Category Archives: Stateside International

NCLEX Assistance Program Registration

Registration and fee $995.  $600 due with registration and acceptance into the program.  $395 due when time to register for NCLEX.   Upon receipt of the initial payment the study guides and IELTS study code access will be sent to you. If we cannot help you, based on your resume, no fee is required.


SNI fee – $995 –  First payment $600 upon Acceptance based on your resume and documentation.  final payment: $395 when it is time to register for NCLEX. This includes a 90-day online IELTS study course plus ongoing access to SNI.   If we cannot help you, no consultant fee is charged.

Our NCLEX service will guide you with all of the above.  It is a lot of work, a lot of expense but worth it.  Each application for CES, NCLEX, Visa Screen, is paid by you at the time of applying.

Once you have the initial requirements (NCLEX and current hospital experience) we will submit for direct hire employment.   Please let us know if you would like this service. 

Our goal is to get you ready to work in America.  It takes work and study, but we know you can do it.


Patricia Decker, Director


SNI NCLEX Review Course – self study.

NCLEX Assistance Program (Individual Study)

Needed by a nurse to pass the American Nursing Boards (NCLEX) – listed in steps:

  1. Study for the NCLEX– we are recommending and will send you study guides that are easy to understand and will help you to pass the exams.
  2. Apply for NCLEX: We suggest Texas for NLCEX- SNI helps you with this.
  3. Once accepted to sit NCLEX and all documentation is complete the testing center will be notified.
  4. Your testing site (based on the nurses’ request) will be scheduled. SNI assists with this.
  5. Nurse goes to testing site and takes the exam.
  6. There are about 300 questions. You do not have to answer all of the questions to pass.
  7. Results within 1-3 weeks for NCLEX.
  8. Requirements:
  • IELTS – 6.5 overall band with 7 in speaking needed.
  • Credentialing Evaluation Service (CES). Transcripts must be evaluated by this service for NCLEX.
  • Not all Boards require everything listed above to qualify for sitting the NCLEX.

Needed to work as a nurse in the USA and get a Visa Screen:

  1. NCLEX passer.
  2. IELTS.
  3. Visa Screen through ICHP. A certificate will be issued.
  4. SNI helps you with registration process. The Visa Screen is needed for the petition.

Applying for a visa:

  1. SNI will help find you a sponsoring employer.
  2. Receive a job offer letter (JOL) or contract from employer.
  3. Work with employer’s attorney and sponsor.
  4. Continued assistance by SNI.

Submit all documentation needed to file for the visa.

  1. Most employers pay for the immigration work for you and occasionally for family members.
  2. Petition immigration – done by the attorney.
  3. It is up to immigration to approve the petition (but never any guarantee).
  4. There is a “retrogression of visas” for some countries. This means that there may be a long wait-time until you are approved and it applies to those born in China, India and the Philippines.  Even though you are now a citizen of another country immigration approval is based on country of birth.
  5. For the rest of the world (ROW) there is about 3-5 months wait time for the petition to be approved.

Initial petition approved – what happens next:

  1. Once the petition comes back approved you will receive an email from the employer/attorney and/or SNI.
  2. Immigration sends the approval notice to the National Visa Center (NVC).
  3. The NVC will notify you and attorney of record (and SNI if given permission by the nurse.)
  4. The NVC will send a letter and documents to the nurse with instructions of what to do next.
  5. At this time there are more forms to complete and NVC will send you a payment form for you and every member of your family (spouse and children).
  6. To move forward you must pay the NVC visa fees. The employer often pays or reimburses these fees for the original applicant, but not family members.
  7. Once the NVC receives the fees and the forms necessary, NVC notifies the Embassy of the approval and requests an interview time.
  8. The nurse contacts the Embassy for the appointment (at some Embassies the Embassy will schedule it– but usually the nurse has to contact the Embassy.)
  9. The Embassy will request a physical (medical exam) and you will be given a list of doctors.
  10. Only those doctors recommended by the Embassy are accepted. There is a fee for the medical.
  11. Results are given in a sealed envelope and you take it to the Embassy at time of appointment.
  12. The interviewer will have a file on you. Take your passport and a copy of all documentation with you.  Your children do not have to go but take their passports.  If an Embassy wants the entire family to go, then that’s what you do! Spouse should always go with you if possible.
  13. The Consular Officer will ask questions, but the interview does not take long.
  14. There is a fee to be paid at the Embassy for you and any family member.
  15. You will be told how you will receive the visa – (by courier, mail, or pick up at the Embassy).
  16. There is a new rule – every person receiving the visa must pay $165 to the government. It can be paid at the Embassy or upon arrival in the USA.  Best advice – pay at the Embassy if you can.

