Agency & Hospital Deals


  1. '

    I work for an agency {Agency B} and I have been working two 12 hour shifts for 3 months at Hospital Q. They are happy with my work through the agency but Hospital Q will not "buy out" my contract because it would cost $7500.00. I work along side of a nurse from Agency A. Agency A made a deal with Hospital Q to bring this nurse on staff at hospital Q for NO BUYOUT!.

    However, the deal is this: Hospital Q gets the nurse free from agency A {they hire her on staff without a buyout} but Hospital Q can no longer use nurses from Agency A's competitor Agency B.

    I can no longer work through Agency B at Hospital Q. I do not want to work for Agency A as the pay is less.

    Is it legal for Hospital Q to make such a deal? Isn't this like a kick back to the agency??

    I really am CONFUSED.
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  2. 12 Comments

  3. by   caduca
    I can help give a little insight. I negotiate deals with hospitals, and every deal is a little different- but this is a slightly bizarre variation. Now, although most agencies have contracts that require a buy-out, most reputable agencies will make the buy-out null and void after the nurse works for the hospital for 90 days. I've been known to disregard the buy-out altogether in good faith with a hospital in less time than that.
    I have never in my life written a contract with a hospital that precluded the use of another agency, but I commonly have written "First call/ Last cancel" arrangements. This means that my nurses would be used first and only after I couldn't meet the needs of the hospital would my competitors be called. This is very legal and are often very beneficial for hospitals. Arrangements like this require serious partnering on the part of the agency. I suspicion that the deal struck between Agency A and the hospital is close to this arrangement. Possibly, Agency A established a sole-source arrangement that would be exclusive, but usually entails the use of other agencies by the exclusive agency- which would be Agency A.

    My advice to you is in this question- do you want to be associated with an agency that does not budge or partner with a hospital. Honestly, that buy-out amount is ridiculous in today's market. To be a successful agency nurse you need two components in an agency- good pay and work options. Your agency may pay more, but not if the hospital doesn't provide your agency the work. Example: $40/hr times 0 hours worked = ZERO.
  4. by   caduca
    I can help give a little insight. I negotiate deals with hospitals, and every deal is a little different- but this is a slightly bizarre variation. Now, although most agencies have contracts that require a buy-out, most reputable agencies will make the buy-out null and void after the nurse works for the hospital for 90 days. I've been known to disregard the buy-out altogether in good faith with a hospital in less time than that.
    I have never in my life written a contract with a hospital that precluded the use of another agency, but I commonly have written "First call/ Last cancel" arrangements. This means that my nurses would be used first and only after I couldn't meet the needs of the hospital would my competitors be called. This is very legal and are often very beneficial for hospitals. Arrangements like this require serious partnering on the part of the agency. I suspicion that the deal struck between Agency A and the hospital is close to this arrangement. Possibly, Agency A established a sole-source arrangement that would be exclusive, but usually entails the use of other agencies by the exclusive agency- which would be Agency A.

    My advice to you is in this question- do you want to be associated with an agency that does not budge or partner with a hospital. Honestly, that buy-out amount is ridiculous in today's market. To be a successful agency nurse you need two components in an agency- good pay and work options. Your agency may pay more, but not if the hospital doesn't provide your agency the work. Example: $40/hr times 0 hours worked = ZERO.
  5. by   caduca
    Now, although most agencies have contracts that require a buy-out, most reputable agencies will make the buy-out null and void after the nurse works for the hospital for 90 days.

    I have never in my life written a contract with a hospital that precluded the use of another agency, but I commonly have written "First call/ Last cancel" arrangements. This means that my nurses would be used first and only after I couldn't meet the needs of the hospital would my competitors be called. This is very legal and are often very beneficial for hospitals. I suspicion that the deal struck between Agency A and the hospital is close to this arrangement.

