Become a USRN: A Step-by-Step Guide for Internationally Educated Nurses

Are you an internationally educated nurse looking to become a US Registered Nurse (USRN)? This guide simplifies the journey, offering actionable tips and insights to help you achieve your goal!

Why Become a USRN?

  • Career growth: Unlock better opportunities in the nursing field.
  • Financial benefits: Higher earning potential in the US.
  • Global recognition: Boost your professional credentials.

The Process Simplified

Step 1: Register with CGFNS

The Commission on Graduates of Foreign Nursing Schools (CGFNS) evaluates your credentials. Here’s how:

  • Create a CGFNS profile.
  • Submit your educational qualifications (RN or equivalent).
  • Add your work experience for the last five years.
  • Submit documents like transcripts and licensure verification to CGFNS.

💡 Pro Tip: If you’re from Africa, be prepared to manage delays due to local bureaucratic processes.

Step 2: Choose a State Board of Nursing

Each US state has its own requirements. Here’s what to do:

  • Research the state you want to work in and its specific requirements.
  • Decide between a compact state (allowing you to work across multiple states) or a non-compact state.
  • Register with the state’s Board of Nursing (e.g., Texas BON).

Step 3: Complete Nursing Jurisprudence & Fingerprinting

  • Nursing Jurisprudence covers legal and ethical principles.
  • Submit your fingerprints for an FBI background check.

📌 Pro Tip: If you’re in the UK, order fingerprint kits online and follow instructions for submission.

Step 4: Prepare for the NCLEX Exam

The NCLEX (National Council Licensure Examination) is required to become a USRN.

  • Materials to use:
    • Archer Review
    • Simple Nursing (great for visuals)
    • Mark Klimek audio reviews
  • Study tips:
    • Dedicate specific hours daily to study.
    • Schedule your time effectively, especially if working or parenting.
    • Use practice questions to identify weak areas.

💡 Pro Tip: Focus on understanding why answers are correct, not just memorising them.

Step 5: Obtain Your Authorization to Test (ATT)

  • Pay for your ATT and schedule your NCLEX exam.
  • You typically have 60–90 days to take the test after receiving your ATT.

Step 6: Pass the NCLEX Exam

  • Stay calm and follow these tips:
    • Manage your time; aim to answer each question within one minute.
    • Avoid guessing if you’re unsure, as negative marking may apply.

After the Exam

Immigration and Visa Process

  • Apply for a visa screen, which requires an English language test like IELTS (academic).
  • Work with an agency if needed for sponsorship or immigration paperwork.

Visa Options:

  • EB-3 Visa: A permanent residency (green card). Highly recommended!
  • H1-B Visa: Temporary work visa but may require more paperwork later.

FAQs

Q: Do I need IELTS before starting the process?
A: Not necessarily. Some state Boards of Nursing don’t require IELTS upfront. It’s often needed during the visa stage.

Q: Which agencies are legit for USRN migration?
A: Examples include O’Grady Peyton International and Global Healthcare Resources. Research their terms and reviews before committing.

Q: Can I do this without an agency?
A: Yes! Many nurses handle the NCLEX and registration independently. However, agencies are helpful for the immigration and visa stages.

Final Tips

  • Start the process early, even if you’re unsure about relocating soon.
  • Choose materials and study methods that work for you.
  • Never resign from your current job until your visa is secured.

 

Ready to Begin Your USRN Journey?

Don’t let procrastination hold you back. Start today, and take one step closer to your dream career in the US!

Toj

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