that you will be receiving advanced clinical training—all while keeping a sense of independence. Furthermore, Nurse Practitioners often take the place of physicians. Because healthcare costs are constantly rising, people are becoming more conscious of ways to reduce their healthcare bills. Knowing that an NP has advanced training—along with the ability to diagnose and prescribe with supervision by the physician—encourages many patients to specifically seek out NPs for treatment.



Miost detail Typical costs information:

Earning a bachelor's degree at a public college or university averaged $20,000 -$27,200 for the four-year program during 2006-2007 for in-state residents and $36,000 -$99,200 for students from out of state. However some public schools like the Ohio State University College of Nursing offers a bachelor's program for fall 2008 at lower rates around $3,000 per 12-units or $9,000 for three quarters. Four years of tuition at private institutions averaged $80,000 during 2006-2007. For the 2008-2009 school year, in Oakland, California will charge nursing students in the bachelor's program $32,500.

A two-year associate degree through a community college averages $4,600 for in-state students according to the American Association of Community Colleges. Tuition for students from out of the area runs $10,000 -$21,600 for two years. For 2008-2009, Normandale Community College in Minnesota offers an associate degree in nursing for about $7,800 for the two-year program.

Additional costs:

Online registration is available for the National Council Licensure Examination for Registered Nurses. Cost for the test is about $200 and is taken after completion of formal training.

Books can run about $1,000 -$3,000 per year, depending on whether or not they are purchased new or used.

Uniforms and work shoes cost about $160 -$300.

Check individual school websites for required acceptance fees that may range $80 -$600, a part of which may be credited to tuition depending on the school.

Hospitalization insurance or proof of individual coverage must be maintained by each student at a cost of around $1,600, depending on the school.

Reference:http://www.costhelper.com/

http://www.medi-smart.com

Tuesday, August 17, 2010

International nurses may get their good job at these 10 healthcare fields

By International Nurse Service Special Organization:  www.SkyBlueCross.org

Healthcare is one of the hottest career fields in America today. The aging and retiring of the largest population segment in the country, known as “baby boomers”, has left the healthcare industry racing to find enough employees to fill the void. Advances in medical technology and treatment are causing people to live longer as well. Add the fact many universities and colleges don’t have enough teachers to train new employees; there becomes a ripe market for healthcare careers. You would be amazed as to how many types of healthcare careers there are available. This article will discuss three main categories; patient care, non-patient care and operations. We’ll also discuss an amazing new trend with tremendous opportunity – home health.
1-3:Three main healthcare jobs in the category of patient care are nursing, medical assisting and dental hygiene.
Nursing consists mainly of direct patient care, but this can take place in a hospital, private doctor’s office, or an institution like a school, ski resort or cruise ship. With additional education or experience, some nurses become nurse managers, shift supervisors, epidemiologists, or counsel to insurance companies and law offices.
Medical assistants primarily provide patient care; performing routine medical functions to free up the time of the doctor. In the past, some of these medical services could only be provided by doctors. Medical assistants administer medication, take vital signs and update medical history.
Dental hygienists perform a similar function to medical assistants, only in a dentist’s office. A hygienist will clean teeth, advise patients on proper dental health and assist dentists with more complex procedures. The outlook for this profession is excellent, with demand far outpacing supply.
4.Many non-patient care positions also exist in the healthcare field.
5. Medical coding is one such profession. Medical coders must know terminology and how to read a patient’s chart. They update medical records every time a patient receives healthcare. Some upward mobility is available in management. Many people secure a job as a coder as a way to subsidize further medical education.
6. Medical office administration is another healthcare position that doesn’t involve patient care. These positions answer phones, coordinate with hospitals and check in/out patients. Moves to office management or medical coding/billing are advancement opportunities. Some people also use this position to further their education.
7. Healthcare institutions are a large employer of operational positions as well.
8. Information technology professionals are in strong demand since hospitals utilize state of the art databases to store patient’s medical and billing records. Database administrators and web programmers are a vital part of a hospital’s daily operations.
9. Medical billing and administration is another key component of healthcare operations. Medical facilities hire for billing positions, collections and administrative support. Special courses / experience are required in medical terminology and billing to obtain these types of jobs.
10. A rapidly growing sector of healthcare where all of these positions are required is that of home health. In the next six years, Medicare funding of home healthcare is expected to double. Over 7.6 million patients are being treated at home for both long term and short term care. Home healthcare is considered by the medical field and health insurers to be the most cost effective, humane and compassionate method of care.
The shortage of experienced healthcare workers in the United States is creating a boom for people who want to enter this field. There are many career options including positions that involve patient care and those that don’t. The current shortage of employees has created excellent starting salaries, generous benefits and signing bonuses.
Find your next healthcare job and submit your resume at our Career Center.
Reference Source:http://www.medi-smart.com

Successful Nursing Job Interview Guide for International Nurse


Successful Nursing Job Interview Guide for International Nurse
By International Nurse Service special Organization  www.SkyBlueCross.org
 There are two types of International Nurse's Nursing job Interview, one is regular local job Interview, another one is on line job interview. Both Interviews is not the same, but is with many issues in common.
1. For Local nursing Job interview:

