A Comment by Melchor Aquino to the Senate Press Release Entitled “Gov’t Should Address Lack of Local Jobs for Nurses”
The following is originally a comment by “RN#2” to the post entitled “Senate Press Release: Gov’t Should Address Lack of Local Jobs for Nurses” (published September 8, 2010).
I asked for RN#2′s permission to make his comment into a post. He chose “Melchor Aquino” to be his pseudonym.
To Whom This May Concern,
I do not know if this website is an avenue for a person like Sen. Angara to actually read, nonetheless, there is no harm in trying.
I very much think that this program is a big BULL. It’s the same with the NARS program of DOLE before. Nothing much had really became of the nurses who participated in that program. Needless to say, they’re all jobless still. I know because I am one of them.
So what do I think is the solution for this problem? With very limited money that the government could give to us poor nurses and with the us very oversupplied, there seemed to have no solution at all.
Here is what I think. We need to sacrifice. And there are certain laws that should be rescinded.
For nurses to actually qualify to work abroad, one must have that very precious hospital experience. Telehealth nurses? It’s not going to help a nurse’s credential when he/she will wish to go abroad. NURSES NEED HOSPITAL EXPERIENCE for crying out loud. Please do not waste your money into this program as the nurses who will be participating in this program will still find themselves at the end jobless after the contract. Us NURSES, much as we don’t want to say it, dream of a better life because of the temptation of a better pay abroad.
So what should the government do?
Hire these nurse to WORK IN THE HOSPITAL but limit the contract for only a span of two years since this is the minimum requirement if one wants to go abroad, right? Demand these nurses, with the help of POEA, to secure job offers abroad. Now here’s the catch, deduct a small but generous amount from their salaries. The money that will be collected will be used to fund future participants of the program for their salaries.
I know that this might not sound very favorable to some but, we need to keep the program running. Let’s admit it. We can’t expect the government to prioritize, with all the problems of the government, the national budget to this. We need to be realistic. We all howl to ask for alms but there’s really too little to expect.
With the 15million budget, let us also study if instead of giving the minimum wage, of 8k, we could bring it down to 2.5k or 3k, only enough for some personal expenses. I guess with the very limited budget we have, we could stretch the money so that it can be allocated to more nurse participants.
It’s just my personal say. Though, this I belive, has a very high percentage of being the BEST solution for this problem. And I apologize because it’s too long. Hell, i just need to let this out.
Hi RN#2 / Melchor Aquino
You addressed your letter “to whom it may concern”…so I guess I am qualified to make a response since I am currently working as a Telehealth Nurse.
First of all, I am not here to contradict your opinion. You have every right to express that as much as the next person (which is me). I am just here to offer another perspective into this issue.
If I may quote you:
“I very much think that this program is a big BULL. It’s the same with the NARS program of DOLE before. Nothing much had really became of the nurses who participated in that program. Needless to say, they’re all jobless still. I know because I am one of them.”
To say that a program not yet implemented is cow poop, and compare it to your bad experience with an existing program is a bit assuming, don’t you think? I’m sure your case is not an isolated one. I know nurses who have the same experience as you…even worse. But you can’t outright say that it is complete crap if you haven’t experienced it yet. And me? I know it’s not. I know because I am one of them.
Again, let me quote you:
“So what do I think is the solution for this problem? With very limited money that the government could give to us poor nurses and with the us very oversupplied, there seemed to have no solution at all”
Why bring down a proposed solution when you can’t give an alternative? You did mention in your next paragraph that what we need to do is sacrifice and proposed a solution later. But then you say that “Us NURSES, much as we don’t want to say it, dream of a better life because of the temptation of a better pay abroad. ” Can’t one of your sacrifices be that dream of better pay?
In the first place, why are we oversupplied? because we were overly dependent on the foreign demand. The problem with being too dependent on the international market is that when it goes into crisis (like what recently happened), we are immediately affected.
We have a surplus of nurses yet ironically 7 out of 10 Filipinos die without even seeing a health professional. Don’t you find something wrong with that? That is where us nurses have to sacrifice our dreams abroad – to help those in our country first.
What this program is trying to do is generate local jobs in a country that vastly needs improvement in healthcare. Technology can bridge that gap..especially in an archipelago like our country where communication can be a real bummer. That is where telehealth nurses come in.
Again, a quote from your post:
“So what should the government do?
