It is never fun to have curve ball after curve ball thrown at you as a Traveler in the midst of an assignment. In this case I'm a fan of referring to the source of record which is the confirmed details of the assignment. These details should always match between SquadBuilders/Facility and SquadBuilders/Traveler. So my ear is open let me hear it - if the floating farther is too much, it is a conversation we need to have with the facility/vendor to reign the floating back in to the 10 mile radius. In my experience 99% of hospitals are going to stick to the contract and what was agreed. I tell the travelers who I'm fortunate to work with - tell me everything that is even remotely a concern as early as possible so we can address, find a solution and move to a successful remainder of the assignment.
This actually happened to me about a year ago. I asked my traveler to pass the staffing office number to me (after she text me) and I called the coordinator to discuss and explain the specialty area wasn't in her wheel house and she nor the patients would be setup for success and [Betty] needed to stay in L/D or float to an area of competency, which NICU is not. I followed up with my vendor manager the next day to make sure they understood the situation and that our traveler didn't refuse to float etc. All worked out fine and smooth.
Since we are a smaller firm we don't do provided housing. But if this was happening - I'd be on the computer and on the phone trying to find a hotel (roaches not included) to "bridge" their housing for the first few days and make sure our nurse has a good place to stay. Hotels aren't that costly especially for a few days and that is worth us assisting with to help the assignment start smoothly.
We have a saying at SquadBuilders - treat our travelers like family - and that is what we'd do. Make sure our nurse gets well and in the process find a solution. I'd want to discuss if the providers caring for our Traveler feel they will have more attacks, if so then we'd have to communicate with the hospital and properly exit the assignment. After working together for 3 years, we'd find a new gig once the nurse is back to full strength assuming they are up for it. I never want an assignment to end but if it is a threat to a clinician's health, we have to act in their best interest.
Correct - this shouldn't have happened as we typically always ensure we have a confirmation form signed by us and the facility within a few days of offer while we're working through compliance. BUT if it did happen, we'd cover travel costs and typically additional compensation for lost time etc. Then we'd work to see if the facility can make a spot for the Traveler - or look to find a new position close by or in a new location if the Traveler is still willing.
If you're flexible, a hard worker, take pride in your abilities as a clinician and communicate openly [with me] your life as a traveler will be prosperous. We feel lucky we don't have a ton of contracts gets cancelled - but when it happens I'd say 95% of the time it is because the traveler has poor attendance, personality conflicts with staff and/or are not willing to meld into being part of the hospital team. It usually isn't a clinical issue. I love the travelers I work with and they mean the world to me, so when someone falls in these positive attribute categories I'll move Heaven and Earth to make you happy and work with you for as many years as you'll allow. P.S. have fun as often as possible, that makes everything better.