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Friday, February 29, 2008

- Danny Fernandez, Dec 24, 2007



Danny Fernandez of OFWGuide Forum shares useful information for Filipina nurses about to go to US to work for the first time.


Get Your Social Security Number (SSN): It is important to apply for SSN upon arriving in the US at the Social Security Office near your place of deployment. You may seek the help of the Human Resource Department of the hospital where you will work. Most State Boards requires the SSN to get your permanent nurse license, be a registered rurse and practice your profession. Without the SSN, you may not be able to secure your license and will not be allowed to work. Securing SSN takes between 10 to 30 working days while the processing for the RN License takes 30 to 90 days.


Don’t Overspend: The contract you signed in the Philippines may include a clause stating that for the first 90 days of your stay in US, the hiring hospital will provide for your needs and you will receive an allowance or stipend. The usual stipend is USD 1500 to USD 2000.


The stipend may seem like a large amount but the truth is, it will barely cover your expenses. Normally, the accommodation they provide is a one-room apartment with free water and electricity. It has a stove, ref, sofa, TV, and a bed. You need to buy your utensils, plates, spoon, fork, bed sheets, food, and other personal items. Some hospitals have these things included in the package but some do not. It is a must to inquire about these matter to your agency. You need to spend frugally until you earn your first paycheck. Until then, you have to live with the stipend unless you brought some pocket money before leaving the Philippines.


Learn to Drive in the Philippines: If you can, you need to learn to drive and secure a driving license in the Philippines. Knowing how to drive in the US is not a luxury but a necessity. There are public transport facilities available but it is very time consuming and inconvenient to wait for buses, and taxis at times. When you have a Philippine driver’s license, some State allows you to drive for one year as long as your license is valid. Another thing is, if you provide a Philippine driver’s license when you apply for a driver’s License in the US, you are exempted to take the drug test. On top of these, you will also have a big edge in passing the driving test. It is also lot easier and less expensive to learn to drive in the Philippines than learning it in the US.


Learn about the US Hospital Environment: The Philippine Hospital environment is totally different from those in the US, from the way they treat their patients, the patients themselves, the equipment used, and the procedures. Don't be fooled of the patient-nurse ratio of five patients to one nurse in the US against forty patients to one nurse in the Philippines. The procedure necessary for you to handle five patients in the US exceeds the procedure in handling forty patients in the Philippines. The documentations alone consumes so much time. You need to be ready for this. Orientation period is usually six weeks (on the floor) after the classroom orientation. You need focus and alertness on the work floor. It appears that it is during the orientation that you will experience difficulty but will soon get use to it in no time.


Practice Talking and Listening in English: You need to be adept in English comprehension. This should be easy because Filipinos are very good in English. However, the way Americans speak English is different from the way we do in terms of pronunciation and accent. Many foreign nurses find it difficult to understand doctor’s orders. The key solution is practice. The more you practice, the easier it would be for you.

Roll of Successful Examinees in the
NURSE LICENSURE EXAMINATION

December 2007 Retake
December 2007

Congratulations!



Thursday, February 28, 2008

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JOLO, Sulu — A ZamboangueƱo nurse who was assigned as chief nurse of the municipal hospital in Luuk, Sulu was killed when he was stabbed 23 times last Monday night in Luuk.

A police report identified the victims as William "Bong" Estrada, resident of Mampang, Zamboanga City.

His relatives said that Estrada was stabbed 23 times at about 9 p.m. last Monday by an unidentified assailant. He was taken to the Jolo Station Hospital in Camp Asturias, Jolo, where he was declared dead on arrival.

The victim’s cellular phone, diamond ring, and wallet were missing. (Vic Arevalo)




Nursing managers and supervisors from nine major US medical facilities will be in Manila this month to interview nurses for prospective assignments to US.

An additional four nursing managers from Arizona and California will be also competing for the nurses through long distance calls during the event. This was disclosed recently by Joseph Gilinsky, vice-president and managing director of HCCA International, a US-based Nurse Staffing Management Company.

