I have never been an agency nurse. I like going to work and knowing where the pencils are. Only in the last 2 months have I even used agency nurses. I am the DON at a nursing home. So I am jotting a note here to tell you guys that I just don't know how you do it. The agency nurse coming in for the first time is lucky to get her full 15 minutes of report on her 30 or so residents. Orientation "ain't happening"! They take over a med cart they have never seen (it is a bit of a clutter), to pass meds to residents they've never seen (and some they hope they'll never see again!), deal with obnoxious family members who get angry b/c the nurse doesn't know if mama ate all her breakfast, etc. They don't seem bothered when my schizophrenic resident wanders over to them to ask, "You got all your female parts?", and they do okay when my noncompliant brittle diabetic steals and eats an entire 3 layer cake out of the fridge that I wonder who forgot to lock. The odd thing is they tell their boss that they like to work for me b/c I stopped, asked how they were doing, and waited for an answer...and b/c I got upset that a belligerent family member (recently out of prison and not embarrassed to say so) frightened the agency nurse. I now make sure the agency nurses know to call me at home when they are frightened and I will go in...after a small phone call to the cops if necessary. So, hats off to you guys. You're amazing.