How to ruffle feathers: Travel Nursing & Bill Rate Transparency

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    A behind the scenes look at the mysterious world of travel nursing. I told this CEO, "So here's the plan. We need to get this out there! I need to share this with the world."

    How to ruffle feathers: Travel Nursing & Bill Rate Transparency

    As a travel nurse, I'm heavily involved in the community. I scour the Facebook groups, LinkedIn posts, and of course, the Allnurses forum. I started travel nursing nearly two years ago and I never want to stop. It's the first time in my nursing career where I don't feel used by the system.

    Hospitals preach, "Come work in a fast paced environment to develop your nursing skills and learn in a hi-tech technology. We're a teaching hospital that believes in evidenced based practice and the team environment."

    Please...What it should say is:


    "We believe in long hours, crappy schedules, not approving your vacation time, not listening to the needs of the nurse, ridiculously unsafe nurse to patient ratios, marginal pay, dwindling benefits, and bullying is unacceptable but swept under the rug. Wanna work here? When can you start?"

    Don't believe me? Ask any nurse that's ever worked in the southern half of the country.

    I once heard a nurse say, "We're worked like Hebrew slaves down there. It's HORRIBLE!"

    Not meaning to get too biblical.

    But.

    Why do you think I haven't and will NEVER work in the south? It's the horrendous treatment of nurses.

    No thank you!

    Some people have no choice and to that I say, "Bless you for hanging in there because thank goodness you're willing to sacrifice for your patients."

    Without you, who knows if they would be alive. You truly are making a difference even if it feels like a grind.

    Though, I'm over generalizing the US hospital system but these are common concerns expressed over and over again.

    What does a nurse do to get away from all that crap?

    Become a travel nurse of course!

    I wanted to make better money, change from my mediocre life, and have an adventure.

    As I'm become more a more experienced travel nurses, I realized an unfortunate truth.

    Travel nurses simply don't trust agencies and recruiters.

    Why? The answer is not very clear. Like most diseases, there isn't one particular cause.

    Perhaps it's:

    • Crappy treatment of travelers
    • Unethical practices
    • Withholding money
    • Inaccurate pay checks
    • Disgusting housing
    • No advocacy
    • Lack of transparency
    • Dangerous assignments

    To clarify, those issues above don't speak for EVERY travel nurse agency. There are good ones out there but it is hard to know where to begin. We'll save that process for another time.

    Recently, I wrote an article on Linkedin: Transparency Needed in Travel Nursing.

    In the article, I intentionally wanted to strike up conversation.

    To get people talking. I knew I was going to ruffle some feathers.

    Why?

    Because discussing bill rates in the travel nurse industry is very "hush-hush." But, I believe it should be the direct opposite. There needs to be a change. We need to be more open with each other. On the agency side and on the nursing side. It's a two way street. I believe the lack of transparency is one of biggest reasons why travel nurses distrust agencies.

    • Heck, that's probably a big reason why staff nurses distrust hospitals.
    • I wish hospitals listened to nurses more. We really know what the heck we're talking about.

    I digress.

    One of the main reasons why travel nurses distrust agencies and recruiters is because of greed. There have been too many crooks out there that have ruined it for everyone.

    Now, the online culture demolishes any good will an agency or recruiter might be trying to create or comments they add to a conversation. Recruiters are simply scared to engage the community. That's not fair because there are some fantastic ones out there I've had the pleasure of getting to know.

    My goal is to defibrillate the travel nurse culture. We need to reset if we are going to start a new. But, if we are going to learn from each other, grow, and unite within a common ground, we need to talk about these important issues.

    One of the those important issues is bill rates.

    If you aren't a travel nurse, bill rate is what the agency bills the organization per hour for your work. On average, it's about 70/hour. However, on average, the travel nurse might get $30-35/hour of that.

    If we're lucky.

    But, we don't get $35/hour take home. That $35/hour covers your hourly taxed rate, tax free per diems, benefits, reimbursements, travel expenses, etc. There's a big misconception that travel nurses are getting rich. That's simply not true.

    We make good money but we aren't makin' it rain the da' club!

    In the Linkedin article, I promoted transparency to build trust. Just like any relationship. The more open you are the better you'll bond.

    The current state is: Traveler's no longer believe agencies are taking a reasonable cut of the bill rate and trickling down a reasonable cut to the travelers. We don't know because we don't have access to the bill rate.

    I know what you're thinking.

    It's none of my business. Yes. Yes. I've heard it all before. However, as a travel nurse, we are empowered. We are strong. We sacrifice a great deal to leave our families, friends, and comfort. We risk our license for crappy assignments.

    It's not all sunshine and rainbows like the Facebook ads about traveling nursing will have you believe.

    We deserve to know as travel nurses.

    It's the right thing to do. Cough "Agencies hear that?" Cough


    Sure, travel nursing is awesome!

    Like, FREAKIN' AWESOME!

    I think every staff nurse should do it at least once for a number of reasons. The main reason? You can live your life to the fullest because this fantastic career of travel nursing allows you the freedom to do so. For instance, we took nearly 3 months off work our first year (not a typical situation). But, what staff can afford to do that? Not many. As a traveler, you grow professionally, you become stronger, and you live fully. Not to say staff nurses can't do that, but traveling gives you that extra push out the door.

    Like Gandolf did for Bilbo!

    In the midst of all that chaos, I unleashed on Linkedin, there were a few companies that stood forward.

