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In a large metropolitan area, Nurse Floating Flo contracts to float between three hospitals within a 10 mile radius of her housing. Starting in the 6th week, the company ask her to float to a hospital 15 miles away, the 7th week she goes to one on the other side of the city, that is 30 miles away, plus one that is 17 miles away. The nurse is willing to take the first few, but after the behavior continues, she has had enough and voices this to her recruiter.
Even after the first instance being outside of the agreed radius I would be in contact with our client or vendor responsible for the assignment. Since it was outside of the agreed terms I would work to find out where the miscommunication happened, but also discuss what we can do to make it easier on the nurse. If we can offer additional compensation for mileage, I would do so.
Baby Nurse Betty is a skilled labor and delivery nurse, who also can float to post-pardum care after the delivery as well as the well-newborn nursery. At 7:30pm, the staffing company hotline gets a call stating that they want her to float to the NICU, which is beyond her competency level. What is your company’s response?
I would inform Betty to let them know she cannot float beyond her competency level per the contract and her liability. We would never want her to be putting any person or her nursing license at risk. I would follow with our contact at the hospital to let them know of the situation. In most cases we would make sure the nurse got paid for the shift if they cancelled her.
Nurse Roach is all excited about her first travel nursing assignment. She drives 750 miles to her new assignment housing. After getting the keys from management, she opens the door and three cockroaches scurry across the floor. After further investigation, she also finds a ring of mold in the shower. She can’t stand it and immediately texts you with pictures. How do you respond?
I would have her set up a hotel for the night and contact the housing complex right away as well as our housing department. If the complex was not willing to correct the situation (professional cleaning and extermination), I would immediately try to terminate any lease we had and seek new housing. Three standards would be close to the facility, safe and clean. And bugs and mold are unsafe and unacceptable.
You have worked with Nurse Asthmatic for 3 years now and she has done a great job for you, when she takes an assignment in Southeast Colorado. She envisions magic mountains that reach to the sky, only to find that she has landed in wheat country. Not wanting to cause problems she continues to work and everything is fine, until harvest. She has an asthma attack, ends up in the hospital, and is told that she is going to miss at least 2 weeks of work related to asthma induced pneumonia. How do you work things out?
I would definitely support her in what decision she had to make. Health isn’t my business, other than how it affects them on the job. If the job isn’t in a place she can be well, then this might be a loss situation. If the nurse wanted to stay and was able to work out medication solutions, I would definitely work with the manager to see if they would be understanding and allow the contract to stay open.
You have worked hard to find Nurse Roulette a job in Las Vegas. You send the nurse a contract that she readily accepts, signs, and sends back. The next morning the bags are packed and Nurse Roulette is on the way to the assignment of her dreams. At 0800 she is out the door and to the hospital. Checking in with HR, they inform her that there is no contract between the hospital and the company, related to the fact that it has not been approved by HR. About the same time, the recruiting manager comes to you and tells you not to send Nurse Roulette on the assignment. This shouldn’t have happened, but unfortunately it does happen. What do you do?
The first thing is to find out where things went wrong and try to get the contract established. We would have written proof of the interview and offer. If there was no chance of placing her , we would look at other hospitals in Vegas. If no solution was to be found, we would pay the bill to get the nurse home.
What would you like travel nurses to know about being a great traveling nurse and making your job easier?
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The people I love working with are positive and driven. I don’t need them to sell themselves, so much as be them selves. If you mesh with someone and can find out their goals, it is such a pleasure to help them with their next journey. As always, the less flexible, the less options. Being able to bite the bullet and help out a struggling hospital in a less desired area can sometimes be a blessing in disguise, and open the doors for a fantastic contract down the road. My nurses and I share stories, they can be frank and candid with me, I am sometimes their only contact, and I want to be that for them. Honesty is a must have as well.