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International Travel Nursing to the United States is a challenging but rewarding experience. If you’re thinking about international travel care, check out this guide to help foreign nurses answer some frequently asked questions about health care and care in the United States.
In the United States, health care preparation is regulated by the State Health Care Council of each state. For example, here is the North Dakota Health Care Council website. To access any state’s website, click this map on this page, and then click “Visit Member Site.”
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There is an organization above all State Councils for Nursing and it is called the National Council of National Councils of Nursing. It is in fact the system that writes the NCLEX exam, which requires nurses to pass the training after graduating from nursing school in the United States.
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Each state has its own nursing training law. The Nurse Training Act is a law in your state. When you practice nursing, by law, you must maintain this.
You must obey the law of your state! Otherwise, you could take disciplinary action and lose your license.
In essence, the purpose of healthcare licenses and their regulation is to protect the public. It sets out the minimum qualifications and skills for persons who legally call themselves “authorized nurses”.
You will first receive the license after submitting the necessary documents. Once you get the license, it is not permanent. You will need to renew your license regularly.
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If you are working in a certain position, it is very important to know the answers to some important questions. The answers to these will vary depending on the state you are going to work in, so it is important to visit the state health care website to find the answers.
You can get a health care license in one state or there are different states called Nurse Licensor Compact (NLC). Other names for this include multistate licenses or mutual recognition. This means that if you are authorized in the participating state, you can work in other states, and they can participate in the contract without having to read the first step to obtain a license in other states.
According to NCSBN, “NLC increases access to care, while maintaining public safety at the state level. Under the NLC, nurses can train in other NLC states without obtaining additional licenses ”(source).
Our health care system in the United States is very complex and constantly changing. Bedside nurses, especially in hospitals, work closely with other members of the health team (such as social workers and case managers) to do this with their patients. Chances are your health care system in the United States is very different from your home country. So let’s take a look at some of the basics about health care in the United States.
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Basically, the individual pays for a plan (often a monthly fee). For many, the plan is provided by the employer and the monthly tax is deducted from the salary. When the person goes to the doctor, he issues an insurance certificate, and then the cost of the visit is sometimes not fully covered by the insurance company, in part or in full. The individual may have to pay for a “copy”, which is a small fee (often $ 10-20) per visit.
This can be very embarrassing when the insurance company says it is not necessary if a patient visits or undergoes the procedure. They may refuse to pay for it or say that certain medical procedures cannot be performed without their consent. You may hear words such as “pre-authorization” or “pre-authorization” or patients may ask if the insurance “covers” something.
Because health care in the United States is incredibly expensive, you may have a lot of questions about what is included and what is not. If you work as a nurse in intensive care / hospital, you are often told whether or not you know the real cost of various interventions, procedures, medications and more. This would be a good time to call your case manager or financial services department at the company so they can ask these questions.
You will soon learn about some of the most common companies in the United States. Of course, there are more, but below are the key players.
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The Occupational Safety and Health Administration (OSHA) is a division of the U.S. Department of Labor. which aims to ensure that you have a safe working environment. OSHA Requirements You will be required to complete educational activities wherever you work. (For example, the standard for blood-borne pathogens is general).
HIPAA is a big deal. In 1996, the Department of Health and Human Services enacted the Health Insurance Portability and Liability Act (HIPAA), also known as the Health Insurance Portability and Liability Act (HIPAA). There is a lot of information in this law, but the biggest things you will soon find out about patient privacy. It’s incredibly comprehensive and important!
The Joint Commission is another important one. It is a private company, but they offer their “recognition” or seal of approval to say that the hospital meets certain standards. Although voluntary, many companies get this accreditation unnecessarily because some private and government insurance companies do not reimburse care until it is accredited.
The magnetic position is accredited by the American Center for Certification in Nursing (ANCC) and is an excellent deal. Going to the hospital is a big and expensive task, but once a hospital gets its magnetic position, it’s a big problem. Basically, it is a recognition of hospitals that claim to have the best medical care, which is achieved by only a small percentage of hospitals (currently only about 8% of hospitals).
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Working in a hospital in the United States may seem a little different from your home country. Here are some common areas that may vary.
In the United States, we often work with unlicensed assistants (UAPs). They help with the patient’s daily activities (ADL), but are not allowed to provide medical care. You cannot teach something that requires assessment, skill, or judgment of the nurse. Your state practice law and your hospital’s policies and practices should specifically emphasize what you can and cannot do.
In general, the word “provider” in healthcare refers to anyone who provides health services. However, when you are in the hospital, when people refer to someone as a “provider”, they usually refer to the doctor and / or nurse (NP) or doctor’s assistant (PA).
Many members of the healthcare team have doctoral degrees (for example, pharmacists and physiotherapists), and NP / PA can perform many of the tasks a doctor does, so the use of the word “doctor” can quickly become confusing. As a nurse, you should talk frequently with your patient’s provider to discuss the care plan and receive various orders. The attending physician and his team (who may or may not have NP / AP) should contact whom for these needs.
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Doctors visit about once a day and expect you to monitor the patient, ask questions, summarize what happened, and follow them as needed between their rounds.
It is considered normal to ask and ask the results in a respectful manner. Some countries do not encourage respectable investigations, although in the United States, assistants are expected to take critical thinking, questions, and so on. to the doctor and the medical team.
In addition, medical teams generally work in groups. After a few hours (usually after 17:00), a member of the group should “call” any questions or needs and allow everyone else to relax overnight. They will alternatively be “on call” to spread this responsibility equally. So if after a few hours you call about your patient’s need, “I call ____________ in the ___________ room. Do you know about this patient? ”
To do so would not be considered rude or inappropriate; It’s really useful. If the doctor knows the patient well and the doctor on call asks about them for the first time, you should not give too many details.
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When you start in a new country (and in a completely new language), you may wake up to patients who speak very fast or say things you have never heard before. If you don’t know what he means, ask! When it comes to safety, especially in the field of health, it is important to know what someone means when they say something. Clarifying what someone is referring to should not be considered stressful or rude. Make sure you listen with love and respect.
If you are worried that your patient is doubting your nursing skills, because English is not fast enough to get used to, you can always discuss where you came from, how long you have been a nurse and how it is. Being a nurse in another country. At the end of the day, the most important thing is that you deliver safely
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