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Justine Mallett

Justine Mallett
Health Carousel Travel Nursing
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Question 1:
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.
Answer 1:

Before Nurse Floating Flo takes the contract, I would make sure the nurse is comfortable with the floating clause to float to other hospitals. I will map out the other hospitals they could potentially float to and have nurse determine by the map if that is something the nurse is comfortable with. I don’t want the nurse to take a contract doing something the nurse is not comfortable with. • If this happens while the nurse is on contract, I would first listen to Nurse Floating Flo and gather information regarding how often nurse floats to other hospitals outside the 10-mile radius from nurse home and what the names of the hospitals the nurse floats to. I will ask nurse if they have discussed this with the nurse manager or the nurse in charge. On my end, I will let my account manager know so we can relay this information along to the hospital to ask why this has changed from the original contract. • The hospital could either come back and say they will stick to the 10-mile radius or say they will need the nurse to float to other hospitals outside the 10-mile radius. If the hospital agrees to stick with the original contract, then I will check in weekly with my nurse to ensure they are keeping their agreement to the original contract. If the hospital comes back and says they need her to travel to other hospitals outside a 10-mile radius then I will get information regarding how often to float, what are the potential hospitals the nurse could float to and I will ask if we can get travel reimbursement from the hospital since this a change from what the hospital already agreed upon. After I gather all that information, I will talk to Nurse Floating Flo and go over the new details of the contract and make sure the nurse agrees to the new contract.

Question 2:
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?
Answer 2:

I would make sure Baby Nurse Betty is comfortable with the contract before she signs it. I let all travelers know that they are the first to float but only within their scope of practice. I will make sure the “float to postpardium” is in the contract before the nurse signs it. • In the event that this happens, I would want the nurse to call me immediately because I don’t want their license or someone else’s life in jeopardy. I will ask the nurse how often they float to NICU and if they have discussed it with their nurse manager/charge nurse that they are comfortable with floating but only within their scope of practice. We have a Quality Improvement/Nurse Liaison on staff with immediate and advocate advise to give our nurse. We would not allow the nurse to continue floating to the NICU. • My company is big on promoting customer service and making sure the nurses are happy. I would not want my nurse to lose their license over floating to somewhere outside their scope of practice. • On my end, I will let my account manager know so he can relay this information along to the hospital. We would also take the statement from Baby Nurse Betty that our quality improvement nurse obtained to express the nurse’s concerns floating to the NICU.

Question 3:
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?
Answer 3:

I would immediately let nurse Roach know that she is in good hands and I will take care of the situation. Most agencies do not have a housing team on staff, but we do at MSO. I will let my housing team know so they can start looking at other options ASAP. I would have housing put her in a hotel until we can find the nurse the appropriate housing that accommodates her. There is always a travel and housing member available at MSO for emergency situations after hours and on weekends to resolve the situation before business hours resume.

Question 4:
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?
Answer 4:

First and foremost, I would be concerned with the nurse’s health. I would let the hospital know about what happened to the nurse, so all parties are on the same page. I would find out about what her doctor suggests and if the doctor is okay with the nurse to continue working her assignment or if the doctor suggests nurse leaving the assignment due to her health. The nurse’s health and safety is always the number one priority. • If the doctor is okay with the nurse staying in the area, then I will make sure the nurse is comfortable with staying for another 2 weeks to make up for lost time. I should know by now if the nurse experience is going good or not at the hospital and if the nurse is interested in possibly extending or staying there for another two weeks. I will follow up with the hospital to see if they are interested in us adding two weeks to thee end of the contract too make up for lost time. • If the nurse’s doctor does not want her to stay in the area, then I will find her another contract ASAP. I will also make sure the new area does not have anything that would cause the nurse to have another asthma attack.

Question 5:
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?
Answer 5:

This situation would not happen at MSO. I would ensure that the contract would be official and that the nurse would be cleared to go to work on both my agency and hospital ends. I would make sure to have all confirmations, contracts and first day instructions in order before having the nurse leave to go to Las Vegas. • If this did happen, I would let nurse Roulette know of the situation and apologize profusely about the situation. I would make this a big priority and get to the bottom of where the communication went wrong. I will find out from the hospital if they would still let the nurse start since the nurse is already at the hospital. If the hospital does not allow them to start, then I will find out if nurse can start later in the week. If the hospital does not want the nurse to work there, then I will find another contract ASAP.

Question 6:
What would you like travel nurses to know about being a great traveling nurse and making your job easier?
Answer 6:

The three most important things I am looking for in a nurse are honesty/transparency, communication, and a good relationship. I am very honest with my nurses regarding if it is good or bad news. Therefore, I would want the same thing in return. Honesty on the nurse’s end could be letting me know from the beginning what areas they are interested in and if they are for sure interested in the position I submit them for. Also, to be upfront about other possible job opportunities they are in the mix/entertaining. Regarding communication, I want to make sure the nurses are easy to get a hold of if I would need to get something from them. I am big on communicating with my nurses. Some of my nurses I talk to on a weekly basis or sometimes more than once a week. This leads into the last thing I would want and that is relationship building. We must work together as a team to make sure we get the nurse the best contract possible. I check in with my nurses to make sure the contract is going well and about if they have any concerns. I want my nurses to come to me about anything whether it is work or personal issues.

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