want to recruit a Colombian nurse to the US

scotty says on Jan 11, 2008, 20:20:

well you certainly are opening the right kind of business for Arizona, lots of retired folks here. I would think you could get her here for such a job. My mother is in a assisted care unit and every person working there is from another country, Mexico, Philipines, Brazil, Haiti, and many other countries.

Get Rhythm, when you got the blues. Johnny Cash

0 funny, 0 helpful.

miamimike says on Jan 11, 2008, 23:47:

A few years ago a large well known US based Nursing agency went to Bogota to recruit Nurses to alleviate a US Nursing Shortage(its really a contrived shortage). A lot of applicants showed up but most were turned away. One of the primary Prereqs is they must be proficient in English at the Medical/Technical Level. There's a Reason: the Nurse coming to practice in the USA has to pass His/her State's Nursing Board Exam given in English. And in English at a very advanced level.No Exceptions to the English Test. She/he must, prior to the Test, submit a Certified Copy of their Coursework from their University for Revalidation and have it translated into English through a Official Certified Translator. When this step is done, she/he is permitted to sit for the State Exam. Here in Florida, this revalidating agency is the Joseph Smiley Agency located in South Miami, not sure where it is for the other states such as Arizona but Az must have one as I would think some Mexican Educated Nurses attempt to do this there for sure. As Far as I know, the Nurse must apply first for a Visa to sit for the Exam then if she passes, she would be eligble for a H catagory Work Visa. The First Visa obtained is not for work purposes but for the purpose of taking the Exam. It is a long drawn out process so prepare yourself or herself. Good Luck. One other thing, as I understand it, whether or not she receives a Visa for test purposes depends on her level of Education and Degree. As I understand the Law, she must be a Graduate of a 5 year Colombian Nursing program which qualifies her as a "Nurse Jefe" or a Professional Nurse in English with a Bachelor's degree(usa). Rns here in the USA can achieve their Education thru a Two year Community College or thru a 4 year Bacehlor's Degree program. They sit for the Exact same State Test and in many cases, the Nurses educated at 2 year schools in the USA pass with higher test scores due to the fact they have more Clinical Hours then a Nurse Grad from a 4 year school and the State Exam is Clinically oriented so it favors a 2 year Grad..

My Avatar-- Sarah Palin Says " "You know the difference between a pit bull and a hockey mom?? Lipstick!" Now on a Short Verbal Tether by the Honorable John McCain

0 funny, 0 helpful.

scotty says on Jan 12, 2008, 00:26:

Mario thats a good idea, form a S-corp, and a DBA, and sponcer her for you business. i think that could be done. maybe go on line3 and see what the goverment says about sponcoring business help.

Get Rhythm, when you got the blues. Johnny Cash

0 funny, 0 helpful.

Robert Jorge says on Jan 12, 2008, 00:43:

There are businesses here (Destin, FL) that bring in workers from Jamaica, Costa Rica, and all over eastern Europe to work as freaking trash-men, housekeeping, servers, etc. As long as you have an LLC or S-corp (whatever), I think with a minimal amount of work, you should be able to get in a truly needed SKILLED worker easily. I don't know many details, but I have met guys who make a living placing foreign workers in service industry jobs here in Florida. They don't seem any smarter than me, and I am not the sharpest tool in the shed.

BEWARE of gold diggers.

0 funny, 0 helpful.

miamimike says on Jan 12, 2008, 01:54:

RJ--Nurses are an entirely different Ballgame as are Lawyers, Doctors, Teachers ect. They must be licensed in their Respective state to LEGALLY Practice. It doesn't matter what kind of Corp you form, you still need an H type Visa(iniated by the US based Employer) No State License, No Work. As I work in this Industry, I am fairly familiar with the process and we have many Nurses from Canada in South Florida.. Canadian Nurses have recipricocity with the USA and they are frequently picked up by USA based Nursing Agencies no problem. They are granted a temp license and Work Visa easily as there is NO langauge Barrier and Canadian Nursing Schools are very similiar in course content and Clinical Hours so they grant recipricocity. Same for Nurses from the UK and Australia. Attempting to start some type of an Agency before the Nurse has her license is like putting the Cart before the proverbial Horse,,,

The Visa Journey for Foreign Nurses wanting to work in the USA: http://www.immigrationlawyer-usa.com/foreign_nurses.asp?TitleID=15&Det...

Visascreen and CGFNS process for Foreign Nurses: http://www.allnursingschools.com/faqs/foreignnurse.php

My Avatar-- Sarah Palin Says " "You know the difference between a pit bull and a hockey mom?? Lipstick!" Now on a Short Verbal Tether by the Honorable John McCain

0 funny, 0 helpful.

