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