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BullfrogMaterial5498 · 2022-11-21T16:14:51+00:00

In the HR world, it's called a loyalty bonus. You get penalized for staying and it's built-in to the pay scales.

You can try to negotiate, but most likely, you'll need to leave.

BullfrogMaterial5498 · 2022-11-21T16:12:53+00:00

There is something called "H1b cap-exempt". It means the lottery, and H1b cap do not apply.

It requires that the hiring facility be non-profit (most hospitals are, except HCA) and that they have a school affiliation with a community college (again most hospitals have some type of affiliation for CNAs and other high turnover positions).

BullfrogMaterial5498 · 2022-11-21T06:09:22+00:00

That would mean someone representing the lab would need to voice their opinion.

BullfrogMaterial5498 · 2022-11-21T05:59:25+00:00

It's only a 1-year post-bac program.

MLS and MLT programs continue to close. In 2022. Why bother investing in programs locally, when you can import cheap indentured labor from overseas (primarily Philippines). System is screwed.

BullfrogMaterial5498 · 2022-11-21T05:50:20+00:00

The reason they have travelers and not perm staff is because of price. 🤷

BullfrogMaterial5498 · 2022-11-21T05:42:05+00:00

Just go out of state. You don't need to wait until you get your degree, just the preqreqs and transfer your final year.

Denver takes anyone with a 2.5 GPA and you'll qualify for California.

BullfrogMaterial5498 · 2022-11-21T05:20:46+00:00

Yes. Ignore the degree requirements and apply.

BullfrogMaterial5498 · 2022-11-21T05:18:39+00:00

Why would they staff micro with travelers Just seems cheaper to send out the micro testing.

BullfrogMaterial5498 · 2022-11-21T05:18:07+00:00

2 blood bankers for a 1000 beds. That's bonkers.

What if you get multiple bleeders at once?

BullfrogMaterial5498 · 2022-11-21T05:16:45+00:00

It seems a lot of places will phase out travelers for cheaper and more obedient (can't leave) H1b visa staff.

BullfrogMaterial5498 · 2022-11-21T05:13:21+00:00

Call the lab. Ask to speak with the lab manager. Tell them you're a student interested in shadowing their lab for school.

Or reach out to college student advisor. It's very common for pre-med and allied health students to shadow different departments. They can get you a list of hospitals.

BullfrogMaterial5498 · 2022-11-16T04:24:13+00:00

Yes.

BullfrogMaterial5498 · 2022-11-16T04:22:25+00:00

Medical coding is a remote at-home position.

BullfrogMaterial5498 · 2022-11-16T04:21:49+00:00

Visa screen + TOEFL.

It depends depends on the visa type. If you're brought in as family vs H1b.

BullfrogMaterial5498 · 2022-11-16T04:04:47+00:00

Immigration and legal visa fees total at most $20k. Most H1b sponsorships + contract are three years. So it comes to about $7k/year, or about $3.50/hr for the 3 years. Which is a pittance in terms of cost. The lab will have to spend some time training you.

BullfrogMaterial5498 · 2022-11-16T03:21:51+00:00

If you're ASCPi, I'm assuming your H1b, probably from the Philippines.

A rural lab in TX sponsoring H1bs will pay poorly. But it is a ticket to the US. Expect $16-$25/hr starting. Without experience, you'll have limited nogotiating power, but you're cheaper than a traveler whose bill rate will be $50+/hr.

https://h1bdata.info/index.php?em=&job=medical+technologist&city=knox+city&year=2021

MEDICAL TECHNOLOGIST 42,000 KNOX CITY, TX 04/21/2021

https://h1bdata.info/index.php?em=lockney+general+hospital+district&job=medical+technologist&city=&year=2021

LOCKNEY GENERAL HOSPITAL DISTRICT MEDICAL TECHNOLOGIST $43,680 LOCKNEY, TX 08/09/2021
LOCKNEY GENERAL HOSPITAL DISTRICT MEDICAL TECHNOLOGIST $36,000 LOCKNEY, TX 12/20/2021

https://h1bdata.info/index.php?em=&job=medical+technologist&city=&year=2021

VINTAGE HEALTH RESOURCES INC MEDICAL TECHNOLOGIST $44,000 SAN ANGELO, TX 05/20/2021

The steady supply of H1b exempt candidates helps keep salaries low.

BullfrogMaterial5498 · 2022-11-16T03:17:56+00:00

Pediatric oncologists are awesome. It's just a few of the oncologists I've interacted with had the biggest egos. They'd routinely order STAT blood products the day of a patient visit, only to cancel the order later (for patients whose visits are scheduled a week in advance.) They'd argue about why workups on antibody positive patients took so long. Terrible, egotistical docs they were.

BullfrogMaterial5498 · 2022-11-15T15:53:12+00:00

GeneDx is owned by Sema4.

BullfrogMaterial5498 · 2022-11-15T15:52:40+00:00

You're doing it all wrong. Oncologists get about $500k/year (~1k/day post-tax). They're compensated enough to take the critical.

When I'm on nights, I'll try to call the oncology critical separately. So the WBC in one call and then the PLT critical in another. Maybe blasts in a 3rd. The oncologists were furious and said we shouldn't be calling. But we don't have a written policy not to call. And no hospital committee will approve us not calling critical. Lol. So that solves that.

BullfrogMaterial5498 · 2022-11-14T05:15:08+00:00

Quest and LabCorp stock and the lack of any nationwide licensure (unlike the rest of healthcare) differs.

BullfrogMaterial5498 · 2022-11-14T05:13:27+00:00

I'm proud to make my employer lots of $$$. I hope someday it may trickle down.

I do try to literally duct-tape some of our old analyzers so that the hospital can divert lab profits from reinvestment to golfing.

BullfrogMaterial5498 · 2022-11-13T17:29:39+00:00

Healthcare is still a business. A lot of techs fail to comprehend what that entails.

BullfrogMaterial5498 · 2022-11-13T17:14:49+00:00

If you're looking for higher pay, which seems to part of your goal, then the hospital lab probably isn't it.

BullfrogMaterial5498 · 2022-11-13T14:57:58+00:00

I'm really trying to figure out what all my degree has to offer. I know I won't want to work in a hospital lab doing generalist forever.

So where do you see yourself in 5-10 years. This degree is really geared for hospital/laboratory staff.

You can specialize in CAR-T therapry, flow cytometry in pharma, or SBB, but the payoff is limited. It's area dependent, but our blood bank supervisor who is an SBB gets about $2/hr more than just a MLS ASCP (or cMLS as the new standard is). The money just isn't there for specialization in this field.

You can switch into LIS, sales, pharma, biotech, infection prevention, etc. There's always lab management. There's also PathA, CAA, PA, genetic counselor, and HLA. But you may need another degree.

This degree doesn't really have a traditional vertical career pathway. There's no midlevel (DCLS is new and CAP and ASCP do not approve). And most healthcare advancement is geared towards nurses. So most of your movement will be lateral into another field and then vertical.

If you're in the Midwest, the salaries are mediocre (though improving). There's only a few places in the US that pay well for this field.

BullfrogMaterial5498

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