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Overseas Nursing, where to start and what to think about

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Summary

This on-demand teaching session is for Medical Professionals and will be an informative conversation with Nurse Educator and Project Manager, Vanessa T. Vanessa will discuss the benefits of working abroad as a nurse, where to start if interested in pursuing this, and the types of support available. Vanessa and Joe will connect nurses who have experience working abroad with those who are interested in exploring international nursing opportunities, and there will be time provided for questions throughout the session. A certificate will be provided for portfolios upon completion.
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Description

An insight into expanding your nursing career to work overseas.

Presented by LWN Clinical Director Joanne Haws with Guest Speaker Vanessa Teed

All delegates who attend will have the opportunity to receive a certificate of participation for CPD and access to presentation slides on submission of evaluation via MedAll.

You will need to be verified to participate in the chat on webinars and for future access to your certificates and any reflective notes you make in your profile.

Verification is available to healthcare professionals globally, you can find out how by clicking here

Learning objectives

Learning Objectives: 1. Understand the benefits of working as a nurse overseas. 2. Become familiarized with different nursing scopes of practice in different countries. 3. Learn the initial steps to pursuing a career as a nursing abroad, such as starting with know oneself and what they are looking for. 4. Learn about the support services and resources available for individuals looking to work abroad as a nurse. 5. Understand the difference between the NCLEX exam in the US and other international nursing examinations.
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Computer generated transcript

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The following transcript was generated automatically from the content and has not been checked or corrected manually.

Good evening. Um, everyone and welcome to this really special learn with nurses in conversation event this evening. Uh, my name's Joe Hose. I'm the clinical director of Lone Wind Nurses. I'm a nurse myself and I'm absolutely delighted to be joined this evening by Vanessa. T you'll see Vanessa there on the screen. Vanessa is also a nurse and uh she is a project manager at and she's also a nurse educator at El Camino College. She is in Los Angeles this evening. So it's, it's a good morning to you, Vanessa. It's, er, evening here for us. Um, in the UK, I think you're eight hours behind us, aren't you? Yes, it's about 11 a.m. here approaching, um, midday. But anyway, we thought we would, um, put on this session. Um Michaella, who you all know. And I, we've both spoken with Vanessa and um, very much share, um, the, the, the ideal of wanting to support nurses to be the best that they can be and have the opportunities available to them to do what they want. Um, I've loved and continue to love, um, being a nurse and having nursing as my career and it's, you know, provided so many opportunities for me and, um, it does for nurses all around the world. And I've had the great pleasure of working with a number of nurses who have come from other countries to work here, um, in the UK, and I'm sure everybody with us has had a similar experience and, or perhaps worked overseas yourself or you're thinking about it. So, we're just gonna have a bit of a chat. Really? And do I can see some? Hi. Hi, re too. Hi, Zoey. Hi. You. Um hopefully you found the, the chat um, window within med all here so that you can join in the conversation and ask any questions as we go along and uh yeah, participate as you wish, uh gonna talk to Vanessa for um about 25 minutes or so. There'll be time for questions throughout and then we will just pop in a little link to an evaluation form for you. Many of you will be familiar with um, what we do here using medal and you'll have, you'll have seen those before and they'll be a certificate for you as well for your portfolio. So, um let's get on Vanessa. Thank you so much for joining me. Um I'm really excited to talk to you, but especially because I know you have your cute little chihuahua beside me and I'm very much a dog person and I've got my two dogs with me, so we're all set and prepared for when they join in and start barking. But um to kick off, um, Vanessa, you, you've involved with a lot of people working overseas. What do you see? Um, as the, the benefits of working in a new country as a nurse? Well, thank you, Joanne for having me. I look forward to answering all of your questions and more if anyone has any extra questions at the end, just a, a quick background about myself. So I, so I seem a little bit qualified to have this conversation. Um So I'm an immigrant from Canada, born and raised in Canada, moved to the United States, California uh became a nurse about 15 years ago. And then a few years ago, I, I went back to school and became a nurse educator. Um Teaching is my new passion even though emergency medicine is my nursing passion. Um And then recently