Over 170 HCCA International nurses were asked to choose their top five choices of HCCA hospitals for assignment. The hospitals reciprocated with their own choices. Most of the nurses will meet with a minimum of two interviewers from their favorite facilities. In the event of multiple offers, the nurse will have the choice as to where he or she will work. The nurse also has the option to decline all offers and select from non-visiting and future HCCA hospitals.

"This is not a recruitment activity," Mr. Gilinksy emphasized. "It is basically a reward for HCCA nurses who have worked hard to prepare for their US deployment, including through retrogression when it was thought US immigrant visas might not be available for several years. We continued processing and investing in our nurses and they remained loyal and active. Now, many will travel to the United States, within the year. It is also a reward for our hospitals who are thrilled with the quality of the nurses� preparation and availability. It is very exciting for all concerned," he said.

In addition to talking with nurses from across the Philippines, the visiting medical facilities will also interview HCCA nurses, mostly Filipinos, located in Singapore, the UAE, UK and Ireland, by telephone from Manila.

Also on the agenda for HCCA�s "June Fest" is an opportunity for the visiting hospitals to meet with school educators, a local hospital, government officials, and to experience a cultural show performed by the students of Manila Doctors College of Nursing.

HCCA International has a total of 18 active US medical facilities, with additional facilities added on a routine basis. The facilities usually interview nurses year round by telephone, which makes "June Fest" unique. If it is successful, we might try this every six months, as well as doing the telephone interviews, Gilinsky said.

In the last 33 years, HCCA International has matched more than 30,000 healthcare workers with international assignments. Current recruitment in the Philippines is done through the POEA. No fees are charged to the nurse.





THE plight of Angelito Nayan and Roberto Tarongoy who are now held hostages in Afghanistan and Iraq, respectively, focuses our attention on the dangers lurking behind hundreds of thousands of Filipino overseas Filipino workers (OFW).

This time it�s not only in the form of abuses and maltreatment by the employers but kidnapping with possible torture or execution.

* * *

OFW aspirants should really heed the government�s ban against working in troubled places, like Iraq.

Another serious problem which our overseas workers overlook, in blind pursuit of the almighty dollar, is that of broken families.

Although many OFWs get what they want and regularly send home money to buy decent houses and ensure a good education for their children, they do so at the risk of family breakups.

* * *

For instance, it�s not uncommon that a spouse working abroad has an illicit partner there and the spouse left behind has also one.

One wonders if the dollars earned are worth it when one�s family is in shambles. To paraphrase the Lord�s words: "What does it profit a man if he gains the whole world but suffers the loss of his family."

We can only hope and pray that our economy will prosper soonest so that our poor kababayans will not be forced to work in foreign lands, exposed to a lot of dangers.

* * *

Joke of the Day. It was the stir of the town when an 80-year-old man married a 20-year-old girl. After a year of marriage she went into hospital to give birth.

The nurse came out to congratulate the fellow saying, "This is amazing. How do you do it at your age?" He answered, "You�ve got to keep that old motor running."

* * *

The following year the young bride gave birth again. The same nurse said, "You�re really amazing. How do you do it?" He again said, "You�ve got to keep the old motor running."

The same thing happened the next year. The nurse said, "Well, well, well! You certainly are quite a man!"

He responded, "You�ve got to keep that old motor running."

The nurse then said, "Well, you better change the oil. This one is black."

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ASEAN accord will liberalize nursing services trade -- TUCP



CEBU CITY — Fililpino nurses can look forward to greater overseas employment opportunities in the months ahead with the scheduled adoption of a new agreement liberalizing the trade in professional nursing services within the Association of Southeast Asian Nations (ASEAN), former senator and labor advocate Ernesto Herrera said.