Hire these nurse to WORK IN THE HOSPITAL but limit the contract for only a span of two years since this is the minimum requirement if one wants to go abroad, right? Demand these nurses, with the help of POEA, to secure job offers abroad. Now here’s the catch, deduct a small but generous amount from their salaries. The money that will be collected will be used to fund future participants of the program for their salaries.”
The problem with this solution is that it relies on too many factors to succeed namely:
1. the demand for nurses abroad must be constantly high.
2. the staff nurses already hired must be willing to submit to give up their work
3. the hospitals must be willing to train nurses again and again at their own expense.
let’s say #1 is not met (which has already happened), then the staff nurses who want to go abroad have no option but to keep their current jobs. lets say #2 is not met. if you limit the lifetime of a staff nurse’s work to only 2 years, it still doesn’t guarantee that they will have a job abroad. Staff nurses who are already hired will not want to quit their jobs. let’s say #3 is not met. the hospitals would be more than willing to keep their current staff since they are tried and tested, and it saves them time and money from training new staff every now and then.
let me just remind everyone that nursing is not limited to the hospital, to the ward, to tertiary care. As long as there are patients that need care, where it be in the hospital or in their homes, nurses will be needed.
So what is the root problem here? Most nursing schools focus on teaching the hospital setting because that is the field in demand abroad. They set aside public health as the least of their concerns because it doesn’t bring the big bucks.
You also mentioned that this line of work won’t be marketable abroad. Then why am I invited to attend a conference in the United States about mobile health this November organized by many international institutions (can’t list them..my post is already too long..maybe later if you insist)? Then why is it that Nurse Informaticists (which telehealth nursing could be considered as part of) is one of the highest paying nursing jobs in the US? Why is it that UK is willing to spend 20 billion dollars on Health IT? Because technology and health are intertwined. Because correct information is critical in health care.
Creating a new field of nursing isn’t such a bad idea. I’m sure many nurses out there didn’t really want to be a nurse. You were either forced to be one by your parents, or you wanted the American dream. This is your chance. By a hybrid nurse. Don’t go to the already congested road of staff nursing. Create your own path where others may follow.
If you like to research, be a nurse researcher. If you like computers, be a clinical systems analyst. If you like children, why not start a day care center. If you’re a nurse who can bake, why not make a bakery that sells healthy pastries?
You just have to think outside the box. Hell, screw the box.
Last quote from you:
“And I apologize because it’s too long. Hell, i just need to let this out.”
Mr. Panda,
First of all, I want to thank you for this “another perspective” of yours. So, here’s what I think.
Yes. I believe that this program (telehealth nursing) will be a complete “cow poop” like the project NARS program. BTW, I noticed your sense of conservatism. I think it’s funny. Anyway, I do not know if the government should invest into a not so common field in nursing. Don’t you think it’d be better that we target putting nurses in the hospitals first rather than give them cellphone loads or something? Nurses should really be in hospitals. Don’t get me wrong, although there may be other settings which a nurse may practice his profession, LET US PRIORITIZE HOSPITALS first. With this, we not only give nurses jobs but also we improve the quality of care in hospitals. Why make a new program when we all know that there still is an existing problem that needs to be solved, like nursing shortage in hospitals. We need to solve this problem first.
So, let me quote you too:
“But then you say that “Us NURSES, much as we don’t want to say it, dream of a better life because of the temptation of a better pay abroad. ” Can’t one of your sacrifices be that dream of better pay?”
Who does not dream of a good life? I want to help but I am no charity. I think when I say better pay, what I am referring to is fair compensation. Do you think nurses are fairly compensated in the Philippines? I think that, we all just want to have a simple yet decent kind of living.
Quote #2:
“The problem with being too dependent on the international market is that when it goes into crisis (like what recently happened), we are immediately affected”.
Yes. We are affected. Your point is?
Quote#3:
“That is where us nurses have to sacrifice our dreams abroad – to help those in our country first”.
I strongly agree. Who doesn’t want to help? But you see, you’re not being realistic here. There are bills to pay. Filipinos will never dream of going into some shitty place abroad only if there are compensated decently here.
Quote #4:
“What this program is trying to do is generate local jobs in a country that vastly needs improvement in healthcare. Technology can bridge that gap..especially in an archipelago like our country where communication can be a real bummer. That is where telehealth nurses come in.”
