
Mark Jones
Clinical Manager at AMN Healthcare International specializing in onboarding and supporting international nurses transitioning to U.S. healthcare.
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Jul 21, 2026
All About Med-Surg Nursing in the U.S.
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10:46

Deirdre O'ReganHOST
If you're getting ready for U.S. practice, expect your orientation to be robust, but also expect it to challenge your comfort zones as you learn the ropes of a new system.

Mark JonesGUEST
As Carl kind of mentioned there, orientation is crucial as you transition here in your journey to the U.S. because there are going to be so many different practice differences, different equipment, different policies, procedures, or culturally there may be some items or interventions that you were not allowed to complete as a nurse in the country you're currently working.

Mark JonesGUEST
And then when you come here in the U.S., it may be, you know, a basic expectation of your nursing care.

Mark JonesGUEST
So that's where we really focus our time and efforts in your orientation process, both pre-arrival to the U.S. and once you've begun working here in the U.S. All in all, your orientation should last quite a few weeks.

Mark JonesGUEST
And if you feel like you are not getting that orientation in your current work setting here in the U.S., then that's where we can jump in and help advocate for you.

Mark JonesGUEST
You know, we think we need a little bit more time or maybe we can do some help and teaching with you to help you feel a little bit more comfortable coming off of orientation.

Deirdre O'ReganHOST
So what does it take to thrive as a med-surg nurse in the United States? A commitment to learning, confidence to lead care, the humility to collaborate, and the courage to speak up for yourself and your patients.