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Theatre for US-trained abettor who capital to practise in Jamaica

Dear Claudienne

I abounding nursing academy in the USA and accelerating from Salt Lake Community Academy (SLCC) in May 2011 with an Accessory Amount in Nursing and afterwards anesthetized the Civic Licensing Assay (NCLEX) to access my RN licence. Afterwards abundant anticipation and deliberation, I acquainted prompted to acknowledgment to Jamaica to accompany my career. Afore abiding to Jamaica I attempted to get advice from the Nursing Board of Jamaica (NCJ), via e-mail, on the activity for accepting my RN licence, as there was no advice on their website. I accustomed no acknowledgment to the e-mail. Subsequently, I requested a ancestors affiliate to appointment the board and complete the forms on my behalf. I alternate to Jamaica in July 2011 and followed up on my application. Afterwards appointment added requested abstracts and accepting them evaluated by the committee, I was told that I did not accommodated the “minimum requirements” for an RN licence. I requested affidavit of the “minimum requirements” at the affidavit akin but was told that they did not accord out this information. That did not assume right.

Having been through the rigour of nursing academy in the US, I could not acknowledge what was defective in my programme that I could not authorize for a licence in Jamaica at a lower akin (certificate) than I had studied. Annoyed with the advice I was accepting from the NCJ, I took my affair to the Admiral of Health (MOH) in 2012. My catechism was simple: why does Jamaica not recognise a US RN licence? I accustomed no acknowledgment from the ministry.

Since 2011, I accept attempted chat with the board and the MOH in an attack to acknowledgment some basal questions in affiliation to the absence of my training in the US as apparent by my disability to authorize for an RN licence in Jamaica.

The affair I accept is the abridgement of accuracy in affective from the US arrangement to the Jamaican arrangement or alike aural the Jamaican system. There is no acquaint advice on what the “minimum” requirements are.

There is no advice on their website that speaks to how US-trained nurses alteration into the Jamaican system.

There is no affidavit on their website that lists the requirements to alternation as a abettor in Jamaica (and it needs to account it advance by advance with acclaim hours). So that anyone is able to attending at the archetype and see an acceding amid what they accept and what the board is requiring. For example: actuality is the advice from my nursing school: ( http://catalog.slcc.edu/preview_program.php?catoid=3&poid=476). SLCC acutely states the courses and the acclaim hours attached. Now if I attending on the Nursing Council’s site, I charge to see a advertisement of courses alternating with acclaim hours so I can see area I accept collapsed abbreviate … afterwards them alike accepting to accelerate me a letter.

How does one arch the gap amid the US and Jamaican system?

When I went to UTech, I was told that based on what was asked I would about be accomplishing the absolute programme. This can’t be right? I am actuality asked to do classes afresh that I accept already done. Plus their programme is full-time. I accept to work. Not to acknowledgment the abridgement of advice on the cost. I asked and got the runaround on how abundant I would be appropriate to pay to do it based on the classes I needed. Which academy offers this bridge? Is there a programme actuality that I can alteration into afterwards accepting to do the absolute nursing programme?

There needs to be a way to actuate what is the agnate of 1 acclaim in the US to 1 acclaim in Jamaica.

The NCJ letter to me acutely declared “MINIMUM” claim which implies that there is a maximum. What is the minimum and what is the maximum? Amount nursing in Jamaica is a almost new abnormality so what was the claim ahead for those who did not accept Bachelor’s degrees? Surely it can’t be the aforementioned standard? In the US the accessory amount is the minimum and the amount is the maximum. What is the agnate in Jamaica? Is there an equivalent? What is the breakdown of the 3000 hours you were given, advance by course?

I accept been allurement questions from the aboriginal abnegation of my allotment … alike afore that … and to date cannot accept a satisfactory acknowledgment or one that makes sense. No paperwork was accustomed to me advertence the requirements to be a abettor in Jamaica and I accept NEVER apparent one on their website. If you acquisition one, amuse let me know.

My affair is that the hours are approximate and I accept annihilation to analyze it against. I apperceive addition abettor who brash in the US and the appropriate hours she was asked for are absolutely altered from what was asked of me, yet the US has one standard. How is this possible?

I would additionally like to apperceive why I accept not been afforded the befalling to sit the Regional Assay for Abettor Allotment (RENR) alike admitting the board adumbrated in a letter to the MOH anachronous February 13, 2012, that they were demography accomplish to put this in abode for foreign-trained nurses.

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I accept that if we were afforded the befalling to sit the RENR examination, this would accommodate an authentic admeasurement of our adequacy as nurses.

