The first step for a nurse is to complete their nursing education and obtain the necessary qualifications, which usually include a Bachelor of Science in Nursing (BSN). This is essential for pursuing an RN career in the U.S. Additionally, they need to obtain an RN license in the state where they intend to work, which typically involves passing the NCLEX-RN (National Council Licensure Examination for Registered Nurses) exam.

Securing a job offer from a U.S. employer is crucial. Employers in the United States often hire foreign-trained nurses to fill the demand for healthcare professionals. It's important for the nurse to find an employer willing to sponsor their work visa or immigration process.

The specific visa or immigration process depends on the nurse's situation and the employer's preferences. Common visa options include the H-1B visa for specialty occupations or the EB-3 visa for skilled or unskilled workers. The nurse may need to go through the labor certification process to demonstrate that there are no qualified U.S. workers available for the job.

Once the nurse's visa or immigration application is approved, they can relocate to the United States and begin their RN career. The employer's support during this transition is often crucial, including assistance with the visa process, relocation logistics, and ensuring a smooth transition into the new role.

Settling in the U.S. involves establishing a life in the country, which may include finding suitable housing, obtaining healthcare, and adapting to the local culture. Over time, nurses may explore opportunities for permanent residency or U.S. citizenship.