Visa issued and received – you can now leave for America – BUT – it must be activated within 6-months.  Suggest you arrive without family, get settled in America, and then send for your family.

SNI consultant and service fee – $995.   Paid $600 upon assessment and acceptance into the program– this payment will include:  Second payment $395 made at time of registering for NCLEX.

A 90-day online IELTS study course ($100)

A four manual NCLEX study program ($200).

Additional 6-month online study course recommended: Additional cost $280 – order with the manuals.

Overseas postage $65.


Our NCLEX service will guide you with all the above.  It is a lot of work and expense for you (and SNI) – but worth it.

The information on the employer will be sent when you are submitted to an employer and we know you meet the employment requirement and we have received your payment.


Please let us know if you would like this service.  Complete the attached form and return.

If we have enough applicants (25-50) we can hold a review course (or Podcast) in your home country.

Pat Decker, Director – SNI
Stateside Network International (SNI – USA)



NCLEX preparation – 9 great tips!



We all delay studying even though we have delayed too long. Don’t feel guilty – it happens to all of us.  The intention to take the NCLEX-RN, the course and test scheduling can take a few weeks or several months depending on your frame of mind, your study habits, the State you want to register in and approval to sit the exam.  You have enough time from when you apply to the Board to when you decide to take the test to schedule your study time.  Our recommendation is that you do a ‘joint’ study program – first study from the printed material followed by an online course.   SNI recommends the following link to order this program.  This type of preparation will stop the ‘panicking’ when the test day approaches and you are hoping, that you will pass.

Remember the Boy Scout Motto – BE PREPARED and you will pass.

Hopefully the following helpful hints will assist you with your studies.

  1. When should I begin studying?

Only you know your study habits and what works for you.  Some nurses only need a few weeks and others a few months.  Plan a study program around what you can do.

Worldwide college students taking the NCLEX often start learning 5-6 months previous to their examination.  Again, plan a program that works for you. However, depending where you graduated from and your nursing background, plus your mastery of English will determine the amount of time you think, as an individual, you will need.

  1. What’s the best methodology for studying?

This is up to you – what works for you may not work for your friend or classmate. Everybody prepares differently.  There are some key issues to remember when starting to study for NCLEX:

  • Don’t reread all of your nursing college notes. You don’t need that.
  • The NCLEX is common information.
  • Order a combination of good study books and an online course.
  • The books will really help and the online course puts it all into perspective for you.
  • They all have questions relating to what you are studying.
  • Deal with key topics that you are having a problem with.
  • If you know medical-surgical nursing and work on a medical or surgical ward, you will probably be ok in that area and should devote more time to the discipline you are not familiar with. For example: OB/L&D, Pediatrics etc..
  • Different format questions are shown at the end of each segment of your study guides. Watch out for “choose all that apply” questions. They are a little more difficult.
  1. Do I need to master every part of my studies to pass?

The NCLEX is a computer based exam and covers all disciplines in nursing.  Answer the questions in your study books and the online course (that’s why SNI recommends you use both and we suggest the ICAN Publishing Company resources).

The exam is tougher than most anticipate so don’t assume that passing is automatic (or ‘a given’ as we say n America).