I would acknowledge your advice in this matter.

AS

Dear AS

In 2015 aback Tell Claudienne asked the abiding secretary in the Admiral of Health to acknowledge to the issues you raised, we were a that “the authoritative anatomy for nursing convenance in Jamaica was the Nursing Council” and that they should be contacted for clarification.

On September 22, 2015, the NCJ responded to requests for clarificaation from Tell Claudienne as follows:

“The Nursing Board is the authoritative anatomy which controls the training and convenance of nurses, midwives and abettor nurses. It additionally registers or enrols these bodies aback they accept auspiciously completed the council’s condoning examinations.

General nurses, midwives or abettor nurses accomplished abroad, gluttonous appliance in Jamaica additionally accept to accommodated requirements set by the board afore they can be registered.

AS activated to the board for allotment as a Accepted Nurse. Her archetype of training was adjourned by the amenable board and begin to be amiss for her to be registered as a Accepted Nurse. By way of letter anachronous November 23, 2011 she was so a and the deficiencies highlighted. She afterwards activated to be enrolled as an Abettor Abettor for which the breadth of training, capacity covered and cardinal of analytic and approach hours appropriate are beneath than that of the Accepted Nurse. Her appliance was afresh vetted to see if it met the requirements for her to be enrolled as an Abettor Abettor and was approved. Afterward the all-important processes, Ms AS was issued with her Abettor Abettor Licence.

AS was annoyed that she was not issued with a Accepted Nursing Licence and wrote to the Abbot of Health on the matter. A archetype of the letter was forwarded to us through the afresh Chief Nursing Officer to whom we responded. Absorbed amuse see a archetype of our acknowledgment to her analogue the affidavit AS could not be registered as a Accepted Nurse.

Kindly acquaintance me if you accept any added questions on the matter.”

At your abode Tell Claudienne asked the Nursing Board for their “minimum requirements for RN licensure at the affidavit level. Aback the board beatific the affidavit to Tell Claudienne and we beatific you a archetype you empiric that the advice was erroneous as it was the minimum hours appropriate for the nursing advance of abstraction at the bachelor’s amount akin and not at the affidavit level.

We agenda that you acicular out the alterity to the NCJ and that they acknowleged their absurdity and agreed to amend your abilities at their March 2016 board meeting.

A letter the Nursing Board beatific you on March 17, 2016 said that you had still not met the requirements.

However, you said that admitting your requests, the board never provided you with the minimum hours appropriate for the nursing advance at the affidavit level.

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In May 2016, a new administrator of the NCJ was appointed and we agenda that you met with her on July 15, 2016 and was able to access affidavit on the requirements for the basal nursing apprenticeship programme at the affidavit level.

From the affidavit acquired from the NCJ administrator you abstruse that alike admitting you had been told by the NCJ that your training was amiss by 875 clinical/105 approach hours the affidavit declared that “Medical Nursing appropriate 500 clinical/120 approach hours”.

On July 28, 2016 you accustomed a letter that declared that your abilities would be re-evaluated yet afresh at the council’s September meeting. The board requested your assignment history and on January 30, 2017 you were told that annihilation had afflicted except for the alterity you had acicular out in the overstating of the medical analytic hours.

We agenda that you wrote to the Abbot of Health Dr Christopher Tufton and that he asked the abiding secretary (PS) in the MOH to accommodated with you.

The PS met with you on October 9, 2017 and you a Tell Claudienne that you mentioned the abridgement of accuracy at the NCJ. You stated, “The PS adumbrated that this is one of the Hon Abbot Tufton’s priorities. The PS agreed that added advice should be accessible to the accessible on the NCJ’s website but adumbrated that she would not appetite to behest to them.”

Tell Claudienne afterwards beatific the PS a cardinal of questions on June 29, 2018 and on July 5, 2018, the Access to Advice Unit at the MOH beatific Tell Claudienne the afterward responses to the questions:

Question: Attentive accompaniment the affidavit why afterwards this abiding adjournment the Nursing Board and MOH still denies foreign-trained nurses the befalling to sit the RENR?

Answer: Discussions were captivated apropos foreign-trained nurses autograph an assay to authorize them for registration, if they are successful. However, a accommodation for an accomplishing date has not been taken attributable to a cardinal of factors. One of which is the analytic assay which is a prerequisite for the accepted abstract exam.

The board should accommodate added accuracy as it relates to the arrange to be fabricated for the prerequisite analytic examination.

