First, I would discuss this issue with Flo to get all the details. I would also thank her for being so flexible and willing to help the facility out and let her know I understand this is not what was agreed upon or something she want's to continue doing. From there, I would get in contact with my Account Manager to inform them of the issues and get it taken care of immediately. I would let Flo know I'll keep her in constant communication and let her know when we have reached the desired outcome.
Every contract with PPR addresses the facilities float policy. The RN will float per hospital policy within the Nurses scope of practice. We have a manager who accepts on-call after hours so that we have someone available for our travelers 24/7. We instruct our nurses to call this number in case of any emergencies. Being asked to float out of their skill set would be one of the reasons to call. Our company would address the issue immediately with the facility to get it resolved.
I would reach out to our housing department immediately. Our housing department would work closely with the company or landlord to address any issues such as uncleanliness or insects. It's important that our travelers feel comfortable and safe wherever they stay. If housing finds the conditions are still unacceptable we would offer to find alternative housing options for our traveler. We always encourage our nurses to arrive the Friday before assignment to get their keys so we can address any issues if they occur prior to starting. We also send pictures and detailed information to the traveler prior to booking so they will have a better idea of what to expect.
First I would check to make sure they are ok! If this were to occur, I would continue to check in with the nurse until we had results back from the Doctor while also communicating with the hospital to keep them looped in. Most hospitals are willing to work with unique circumstances such as this. Ex. adding 2 weeks to the end of the contract. However, if this were an environmental issue and not something that can be taken care of, we would most likely find a new assignment once the nurse is cleared and able to start working again.
Nurse Roulette would become a priority for myself and the rest of our team! First I would make sure we have exhausted all resources and avenues to try and get the nurses started at this facility. If there is truly not a need then I would look into openings closest to them. If that is not an option, we would re-group and assess the best plan of action for them.
Be open and honest about what you are looking for. I like to view my relationships with my nurses as a team or partnership. The more communication, the better I'll have an understanding of what you are looking for. As a travel nurse currently I'd say it's very important to be flexible with at least 2 of the 3 - pay, location, or shift. At the end of the day, no matter what, I'll always be transparent, open, honest, and do everything in my power to find you a fun, exciting, and rewarding assignment!