I accepted the position of um product manager, which is essentially responsible for the nurse experience uh with Flint, which is an international nurse recruiting uh firm. So I got a little bit of everything. So to answer your question, Joan, have I, have I experienced the, the international nursing myself or how did you word that? I apologize. Well, so, yeah, you, you, you over and you were nursing in a new country. But what do you think overall, you, you deal with lots of people that are moving to become a nurse in a different country. What what sort of benefits do you think there are to going, giving it a try somewhere else? Absolutely. Um This is, this is a really, you know, important question because as nurses, we all have our own scope, scope of practice, our scope of comfort. What kind of unit do we like? Do we like it the same all the time or do we like change? Um Are we looking to grow in our profession? Are we looking to grow in our education opportunities? So benefits can be quite large. So, you know, the basic ones, we have nurses immigrating from Africa, uh Nigeria, Pakistan, the UK uh Australia, Mexico and Canada and some of the basic basic benefits are opportunity, safety, security, power, water. I hate to say it that's been asked. Um So a life change or a better change for their family or for themselves. Um So that's kind of like the overall human aspect of it, right? Um Adventure, trying new things, nursing aspect specifically. Are you looking to grow professionally as a nurse? Are you looking to change? Because we know that, you know, the UK nursing practices may be similar but still different than the United States. So you could learn a lot from that transfer. Um As well as the education opportunities in this country are unreal. If you ever wanted to go back to be a nurse practitioner or an educator or nurse anesthetist or there's plenty of opportunity. So many, many positives. However, it's really, what is good for you. What are you interested in if you like a safe place that doesn't change or do you like constant change? So, it's a little bit of everything. Sure. Mhm. So, so if people are thinking about it, I, I guess the question, first of all is where to start. Yeah, it is very, it can be very overwhelming. Um, the nurses that I've met so far that have done some of it themselves. I was just like, I am so proud of you. This is hard work to get started. So to kind of just summarize it. Simply you, you have to know what kind of nurse you would like to be in the United States or in the UK. If you want to go from the US to the UK, what kind of nurse do you want to be in another country? Respectfully, you need to stay within your scope of practice, right? So if you're just dealing with babies, you should probably stay with babies in the other country. You shouldn't do a, a big leap like that. I wouldn't recommend it. Um, so stay within your scope somewhat. So for example, if you have, er, or ICU, you do have some wiggle room, you could do surgery, you could do medical surgical, you could do clinic, you could pay, maybe even transfer with training somewhere else. So it's really like the first thing, what kind of nursing are you interested in. Um, and if you wanna stay the same, then that's kind of easy. You can just start looking for positions in the US. Um, whether it's on National Organization websites, um, international job sites, like indeed or whatever or individual, uh, hospitals, uh, for positions just to see what's out there. But, um, to start, you really need to figure out where you want to live because I'll tell you in the United States, every single state has a Board of Nursing and I'm not sure how it is in the UK, but every board of nursing has their own rules and scopes and regulations. So if I were to apply in California, the rules would be drastically different or somewhat different in Georgia versus Wisconsin versus Florida. So let's just say if you decide that you'd like to be a medical surgical nurse and you're interested in Florida and Arizona and Texas where it's warm, right? You could start there, try to narrow down your search, which one would be a good start. So the answer to your question, figure out your own scope, what are you even looking to do? Um And then kind of start narrowing your search down to state, pick a state where would you like to live? Um And then from there, you can kind of start looking for jobs within those areas just to see what's out there. So that's kind of the starting point. That's like the beginning part. So a bit like dating really, then kind of, you know, before you start, look into what's out there thinking about now, what do I really want, what's important to, um, and considering that and then start, I guess, to try and find a match, um, for, for what you want and what you want to do and you know, where, where you're gonna be able to do. Right. Absolutely. And, I mean, you need to be true to yourself and say, like, you know, you, I personally be in the, er, I'm not 100% fan of working in the meds surge area. However, if I were to apply in another country and, and pick the meds area, you need to be true to yourself and say, do I really think I can do this for 1 to 3 years cause sometimes the contracts when you're dealing with immigration, uh, will be that length. So it's