You know why Philippines can’t do that right now. If you’re referring to UK and the US and them investing into this field of nursing, then that is going to be really helpful in their country. But, Philippines. We need to address the problem of shortage of nurses in hospitals first. US and UK have excellent healthcare quality. Philippines? You be the judge.
Quote #5
“The problem with this solution is that it relies on too many factors to succeed namely:
1. the demand for nurses abroad must be constantly high.
2. the staff nurses already hired must be willing to submit to give up their work
3. the hospitals must be willing to train nurses again and again at their own expense.
Yes. It’s complicated. There are a number of factors to be considered. I never wrote anything about simple, anyway. Demand for SKILLED nurses, as of current, is high. I cannot assume that it’ll always be high but it’s better than having no experience at all. It’s important that nurses that will be hired for the program be terminated so that other batch of new nurses can also gain experience. The hospitals may opt to hire these terminated nurses on their discretion. If a regular nurse from the hospital retires, the terminated nurse may apply for the position if the POEA, can’t secure him a job offer abroad. But with the trend now, there is a very slim that an experienced nurse will not find a job abroad.
Quote#6
So what is the root problem here? Most nursing schools focus on teaching the hospital setting because that is the field in demand abroad. They set aside public health as the least of their concerns because it doesn’t bring the big bucks.
I don’t know about this one. We don’t attend the same school.
Quote#7
You also mentioned that this line of work won’t be marketable abroad.
I can’t remember if I wrote somethin about marketability, but, i think we need to solve the quality of care in HOSPITALS first before we consider the others. Though, I’m not saying this is less important.
Quote#8
Then why am I invited to attend a conference in the United States about mobile health this November organized by many international institutions.
Whoa. Really. You think you could hook me up too with this one.
I’m interested too.
Quote #9
Creating a new field of nursing isn’t such a bad idea.
Yes. If only we live the same as US or UK when healthcare quality is excellent.
Quote #10
If you’re a nurse who can bake, why not make a bakery that sells healthy pastries?
This one’s funny. So a baker without a nursing degree does not sell HEALThY pastries. You serious? Goldilocks will sue you. And as for the other careers you mentioned, I do not know if there are current job opportunities like that in the Philippines. Let me know. I may just apply tomorrow.
RonaRN,
Thank you for doing this BTW. Appreciate it very much.
@RN#2 – you’re very much welcome.
RN 2,
I can sense na sarado na ang isip mo on your ideas. Sayang I was expecting good rebuttals. I wanted this to continue..but I have better things to do than argue here. I have tons of work piling up…
To others, if you want to give replies, feel free to do so.
Good luck on your endeavors, RN#2.
i love it mr. panda!
we are indeed faced with an oversupply of nurses and we cant just sit down and post sentiments online to get a nursing related job. i believe that nurses are holistic people and we were trained to be in any field of nursing we opt to be. let us not just open our doors to bedside nursing, since there are actually MORE people who needs professional care in rural areas or even in urban health centers.
you do not need to go abroad to be a self sufficient, financially stable nurse/person. you just have to maximize the opportunities on deck, because honestly, there are a whole lot of them, and we are just blinded by the BETTER PAY abroad, when we can actually get it here. i know a lot of them. you’ll never know, i may be one of them
@frost – your last 2 sentences rhymed:
I have no point at all for saying that. I just thought it was cute. Anyway! A little off-topic but the arguments here had me thinking about making a career out of this website. I think that would be the farthest a nursing career can be away from a hospital setting but heck I love answering inane questions here like:
That’s just one of them. No, I do not know too how she passed the board exam. Straightening them out through this medium is my own little contribution to the nursing community using a non-traditional “nursing career”, if you may.
@frost – thanks frost! nurses are holistic people because a lot of them didn’t want to be nurses in the first place. offering hybrid jobs that integrate health with other fields is a good way to let them practice their profession yet do what they want at the same time! me i’m really having a heck of a time in my line of work. telehealth nursing isn’t just limited to answering phone calls. it gets me to try new applications, devices, etc. so it’s really fun!
@RN#2 – i have an idea, i’ll just comment on your post bit by bit…
you said,
“BTW, I noticed your sense of conservatism. I think it’s funny.”
Dude, i’m a guy wanting to have baker nurses and i’m working as a telehealth nurse. that’s a bit radical and not conservative, if i do say so myself. what made you say that i was a conservative? just curious….because i regard myself as more of a liberal type of person.