"Our nurses can count on easier access to the lucrative job markets of ASEAN members once the Mutual Recognition Agreement (MRA) on Nursing Services comes into force," said Herrera, Trade Union Congress of the Philippines secretary-general.

The agreement will definitely be signed during the 12th ASEAN Summit in Cebu this December, according to Herrera, former chairman of the Senate labor, employment and human resources committee.

"The covenant essentially means that Philippine-licensed nurses will be automatically recognized as nurse practitioners by other ASEAN members," Herrera said.

ASEAN groups 10 countries: Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam.

Herrera said the MRA would expedite the recognition of the qualifications of Filipino nurses, and thus, considerably ease their recruitment and deployment within ASEAN.

"This means our nurses do not have to take the national nurse licensure examinations of other ASEAN members to be able to practice in those countries," he said.

"Right now, for instance, Singapore recognizes nurses from Malaysia and Brunei, but the city-state does not recognize nurses from the Philippines," Herrera said.

"For a Filipino nurse to practice in Singapore, he or she has to pass the city-state’s nurse eligibility test, similar to the US National Council (of State Boards of Nursing) Licensure Examinations for Registered Nurse or NCLEX-RN," he pointed out.

At present, most of the 4,000 foreign nurses working in Singapore are Filipinos. They all had to pass Singapore's nurse licensure test, Herrera said.

"The Philippines will be the MRA’s biggest beneficiary, since we are now the worlds biggest exporter of nurses," he said.

Since the MRA is mutual, Herrera said the Philippines would also automatically recognize nurses from other ASEAN members.

He said the MRA, which is part of a Free Trade Agreement initiative, had been in the works for years, and was finally only this month, ahead of the December summit.

The former senator said the Philippines should negotiate with Japan a similar MRA for health professionals.

"Japan is a huge potential market for our nurses, physical therapists and caregivers. Government should dump the proposed Japan-Philippines Free Trade Agreement if Tokyo refuses to have an MRA with us on health services," he said. (PR)

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The window

Nelly Favis-Villafuerte

Many of us are familiar with the words of one writer who said that "the greatest discovery of our generation is that human beings can alter their lives by altering their state of mind." The Holy Bible says it in another way: "As he thinketh in his heart, so is he." (Proverbs 23:7)

Sometime ago, I read a short story entitled "The Window." Whenever I feel sad, I refresh my mind with this story. The story lifts up my spirits and calms my mind.

I am sharing this short story with the readers of this column. Hopefully, this short story will be a great blessing to everyone who reads it.

"There were two seriously ill men who occupied the same hospital room. One was able to sit up for short periods to drain the fluid from his lungs, and his bed was next to the only window in the room. The other man had to spend all of his time flat on his back. Every day the patient by the window passed the time by describing to his roommate all the things he could see outside. The man in the other bed began to live for those periods when his world was broadened and enlivened by all the activity and color of the world outside."

"The man by the window would describe the nearby park and lake, giving colorful descriptions of the swans and ducks. He told of children sailing model boats as their parents watched nearby. He would tell of the young men and women walking arm in arm among the beautiful trees and flowers. He gave daily weather reports in picturesque detail. In short, he described a glorious view of the world from his hospital bed. The man on the other side of the room would close his eyes and imagine the scenes his friend described, seeing in his mind’s eye the pictures the man by the window painted with descriptive words."

"One morning the nurse found the lifeless body of the man by the window. He had died peacefully in his sleep. As soon as it was appropriate, the other man asked if he could be moved next to the window. The nurse complied with his request and made the change. Once he was in place, he raised himself up on one elbow and looked out the window. But instead of the beautiful lake and all the wonderful scenery his roommate had described, he discovered the window was facing a blank wall. The man asked the nurse what could have compelled his deceased roommate to describe such wonderful things outside his window. The nurse responded that the man was blind and couldn’t even see the wall. She said, "Perhaps he just wanted to encourage you."

Have a joyful day!

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3 nurses resign daily from Heart Center to go abroad

By JENNY F. MANONGDO

Many have left, but there are those who come back too.