The questions are structured in such a way that a minimum number of questions asked can be fifty (75) or maximum at around two hundred and fifty (265). After you complete the exam you will walk out of the testing site with ‘no clue’ as to whether you passed or failed.  Don’t worry, this is normal. Nurses from all over the world have the same feeling.

  1. What’s the test structure like? How much time do I have for the test and are there breaks?

The NCLEX is a Computerized Adaptive Test – the same as in the UK

The questions are often random. See some helpful hints at the end.

  1. When and how do I register for boards? Can I reschedule?

Click on this link to view the candidate bulletin, it will give you all the knowledge you want:

REMEMBER – each Board has different requirements for registration, especially for the international nurse.  Once approved by the State Board you will receive the ATT (Authorization to Test).  At that time register with Pearson Vue to schedule your exam.  And yes, you can always reschedule if you must miss the original date and if you do fail the exam you can retake.  If you test better mornings, then schedule your exam for the morning session – same thing with the afternoon session.

  1. What are the test requirement and what am I allowed/not allowed to convey for the NCLEX?

The testing sites are strict and do not allow any private objects resembling cell telephones, luggage, purses, coats, hats, gum, drink, watches, and many others. See the candidate bulletin hyperlink above for extra info.

7. How early should I arrive on the day of the exam?

Get there 30-40 minutes early.  Don’t forget to take a ‘bathroom break’ before you go in! There will be others taking the exam at the same time.  Some testing sites only have a four-testing facility, depending on the country.

  1. How can I help myself prepare?

We suggest you prepare for your examination the day before by following these steps:

  • Get a good night’s sleep!
  • Eat a nutritious meal on the day of the exam.
  • Drink limited coffee or tea – a small amount of caffeine helps you stay awake and improves your concentration but stay away from large amounts
  • Keep away from too much sugar – Refined sugars are related to a spike in vitality, followed by a decline in cognitive capability.  If you are taking the test in the afternoon – try a Diet Coke or Pepsi to give you that ‘lift’. 
  • Once you have studied and feel you are ready – give yourself a break the evening or morning before you sit the exam.
  • Clear your mind on the day of the test.  If you feel you need some extra study – concentrate on the questions in your study material that you feel are your weakest areas.


SNI’s ‘tried and true’ advice.

  1. Most questions are based on the concept “Is this nurse safe to work in a hospital on a ward and take care of patients”?
  2. Look at the questions and ask yourself – What is safest for the patient and do you know what this is as it relates to each question.
  3. Really Study the question before you try and answer. For example: Is it a physiological question or psychosocial question.  Rule out the one it is not – then go on to the other answers in the same question.  Remember always Patient Safety.
  4. After you have completed your study and online course you will have a good idea of what the American NCLEX is looking for.
  5. This is the key – Focus on that thought as you read the questions.
  6. When you understand this concept, you will pass the exam.

How will I get my results and what happen if I fail?

You can get your “unofficial” result after 48 – 72 hours. Check on the Pearson Vue website at

SNI hopes the above information helps you with your studies and gives you confidence to take the exam.  If you decide you want to take the CGFNS exam first, it is like the NCLEX.  Even though you pass CGFNS you still  must pass NCLEX.



Total number of jobs: 337,863

Projected job growth, 2016-2026: 17.4%

Median annual salary: $93,294

Typical education: Bachelor’s degree

The increasing demand for medical services calls for more people to manage them. Health services managers may oversee the functions of an entire medical practice or facility—as a nursing home administrator, for example—or a specific department, as a clinical manager for, say, surgery or physical therapy. Health information managers work specifically on maintaining patient records and keeping them secure, an especially important task as everyone is shifting to digital.

A bachelor’s in health administration is the ticket to this profession, but a master’s in health services, long-term-care administration or public health is also common among these workers. You may need to be licensed to run certain types of facilities, such as a nursing home, for which all states require licensure, or an assisted-living facility. Check with your state’s department of health for details.

