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Veronica Schoo

Veronica Schoo
Axis Medical Staffing
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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:

Typically during floating contracts, I always get the names and addresses of the facilities traveler will be floating to during the offer stages and list them on our confirmation with both the traveler and hospital. If for any reason the facility is deviating from an agreed upon listed facilities, I would quickly alert my contact at the facility to ensure we rectified the situation and ensure my traveler is only floated to the agreed upon facilities.

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 ask the nurse to let her unit manager know immediately that floating to NICU is beyond her scope of practice while I also communicated those same concerns with the client. Most facilities disclose unit's the traveler will be floated to prior to any offers, but the nurses are protected on Joint Commission and should never put themselves in a situation that could jeopardize their license.

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:

I would immediately contact the housing or leasing company responsible for her reservation and ensure the nurse is rehoused in another location without delay.

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:

My primary concern would be the nurses health and ensure she receives the medical attention that she needs to get better. I would encourage the nurse to communicate the time she'll be taking off with her current unit manager, so they can find coverage. I would also ask for the nurse to provide us with a doctors note that we can provide our client. Depending on the circumstances and how the treatment goes, I would continue to check in with my traveler and client facility to ensure ongoing communication is happening on all sides. If the facility and traveler feel like it would be best to end the assignment early, I would wait until the traveler receives clearance from her doctor and work diligently to find another travel assignment in an area that would not cause her asthma to flare up again.

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:

Although this shouldn't have happened, unfortunately I have seen this happen to a number of travelers. If for any reason a facility terminates a contract early or without sufficient notice, they are responsible for an early termination fee which can usually include up to two weeks of pay for the travelers contracted hours. I'll immediately notify my traveler and work on getting their profile resubmitted to other openings. Usually if this happened by mistake on the facilities part, we will work with them and do everything possible to help rectify the situation by either finding another affiliated hospital they can use the traveler at or perhaps finding another unit the nurse is competent to work in.

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

Communication with your recruiter is everything. Always keep your recruiter in the loop whether it be good or bad because your recruiter is there to help ensure your experience is a positive one. Look at your recruiter as your team mate because when it comes down to tough situations, they are your advocate and communicate on your behalf to the facility and agency. As long as you're communicating regularly the easier it will be for them to help find the best assignment that fit your needs, alleviate any concerns you might be having before or during an assignment and properly advise you on situations you're unsure of.

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