First, I would recommend that Flo speak with her nurse manager about the ongoing requests to go beyond the contractual agreement. I would also have TaleMed’s Clinical Director Susan Abbott reach out to Flo to talk through the situation and find the best path possible for resolution. If the issue is not resolved after speaking with her nurse manager, I would advise Flo to email a written statement about the multiple incidents. TaleMed will then follow up with the facility to get the issue resolved in a timely manner.
Nurse Betty should not float to the NICU if it is out of her competency; It would put her patients, hospital, and license at risk. Betty should explain this to her nurse manager, and if her duties on that unit would fall outside of her skills, she should deny the assignment. If Betty wants to get experience in the NICU, then she can do this by requesting help when floating to this level of care under supervision. If she is not wanting to float, TaleMed would reach out to the hospital on Betty’s behalf to get more information and work on a solution. We would also try to offer the hospital help by sending them a NICU nurse who would be able to fill their need and no longer require nurses to float outside of their competency.
This is an unacceptable situation for any of our travel healthcare professionals. Nurse Roach should return the keys to the manager, remove all of her things from the apartment and get a hotel for the night. TaleMed will reimburse her for the cost. We will use all the resources available to find ready to move in accommodations immediately. If Nurse Roach would prefer (since she is already in the area), she can opt to look for new housing herself before booking.
Sometimes, even nurses get sick. We'll take care of work-related issues so Nurse Asthmatic can focus on getting healthy again. I would advise Nurse Asthmatic to speak with her nurse manager about the situation. I would also ask Nurse Asthmatic for all medical records so that TaleMed has any and all documentation available regarding her illness. If the nurse manager agrees that there’s still a need, Nurse Asthmatic can return to the facility to finish out her contract once the two weeks are over and she has been cleared by a physician to return. If the hospital deems it necessary to cancel Nurse Asthmatic’s contract, TaleMed will relay all relevant documentation of her illness to the facility. Once Nurse Asthmatic is feeling better, we will work hard to find her another assignment.
Because of our onboarding process, this situation would be very unlikely for a TaleMed professional. However unlikely, my first step in this situation would be to communicate with Nurse Roulette and assure her that we will handle the situation. I would advise her to head back to her hotel/apartment and enjoy the day off. In the meantime, I would go to my recruiting manager and the account manager to find out where the lack of communication occurred and what exactly we need from the facility's HR department to get the assignment approved. Of course, I would be in communication with Nurse Roulette every step of the way.
Hands down, open communication between a travel nurse and a recruiter is key. We are our nurses’ biggest advocates. If there are issues, questions, comments or concerns - we want to help! We just need to maintain an open dialogue.