*** Contact SNI abut the Master’s in Health Care Program.  Can work 20-hours while studying.

Nurse practitioner


Total number of jobs: 145,331

Projected job growth, 2016-2026: 32.3%

Median annual salary: $98,288

Typical education: Master’s degree

Health care coverage in our country may be up for debate, but the increasing need for quality medical care is irrefutable. Advancing technology, greater focus on preventive care and an aging population will mean a growing number of patients requiring care in hospitals, doctors’ offices, long-term-care facilities and even private homes. Nurse practitioners (NPs) are highly sought after to meet that need. They’re able to provide much of the same care as full-fledged doctors, including performing routine checkups and writing prescriptions, and they can work independently. Exact guidelines vary by state.


Are also in high demand. The already robust workforce of 2.9 million is expected to grow 17.2% by 2026. And they enjoy a healthy pay rate, too: The median salary for RNs is $67,418 a year.

Becoming a nurse requires either a Bachelor’s of Science in Nursing (BSN) (another one of our best college majors), an associate’s degree in nursing or a diploma from an accredited nursing program (which usually takes two to three years). NPs must also get a master’s or doctoral degree. Both RNs and NPs need a license to practice, not to mention reserves of compassion, patience and emotional stability.

Know your rights!

US Immigration Law – Know your rights!

Do you know what your immigration rights are if you are stopped by a law enforcement officer for any reason in America?


Visit the link below to a downloadable pocket wallet card. This is a card that can be carried by individuals who would like to know what their rights are. Carry it with you always.

It can also serve as a way for you to tell a law enforcement agent that you would rather talk to your lawyer before you speak to a police officer or law-enforcement agent. You do not have to give them the name of the lawyer but if you are stopped and don’t have a lawyer, quote the information on the card and contact an immigration lawyer immediately.

This information is by the courtesy of David Nachman, Attorney-at-Law.

Download Here – In English

Download Here – En Espanol


Please share this information with family and friends – spread the word! 

Living and working in the USA – money


There are many things you need to know about living and working in America. SNI will post a practical, and hopefully, helpful, guide of things you need to know as you embark on your exciting journey to the USA!

The more you know before you leave your home country, the happier you will be and the easier it will be to adjust to your new surroundings. Each week we post a different section from our SNI Booklet. In this post, we are talking about your money.

Traveling Money

You are advised to bring at least $4,000 (US dollars) with you at the time you travel. You will need money to live on until you receive your first paycheck. Your first salary depends upon your first workday within the employer’s payroll system. Most employers pay on a biweekly basis. We suggest traveling with refundable travelers checks or use your ATM cash card once you get to America.

You will need some cash as you travel, preferably denominations of $1, $5, $10, and $20 bills. These are useful for baggage carts at the airport, tipping, taxis, fast food restaurants etc. Again-use your ATM upon arrival.

Travelers Checks

Travelers Checks are the recommended way to carry money. They are safe, protect you against loss or theft and they can be used as freely as cash when purchased in small denominations. If you do not want to purchase traveler’s checks use the ATM upon arrival!

Your national currency is difficult and expensive to change to US money. Airports and banks are the most likely places to exchange and exchange rates vary daily. There is always a fee for changing currency.

Bank Drafts

Allow at least 10 working days to clear.

Currency denominations

COINS: $.01 (penny), $.05 (nickel), $0.10 (dime), $0.25 (quarter), $.50 (half dollar).

CURRENCY: $1, $5, $10, $20, $50, $100, $1000. All ‘bills’ look alike. They are the same green color and size. The most commonly used are the $1, $5, $10, $20 and $50 bills. Check your change carefully!


It is customary in the US to tip in bars, restaurants, taxis, hair salons, etc. Generally, you are expected to tip 15 to 20 percent of your bill, depending on quality of the service you receive. No tip is required in cafeterias where you serve yourself. A minimum of $1-2 is acceptable per bag for porter, baggage handlers at airports and railroad stations. Waiters, waitresses, servers get minimum wage and make their living from their tips. If you feel the service warrants it, tip well. You will be thanked and get good service the next time!