kind of that aspect also. Yeah. So you're kind of possibly tied in for a little while once you've made your decision. So you wanna give it lots of thought and planning, I guess before. Yes, absolutely. And this is when, uh, the nurse is wanting to do it independently. This is the strategy for that. Um, of course, there are companies out there that, you know, you can pay a fee and they'll do all this for you and they'll place you and you'll have X amount of contract. Um, I mean, I know that my company Flint will sponsor you. We'll place you, um, those contracts can be anywhere from 1 to 3 years. We'll find you a job based off of your skills. So, really, you've got a couple of different avenues? Ok. So you're the matchmaker? Yes. That's like one of my favorite parts. And I'm like, oh, what have we got here? Oh, ventilator Certified. I like that. Yes. Yeah, absolutely. Absolutely. So, in terms of um you know, what, what kind of support do you offer? Um and I guess there are obviously many organizations that would be doing a similar kind of thing but you know, to, to seek that, that, that help and support and guidance from a professional organization that will help you with um with, with finding somewhere with finding a placement, what sort of support is available for, for people? Absolutely. Um Joan, I'll keep this really broad too because this conversation that we're having can pertain to a Canadian nurse going to the UK, it could be a UK nurse going to Canada or to the United States. I just happen to be practicing in the United States. So my references are related to that but it can be in any country, in any direction. I do know nurses that have been uh in Mexico that have immigrated to Germany cause there was nursing opportunities. So the really, this is a worldwide uh option at this point, right? Um So in relation to the United States, um there are different options and we'll talk about that in a second but to start, um I'm not, I'm not sure what exam it is in the UK, but it's the NCLEX, which is in the, the U SI think Canada and Australia, which is the National Board exam for nurses that must be taken and passed in order to work in the United States as a nurse. So that's kind of like the biggest hurdle one is finding out where you want to work, what do you wanna do? Um And then applying to a state that you would like to live in. Um And then that state will introduce you to take the INX exam. So in part of answering the, the support, there's various levels of support. So like I said, there are companies that you can pay that will help you with the immigration part, if you've already done a lot of this by yourself, there are nurses that independently get their clec and then they look for immigration assistance. Um But then like Flint, um we actually sponsor you from start to finish with the process. We have our own NCLEX prep program. We want you to do well, we want you to pass. Um and then we also have like an English as a second language program. So if nurses are having issues with their English proficiency will help with that. So it's like Flint at least has a as a start to finish approach, we sponsor them, we place them with the hospital, they're hired directly with the hospital. So the commitment to the hospital and therefore to us, this is, you know, anywhere from 1 to 3 years, depending on the country and the placement, stuff like that. So that's the first, uh, well, the first option is doing it yourself and then trying to find immigration somewhere, whether it's a hospital or private company or there's companies like Flint that will be start to finish. And they really believe that in every country at this point, there are nursing organizations like this, that that will do this uh service. I just recommend that you be careful and you do your homework. Um So that you choose a good one. So, so on that note of choosing a good one and some of the challenges that come come up, what, what really um what are sort of the, the, the common and key challenges that you've seen and experienced for people that want to go and work overseas? Um A lot of the, the honestly, the most common challenges are financial, right? This process from start to finish is quite expensive. Um So if you're coming from even the UK, like some, some board of Nursing, they'll, they'll require fingerprints. Well, that takes time and money. Um The applications take time and money, the NCLEX takes time and money. Um This international language exam takes time and money if you have to take that. Um, so it's quite pricey. So that's really the, the number one across the board, maybe even across the world perhaps is, is the biggest obstacle. And that's why nurses do seek outside sources. And also like, I guess I didn't mention like hospitals independently, some of them will have international nurse programs and those are really credible programs and you just apply and they'll see if you qualify and the hospital will sponsor you. So, um there's a lot of different options. You just kinda have to know where to start. Um And then another obstacle or issue that just do your be safe, do your homework. Are they a public company? Are they on social media? Are they ever like, what are the reviews like and really read the contract? Really read the contract to make sure that you're