    My advice to you is in this question- do you want to be associated with an agency that does not budge or partner with a hospital. Honestly, that buy-out amount is ridiculous in today's market. To be a successful agency nurse you need two components in an agency- good pay and work options. Your agency may pay more, but not if the hospital doesn't provide your agency the work. Example: $40/hr times 0 hours worked = ZERO.
  6. by   caduca
    Now, although most agencies have contracts that require a buy-out, most reputable agencies will make the buy-out null and void after the nurse works for the hospital for 90 days.

    My advice to you is in this question- do you want to be associated with an agency that does not budge or partner with a hospital. Honestly, that buy-out amount is ridiculous in today's market. To be a successful agency nurse you need two components in an agency- good pay and work options. Your agency may pay more, but not if the hospital doesn't provide your agency the work. Example: $40/hr times 0 hours worked = ZERO.
  7. by   rjlrn95
    Sounds like your agency is trying to lock you down. If you wanted to be tied to a place, wouldn't you go directly to hopital Q? Is there another agency (c) in your area that you can work with? I know some nurse's who work 3 agency's-- guarantee's them the hours they need, the places they want to work, and the days they want. The whole point of agency is flexibility and pay, don't lose the big pic while looking at the dollars.
  8. by   waynesoo4
    Hi I will firstly appologise for the lack of relavence to this thread however have trouble finging relative threads and seeing as is agency related thought it would do.
    I am from Australia and a Registered Mental Health Nurse. I was wondering how does one go about applying for registration is there an exam that has to be sat ? or rather can this be avoided?
    How does one select an agency sounds as though there is a lot to consider ie wages, conditions in Australia it is pretty well set, with some slight variations. Is there a web page for the nurses board have tried various possibilities with out success.
    I would appreciate any assistance with part or all the above thanks from down under Wayne
  9. by   nightingale
    Hi Wayne:

    It sounds like you are interested in coming to the US to work. There is a difference in travel nursing versus per diem.

    If you come here via a travel agency, they will assist with lodging, vehicle reimbursement, and many other "percs"... The salary and all is to be negotiated (so do your homework) and they will often match a competitor.

    The US does have an NCLEX exam. It depends on what state you are interested in working to where you will take it. A good travel agency will help you get all that set up BEFORE hand.

    I do not have a travel recomendation for you but perhaps the someone else will... I have heard negative feedback about StarMed.

    Try a good search engine using key words like : Travel, RN, or Nurse, etc.... There is another board for Travel Nursing.....

    Hope that helps for starters!!! Good Luck mate.. Would love to work with ya here in the states.... (but don't try Wyoming... the market stinks!!!! lol) Bonnie
  10. by   pg27
    what can u say about westways
  11. by   Medic15251
    If train A leaves city B traveling 40 mph and train C leaves city B in the opposite direction traveling 67 mph how long until they are 332 miles apart from each other?
  12. by   canoehead
    Saturday
  13. by   AtlantaRN
    Quote from Medic15251
    If train A leaves city B traveling 40 mph and train C leaves city B in the opposite direction traveling 67 mph how long until they are 332 miles apart from each other?


    "what color are the conductors eyes......."

    linda
  14. by   jkesler
    Quote from waynesoo4
    Hi I will firstly appologise for the lack of relavence to this thread however have trouble finging relative threads and seeing as is agency related thought it would do.
    I am from Australia and a Registered Mental Health Nurse. I was wondering how does one go about applying for registration is there an exam that has to be sat ? or rather can this be avoided?
    How does one select an agency sounds as though there is a lot to consider ie wages, conditions in Australia it is pretty well set, with some slight variations. Is there a web page for the nurses board have tried various possibilities with out success.
    I would appreciate any assistance with part or all the above thanks from down under Wayne
    There are various ways to get work in the U.S. depending on how you go about it. Some agencies will help you get a Visa so you can work in the U.S. It will depend on the agency. For information about the Visa process check this web page out http://www.the-travel-nurse.com/inte...avelnurse.html

    As for which agency to work with I am not sure. There are agencies who specialize in getting contracts for international nurses and they will help with the Visa process.

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Agency & Hospital Deals