Checking Accounts

Bring enough money with you to pay for your essentials before you get your first pay check and can open a checking account. You must have a social security number to open a checking account. Your hospital employer or agency will guide you in this process.

Credit Cards

Please take at least one credit card with you and an ATM card if you have one. It is essential for hotel services, car rentals, etc. Remember – when you use your credit cards in the US, bills will be sent to your home country address, payable in the currency of your country. You cannot transfer your account to be paid in the US. When you arrive, you must write to your credit card company and give them your new address.

Interest rates vary depending on accessibility of money. It is OK to negotiate a lower interest rate on your credit cards. The more credit available, the lower the interest rate you can negotiate.

HINTS: a) Open a store account (Sears, Penney’s etc.) as soon as you can as these are simple to open. b) Do not buy a car with cash. Get a loan even if it is for only six months. c) When/if you have a credit card, charge, and then make monthly payments even if only for a short while. This all helps establish credit and remember that the USA RUNS ON CREDIT! It is essential to have it.


Deposits are often required, either in cash up-front, or as part of your payment for various goods and services necessary for your daily living, such as telephone, electricity, accommodation

Deposits may also take the form of “down payments” when making major purchases such as a car or furniture. Major purchases usually require credit verification. Research the area where you work to locate a car dealership or furniture store that will extend credit based on your employment contract. Check at your place of employment for help.

Daily services such as electricity, telephone, gas, water etc. may or may not require a start-up deposit. Check locally.


Taxation has three levels: Federal, State and Municipal. Federal taxes are the same everywhere, while State taxes vary from State to State. This reflects significantly on the cost of living between various locations in the USA.

Federal and State income tax (if applicable) is deducted automatically from your pay check; the amount deducted varies depending upon your filing status. Your tax filing status is determined during the processing period with your new employer. You will be assisted with completing the necessary forms during the first days of your start date. Check with your recruiter, human resources or the personnel director at your place of employment. Your tax status and gross income will determine the amount of tax which is to be withheld. In addition to State and Federal tax, nominal amounts are deducted from gross earnings for State disability insurance, unemployment insurance and social security.

Almost everything you buy in the USA will be “plus sales tax”. This ranges from 4% to 8%. Expect this tax to be added to the marked price in shops and restaurants. Remember, this is sales tax and not a service charge.

You must file a statement of Federal and State earnings, showing income tax withheld, by April 15th annually. Your employer will provide you with a W-2 form by January 31st each year, which indicates the amount of earnings and taxes paid for the year. Consult a person who files taxes for a living.

Working in Australia or New Zealand


Agency RN placements let you join the staff with all the benefits that other hospital employees enjoy.  These are not travel nurse positions, but are hospital placements from 1 year to residency and citizenship.

Salary: Nurses may earn a package of $62-78,000Aud per year which is adequate to support a family.    This package may include shift differentials, salary packaging and relocation assistance. “Salary packaging”, offered by some facilities, may reduce taxation on living expenses. That is, your regular bills can be paid out before taxed salary is paid to you. Paid vacation time is up to 5 weeks per year with additional public holidays.

Relocation: Assistance with airfare and initial accommodation varies with each hospital contract. Shared accommodation is about $105-18/week.

Process for Licensure: We facilitate your application and guide you through the licensure and immigration requirements and study and work visas. You will be required to have a visa medical, and pay visa fees of $AUD450 for each visa.


English tests:  If you trained in a language other than English, or the official language of that country is not English, or if your nursing education program does not closely match the Australian or New Zealand nursing education program, then you may be directed by the NZ or Australian nursing authority to complete an 8-12 week Competency or Bridging course, during which, you are not permitted to work. The nurse is responsible for accommodation and airfares while completing the assessment course.  We can assist with accommodation in some locations.


New Zealand: The 8-10 week nursing bridging course in New Zealand is called Competency Assessment Program and costs NZD$6000 ($US4200) not including travel or living costs.  You will need to have completed a 3 year nursing course.  OET “B” pass, or: IELTS (Academic) 7.0 on every band within 12 months, in all attempts, is required.  Once completed, this course enables you to gain an Australian Nursing licence.