The Philippine Heart Center (PHC) is not the least disturbed amid the growing number of specialists who are taking up nursing courses in search of greener pastures abroad.

PHC Director Dr. Ludgerio Torres admitted yesterday that there were five specialists who had left PHC since last year to work as nurses in the United States. Among them were three anesthesiologists, one cardiologist and one pediatric cardiologist. These doctors, he said, worked at the PHC for the past 20 years but decided to leave to establish their families in the US.

They are however expected to return to the country and to their profession, an act which he called "Brain regain."

National Institutes of Health (NIH) data show that a total of 3,000 doctors and more than 50,000 nurses have left the country since 2002, the Health Alliance for Democracy (HEAD) cited.

Torres said this situation is however not a cause for alarm as there are actually 500 specialists at the PHC.

"This is just a drop in the bucket," he told reporters in a forum in Quezon City yesterday.

He said these specialists are not really after the money because they were already earning an average of 500,000 pesos per month in the country.

‘’But it seems the lure of the immigrant visa awarded to foreign nurses in the US is the strongest factor why many Filipino doctors leave the country. They are earning but why did they leave? It’s more for their children, not for their financial capacity," Torres said.

However, he said there is more difficulty in facing the shortage of nurses in PHC.

About three nurses resign everyday from the PHC since 2002.

"Others go on AWOL, others don’t bother to get their salaries and just leave. We used to have six open heart surgeries simultaneously in one day. However, since the shortage in nurses, we only do four open heart surgeries a day."

Two nurses are needed for an open heart surgery procedure.

Torres said there are currently 600 nurses in PHC. They need more mostly for critical care units. A regular nurse in PHC is required to handle two to three patients in a ward while those assigned in the critical care units handle only a single patient.

Specialty nurses in PHC earn at least 15,000 to 18,000 pesos a month while an emergency nurse earns a basic of 10,000 pesos a month.

"Our specialty nurses are those who leave. Those who are new are the ones that are left behind. It is the highly specialized critical care nurses who are the ones employed abroad," he said. "We still have to train the replacement nurses in our procedures. PHC is a tertiary hospital. Our nurses have to know how to read ECG, and what to do inside the critical care units. The most common errors in nursing is dosage, so we have to teach them. It takes six to eight weeks before a nurse can be oriented," he said.


Critical care nursing is that specialty within nursing that deals specifically with human responses to life-threatening problems.

A critical care nurse is a licensed professional nurse who is responsible for ensuring that acutely and critically ill patients and their families receive optimal care. Critically ill patients are those who are at high risk for actual or potential life-threatening health problems. Given their condition, the specialized critical care nurse is required to provide intense and vigilant nursing care.


There are only a few nurses who have been formally trained in critical care nursing. There is also a limited number of hospitals in the country with the ideal critical care setup supported by complete monitoring equipment and gadgets. This poses a major threat to the delivery of critical care services today.

In response to this concern, the Critical Care Nurses Association of the Philippines, Incorporated (CCNAPI) has taken the lead in advocating an expansion in the number of institutions that train and provide critical care nursing service. For this year’s annual convention, it has adopted the theme "Critical Care in Critical Times."

To be convened today at the historic landmark Manila Hotel, the convention will provide an opportunity for its members and specialists in the field to discuss current practices and trends with the end in view of enhancing nursing care delivery system in the intensive care units. The convention will disseminate information in state-of-the-art critical care technology, and share research findings, experiences, and ideas. Workshops will be held on various topics including hemodynamic setting and monitoring, airway and breathing management, and defibrillation and delivery of first line emergency drugs.

We congratulate the Critical Care Nurses Association of the Philippines, Inc. (CCNAPI) headed by its President Ma. Isabelita C. Rogado, RN, MAN, its Officers and Members, on the occasion of its Annual Convention. We wish them success in all their endeavors.