not gonna get uh tied into something that you're not comfortable with. So those are kind of like the biggest obstacles, but I feel like there are similar uh issues when we apply for a job, we got to read the contract, right. How long are they going to keep me here? Yeah. Yeah, definitely. And, and it's, you know, it's a, it's a big, you're, you're potentially Uprooting yourself, maybe your family, you know, and, and maybe moving halfway around the world. So, um you do want to want to get it right. And, and so once people um, in your experience, move, I know that many of the nurses that, um, I've worked with, uh, here in the UK, they'll kind of get an initial placement somewhere and then people think, ok, I, I'll move around, I'll go and try a different area of the country. I'll move to a different area of Europe or whatever. So, um, but, you know, here we have kind of one set of rules. We have a midwifery council that, that, that, that covers the country. We don't have different sets of rules uh as you seem to in state state. So I suppose it's a bit easier to yes around. Mhm It can you absol so let's just say you immigrate to the United States, for example. Um and you come in and you have your contract with the hospital. Um and then you fulfill that contract based off of the terms of your contract, right? You're in the United States, you've gathered whatever immigration that you need. If it's proper, then you can easily apply for another job in another state or maybe at that point, let's just say you loved your job so much. You stayed there for six years and you're in a good place to travel, nurse, like the the the opportunities are still there. Uh Initially though, if you, you do go in um within expiration services, whether it's through the hospital or a private company. Um There is some sort of a contract that um you'll have to fulfill. Yeah, sure. And, and so Zoe is asking, um, in the chat here about contracts and what is the average length of contract? Great question, Zoe, thank you for that. So really, I'm gonna give a vague answer, but it's also a good answer. So it depends on what country you're coming in from. So certain countries will qualify for an expedited visa. Um, and they could come in on a one year contract. They really could, uh, because it's a different visa type. So I'm not completely qualified to talk about visas, but to give perspective. So that could be that scenario of one year perhaps if you qualify and then you also have other countries that, um, have a, like a longer visa or maybe even a green card application, uh, situation, those contracts could be, um, averaging three years. Yeah. Yeah. At least from what I've, I've seen in, you know, my company and the, the hospitals that we're working with. So we should really expect probably to be tied in for much more than that three years. It's right. That's just, that's just average what I've seen. Yeah. And I mean, everything is unique to you, to what country you're going to, what country you've come from. If you're having bargaining with the actual hospital alone or if you have another placement company, all of those, um, contribute to that final decision that you make to, to move and work in a different country. So, yeah. Yeah, it's an important decision. It can be done. It can be done. Absolutely. But it's a, it's an important decision. Right. I mean, I would love to, to move and live in, in the UK. I, I feel like I, I love it but I would be a little nervous to, like, make the change. Right. Where would I live? So, you might, you might be a little cold. Yeah, I know. I find a nice place in the countryside. I'll be so happy, you know, I'm in the countryside and by the seaside. So not, not a bad part of the UK to, to be in. Um, but yeah, it does, it makes a difference. Um, I mean, we're quite ral here where I am and, you know, a lot of the nurses that I've worked with overseas have been in the hospital where I trained and where I worked as a hospital based nurse and there are real little communities have developed um, with our groups of overseas nurses, you know, where we, we had, um, you know, I worked with AAA really significant number of nurses from the Philippines. Um, and, you know, they have a Filipino Nursing Association. They have, you know, social events and all kinds of different stuff. And so I'm guessing it's probably the same sort of thing everywhere, isn't it where people will have those kind of support networks? Uh, absolutely. I'm so glad that you mentioned that because not everybody realizes that there are like the, you know, the Hispanic Nurses Association or like you said, the Filipino uh Nurses Association. So there is individual uh support too. And then you don't have to immigrate to a major city. There are so many small town, countryside hospitals that also need help too. So I think to put in perspective of your countryside next to the ocean, I, I'd like to go there. Yeah, I guess it's sort of what you're coming from as well because, you know, probably going to be a culture shock anyway, isn't it going to a different country? But if you, you know, if you're from the country and then you go into a, you know, really busy city, it might be, you know, more of a culture shock than if you, you know, going somewhere. That's great. Right. Absolutely. And