A. Conduct background research on the nursing employer
Familiarize yourself with the employer before the interview. You want to discover all you can about the target nursing job. The knowledge you gain before you arrive for the interview will give you the confidence and skills to convince the employer that you are the best nursing candidate.
Research the facility/hospital/unit and the nursing job in question. Learn more about their goals and values, their future plans and direction, the organizational structure, the demands of the job, the patient base. Use this information to prepare good answers to the nursing interview questions you can expect and to list some insightful questions to ask in your nursing job interview. If you're interviewing for a hospital job, research its financial status and economic stability. Is there potential for growth? Find out the the reputation of the hospital in the local community and the medical community.
Various methods can be used to conduct this background research. You can simply "Google" the organization and note down relevant information. Ask people you know who have had some interaction with the employer. If possible you should visit the hospital or medical facility before your interview. You can observe for yourself and ask the nurses and health care staff questions about the patients, management and organization. This also gives you a practice run to make sure you know how to get to the employer and how long it will take you before the day of the actual interview. 
B. Bring the correct documentation
When you go to the nursing job interview, take along extra copies of your resume or CV, your complete and typed list of references, your nursing license and qualifications, and any letters of recommendation you have. 
Bring your list of prepared questions to ask and a pen and paper to write down any questions that occur to you during the interview.
C. Prepare good interview answers
You can expect your nursing job interview to explore a number of areas. These include:
  • Your training and qualifications
  • Your previous work experience
  • General nurse interview questions
  • The key competencies required for the nursing job
  • Your motivation for this nursing job
You can use the nursing interview questions and answer guidelines to be well prepared for any question that gets thrown at you!

D. Have a list of questions prepared to ask the employer

Prepare a list of relevant questions to ask the employer. This will set you apart as both prepared and professional. Avoid questions that can be answered by conducting a little background research on the company. Your questions should be insightful and reinforce your commitment and enthusiasm for a nursing career.
Questions to ask in your nursing interview
 

C.Dress professionally

Choose the appropriate interview clothing. You want to look professional and make an excellent first impression. For a nursing job the safest option is something business-like and formal. As a nurse it is important to portray the image of a trusted and competent professional.

A pantsuit, dress or skirt with jacket teemed with low-heeled closed shoes would be considered appropriate. Make sure all your interview clothes are clean, well-pressed and tidy. Attention to these sort of details are essential for a nursing professional.

Your nursing job interview preparation is key to success in landing the right nursing job.


 2. for Online Nursing Job Interview:
Online Nursing Job Interview  Require the Candidate has most prepared answer- questions ready to let the interview going smoothly
 Below are some job interview questions for a General Duty Nursing job. The methods we used to develop these questions are the same ones we used as corporate HR in developing job interview questions for hiring managers. We have developed these questions by analyzing the core competencies or skills, job ad requirements and so forth.
Depending on the department and employer, a registered nurse may also be called:
  • clinical nurse
  • community health nurse
  • critical care nurse
  • graduate nurse
  • intensive care nurse
  • nurse researcher
  • nursing consultant
  • nursing researcher
  • occupational health nurse
  • private duty nurse
  • registered nurse (R.N.)
  • registered psychiatric nurse (R.P.N.)

General Duty Nurse Job Interview Questions
To be effective in this job, you will need to be good at resolving conflict. Sometimes you will need to resolve conflict when a patient is uncooperative with treatment or resisting you when you are providing care. Give me an example of a situation where you had to resolve conflict with an angry or abusive patient while you were providing care.
Name a time when you didn’t get along with another nurse or perhaps another co-worker. What was the situation? How did you handle it?  What was the result?
Due to the nature of work in nursing, you will be required to handle medical emergencies.  Tell me about a time when you made had to make a decision within an emergency or stressful situation.  What was the decision?  What did you consider and how did you handle it?
Nursing will require you to do shift work.  Will you be able to meet these requirements?
Some polls have shown that Nurses are among the most trusted profession in the community.  Being a nurse will require you to have the highest ethics and integrity.  Describe a situation in which you demonstrated a strong ethical stance at work, despite pressure to do otherwise?

  • What were the risks involved in taking the strong stance that you did?
  • How did you overcome the pressure to change or weaken your stance?
  • How did the position you took affect the relationships that you have with the others involved?

Nursing can be stressful at times dealing with sick patients.  How do you monitor your own stress levels?  How do you manage stress in your life?  What was the most stressful situation you have been in?
List 5 traits of being a good nurse.  Which one would you need the most improvement in?
As a nurse, you will be dealing with members of the public from various different ethnic and cultural backgrounds.  Tell me about a time when you had to communicate to someone who did not speak your language?  How did you overcome this challenge?
Why do you want to be nurse?  Why do you want to serve this community?
More About These Questions

The interview questions in this post assess the essential soft skills for his particular job through its core functions. We focus on the soft skills because we have found that most candidates handle the questions designed to assess their technical proficiency very well only to stumble with the questions designed to assess their soft skills. For example, when we ask a programmer to explain what a certain set of code means or how best to handle a coding issue, most often their answer is a good one. Now when we ask the same candidate to “describe a time when you did not get along well with a co-worker and how you handled it”to assess their interpersonal skills, 9 times out of 10 they stumble. We see the same thing over and over again whether we are hiring for an accountant, teacher, and so on. Most candidates can handle questions designed to assess their technical competencies much much better than questions designed to assess their soft skills
Now you are ready for any job interview opportunities that come your way. Remember that interview preparation is the most important step of the interview process. Once you are prepared, the rest should be a lot easier. Good luck
REFER:
http://www.medi-smart.com
http://blog.hrinmotion.com