Gov�t hospitals uffering from exodus of nurses



Government hospitals are suffering from an alarming turnover rate of public health nurses as a result of the continued exodus of the country�s health workers.

Although the group has no solid data on the rate of turnover of nurses in public hospitals, Frances Prescilla Cuevas, national president of the National League of Philippine Government Nurses (NLPGN), said that it varies anywhere from 20 to 60 percent of the total number of nurses staying in a government hospital.

"We�re not calling our nurses to stay here forever but we�re also not telling them to leave. We just want this exodus to be regulated. You cannot hold back a person who wants to seek greener pastures elsewhere. We�re just trying to have a better way to retaining them by proper compensation," Cuevas said, adding that the figure is based on individual reports of hospitals nationwide.

Cuevas spoke during the celebration of the 43rd anniversary of the NLPGN and its two-day conference aimed to "rekindle the passion for nursing."

Christina Romero, training officer of nurses at the Tondo General Hospital, said that seven nurses from the institution are heading for abroad this month, one of them a head nurse.

NLPGN is hopeful that the government will implement Republic Act 9173 or the Philippine Nursing Act of 2002 that seeks to upgrade the salaries of government nurses from salary grade 10 to 15.

Cuevas explained that an entry-level nurse is currently entitled to a salary grade of 10 that is equivalent to P9,000. But if RA 9173 is implemented, it can shoot up to salary grade 15 that is equivalent to P13,000.

"The additional income will somehow tie them over and give them second thoughts about leaving," Cuevas said.

Earlier, Health Secretary Manuel Dayrit acknowledged the fact that the country is now recognized internationally as a "hub" for quality nurses although the profession is also threatened with the continued exodus of Filipino nurses abroad.

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Nursing remains the top choice as a course among many Filipinos. And for someone who wishes to join the bandwagon, one need not go far to look for a nursing school for many have sprouted like mushrooms all over the country. The problem now is how to distinguish mediocrity from the legit? How does one gauge the quality of nursing education that each school offers in just one glance? In this "fast lane" to a nursing career, what does one need to know?

The answer is simple: choose the school that has a proven track record. Track record means a school’s ability to produce a high performance rating through its graduates in the Nurse Licensure Examination administered by the Professional Regulation Commission (PRC). And the Bachelor of Science in Nursing of St. Dominic Savio College is one of the privileged few.

SDSC’s BSN program has consistently landed among the Top Performing Schools in the PRC Nurse Licensure Exam producing an average of almost 90 percent performance average over the last six board exams since June 2003. Likewise, several of its alumni have landed in the Top 10. SDSC’s Board Topnotchers include Myrene Villanueva, (86 percent) Top 1, Idohna Santiago, (84.2 percent) Top 7 and Wilfredo Pacheco, (84 percent) Top 8 (June 2003); Mary Jane Paez, (86.2 percent) Top 1 and Diosdado Alava, (84.2 percent) Top 7 (December 2003); Ma. Filipina Rimas, Top 6, and Ma. Cecil Tanlu , Top 7 (December 2005).

Likewise, Savians have also scored a 100 percent passing performance in the Nurse Commission Licensure Examination of the USA. With this outstanding feat, Savian nurses have no difficulty processing their papers and finding work in the US. Around 100 alumni are working in the different states of USA, some are even holding administrative positions.

At SDSC, there are no shortcuts for a student must comply with all the requirements, regular or second courser. Preparing them to be quality nurses starts with the very basic: the curriculum and the clinical exposures. The BSN program offered by the college is one that helps the student meet local and international standards. Prime focus is attended to the professional courses, as well as the medical courses because this is the very foundation of the profession. Supplementing these are the more than adequate exposures in the school’s affiliating hospitals. Theory is well complimented with the rudiments of clinical work to ensure that there is immediate application of their stock knowledge.

However, aside from these, would-be nurses are molded to be "thinking nurses" – one who is critical and has the necessary skills to conduct a research study. Proof of which is the number of case studies and research papers they have written.