that is the one benefit like as a nurse myself. And thank you for sharing that. Yeah, it's not for the faint of heart. The one benefit of going through companies like such as Flint or the other ones that are out there. If you decide to do that is they might put 5 to 7 opportunities in front of you. And you can choose based off of your skill level, of course. Right. Small town, critical access, big city behavioral health, perhaps, you know, all kinds of different options. So that's like the, the one positive of having some assistance in this but that may not be for you and you can just pick the one. But yeah, if you like a, a small town that you, you can look for that or a big city depends on the individual. Yeah. And is it the um in terms of you, you mentioned languages a little while ago um international um language test you is this, we have the, I think it's the international language language test, I think. Yeah, the, the it si don't even know how to, I just love to say that I ts I don't know, I I al TS is the, is the British is the British exam. Yes. Uh International language exam. We're a big fan of that. It's, it's just got a good test structure and it seems that our nurses do really well testing with her. So also the tol uh and there's one the oet I think it's an occupational something. So there's actually a few different language exams that you can take to apply for these things, at least in the US. But the I ETS and the tool are like the most common. So yeah, those are, you know, you have to study if your, if your language is difficult for you and take that um it is gonna be required um for immigration purposes. Mhm. Ok. Um Now I don't know if anyone has any um other questions that they want to drop into the chat but please do if there's anything that you want to know or anything that you want to add, any experiences you have yourself of. Um, obviously Unna um, struggled, took some time your US license on your, on your own. But, you know, I know, knows a trade and, and she'll make anything happen. You know, there's lots of sorting out for us that then my nurses and runs the show for us. Um, so she would definitely be able to do that hands down. Um So what would you say? Um, and I guess, you know, in the job you are, of course you're gonna say go for it, but any nurses out there sitting there thinking, you know, I think I might wanna give this a whirl um looking for a new challenge. Would it be just a straight go for it? Well, considering that the process can be timely again, depending on what country you're coming from and such, but if it's like, let's just say the UK to the US or the US, to the UK, um, you will have a little bit of time to think about if you wanna change your mind. Um, like the process of applying and stuff like that. So, um we as nurses, we survived the pandemic. Those of us that had were on the front line and even those that were not so much respect for you all. Honestly, if you want to do something in your career now is the time, you know, it's, it's up to you. I think that, um, I would never ever pressure anybody to immigrate. Um I immigrated, it was a culture shock for myself. I, I managed but, uh, and my mom, she actually immigrated from Canada to the US to work as a nurse. I, I wasn't working in the US before I came from Canada. But, um, and she said it was really hard for her to adjust to the pace and medicines and stuff like that. It, it was, it was a quick transition but it was still, it was still a transition. Right. So all of these things kind of take place and then there's younger nurses, like my sister, she's like travel nurse, she just pop into a place and like, great, all done, you know. So it really depends on, uh, again, like, I hate, I keep saying it, but it's so true. Like we're all different. A nurse is not just a nurse. Nurses are unique and independent and we all have our own style and that's what's so beautiful about these worldwide opportunities is you can pick what's best for you or you can stay home and get another dog, you know? Oh, I like that option. Yeah. My dogs wouldn't allow me to move. So that, that would certainly not be allowed. Yeah. And I don't think they'd like the plane ride. But, um, me too is asking us about, um, shifts. So, I, I guess you asking about, um, shifts in the US, which Vanessa should be able to help with. Um, so are they the same here as the UK half hour shifts? Um, is the first question and then she's asking about newly qualified nurses as well? Yes, I'd love to answer that. So, going back to your, your, your skill set. So if we're gonna go into a hospital, basic, all of the units in the hospital that we know, or maybe you have a, a skill set for behavioral health or surgery or some type. So the average nursing shift is 12 hours. Absolutely. 