HOW TO BECOME A REGSITERED NURSE IN USA -A COMPLETE GUIDE BY NURSINGMANTHRA-NOVEMEBR 2022.
USA is a beautiful place in which most of the nurses dreaming to work. In USA there are 50 states having 50 nursing boards. National Council of State Boards of Nursing(NCSBN) is an independent organization which regulated all nursing regulatory bodies and counsel together. Each state has its regulatory bodies who decides what is the application process. So the application journey will differ with each nursing board in US. I personally heard the application process to Illinois board of nursing is much easier comparing to other boards. Don't worry ,after reaching US you can change the nursing license from one board to another board. Any time can restart taking nurse in large amount and there is more shortage of nurses in US. So prepare yourself .
Any nursing graduate will be able to write exam either diploma or degree. Diploma nurses can take or not decided by regulatory authorities after checking transcript for theory and practical hours will be calculated. And now after reaching US, there is contract is signing by diploma nurses that they should take Bachelor with 5 years and they will give opportunities for studying.
Age is not a factor to become an RN in USA if you have a strong grit and determination. Better to have 2 year bedside experience latest.
As their was visa retrogression (Visa retrogression generally occurs when the annual limit for a category or country has been exhausted or is expected to run out soon.)I personally knows so many applications where pending, and some agencies got closed and now applicants are starting process again.
Priority date details are mentioned down when you move through each application process.
What is green card-it is permanent resident card allows you to live and work permanently in the US.
Below are the details of different states in America.
Documents Required for initial Process:
1. high school diploma
2. Passport
3.Passport size picture 2*2 with white background
4. Transcript of Records all pages with signature
5 .Valid Registration in nursing council
6. College diploma/degree certificate
7. Birth certificate
9. Form 137-original form
10. Marriage certificate or name change certificate
11. For Philippines-RLE -certificate is needed
LICENSE APPLICATION PROCESS STEPS:
CGFNS-Commission on Graduates of Foreign Nursing Schools ,will verify our documents credibility. Credential evaluation is done by not only CGFNS, other approved agency's also which is listed in NCSBN website like Joslet silny and associates etc.
Verification of your documents -credential evaluation fees around 365 USD. As CGFNS is more common to me I am writing about CGFNS .Usually takes 2 to 4 months some cases even 6 months also. Transcript from college and Active license need to do credentialing and the filled documents should be directly sent from organization.
As per rule it should be posted from same post box near to the college and nursing councils. Once CGFNS reports verification forms after checking and validating then will send report to state board of nursing which one we selected during application. Meanwhile we have to register in Nursing board also.
APPLICATION FEE-365USD
DURATION-2-6MONTHS
STEP 2: APPLYING IN NURSING BOARD WHERE YOU WISH TO GET REGISTERED:
I suggest you to select the nursing board which is having less process time and documents list. If you are a OET holder then you can select the board where OET is acceptable. Each board is having different application fee.
Fees:
state board application fee--around 50USD
criminal background history -fees around 60USD
Duration:
process will take 5-10 working days depending on the application
Some boards will ask us to attend some courses like infection control , child abuse and we have to pay for that online classes. So charges will be more here.
STEP 3: NCLEX RN/PN EXAM BOOKING APPLICATION:
Go to pearsonvue.com/nclex.
Select the nursing authority where you want to move. Once get eligibility then you can book exam
Register online-Select I agree and fill information , personal details by login with username and password. Add qualification program code based on country and then click on search , automatically it will get filled .Fill year of graduation, I agree, then select ethnic group. select nursing regulatory body from which you need. terms and conditions agree
Fees:
Pay 220USD as registration fee.
You will get ATT (authorization number ) from nursing board in your mail which is valid for 3 months, now after covid-19 it is changed to 6 month.
So when ever you are applying for exam make sure that your CGFNS verification got completed .So there will not be any delay as some of the nursing boards demand credential evaluation report to complete this duration
In mail only will mention testing location, authorization number has to enter to book exam. Test validity also will mention in that mail
it will take around 1-2 month to finish this stage.
STEP 4-NCSBN EXAMINATION BOOKING:
NCSBN-National Council of State Board of Nursing approved in USA, Canada, and Australia.
once get ATT number will book exam in Pearsonvue site by login with username and password. schedule appointment link click. Ask for ATT -click next. select exam centers near to you. select suitable dates and time and book exam
FEE:
150 USD schedule fee
In dash board can see exam details will get mail notification
Remarks:
- Nclex exam if failed first attempt have to wait for 45 days after first attempt then can take next exam. In 1 year maximum of 8 attempts can make. Only thing each time ATT and exam fee has to make.