As declared the accommodation for an accomplishing date has not been taken attributable to a cardinal of factors, one of which is the analytic exams which is a prerequisite to sitting the abstract assay (RENR). This has to do with area they would do the exams as able-bodied as the amount of what permission would be accustomed aback they would not be indexed or accountant to backpack out any hands-on activity on patients here. There is additionally the catechism of area these individuals would do the examination, would they be appropriate to appear to Jamaica or would they accept to sit the assay at an across area which would prove prohibitive for the council.

Although a accommodation was taken that bodies accomplished away would be asked to do the accounting exams for the RENR, there was and continues to be deliberations on the analytic aspect. Additionally, if and aback this accommodation is ratified it will appulse the mutual programmes amid Jamaica and added adopted countries; the apprehension is that these nurses would additionally accept to sit the assay to be registered and accountant to be active in Jamaica.

Currently, there accept been some basic discussions on e-testing for the abstract assay and as such bodies accomplished away may be able to sit the RENR in this format. However, there still has been no final arrangements/agreement for the processes to be active for the analytic allotment of the exams.

Question: Afterwards a five-year adjournment can the MOH and Nursing Board at this time accord a absolute date aback adopted nurses will be able to sit the RENR?

Answer: A absolute date has not been set as discussions are still ongoing

Question: Could the board attentive accommodate the MOH with an amend apropos which board has been accustomed the assignment to abode this amount and its advance to date.

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Answer: The board had appointed a Board for Bodies Accomplished and Educated Across and afterwards affair several times, the board recommended to board that anybody requesting allotment and licensing in Jamaica should do the RENR. The adjournment in implementing this advocacy is due to that which is declared at No 1.

The board has had no added affairs aback then.

Question: In the accident that foreign-trained nurses sit the RENR assay and are acknowledged will they afresh be accepted the RN licence?

Answer: This catechism cannot be answered at this time as the amount is still actuality discussed.

Question: Amuse analyze why there is no advice advertence the courses and hours for licence requirements, at the assorted levels (Enrolled nurses and RN, on the Nursing Board website?

Answer: The coursework is in the adapt which is accessible online.

The adapt affidavit is not begin on the NCJ website.

The adapt affidavit for the RNs can be begin on the CXC’s website not NCJ; the advance for the EANs is not online at this time.

Question: Is there advice on the Nursing Council’s website advertence the coursework requirements that nurses in Jamaica charge complete afore sitting the RENR exam?

Answer: The coursework is in the adapt which is accessible online.

Question: Has the Nursing Board and the MOH anytime had chat with the Civic Accreditation Board of Nursing Schools that establishes the standards for all US nursing programmes?

Bachelor’s programmes: American Association of Colleges of Nursing: http://www.aacnnursing.org/.

Associate Amount programmes: Accreditation Commission for Apprenticeship in Nursing: http://www.acenursing.org/.

Answer: Anniversary jurisdiction/boards of nursing has their own requirements. The Nurses and Midwives Act, 1964 and the Regulations, 1966 gives the board ascendancy to annals those who accommodated its requirements. Amuse see the Nurses and Midwives Regulations 1966.

Question: Has the Nursing Board and the MOH anytime absolute the accreditation of the nursing academy abounding by AS or added foreign-trained nurses?

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Answer: Whenever the board is in agnosticism about an across training academy we ask for analysis from the accordant authoritative body. The catechism is answered in the statement, “Though the name of courses and hours assigned to anniversary advance may alter from academy to college, anniversary has to accommodated the civic accepted afore the sitting of the assay or acceding of an RN licence.”

The board should announce the antecedent of the quotation.

This was a absolute adduce taken from the e-mail letter Tell Claudienne originally beatific to the Abbot of Health for activity and which was forwarded to NCJ. (The adduce was from advice begin by AS on the US RN website.) The board is acquainted that civic standards charge be met, additionally the civic standards of Jamaica charge be abundantly accomplished afore the board will annals and authorization an alone whether they are accomplished in Jamaica or abroad.

Question: Are the Nursing Board and MOH acquainted that all the US nursing programmes charge accommodated this civic US criteria, accustomed by the above-mentioned bodies, afore participants in their nursing programmes can sit the Civic Licensing Examinations (NCLEX) and be accepted an RN licence?

Answer: The Nursing Board is acquainted of the regulations

Question: Are the MOH and Nursing Board of the appearance that all of the US training programmes are inferior to the abettor training programme in Jamaica? If some accommodated bounded standards, could the Nursing Board accompaniment which US programmes accommodated the bounded standards?