12.5. Yep, that's standard in the hospital. It will vary. Like for example, we're placing some of our nurses in a surgical center and I asked, what are your shifts? And they said 8, 10 and 12. So that's very common for those types of facilities that have that. Um, and that's the same in, in, like I worked in a hospital in surgery. It was the same thing. The 8, 10 and 12, they stacked their shifts for the surgical rotations, you know. So average answer is 12.5. But if you're coming into a specialty such as surgery or maybe even, you know, behavioral health, it depends, it could be uh, different type of shift. So if it was eight hours, like a surgery center, it would be usually to get the full time hours, it would be 55 days a week or if it's 10 hours it would be four days a week. But the average full time schedule for a nurse in the US is the 12 hours that's full, full time. Mhm. Same, like the same kind of full time hours. Yeah. Yeah. Absolutely. And newly qualified nurses. So, if you have graduated from a nursing school, whether it's a diploma or bachelor, uh, bachelors are usually more sought after uh by facilities. Um, and then companies as well, but you can absolutely nurse in another country with a diploma. There's nothing wrong with that. Um So if you have graduated, um and if you have some kind of experience whether it's three months or six months, you can apply. You'd be surprised. I don't, I can't speak for the UK or other countries. I mean, some of the facilities are, are ok with, with new nurses. I don't know if they'd want them day one, but maybe with like while the process is happening, you're working and getting three months while the way it might be. Yeah. So Flint currently doesn't uh accept new nurses. However, that is not out of the question in the future. So because things are changing, you know. Well, yeah, and I think it is so variable on what's available to newly qualified nurses. Even here, nurses that have trained and qualified in the UK, you know, there always used to be the expectation that, you know, you go on to a hospital ward and, you know, you got to work there for at least a year or two before you can even think about going and, and doing something else. But, you know, recently, now we're seeing newly qualified nurses going into all kinds of different roles um in the community into primary health care and things. So, uh opening, um and I worked with um during COVID, I went back to my old um intensive care job and I worked with this most loveliest and, and she was a youngster, um lovely young lady who was brand spanking newly qualified from India. Small group of nurses had come to the UK and arrived at just at the start of COVID um new country, second language um global pandemic. Yeah. Dive in. Did she dive in like, you know, I, I have so much admiration because my goodness, you know, I, I thought it was hard for me coming back after being out of it for a number of years. But just, but yeah, she was amazing and took it all in her stride. So it's um incredible. So, absolutely. So we have another question from uh re here. She uh she's graduated tons of experience. She's a British citizen. Would she still have to complete the um language test? Good questions. I love this. I'm ready to answer. OK. So usually the Ts or the tool relating to the credential services that at least plant uses um I went through CGF NS myself. Uh we use GS A and, and a lot of other things, but there's so many different companies you can use for credential. But my point is they will require or the, to the, the toil. So those criteria usually means like the, the Australia or the, the UK or Canada. I think there's another country. Sometimes you don't have to take it. But in this case, I'll give you an example and then you can decide, uh, whether you qualify or not. So we have a nurse that she's a Canadian citizen. She's coming over to us. She asked me the same question. I said, ok, where were you born? Where did you have your nursing education? And it was in India. So she, she had to take it. So it really is going to be, where is your country of birth? And where did you take your nursing education? Even in Africa when they're trained in English? Um, they still have to take it. So, yeah, I think that if you're interested, you could always look on the board nursing website or if you're gonna use a credential and service, um going into the United States, they'll have that listed as well. But the bottom line indicator is, where were you born? And where was your nursing education? Because it's not in the UK, Canada, the US Australia. I think it could be another country. Um You'll have to take it I hope that helps. Ok. So largely, uh, all graduated both in the UK. So I think we're good. Surely that, so it sounds like it fits. Yeah. Yeah. Absolutely. Yeah. They'll let you know. And that's the beautiful thing too about these, this process is you are gonna get hard stops along the way. So let's just say you completed all this stuff yourself like I did and if you're missing that one piece, like the language requirement, they're gonna tell you. So you'll know. Yeah. Well, I'm gonna see if there are any more questions out there and then I'm, I'm, I'm gonna ask you um uh she's giving a good instructions, you know, you see, you know, s una is gonna be your, your um assistant in all of this. Yeah. Yeah. So um yeah, I'm gonna ask you. Uh It might sound like an odd question but oh no, let's go with Si Hope I'm pronouncing your name question and then, then I'm going to ask you my question. Um Other jobs currently, do you know, I was going to ask that when you said you were interested in community nursing. That was I missed that one. If you look at sort of community based placements, is it all hospital um recruitment that you work in Vanessa or are there avenues to look at