SDSC’s vision of a quality nurse means that he/she is fully prepared to adapt to any country around the world. Thus, a cross-culture management class is offered where simulations and case studies are conducted to have a bird’s eye view of a country’s culture, political landscape, working standards, laws, etc.

More importantly, SDSC’s nurses are exposed to the technological advancements in the medical and health sectors for these are the tools they will be using once they practice the profession. However, they are still well grounded with the nursing technology of the country, making fully adaptable to any nursing environment.

As a supplement to their development, the students are exposed to various spiritual activities in which their Christian outlooks can be fully developed. Having these, the school believes, would allow them to provide the most caring and passionate care a patient truly deserves.

This is what separates the Savian Nurse from the rest in the field. Our nurses are not only intelligent but are also critical, fully aware of the big responsibilities given to him/her by society. He is adaptable anywhere in the world and can meet the pressures that come along. And more importantly he/she is a compassionate one who will never cease to provide the utmost care to those in dire need.

Choosing SDSC as one’s nursing school is worth the time and money for you will be taken care of by its accommodating staff, faculty and administration.

Nursing the Savian way is a cut above the rest.




Private duty nurses (PDN) offer more than exclusive care for the sick. They are also a source of moral support � the kind that stems from knowing and understanding the physical pains a critically ill patient goes through. They become confidantes, personal �secretaries�, even friends.

In the case of private duty nurse Louella Duque, being a PDN is her way of giving hope to patients she care for.

"There are patients who only need to hear my voice, and they immediately feel fine," she said.

This confidence, of course, is brought about by the fact that nurse Duque has been in the private nursing profession for many years. Her established medical training is complemented by her positive outlook in every situation, allowing patients to be at ease even in dire conditions.

Private duty nurses work on a "one patient only" basis. They are not part of the regular hospital staff, although it�s the hospital who also recommends them to patients who need their services. They tediously see through the care of every patient�s medical needs � from administering medicines, going through physical exams, to overseeing arrangements for the patient depending on the doctor�s diagnosis.

Many of the nurses are part of the Association of Private Duty Nurse Practitioners Philippines (APDNPP), an organization recognized by the Security and Exchange Commission, where nurse Duque is a member.

To be a PDN, one needs a degree in nursing, two years of hospital experience, and attended numerous medical workshops.

APDNPP makes sure that private duty nurses follow a strict code when it comes to their duties. To be a member, nurses need to undergo various examinations, interviews, as well as practical tests.

Nurse Duque is considered one of the best in her field. She has been the president of the society for many terms. She now acts as one of the chief advisers.

With burgundy-colored hair and long fingernails with red polish and glitters, one can be skeptical about her dedication to the vocation. But nurse Louella can give an instant retort to the wrong notion.

"It�s not my nails which are working, it�s my hands."

One of the secrets that she�s well-known in the PDN circle, is because she treats each person equally � whether young, old, expats, politicians, showbiz personalities, or just the common Joe of the street.

Nurse Louella has many stories to share when it comes to her nursing job. She relates how all of her patients never forget her even after years of her duty.

Nurse Louella also explained that there is a different kind of discipline to be in the calling. Those considering the profession do not just go through the technical duties of the field � they also need to consider bedside courtesy, and the fact that they will face not just the patient�s physical ailment, but their emotional turmoil as well.

"Some of these patients are really just emotionally sick. In a way, being a private nurse means you become a shock absorber for all their ventings. You have to gain their trust and confidence, sometimes all you got to do is listen to them, and they start to feel fine," she said.

And since patients see them as a professional companion, private duty nurses are regarded with a higher sense of credibility.

"What separates the private duty nurses with staff nurses lies not in the nursing process, but how they approach their job.

We get our fulfillment from taking care of a critically ill patient and bringing them back to health. In the long run, what you�re doing is not actually for you, it�s for the patient," she said.

 
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