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Paige Stalvey

Paige Stalvey
PPR 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:

If she has it in her contract that 10 miles is the radius agreed to, then we have what we need to 'go to bat'! I would get with our account manager here at PPR and have them make a call to their contact, to discuss why the nurse's concerns are warranted. Travel nurses are certainly there to help a facility, but they should not be taken advantage of.

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 tell her to refuse to float while we work this out with our contacts at the facility, and give our Clinical RN Manager on staff, Nicole, a call. She is available 24/7 for clinical emergencies. Nicole, as an experienced RN (who just so happens to specialize in mother/child specialties), would provide documentation from a clinical standpoint to the hospital that our nurse is not to be floated outside her safe scope of practice, and that we feel this is a liability for all parties.

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:

If this is provided housing through PPR, we would immediately book her in a hotel for a couple nights, while our housing company finds a more suitable option for her to stay in during her assignment. If this is housing she found with her stipend, I would jump in and help her find something else in the area nearby! I would also tell her to take these pictures to the landlord to get her deposit back and be with her every step of the way. That would be traumatizing!!

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, I'd determine what the nurse wants. Does she just want out of that contract and to get out of there when she is out of the hospital? It sounds like finding her a new contract ASAP somewhere better for her allergies would be the best move. In this scenario, I think the hospital would be very understanding that her staying for the remainder of the contract is bad for her health. If she does want to stay, due to being stuck in housing or wanting to finish the contract out- I would have my account manager work with the hospital to agree to giving her some OT shifts when she returns, to try to make up for some lost pay. States like CA have sick time, but unfortunately CO does not! Unexpected things like this can happen to both perm nurses and travelers, resulting in not being able to work. This is why I always recommend every traveler start traveling with some savings, so they are ready for the unexpected. If they are already traveling without any savings, I strong advise them to go somewhere with a good pay package and low cost of living for an assignment. That way, they can buckle down and save some money to cushion them for rough times and to make them feel more financially comfortable when on those 'fun' assignments, like Hawaii or Florida.

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:

Yikes, I have never heard of this ever happening with PPR! While I understand mistakes happen, I can't imagine a situation where this would take place with our account management and our processes. A confirmation of the assignment is signed by both the agency and the hospital when the assignment is first offered, and this is to keep this sort of thing from happening. If the hospital isn't signing this confirmation, this would quickly become a concern and we would ask them to please confirm the assignment before we move forward with further compliance, or our nurse hits the road. Let's say it does happen- the best we could do is to hit the ground running HARD on finding the Nurse a new contract, ASAP. I would get all account managers at PPR for all territories involved. Making things right for this nurse would become top priority for not just me, but all parties at PPR. The good news is the Nurse would already be compliant with PPR, so she would be able to start somewhere new very quickly upon offer.

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

Investing in your recruiter! When I've had good, long talks with my nurses about their goals in travel, and I am able to determine they want to make 'X' amount of money, or ultimately hit certain states- I am able to prepare you with the advice you need to make that happen! Also, the better I know you as a person, the better I will be at recommending locations and assignments I think you might love. Secondly, be flexible and open where you can! As many jobs as we have- the perfect job doesn't always exist and timing is everything in this industry! We have to work with what we are seeing open up during the weeks you are looking. Third- Licensure is big! If you are not a compact licensed nurse, ask your recruiter what licenses are worth investing in, with your travel goals in mind. If you are compact licensed, remember that these states are saturated with other compact travelers. If you are experiencing a delay in interviews and getting offers, it might be a good idea to grab a few non-compact state licenses for your collection.

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