STEP 5: GET AN EMPLOYER ATTORNEY(PETITIONER)
For this you can seek help of your friends those who already in US to arrange a attorney of their hospital if willing to take you or seek help of agency. Try to find out HR section in hospitals in US and if possible attend online interview. More details about employer role will discuss further.
STEP 6:ENGLISH PROFICIENCY EXAM(IELTS, TOFEL,OET)
IELTS-International English Language Testing System.
TOEFL-Test of English as a Foreign Language-The current test is called TOEFL iBT.
OET-Occupation English Test
Select your nursing board website and go with licensure section. Click on examination information. All the way down can see the International candidates option. Click on that . Scores of English Language proficiency mentioned in each board site. Always check regulatory authority accepted OET or not.
As of all now only 2 states in US accepted OET -Sate of Florida and and Oregon. In Florida individual C+ and in Oregon individual B score. Not that much information available in website of nursing board related to OET.
OET-still not accepted by CGFNS.CGFNS -provides visa screening only .
STEP 7: IMMIGRATION PROCESS: USCIS-United States Citizenship and Immigration Services:
website -uscis
in the website video has given about how to register . You can click on this link to view the video how to register and fill form
which category of visa nurses can apply?
Employment based visa has to apply by medical professionals and skilled workers is beneficial. EB3 category which is permanent resident visa.
- The immigration process application need to apply through an attorney (petitioner) who is your employer. Petitioner(employer) -is the person who can submit an I -140 petition to Government and demonstrate ability to pay to that worker as their future employer once applicant reach US.
- Immigrant petition for Alien workers -Form I-140, must be filled through attorney
form I-140
- you must provide all documents to attorney and application is filled. As part of the application process, your employer must be able to demonstrate an ability to pay the offered wage as of your visa priority date.
- application fee to submit I-140 form is 700 USD
Completing Form I-140
- Make sure to provide the petitioner’s (not the attorney’s) contact information in Part 1.
- Select only one visa preference category in Part 2. We will reject your form if you leave Part 2 blank or if you select more than one category.
- If the beneficiary will be placed at a client site, please identify the address of the client location in Part 6.
- For E-11 classification and national interest waiver filings, please include information in Part 6. At a minimum, please complete: 1. Job title; 2. SOC code; and 3. Nontechnical description of the job. We need this information to verify the beneficiary’s/self-petitioner’s proposed endeavor or how they intend to continue to work in the area of expertise in the United States.
- To manage with demands USCIS issues a visa bulletin each month to show who is eligible to move forward. once your date is current , you are able to continue through immigration process.
- About 6 months some time we have to wait . Some candidate passing exam during this process(English proficiency test). But some nursing boards ask before that also.
- Now you are reedy to enter the immigration visa stage which is controlled by government entity known as National visa center or NVC.
- US citizenship and immigration services send the approved visa petition to National Visa Center(NVC)
- There are multiple steps in this stage . It is important to know that the petitioner is paying fees and submitting more documents on behalf of nurse to the NVC for approval.
- National Visa Centre approves application and if they need more documents they will ask for that also
- Once approved by NVC ,last stage is attending an interview Then you need to undergo visa interview.
Once we receive your Form I-140, we will process your petition and you will receive a:
- A receipt notice confirming we received your application
- A biometric services notice, if applicable
- A notice to appear for an interview, if required
- A notice of a decision
STEP 10: ATTEND INTERVIEW FOR PERMANNET RESIDENCE IMMIGRATION :
- Prepare for interview and do medical test
- Attend interview at consulate in India or US embassy in your country.
- after passing interview visa is now approved
- You can fly to USA, receive green card and nursing career in US. You will get US permanent residency.
What about your family?
Family of EB-3 Visa Holders
If your I-140 petition is approved, your spouse and unmarried children under the age of 21 may be eligible to apply for admission to the United States in E34 (spouse of a “skilled worker” or “professional”) or EW4 (spouse of an “other worker”). and E35 (child of a “skilled worker” or “professional”) or EW5 (child of an “other worker”).
I hope you understood complete process about US licensure for Nurses. For Nclex application process until exam booking process is doing in Nursingmanthra.
If you need more assistance kindly contact me in my whatsapp
+971502515717
Shincy Manu
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