Answer: The Nursing Board is not of the appearance that US training programmes are inferior to the Jamaican training programme. However, all applicants who ambition to access a Jamaican nursing licence charge accommodated the aforementioned requirements. Aback they do, they are registered or will be registered according to the claim of the NCJ, as set out by the law. Amuse see the Nurses and Midwives Act, folio 6, area 9, annex 1, 2(a, b) and 3.

Question: Is there currently a attorneys to which nurses in altercation with Nursing Board decisions can appeal?

The board is acquainted that there is an appointed tribunal. However, this catechism would best be answered by the Admiral of Health as the abbot appoints the associates of the attorneys and additionally makes the rules for them.

However, we charge point out that this attorneys as set out in Second Schedule of the Nurses and Midwives Act, folio 16 deals with antidotal matters, such as cases area nurses, midwives and abettor nurses are addled off the Annals or Roll (see folio 8, area 12) Appeals to Nursing Abode Attorneys and annex 1, 2, 3, 4.

Question: Amuse analyze what instructions were accustomed to AS apropos allotment and whether or not they accept been agitated out.

Answer: The board has been in common chat with AS by way of letters, e-mails and blast calls. Our aftermost accord to AS anachronous March 20, 2018 brash her to appearance affirmation for hours completed in the operating theatre. She was additionally brash that as anon as all outstanding hours were submitted she would be registered and accountant as an RGN. The board awaits the acquiescence of the hours to authorization and annals AS as an RGN.

Question: If there is a tribunal, can you attentive account its members, accompaniment how generally they accommodated and how they can be contacted?

Answer: Amuse acquaintance the Admiral of Health.

Based on the Nurses and Midwives Act 1964, the Appeals to Nursing Abode Attorneys meets to abode affairs in account of bodies who are registered or enrolled beneath the Act.

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AS is not yet registered.

Members of the attorneys are appointed by the Hon Abbot of Health and as far as we are acquainted the Attorneys usually handles affairs of a antidotal nature. Amuse be brash that AS is the holder of an enrolled abettor nurse’s licence.

Question: Could you amuse accompaniment how abounding times in 2017 this nurses’ attorneys met?

Answer: We are not acquainted of the attorneys affair in 2017. However, amuse acquaintance the Admiral of Health for advice apropos this matter.

The MOH has absolute that the attorneys did not accommodated in 2017.

The NCJ a Tell Claudienne on Thursday that in March 2018, you were notified that you had abundantly completed all the appropriate coursehours to be accountant as a accepted RN, except for the operating theatre hours. You were told that you would not get the RN licence until you completed the operating theatre hours.

The board said that you accept not announced with them aback then.

When Tell Claudienne contacted you on Thursday to acquisition out if you were activity to do the operating theatre hours to get the RN licence you beatific us the afterward e-mail:

“This affair has aloof abject on too continued and I confused on with my life.

My activity in Jamaica was acutely adamantine for the years I was there abnormally the activity aback and alternating with the Nursing Council. To this day I don’t apperceive why the fight. Try as they ability to act as if nursing in Jamaica is above to that of the US, it isn’t. But that is not alike the matter. I am disenchanted with the arrangement in Jamaica. There is such a ability of causticity and the crab-in-the-barrel attitude. I don’t apperceive why it is so adamantine for us to advice anniversary added acceleration rather than consistently actively disturbing anniversary added down.

When I took my aboriginal nursing job in Jamaica with added new graduates as myself I was on par with them in ability and needing, as they did, experience. Sadly I accustomed a action at every about-face because I had abounding nursing academy overseas. Instead of actuality accustomed aback for my accommodation to assignment in Jamaica, I was consistently asked why I came back, as if I had been affected to acknowledgment due to displacement and had no added choice.

Instead of actuality helped I was hindered and taken advantage of by every academy I formed at. I was paid an unliveable wage. I fabricated on boilerplate $50,000 per ages and struggled to accomplish ends meet. But by the adroitness of God they met.

I accept no admiration to accompany nursing in Jamaica and would leave the profession rather than assignment a day there at any of those institutions, with the MOH or collaborate with the NCJ.

It’s not about the licence, it never was. Had I been advised with any anatomy of account or address from day one, this could accept had a added adorable outcome.

Thank you.”

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We ambition you all the best.

Have a botheration with a store, utility, a company? Blast 936-9436 or address to: Tell Claudienne c/o Sunday Finance, Jamaica Observer, 40-42 1/2 Beechwood Avenue, Kingston 5; or e-mail: [email protected] . Amuse accommodate a acquaintance buzz number.

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