@ Rona RN – Yes! that’s one option of a hybrid nurse i was talking about!
basically, a hybrid nurse = registered nurse + a hobby, another course, another field. it doesn’t have to be telehealth nursing, per se.
guiding others with the use of a website is a really good example and i have a lot of friends who use this site to be updated in nursing. keep it up!
@mr. panda – thank you! that inspires me to do things better around here.
@Mr. Panda
I was referring to cow poop.I think it’s conservative of you to use cow poop instead of the “BULL” word i used. Anyway, it’s just me. I don’t know you personally so I may be wrong.
@Frost
Quote#1:
let us not just open our doors to bedside nursing, since there are actually MORE people who needs professional care in rural areas or even in urban health centers.
I agree. Philippines need more professional care.And that is why we need to open our doors FIRST to bedside nursing beside anything else. Philippines does not have a prolific quality of bedside nursing today. Why would we go to telehealth nursing when we all know that the country is still deficient with NURSES IN THE HOSPITALS.
Quote#2
you do not need to go abroad to be a self sufficient, financially stable nurse/person. you just have to maximize the opportunities on deck, because honestly, there are a whole lot of them, and we are just blinded by the BETTER PAY abroad, when we can actually get it here.
Yeah right. So that entirely explains why there’s a hell lot of nurses without jobs until today. I don’t think they’re blinded with the BETTER PAY abroad. It’s instinct that a nurse would go look for a more related job. But where are they now? Underemployed in call centers.
I pity Melchor Aquino aka RN#2 for complaining about his life as an unemployed nurse. Ranting won’t get you anywhere so just find a bleeping job as a call center agent or a writer. Hehehe.
employedRN,
I do not want to disrespect anyone in this forum. So, I will try to understand that some people are “shallow”. You are rather more pitiful. Hehehe
If I wanted some “job” I could have possibly had one a very very long time ago. But I’d rather have a career. No offense to anybody working as writers or call center agents. It was their choice and they have their own reasons. It could be financial. I don’t know. Heck, it’s personally not my business to know their reasons either. Pero one thing’s for sure. They’d rather be professionals working in hospitals rather than telephone operators and essay writers.
Kung walang mag-iingay, sino ang mag-iingay? Kaya ang lala ng problema na ito sa Pilipinas kasi walang nag sta-stand-up. Walang kumikilos. Tanggap lang tayo ng tanggap. Akala tuloy nila ok lang sa atin kasi porket may mga call centers naman at etc.
Pinamumukha mo ba sa akin na dahil employed ka at ako hindi e nakakaawa na ako? Excuse me. Marami talagang Pilipino ganito ang mentality. Hindi ko masisi kung bakit ang Pilipinas ganito parin.
Oo wala akong trabaho. Pero mapalad ako na medyo well-off ang pamilya ko. Ayokong magyabang.
Tulad ng sinabi ko. Let’s stand up. Matagal na itong problema na ito sa mga nurses at ang mga govenrment organizations tulad ng PRC, PNA, DOLE, etc. e hanggang ngayon wala paring konkretong magawa. Mga grupo sila ng mga pulpol.
hi guys, i’m back!
@rn#2 – can i ask you some questions? i maybe able to give you sound advice after hearing some of your answers…
1. why did you take up nursing?
2. if you didn’t take up nursing, what course would you have taken?
3. have you already met a person whose dream job was to become a nurse?
to be fair, i will answer these questions as well after you have answered.
thanks…
hmm, it might be more fair if i give my answers first.
1. i took up nursing because my girlfriend wanted to take up nursing. yes, my reason was that simple…what can i say, i was a kid back then with simple goals in life.
2. i wanted to do a lot of things – vet med, creative writing, computer science, mechanical engineering..i wasn’t sure what i wanted..so that was probably another reason why i chose nursing instead
3. no. most reasons i hear include: (1) to go abroad, (2) pre-med, (3) coerced by parents, (4) it was the popular course that time. note: i did not count those people who loved nursing after experiencing it…the question pertains to those people who really wanted to become a nurse ever since they were a little kid or something.
Mr. Panda,
Whatever my reason of taking up nursing has nothing to do with the current appalling situation of nurse employment in the Philippines today. I do not know what your point is but, I will answer your questions out of courtesy.
1. was not sure of what I want. nursing was really very popular among my friends back then. One of them even said, doctors go back to school to take nursing.