Australia: The cheapest Australian Bridging course is $Au11000 in Sydney. Nurses who have not completed a 3 year initial nursing course will have to register for a bridging course in Australia.   If you have a 2-year nursing program, (e.g. from a US community college), you may be directed to complete a year of study in a University, and this course allows you to work for up to 20 hours a week. Australia requires a pass rate of 7.0 in each Band of IELTS unless your Nursing studies were taught and assessed in English and you completed your secondary education in English.


English Language Study: If you have not reached the English levels, required above, we have 2 programs available.

IELTS on-line study course (contact

And: NZ English College where you can study English in NZ for 26 weeks and work up to 20 hours a week while completing the requirements for IELTS/OET and NZ registration. The cost is NZ$280 per week and the total amount must be paid up-front.  You may earn up to $200 per week as a nurse aid in aged care or any other occupation to assist with living expenses.  Email  for more information on this program.


Selection for our placement services:  We decide to work with you on the basis of your IELTS results, your resume, (indicating at least 3 years of acute nursing experience), and a phone interview.


Fees and costs: Our fees depend on which program you intend to pursue and vary from a refundable administration fee of $USD350 to non-refundable fee of $5-1500, depending on your need for reviewing documentation, assisting with education facility applications, liaising with the nursing board, and  arranging accommodation for courses.  This way we ensure that we spend our time giving individual attention to those nurses who are in our program.  This whole process may take up to 18 months before you finally get to start work. We support you through the various processes of the applications for RN licensure, (and, if required, pre-registration program with study visa), followed by job placement with working visa and travel arrangements).

We refund the administration fee once you have completed your 3 month probation period in your job.


Placement as an RN: When you are close to completing the RN nursing bridging course for Australia or NZ, we will submit your file for consideration by an Australian or NZ hospital to sponsor you for a Long-Term working visa.  The Long-Term visa covers your family members, is renewable for a further three years and after 6 months you may also apply for residency.  The other option is to apply for an independent visa.

Useful websites:

Please contact me again when you can provide the required length of acute nursing experience, passing IELTS score and can confirm your ability to pay for the pre-registration course.

Please note: we cannot submit you for any positions at hospitals where you have already applied directly.

Writing a good CV

Your curriculum vitae/resume will play a major part in your personal profile that we will submit to our client hospitals on your behalf.  Take this opportunity to tell the hospitals about your education, skills and experience.

Please note the following:

Start with your Title (Ms/Mr etc), full name and contact details.

Do not include your age, religion or personal interests.


  • Make sure you include all necessary dates. It is preferable to commence your employment history with your current or most recent employment first.  Remember to describe the size of the hospital, whether it is public or private, the number of beds and the specialities it covers.
  • Under “Additional Courses” please include any study days, staff nurse development days, or other courses you may think are relevant.
  • In “Duties”, please describe the type of patient diagnoses and your main responsibilities on the ward where you work or previously worked. Include any information on how often you took charge and whether you supervised any student nurses.
  • Under Personal Profile please write a short personal paragraph to include why you enjoy nursing and what aspects of nursing most appeals to you, your future aspirations and why you would like to work in the country where you are applying and what you think you will gain from the experience.

Here’s a template that you can use to  build you own CV:


NAME:                                                                      DATE OF BIRTH:


ADDRESS:                                                                NATIONALITY:











DATES:                                                                     POSITION HELD:              


TYPE OF UNIT/WARD:                                        NUMBER OF BEDS:












DATES:                                                                     POSITION HELD:              


TYPE OF UNIT/WARD:                                        NUMBER OF BEDS:










DATES:                                                                     POSITION HELD:              


TYPE OF UNIT/WARD:                                        NUMBER OF BEDS:








DATES:                                                                     POSITION HELD:              


TYPE OF UNIT/WARD:                                        NUMBER OF BEDS:







































REFEREES: (include phone and email contacts if possible)