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Todd Lushin

Todd Lushin
Uniti Med
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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:

Ialways start any situation by gathering information. I would start by askingNurse Floating Flo about any conversations that the house supervisor or chargenurse had with her previous to these daily assignments. I would then review thecontract (which I do meticulously prior to signing) to find the exact verbiagerelated to floating. Regardless of the contract wording, I would then contactthe main facility's house supervisor and express concern regarding theassignments and try to come to a reasonable solution. I always tell thetravelers that I work with that I am their buffer and their "eyes andears" when it comes to anything related to their contract. If no reasonablesolution could be agreed upon, I would then discuss changing assignments.

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 am a nurse myself, and I take situationslike this very seriously; floating to an unfamiliar modality means riskinglicensure. I would tell Baby Nurse Betty to refuse this assignment. I wouldthen be on the phone immediately with the house supervisor to have a verystrongly-worded conversation about the appropriateness of this assignment. Iwould stress that an assignment like this is risking patient safety.

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:

Iwould ask Nurse Roach to turn around and get a hotel room for the night whilewe work on a solution. Clearly, this housing option is inadequate and newaccommodations will need to be found immediately. My first course of actionwould be to ask Nurse Roach to ask her new coworkers if anyone is subletting aroom or knows of any reasonable rentals in the immediate area. Simultaneously,I would provide our company resources for housing options (we offer informationto assist our traveler). I would also be online to help the nurse find moreappropriate housing. My goal would be to have three reasonable options by theend of her first shift.

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:

Iwould explain to Nurse Asthmatic that she simply cannot complete this contractand risk further damage to her health. I would never encourage a nurse tocontinue in a contract that in detrimental to his/her health. I would follow upthat conversation by contacting my client managers to facilitate a conversationbetween the vendor and the facility to explain that Nurse Asthmatic will needto terminate this contract through no fault of her own. I would then pitch atleast three alternative travel positions to the nurse in areas that aremountainous and lower in her known allergens

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:

I would begin by explaining the situation toNurse Roulette to avoid her having to endure an embarrassing/frustratingsituation. My next call would be to my client manager to figure out where thebreakdown occurred and attempt to fix it immediately. If no solution can befound, I would talk to my company about reimbursing the nurse for her time.

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

Ifeel very strongly that communication is critical - when I talk to nurses,their first frustration with recruiters is lack of communication. I pride myselfon being readily available at all times. I encourage travel nurses to approacheach assignment with a sense of adventure and to embrace that adventure. I'mhere for you every step of the way!

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