2. I don’t know. But I’m interested with computer design. Unfortunately, I do not draw well and I am not good in Math.
3. Yes. She really wanted to become a nurse ever since she was a child. She told me that if she had the money, she would build a geriatric institution.
Mr. Panda,
And one more thing.
Quote:
“Sayang I was expecting good rebuttals. I wanted this to continue..but I have better things to do than argue here. I have tons of work piling up…”
I don’t think my rebuttals are good. They were GREAT. Do not be pretentious.
If you were bored by them, and I assume you are not, then I suppose we will not be having this discussion until now. Why waste your time talking/writing to me if you know I am full of shit in the first place.
@RN#2 – wow..tagal na nung quote na yun a. let it go hahaha.
the rebuttals i were expecting was that of an open-minded person…dun ako nanghihinayang.
i continue writing to prevent others to become as close-minded as you. your attitude maybe one reason you can’t land a job. also, you tend to contradict yourself on some of your points. don’t take this as something bad…it’s just an observation.
a piece of advice: if you want honey, don’t kick the beehive
as for your answers. i wanted to know if i can suggest a hybrid nursing job to you. you’re too focused on staff nursing where everyone wants to be. if you really want to go abroad, a hybrid nursing job can be an alternative since there are less people capable of doing it…it’s simply supply and demand.
computer design? are you talking about 3D graphics or just photo editing? if you have the time, why don’t you try a program called GIMP..it’s a free and open source software so you can download it for free. here is the link: http://www.gimp.org/
for 3D graphics, try blender (also free): http://www.blender.org/
how can you relate these to nursing? you can try making video / animation tutorials for health…either target audience is the public or fellow health professionals. after which, you can make a research about it…to see if your tool makes a statistical difference.
submit your proposal to a research institution, the next thing you know, you’re going abroad showing your presentation. international organizations are very accommodating to delegates from developing countries.
i believe many other nurses wanted to take other courses. i also believe that a lot of smart people took up nursing. i know people from science high schools, valedictorians, who took up nursing for the wrong reasons.
this has created a congestion of smart and skilled people in the nursing profession..how many future engineers, lawyers, doctors, bakers, were sucked by the black hole we call nursing? hybrid nurses will allow them an escape route..an eject button so to speak…to pursue the career they really want AND relate it to healthcare. 3 birds in one stone, baby! 1st bird – job generation
2nd bird – self actualization for these hybrids
3rd bird – provides holistic healthcare to Filipinos < biggest bird…
hybrid nurses will alleviate some of the congestion…making those who really want to be staff nurses not have so many competitors. also, focusing on staff nursing still promotes the brain drain problem…basically your end goal is to just go abroad…the primary problem of improving healthcare in your mother country remains unsolved.
my solution, however, does.
hi RN#2! let me tell you something.
this is my clarification of your statements/response to my statement that we should not ONLY focus on bedside care.
“I agree. Philippines need more professional care.And that is why we need to open our doors FIRST to bedside nursing beside anything else. Philippines does not have a prolific quality of bedside nursing today. Why would we go to telehealth nursing when we all know that the country is still deficient with NURSES IN THE HOSPITALS.”
are you trying to say that to be able to give a quality professional care, nurses should first try out hospital jobs? do you mean that nurses practicing in health centers and those others trying to help the indigenous folks are not rendering professional care? i dont see the point of you saying that nurses should FIRST open their doors to bedside nursing before anything else. (this is probably true if you want to go abroad and get BETTER pay as you say. but mind you, there are also other nurses in other fields who are qualified to go abroad and get better pay as well.)
i have been taught in a good nursing school, by great professors and none of them ever told us that working as a staff nurse is a prerequisite before landing to any other nursing fields. none of them ever taught us that to be able to uplift the quality of health care in the country, we must first try out hospital nursing. besides, if all nurses would think your way, there will be a continued high supply of nurses who are unemployed.
another issue is that you tend to degrade telehealth nurses with your statements. you are a nurse yourself. and readers of this blog are not only nurses, but the whole world. what would they say about you if they have read that a nurse is disgracing another nursing field? come on. you are unemployed. the next best thing to do is to uplift your profession if you still want to be employed as a nurse.