    "Andrew, we've been transparent with our nurses for years. We tell the nurse bill rates and company financials, " they said. I was literally floored when I heard that. This was the CEO of the company!

    He called me directly.

    "So, you're telling me transparency helped your business grow?" I asked.

    "Absolutely," he said.

    In fact, he had an hour long conversation with me the first time we talked! What CEO does that?

    AN HOUR!!!


    • When's the last time a hospital administrator spent one minute with you?
    • When's the last time your nurse manager spent an hour with you?


    Never?

    What a great opportunity to pick the brain of an industry expert.

    The point is there are some great companies out there.

    Treating their travel nurses with respect, ethical practice, and transparency. I told this guy, "We need to get this out there! I need need to share this with the world." Naturally, he was very reluctant at first.

    From growing my YouTube channel, I've realized being "out there" makes you extremely vulnerable. But, I've learned when you put everything out there, people don't have an verbal ammunition to hit you with. I get the occasional troll but you learn to shrug it off.

    However,our first video interview was a hit! It felt very natural and we're going to team up together to shine a much needed light into the misunderstood practices of the travel nursing world.

    Why?

    Because this industry needs a paradigm shift. Travel nurses need this. Simply. It's medicine.

    Last edit by AndrewCraigRN on Sep 27
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    About AndrewCraigRN, BSN Pro

    I've been a progressive travel nurse for nearly two years. Within the last few months, I started a YouTube channel to help travel nurses out there. However, it's grown to much more than that. I'm encouraging a cultural shift in the travel nurse industry.

    AndrewCraigRN has '3.5' year(s) of experience and specializes in 'Medical Intermediate Care'. From 'Minnesota'; 29 Years Old; Joined Jul '09; Posts: 477; Likes: 328.

    Read My Articles

    13 Comments

  3. by   Sour Lemon
    Infomercial?
  4. by   AndrewCraigRN
    Not sure what you mean?
  5. by   CLUVRN
    I saw the video between you and Mr. Holloway of Meridian Medical Staffing a few days ago and I must say it was refreshing to see a travel nurse agency leader be as candid as he was. I will be starting my first contract at the beginning of next month with Meridian and it is nice to be working with an agency that is willing to be that transparent. Keep up the good work, Andrew!
  6. by   AndrewCraigRN
    Completely agree! Extremely refreshing! We will be doing more talks in the future. Where you heading on your first assignment?
  7. by   Axgrinder
    OMG! You look just like my son!
  8. by   AndrewCraigRN
    Quote from Axgrinder
    OMG! You look just like my son!
    LOL!
  9. by   CLUVRN
    Quote from AndrewCraigRN
    Completely agree! Extremely refreshing! We will be doing more talks in the future. Where you heading on your first assignment?
    Milwaukee, WI. Home/health visiting nurse assignment for 26 weeks to begin 10/9! So excited!
  10. by   Julius Seizure
    Andrew, for transparency sake, can you tell us if you were compensated in any way for making this post? No offense, I'm just wondering. I'm sure you can understand! :-)
  11. by   HUMORLW
    I'm on my first assignment and I ask the same question about transparency when I saw a document to be signed to the tune that you are not allowed to discussed your rates with other nurses...really! big problem since I believe it my business to discuss with whom I want to.
  12. by   AndrewCraigRN
    Quote from Julius Seizure
    Andrew, for transparency sake, can you tell us if you were compensated in any way for making this post? No offense, I'm just wondering. I'm sure you can understand! :-)
    Ofcourse! I'll do you one better. First, it's a legal obligation and a Youtube Terms of Service that I would HAVE to say if this was sponsored or paid for in some way.

    The short answer is no. Mark approached me several weeks back when I started to advocate for transparency and change in the travel nursing industry.

    It was shocked yet intrigued at this company's model. Complete transparency? How is this even possible? I thought what I was asking for didn't even exist yet.

    I can see how it has a sponsored/infomercial vibe.

    One might even think he's just trying to get his company out there more. Perhaps. But, more importantly, this company legitimately cares for it's nurses in all fronts. I wish more companies and even our beloved hospitals were this transparent and open with the nurses.

    We deserve better!! Ya know?

    The answer is no. It was not sponsored or paid for in any way. I asked to interview him because what he is doing for travel nurses is radically different than 99% of the industry.

    I'll also quote what I said in the YouTube description:

    "Disclosure: This IS NOT a sponsored video. I wasn't paid or in any way encouraged to do this video for monetary gain. I've never worked for Meridian Medical Staffing. BUT. When a CEO is willing to have a public, candid conversation with me on YouTube AND I see a company with this level of professionalism, positive treatment of travelers: It makes me WANT to work for them!"

    Perhaps hospitals could take a page from Meridian's playbook. Maybe nurses wouldn't leave in waves r/t to burnout and crappy hospital practices. IMO

    Hope that answers your question
  13. by   AndrewCraigRN
    Quote from HUMORLW
    I'm on my first assignment and I ask the same question about transparency when I saw a document to be signed to the tune that you are not allowed to discussed your rates with other nurses...really! big problem since I believe it my business to discuss with whom I want to.
    A company required you to sign a document to not talk with other nurses about your salary? Will you PM me? I'm curious about this.
  14. by   AndrewCraigRN
    Quote from CLUVRN
    Milwaukee, WI. Home/health visiting nurse assignment for 26 weeks to begin 10/9! So excited!
    Congrats! My wife and will be in Madison, WI until December

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