Summary of the visit to international nurse educator
at Chandler regional hospital
美国某医院国际护士培训专家采访记录
1.即使都来自菲律宾, 护士差别很大。好象是北边较差，“too quiet, English is so bad, always have heads down. Need to be noisy, American is noisy.” 护士太安静，英语差，害羞。护士应该从大都市，见过世面的，好的护理院校选拔。“She talked about good manner” 护士素质要好。
2.There is a big gap between the English that international nurses learned and real American English. Indians speak proper British English, but the accent is the heaviest, very hard to understand. She suggested that practice and practice, everything should be in English, from text books, to conversations. And speak loudly.
国际护士学的英语与美国英语有一大差距。 护士应多练习，全英文环境，日常生活要多找机会说。课本及授课要用英语。
3.Using video tape to practice on scenarios before go to the floor.
录像带模拟临床练习。专人讲解。
4.Good at calculating, but do not know medications.
护士要进行药物剂量计算，国际护士计算很擅长，却不懂药物。我们只有大夫知道药量。
5.Need to know the roles of other staff members, of course the roles of nurses is a big separate topic.
国际护士不知道医院其他科室的职责。如放射科。 护士职责是一个很大的话题，应专门培训。（医院其他科室有任何关于病人的问题，都应向护士咨询，有疑惑时，经护士澄清，才能进行诊断治疗。护士对病人负全责。--金玲）
6.Do not have the concept of time management.
没有时间管理概念。 护士应在规定时间内完成特定任务。（医院不喜欢护士留下加班，不付没有必要的加班费。总是下不了班，自己也很 烦恼。下班前活是干完了，大多数人要留下来写病案。）
7.Floor placement. med-surgical is easy, but has to take 6-8 patients. International nurses has poor time management, can’t complete task in time. Telemetry and slow emergency room, need advanced skills, but take less pts. On tele, nurse only need to take 3-4 pts, it works well for them.
考虑国际护士应该去哪个科, 他们最初想成人内外科比较容易, 但护士管的病人多, 6-8 个. 国际护士时间管理差，应付不了那么多的病人。 遥感监护及不太忙的急诊，目前发现比较合适。遥感监护是管3-4 个病人。
8.Depends on where your nurses will go, do some specialty training ahead of time.
如果我们决定我们的护士就去遥感监护， 我们事先进行一些特殊专业训练。
9.Safety goals and principles of behavior.
每个医院都有自己的办院原则，强调病人安全，及良好的护患关系。如果您 跟哪个医院签约， 事先对护士进行入院教育。
10.They do not want to work with Korea Company again. They pay their company lots of money, but the company still charges the nurses. They do not have any services. They just kick them out.
他们再不想跟韩国公司合作。美国医院付此公司钱，此公司还向他们输送的护士收费。该公司没有任何跟进服务，他们把护士送到美国就不管了。（非常敏感的话题，我们办公司时，一定要主意此点，美国注重品德）。
Global Care is a good agency. One thing they do not like is that this company asks their nurses to quit working for 3 years to prepare the immigration to USA. When their nurses come to USA, they forgot their clinical, and have to restart it.
Global Care 是一个好公司，但有一点他们不不喜欢。该公司让他们的护士辞职长达3 年之久，等他们来美后临床护理全忘光了。（辞职达3年之久去准备出国当护士，即使是个别人，也足说明问题。而我们的护士请一个月的假就有困难，出不来也是可想而知了。看来我们还要加强宣传力度。此事可以考虑发给所有的学生看。）
11.Follow up services: Philippines are good. They have association here. Hospital is very frustrated with this. Foreign nurses need security number, housing, cars, credit cards, banks. Most important thing, if they hold California licenses when they work in Arizona, they need to transit their licenses. All the above is realistic and overwhelming.
一定要有跟进服务。 菲律宾人做的很好。这些事令人头疼。护士的住房，汽车，信用卡，社会保险号，银行帐号等。更重要的是护士执照。如果你考的加州的执照，却要到令一个州工作，一定要转换执照。（此次来我院的菲律宾护士，有4个人好久上不了班，因为执照没有转换。她说没人帮助这些护士，那真是可怜。一护士竟花10000元钱买了汽车，付25%的利息。）每次至少送两个护士去一个医院，或更多，互相照顾。
12.She also said all international nurses are intelligent, practice is different, Indian nurses do not know how to change dressing, and they do not start IV. Each company has their own program to train their nurses step by step. She gave an example that an Indian company has been doing. Their student will take American on-line courses, and then come to USA for short term training. Like a year.
她还说所有的国际护士智商都很高。印度护士从不换药，打静脉（我们的护士是打静脉，但不换药）每一个公司都有自己的培训方式。印度一公司让学生在网上修美国的课，然后到美国进行短期培训。
13.She also gave me a manual of “65 tips for foreign born nurses working in American hospitals” and a 100 –page training program she has been using, which includes many references, and websites. They use “performance based development system” to train critical thinking. She also train them on medication safety, (it is the responsibility of nurses to watch for the meds, but our nurses do not know why the patients take this med, what are the interactions, side effects. abbreviations.(not to use, but help with reading doctors’ handwriting), assessment, documentation. Get paperwork from the hospital that your nurses will go, and train them ahead of time.
她送给我大量有用的参考资料。 她还提到药理是国际护士的弱点。护士应该知道药物作用，副作用，药物间相互反应。护士是保证安全用药的最后一道关卡。