How to be a nurse in USA

Iraha Emerson
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CGFNS International is an immigration neutral nonprofit organization that
helps foreign educated healthcare professionals live and work in their
country of choice by assessing and validating their academic and
professional credentials.
CGFNS provides foreign students and healthcare professionals with a
comprehensive assessment of their academic records to facilitate their
successful admission to schools in the US and other countries.
CGFNS helps protect migrating healthcare professionals by advocating for
ethical recruitment practices and continuously monitoring the global
landscape for developing trends in employment recruitment and workplace
norms.
CGFNS International is an NGO in Consultative Status with the United
Nations Economic and Social Council (ECOSOC), which serves as the
central forum for international and social issues.

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Step 1. Meet the Basic Requirements
IMMIGRATION
• You will need to obtain a Registered Nurse
Card”) or H-1B visa.
• U.S. law requires nurses to complete a screening
they can receive an occupational visa.
• CGFNS is approved by the U.S. Department of
to validate the credentials of nine foreign
for occupational visas, including registered
• Completing CGFNS’ Visa screen : Visa Credentials
Service will satisfy the screening program
• You will need a “U.S.-based employer” that will
petitioner for your visa. Your Visa screen
included on every visa or green card petition filed
 Educational / Professional
In order to seek work as a foreign-educated nurse, you must demonstrate
following:

•You graduated from an accredited nursing education program in your

•You are licensed as a Registered Nurse in another country
•You’ve practiced as a Registered Nurse for at least two years before.
•Some foreign educated nurses must demonstrate their proficiency with
taking an exam such as the Test of English as a Foreign Language
International Communication (TOEIC) or the International English
(IELTS Academic). There are exemptions depending on your country of
Step 2. CGFNS Evaluates your Credentials

State Boards of Nursing require that you first apply to

International, Inc. to have your academic and professional
evaluated to ensure that your documents are authentic and
learned is comparable to U.S. nursing standards. You may
take the CGFNS Qualifying Exam to satisfy State Board
immigration requirements for obtaining an occupational
your readiness for a licensure exam.
Step 3. Pass a Licensure Exam

In order to practice nursing in the United States, you will need to have a
the state where you plan to work. Registered Nurse licenses are regulated by State
varying requirements.
You will likely need to pass a licensure exam to be registered as a nurse by
taking the licensure exam, first-level, general nurses educated outside the U.S. may
the CGFNS Certification Program, which consists of:
•a credentials evaluation
•the CGFNS Qualifying Exam
•an English language proficiency component.
The CGFNS Qualifying Exam is a requirement by some state boards before you can
serves as an excellent predictor for how any nurse will do on that exam. Taking the
gauge your readiness before committing to the licensure exam.
The Qualifying Exam also fulfills the U.S. federal government’s screening
Step 4. Find a Registered Nursing Position

After you meet all federal immigration requirements, have had your
credentials evaluated by CGFNS, you meet your State Board of Nursing requirement,
and you have passed a licensure exam, you are ready to begin working as a
registered nurse in the United States!
While it’s not required, you may choose to work with a nursing recruiter to
help you find a registered nurse job. These recruiters can also act as your “U.S.-
based employer” for your immigrant visa.
Check to see if your recruiter uses ethical recruiting standards by looking
for the Alliance for Ethical International Recruitment Practices Certified Ethical
Recruiter seal on their website: CGFNS Alliance for Ethical International Recruitment
Practices.
 Why you want to be a nurse in USA
1. Work-Life Balance
Having an appropriate balance between work and life is
important with any career, however this is especially true for those
working in the nursing profession. With the physical and emotion
demand that comes with being a nurse, it is critical that nurses can find
time to rest, be with family and friends, and enjoy life to the fullest! Full-
time Registered Nurses in the USA work either five eight-hour shifts a
week, or three 12-hour shifts a week, giving nurses much needed time
away from the workplace setting to enjoy! On days off, you will often
find nurses in the USA exploring nature on hikes or going camping, at
sporting and concert events, spending days on the beach or in the
mountains, at restaurants enjoying a nice meal, or simply having a
relaxing day at home! Being a nurse in the USA isn’t just about what
your career can do for you at work, but also what it can do for you
outside of work, and with an appropriate work-life balance the USA is
the perfect country work in as a nurse!
2. Compensation and Benefits
The USA is among one of the top-earning countries
for nurses regarding compensation and benefits. Mediant
offers their US Registered Nurses prevailing wages and
benefits, so that you will earn comparable earnings to
your American nurse counterparts who work in similar
specialties and locations. Knowing that you will be
earning a strong wage with benefits such as medical and
dental insurance, will have you feeling confident about
being able to support your family, while enjoying all that
there is to do in the USA!