community based nursing? Right? So currently we're looking at uh hospital systems, critical access in rural areas, we're looking at um like, you know, but we haven't branched into clinics yet, um, or community health. However, like Flint is, is one agency. Um, but that does not mean that you can't find an amazing community based nursing career yourself online and apply for it and they might actually sponsor you. You'd be surprised, especially, like, the rural communities. Yeah. I wanna check that out. But currently myself and, uh, we're not taking community nursing. Um, but we do. Um So if you apply, if you were to apply and you wanted a community based nursing, like very, very clinic base or, or outpatient perhaps of that sort, then we would tell you that we don't have any current contracts in that area, but I'm sure we're one of like many, many companies like this. So I think you still have many options. It sounds like you're a great candidate. Fabulous. So my final question I was going to wrap up with um question um The US will, will, will it be a welcoming place, the nurses that are coming to, to you to work from overseas? Very good question. This is such a pleasure. These are all great questions, you guys. So I'm not the one immigrating right now. Why will I promise that it's like rainbows and unicorns for every single person? No, but you may know that in the world we are all quite severely short on staff. So come that comes with stress burnout. Um So myself, I traveled during the pandemic and then I settled. Um, and even then we were short staffed everywhere. I worked in many different facilities. But let me tell you whenever you get these nurses in, whether they're international nurses or temporary staffing, it's like, oh my God. Oh my God. Thank you. Thank you so much. Oh, my God. So that's at least, and, you know, I can at least vouch for like multiple hospitals in California. I've only been in California reacting that way in the general sense though, I mean, to be completely honest, the staffing shortage, at least in the U si know it's similar in Canada and different parts of the world. Nurses are in a severe shortage, right? So the management is appreciative, the staff are appreciative and the patients benefit. I'm sure this is probably the same for around the world if you jump into another facility. But in the United States, we need the help and the facilities, all I can say is the facilities would not be interested in international nurses unless they were ready to accept them in because it is a commitment. They want you to stay. We spoke to, I get to meet with the hospital partners myself and they really talked about retention strategies. So if you are really looking for a place to live and stay some, we sponsor your education and they'll help you in the community. There are like uh one community in Colorado had like a community liaison through a church that welcomed in like African nurses, right? So you really get gems like that. So when you are searching for your job, wherever you are in the, in the world, ask for those things like what are your retention strategies? What's a long term plan for one of your nurses? Do you sponsor further education? Are there communities around here for my Children? Are the schools good because those are the questions that I ask personally for our nurses um that you're more than welcome to ask for yourself that will improve your, what do they call it like? Landing, it will improve your landing experience, your transition experience and your long term experience because the the nurses that we place, we want them to stay, we wanna place you in a, in a job that you like. Um and it's a good match and then you live here. So I hope that answers the question. It does. Thank you. And you know, as I said at the very beginning, as you know, we're nurses, there's always a job for us. There's always a home for us because of the work that, that we do that is, is so needed around the world. So thank you so much, Vanessa. It's been really interesting to learn about all of these different things and different considerations that that certainly I didn't have um huge. Thank you to our participants. Um Rau good luck in your search. For whatever um job you would like, wherever you would wish you every success with that. And um thank you so much for joining us on this with us session. I'm going to just drop the little feedback form. Uh, the chat there is my, is my contact information included somewhere on your flyer. Um I'm sure I drop that. Sure. Do you want to pop it in the chat? Sure. And then people, oh, just in case someone's question did not get answered. Yeah, indeed. And if anything comes into us that learn with nurses, then certainly we can, we'll be back to you anyway because recruit Vanessa, I know I took the semester off from teaching. I'm just like itching for education. I, I was sending like voice messages to my, the nurses there preparing for the XX. I'm like, ok, I'm getting ready for the day, but I'm going to tell you about medication safety in the United States. So I'm like, I'm like dying for education. You will be welcome. Uh learn with nurses with, with open arms and we never let good people get away. So we will definitely thank you so much. Wonderful and thank you. Take care then. Bye bye.