“Why would we go to telehealth nursing when we all know that the country is still deficient with NURSES IN THE HOSPITALS”, you say.
simple. because hospitals do not have enough funds to pay for additional nurses.
now, would it be better if you have said,
“why NOT go to telehealth nursing when we all know that the country is still deficient with nurses IN THE RURAL AREAS?”
YES. telehealth nurses, do a lot. i dont know if you are knowledgeable of their functions, but you can always google it up since i sense that you are an internet bummer.
lastly, i guess you are a bit blinded by hospital nursing. do some reflection first before you post anything again on this blog that will break you.
To the nurses looking for something to do…
There are almost 1,000 families in Botolan that are still in evacuation centers FOR MORE THAN A YEAR after their dike was breached during Typhoon Kiko.
RN#2, maybe you would like to organize a group of nurses that can volunteer for these families? Many children and elderly are getting sick and need proper care. There are less than 5 rural health nurses assigned to the schools in Botolan. (Good to know your family is well off, you could have time to volunteer)
I’m sure volunteer experience for public health would look good in a nurse’s resume. There are many international health organizations that would be impressed with rural health experience and volunteer work.
And Mr. Panda’s comments on information technology and health are quite applicable especially in the urban class room setting. For rural areas, videos and educational materials on health would be very effective in teaching children simultaneously the value of hygiene.
@bayoguro – this sounds like a good idea. A lot of new board passers here are itching to do something even just volunteer work.
Currently, there are only a few students who are enrolled in Nursing. Even PRC discourages new highschool graduates to take up the course. I think that time will pass, and there will be another nursing shortage. Those who delay gratification are those who succeed most in life. So its best if we would be patient and grab every opportunity that we can.
I for one, would grab that Telehealth Nursing opportunity once I get my license in a few months time. I am interested in Computers and I’ve researched in my thesis that Nursing Informatics plays a big role in improving nursing education and patient care as well.
Hi
@ RN#2
You have a point. I am currently applying as telehealth nurse (The pay is really good)but they require at least 1 year hospital experience. Hassle because I only have 8 months hospital experience and hospitals are really freeze hiring but they will try to reconsider because i have MSN.
Guys, to those who do not know which field to take after BSN, why not take up masters? Iv heard it is equivalent to a 2 year hosp expereince when you are thinking of going to canada or USA. Im not sure, please research. If you have no plans going abroad this might just give you an edge when appplying for a high paid job here. there are schools who offer rigid everyday classes. and instead of two years, masters will only take a little over a year.
Mr. Panda you must have done something good thats why God blessed you. Id like to know where you are connected as telehealth nurse, if its ok with you. If they accept nurses with no hospital experience I think alot of nurses will take the plunge to apply in your company. I will be one of them.
It is impossible to make people understand their ignorance; for it requires knowledge to perceive it and therefore he that can perceive it hath it not.
Jeremy Taylor
di na add yung comments ko earlier…anyway repost.
@hope: here is a link that are looking for telehealth nurses w/o hospital experience
http://www.bestjobs.ph/bt-empd-fapi.htm
i believe the national telehealth center is also looking for nurses…but i think they prefer those who have comsci background
there is also a master’s on health informatics in up manila – http://www.philippinenursingdirectory.com/2010/09/23/up-college-of-medicine-master-of-science-in-health-informatics-mshi/
hmm i can’t seem to add comments…
oh i can’t add comments with the previous url..hmmm hanap akong ibang sites
anyways,
@hope: try looking for asian telehealth services
http://www.careerjet.ph/jobs/a/asian_telehealth_services_inc.html
or medical butler
http://www.medicalbutler.com/
i heard the national telehealth center is also looking for telehealth nurses with comsci background (i think rona rn has a link for that)
also, up manila also has a master’s of science in health informatics (rona rn also has a link for this…)
hope this helps…and i reiterate that i don’t advocate telehealth nursing only…but rather hybrid nursing in general.
@mr. panda – thank you for those links. what URL (post) where you trying to originally post this comment? I may have to adjust something.
@mr. panda – sorry about that. your posts were going straight to the spam comments because of the multiple links. approving them now.
@rona rn – no need it’s the same banana naman…thanks anyway hehe!
@mr. panda – ayus yun ah. meron pala nangangailangan ng mga telehealth nurses sa mga private companies ngayon.
hi – is it just me !! can any one explain why when i type in the bing browser “www.philippinenursingdirectory.com” i get a different site yet whe i type it in google its ok? could this be a bug in my system or is any one else having same probs ?
alf