Barkow, RN 2,459 Views
Joined Feb 27, '07 - from 'NJ'.
Posts: 105 (24% Liked)
I would just apply for the TX license now since you know you want to end up there. Better to have it done so you're able to apply to positions as soon as you see them, and it shows you're invested in making the move.
If you absolutely know you want to move to Austin, I'd just go ahead and try to find a staff job. If you're valuable enough to them they shouldn't mind waiting six weeks for you to start, and like Ned pointed out you can sometimes get relocation money. I'd only use traveling if you're having trouble getting bites on your applications from afar, or if you're not 100% sure about the move and want to try it out while maintaining your home in Albany as backup.
It's just a very local sort of hospital in a town that's pretty cute and on the Hudson River, but not quite accessible enough to NYC to attract a lot of outsiders/travelers dying to go there. I grew up about 20 minutes away and there were so many local hospitals that I literally have no real opinion of it and never heard much, good or bad.
Nyack Hospital is probably a bit too obscure to find anyone on here who has been there as a traveler. The NY forum might provide more help.
The Peace Corps has a program for healthcare professionals that's a shorter time commitment than regular assignments. Might be worth checking out, and it could give you connections for the future if you wanted to stay.
I'm currently working as an RN in Florida, but it has only been about eight months, so I'd hate to generalize too much. Staffing where I work does not comply with guidelines for my specialty, and they have no desire to meet those guidelines, so there is high turnover due to burnout. Medical practices on my unit are not up to the latest standards. With several years of experience the pay isn't terrible, but new grads are started pretty low. Not having state income tax is helpful, but my health benefits cost more here than I've ever paid, for worse coverage, though perhaps other hospitals are better with this.
Again, I don't want to generalize too much, but the southeast is not known as being a good area in which to practice.
I'm temporarily living in FL due to my husband's job after working as an RN in several states. Do a search of the travel nurse forum to see if there are more opinions from outsiders, but this state isn't well known for pay or working conditions. Lots of people come down here with visions of beaches and low cost of living, but the reality is different when you're actually living and working here.
You might be better off doing overtime shifts paying time and a half at your current job, if available, rather than doing straight pay shifts at a second job. More efficient that way, and you can always do it when you want to, as opposed to the stress of fulfilling staff requirements at two facilities.
In terms of a coverage gap before your contract starts (if you choose the travel company insurance), check with your current employer as to how long your health coverage remains after you leave. They might cover you until the end of the month, so if you leave your job on April 2 and start your assignment by May, there's no coverage gap.
Might be getting late in the season but check out Park City Medical Center. It's a pretty small but cushy place that ends up with busier winters for ER and OR due to all the ski injuries. They do have some trouble keeping staff due to cost of living, so I wonder if you could work out a deal if not a straight seasonal contract.
Utah doesn't particularly have a nursing shortage, but I have worked with one traveler. OR and PACU had tons where I was.
I left IHC a year ago. The issue with shift differentials at the time was that they were a percentage of one's hourly pay, rather than a straight amount per hour. So a new grad at the bottom of the pay scale not only earned less pay, but their shift differential was lower than a more experienced nurse. Not sure if this is still accurate. I believe there was a weekend differential of maybe 50 cents/hour.
Holiday was time and a half, but in a sneaky way. For example, let's say you work night shift after Thanksgiving dinner. Your whole holiday was ruined, but you're only getting time and a half during the 7p-12a portion of that shift, when it was literally the day of the holiday. You'd have to also work the night shift before the holiday to get that 12a-7a portion at holiday pay rate and thus end up with 12 full hours overall of holiday pay.
Hope that makes some sense
I left Utah a year ago and worked for IHC. The issue with raises was that even though we got one every year, they seemed to be a straight percentage for everyone, so if you started at a lower rate, your raise wasn't as large. Also, when I was there, shift differentials were a percentage of your hourly pay rather than a set amount, so a more experienced night RN would end up with a higher shift dif, which also affects those at the lower end of the pay scale. They did a salary readjustment last year which made things a bit better, but still behind where it should have been.
Mine only took a few days with livescan fingerprinting
I just left Utah a few months ago, and there was no pay differential for BSNs in Intermountain at least.
There are obviously differences between a vacation versus 13 weeks somewhere, and it looks like the OP may be able to do a few assignments given her circumstances. However, she said she wants to use travel nursing to help pay down debt, which may or may not be a good idea depending on a variety of factors we don't know, and whether her husband can be employed on the road. She also does not particularly like her current specialty and would like to cross-train to something else entirely, and is actively working toward a NP degree. While travel nursing might be good if she needs a way out for a bit, most of her long-term goals seem better served in a permanent setting. I was just pointing out that those wanderlust needs can be accomplished in different ways, or the OP may simply be better served relocating to a larger city.
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