Robert Jorge says on Jan 12, 2008, 09:40:

So basically the biggest challenge in getting a professional to come for work in the US isn't the visa, but rather the certifications and such. I am with you.

BEWARE of gold diggers.

0 funny, 0 helpful.

miamimike says on Jan 12, 2008, 11:51:

RJ-In the case of Nurses, Yes. Once the other Pre-Reqs are met, due to the Nursing shortage(contrived or actual) here in the USA, Visas are easily granted to members in this Profession. A Buddy of mine just brought his Woman from Cucuta and Married her recently. She is a Physical Theraphist and plans on doing this revalidation and testing to get her License. It should prove interesting, the Licensing Process. I hope she has patience,,,

My Avatar-- Sarah Palin Says " "You know the difference between a pit bull and a hockey mom?? Lipstick!" Now on a Short Verbal Tether by the Honorable John McCain

0 funny, 0 helpful.

boomer says on Jan 12, 2008, 13:14:

The Colombiana doesn't have to be a "licensed" Nurse to work in an assisted living home. She can work in the capacity of an Nurses assistant, QMA, Care giver or Aid, while she undergoes her transformation to becoming an Arizona resident..

orgullo_de_colombia

0 funny, 0 helpful.

miamimike says on Jan 12, 2008, 16:56:

Boomer---But then in a State Accredited ALF(adult living facility) you mention, she is not allowed then to function as a Nurse and that includes giving Injections, Dispensing Medication. Then we are talking about something else all together. This person you are talking about will recieve no preference or fast track visa processing that a Nurse would receive because she insn't coming here as a Nurse. So how then does this person plan on bringing this person into the USA?? There is NO special preference given to someone wanting to come to the USA as a worker in soomeone's ALF. Any person could do this! If it is, provide a Link here to the info as I would like to see it! BTW, you aware the Patients in ALFs receive Medicare/Medicaid Dollars so State and Federal Inspectors pop into the ALF (at a time of their choosing) facility from time to time and they DO inspect the Licenses and qualifications of the Employees working there. Its(alf) not such an Easy Business to open, you are put through the hoop!

My Avatar-- Sarah Palin Says " "You know the difference between a pit bull and a hockey mom?? Lipstick!" Now on a Short Verbal Tether by the Honorable John McCain

0 funny, 0 helpful.

CatGirl says on Jan 12, 2008, 17:08:

Vero- Mike is correct on many levels. The scope of practice is very different. Assisted Livng facilities are typically regulated by the State Social Services (not medical) - so the duties of a nurse do not apply anyways. The closest you can get to this is when they distribute the medications. Anything else, you would have to contract out for a Home Health Nurse to come in and provide any medical treatments. Even That is limited for regulatory purposes. So, if she is happy about being a nurses assistant (not a certified one either, because this has requirements) - than maybe she will do fine. I am assuming here that you understand the requirements for employees at a State regulated facility? They require background checks etc, because they are taking care "hands on" of peoples loved ones. So even as a Nurses assistant she will be checked out.
The only other industry that is similar to this and does not require regulations are retirement homes. She could be a housekeeper, foodservice, hostess maybe even a receptionist. These facilities follow under the same laws as rental property. So the Dept of Social Services or Dept Health Services do not get involved. Good luck - nice idea

Love and Time: the only two things that cannot be bought, but only spent

0 funny, 0 helpful.

miamimike says on Jan 12, 2008, 20:24:

"Assisted Livng facilities are typically regulated by the State Social Services (not medical) - so the duties of a nurse do not apply anyways. The closest you can get to this is when they distribute the medications"

--------------------------------------------------------------------------------------------------------------------------------------

