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Robert Coffey

Robert Coffey
AB Staffing Solutions
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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:

Ask her what will make her happy. Not doing the traveling at all? Get reimbursed for mileage? If she says that its not about the money, and she just doesn't want to do it anymore, I would approach the account manager or department manager and make them aware that she would like to not bounce around so much and if they continue to do it, Flo (the best RN they've ever seen) will NOT be extending past 13 weeks. I would send Flo some other options in the area too, in case they refused to work with out demands.

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:

Ask Betty what she thinks. If she feels comfortable doing it, i'd give her the option. My nurses are honest when it comes to where they feel comfortable and patient safety, so i would trust her.

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:

A. That would never happen because our housing department girls do due diligence. But if it did, for whatever reason, i would call the AB Staffing housing Dept. and ask them to get her a hotel set up for the night until we figure it out. She would also know that i would reimburse her for any unexpected expenses if it was during the 6 hours per night i sleep.

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:

Ask her if she would prefer to go somewhere else or if antihistamines will do the trick? I usually remind my travelers to start taking allergy medicine before traveling to a new climate. If she thinks it will be ok, find PRN help for the 2-weeks; if not, find a replacement for her and start submitting her to more agreeable environments.

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:

She wouldn't have hit the road with out reporting instructions. But if it did, i would tell her to go back to the hotel while we figured out a solution with the facility. At that point, it would have to be fixable. If not, we would start hunting hard for a place she was qualified for and credentialed for. I have had to do something similar in the past. My company also refused to pay them until they got on assignment. I told him, and stuck to my word, that i would pay him for the missed hours in "bonus money" once he did start. I had negative margin a few times on his assignment, but he still travels with me. (Hopi HC in AZ at the moment).

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

Be flexible in the first week or 2 when you get on assignment. Once you are there, things will normalize and settle into a nice routine. 2. Feel free to call me out if i forget something. If you think i forgot to send you something, i probably did. Don't be afraid of insulting me or annoying me, that's part of the job description.

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