3. Strong Job Market and Economy

The job market in the USA for Registered Nurses
continues to remain strong with high demands for nurses
all across the country as the US is expected to face one
of the highest nursing shortages in upcoming years. In
fact, the Registered Nurse profession is expected to grow
faster than almost any other profession in the upcoming
decade, which means that job security is not something
that you will ever need to be concerned about! The USA
also has the worlds strongest economy, which directly
4. Educational Opportunities
With the American healthcare system being a
privatized medical system, hospitals and organizations
continue to invest resources into their staff to ensure
that they are always up to date with current knowledge and
skills pertinent to your success as a Registered Nurse!
From nursing and medical conferences, educational
seminars, and access to your organizations online database
of academic material, you will have every opportunity
needed to continue to learn and grow in your role as a US
Registered Nurse!

5. Quality of Patient Care

The USA is home to one of the most advanced
healthcare systems in the entire world and leads the world
in with both patient choice for medical treatments and in
medical science and technology innovation. Many of the
world’s breakthrough pharmaceutical and medical technology
innovations are developed in Boston, Massachusetts and San
Francisco, California. With access to the best medical
treatments and care, as a US Registered Nurse you will be
a part of the incredible and innovative treatment that is
6. Diversity Within the Medical Profession
The USA is an incredibly diverse country, and the
healthcare system is no exception with approximately one
out of every four healthcare employees having been born
outside of the USA! Being part of a healthcare system that
embraces diversity, is one that allows for innovation and
creativity, and ultimately successful patient care
outcomes here in the USA! International Registered Nurses
thrive in the USA for these reasons!
7. Desirable Working Conditions
Working conditions in the USA for Registered Nurses
are incredible as significant investments are made by
medical and healthcare organizations to continuously
improve the patient experience and provide staff the
appropriate resources needed to competently care for those
who access their services. Safe patient: nurse ratios,
quality patient care outcomes, advances in technology and
equipment, interdisciplinary teams made up of highly
8. Medical Technology and Advancements
As previously mentioned, the USA ranks number one in
the world for medical science and technology advancements
and innovations, meaning that Registered Nurses in the USA
are often using state of the art equipment and resources,
before any other country. Often these medical science and
technology innovations are first introduced in the USA
because they were created and developed right here in the
USA!

9. High Quality of Living

The USA offers one of the highest qualities of
living in the world, especially for those who are working
as Registered Nurses. The USA scores high with cultural
diversity, wealth, purchasing power, employment,
recreation, healthcare, pollution control, security and
freedom, and with having the top performing economy in the
world, earning it a high quality of life.
 “Let us never
consider
ourselves
finished nurses.
We must be
learning all of our
lives.”
Florence Nightingale
 The Enhanced Nurse Licensure
Compact (eNLC) formally known as
the Nursing License Compact (NLC)
was set-up to allow Registered
Nurses (RNs) to obtain one license
to work in multiple states.
Commonly referred to as a multi-
state license, RNs can work in any
state that is a part of the compact
without having to obtain licenses in
the states in which they wish to
work.
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