Cat Girl--here in Florida if the Client/resident/patient is paying a fee for residing at a For Profit ALF(adult living facility), the assisstants, caretakers/aids are NOT allowed to Dispense or Inject Medications NOR should they be allowed to. They do NOT have the Training to safely fulfill these duties and in the event a Resident's Condition deteriorates, a Visiting Nurse, here in Fl, comes daily to the facility, sometimes twice a day, to assess the patient, Monitor Blood sugar, blood pressure, Decubiti(bed sores) wound healing ect. Not something for the Untrained. If anyone could safely do this, why would a Nurse have to go to School for at least 2 years? Not to mention, these untrained Aides cannot recognize Adverse medication reactions or in other cases they may dispense a med when it should be given before or after meals, on an empty stomach ect. These elderly folks in these Homes are on a TON of Different Meds! , ,,,. Here in the Florida, these Duties of a nurse ALWAYS apply, no exceptions. A Registered Dietician also is employed on a Consultation basis to the home to insure Residents with Pre-Existing Conditions such as Diabetes,Hypertension are fed the proper diets as in almost 99.9% of the ALFs I have visited(and I have been to many) the Untrained(or barely trained staff) haven't a clue as to prepare meals for the aforementioned Residents. They feed them Rice, Yucca, Meals with added salt, loads of Fat/Grease ect., because these foods are cheap and filling but loaded with Carbohydrates, fructose, sodium ect which ups a patients Cholesterol,Bood Glucose or Blood Pressure. You just cannot take anyone without some basic knowledge of Nutriton and put them into these facilities and turn them loose in the Kitchen. Same applies to Retirement Homes; here, if its for profit and the Home is receiving Medicare/Medicaid dollars. An Example where someone wouldn't have to be licensed to dispense Meds is if a Family Member came in and medicated or injected the patient in the ALF but this doesn't happen often because the families dump(warehouse) their Loved ones in these ALFs, Nursing Homes or retirement centers because they don't want to be bothered with the task of caring for family members. They show up after the person dies to claim the Money, jewlery ect. case in point, a few years ago on a Daily Visit to an ALF in Hialeah, one patient swallowed a large piece of Steak and was choking. I was in my Patient's Room and the Housekeeping Aides/Cooks came running in to the room shouting "Pedro is Blue" Upon a quick examination, I quickly applied the Heimlich Maneuver and after a few Chest thrusts, he spit out the piece if Steak. Had it been up to staff, untrained as these Aides were, this fellow would be pushing up daisies!

Florida State website for ALF Regulation: http://www.fdhc.state.fl.us/MCHQ/Long_Term_Care/Assisted_living/index....

My Avatar-- Sarah Palin Says " "You know the difference between a pit bull and a hockey mom?? Lipstick!" Now on a Short Verbal Tether by the Honorable John McCain

0 funny, 0 helpful.

CatGirl says on Jan 12, 2008, 20:43:

I am aware of this, you are correct...but being an RCFE adminstrator in the past, there are creative ways around certain things - especially with "assisting" with medications. Yes, what you call a visiting nurse is considered a Home health Nurse in my state. But again there are limitations to this too or the person will need to find a higher level of care facility. Bed sores are a sign of immobility. Decubiti can be also a sign of immobility AND poorly controlled DM. In this case you need skilled nursing. Gotta be really careful with this stuff, cause if a death occurs because the resident needed a higher level of care and all you can demonstrate is you had a visiting nurse in twice daily? Fine at minimum.
We can be splitting hairs here too...creative ways around many things.
If you want to get really specific - NA's scope do not include the ability to identify if a resident is having signs and symptoms of abnormal blood sugars while this "licensed nurse" is not on site. So the severity and fragility of the medical condition can also become an issue.
BTW - Dietitian haha...they hate it when spelled incorrectly
Sounds like a passionate topic for you.
Not for me as much ....good to chat with someone wth the knowledge though...purr

Love and Time: the only two things that cannot be bought, but only spent

0 funny, 0 helpful.

miamimike says on Jan 12, 2008, 23:09:

CG--yes its late so my spelling is off a bit! Like I say, in the ALFs I visit patients at, No unlicensed staff are injecting Insulins, like wise for any IM B-12 Injections ect. If these owners get too "Creative' and a Patient dies as a Result, Guaranteed their Survivors will be down to the Attorney's Office the next day filing a lawsuit! Esp if the Owner shortchanged or erred on Care for their Dad, abuela or Tio,,,But all this nitty gritty(I get carried away on some topics--LOL) is off topic anyhow as the OP asked about how he could bring this Col Nurse to the US to work in an ALF he was going to open. Too many times these ALF owners present a patient's condition upon Entry in too postive of a light in a hurry to get paying bodies into their ALFs to fill up the beds. In reality some of these Patients I have seen in ALFs really needed to be in a Skilled Nursing Home facility with 24 hour skilled Nursing care.

My Avatar-- Sarah Palin Says " "You know the difference between a pit bull and a hockey mom?? Lipstick!" Now on a Short Verbal Tether by the Honorable John McCain

0 funny, 0 helpful.

CatGirl says on Jan 12, 2008, 23:12:

.

Love and Time: the only two things that cannot be bought, but only spent

0 funny, 0 helpful.

Bam Bam says on Jan 13, 2008, 20:13:

you can always marry her, then divorce her when her and her kids have citizenship.

0 funny, 0 helpful.

slguy says on Jan 13, 2008, 20:17:

I'm pretty sedentary, but so far, no bedsores.

Should I be lookingfor longer-term care?

;)

Before you throw me out, make sure I pay my bar tab

0 funny, 0 helpful.

CatGirl says on Jan 13, 2008, 21:50:

jajaja...you need help with your activities of daily living slgy?

Love and Time: the only two things that cannot be bought, but only spent

0 funny, 0 helpful.