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CrazyGoonRN 10,872 Views

Joined Aug 14, '09. Posts: 437 (30% Liked) Likes: 345

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  • Mar 21

    Tip one: There is no perfect company. There is better and worse.

    Tip two: A lot of your experience depends on the recruiter. If you sign up with recruiter A and there is disconnect between you two, then you can be switched to recruiter B. Usually just takes an email or phone call to their manager. Keep it short as the reason for the switch. MOVE ON, if they will not meet your request.

    Tip three: Sign up with 4 agencies minimal. That means have active profiles ready to go. If you get canceled or terminated you have three other agencies that can possibly cook up something for you quick.

    Big question: What companies should I look into? Depends if you want to fatten the pockets of investors or mom and pops, lol Seriously...

    *Bigger companies are going to have more volume and desirable locations. You know them they invest highly in advertising...Cross Country, Aya and American Mobile. These companies are the main vendor for many hospitals. That means other agencies have to pay them a small percentage. A nurse can work directly with these large companies. Working directly does not mean the RN will get more money. Bigger companies have many different departments you have to deal with.
    *Rapid response companies like Faststaff and Healthsource Global are going to be limited locations and not as desirable. Taxable hourly is a high rate and the two listed will provide housing. Blue Force and Cru 48 will seldom provide housing.
    (Rapid Response means a nurse can start in 1-2 weeks. Critical emergent needs of the hospital.)
    *Smaller agencies might be limited to just 1-2 states but, they have less overhead cost. Less overhead means more money for the RN..

    **Ask some of the mid size or smaller agencies do they have direct contracts through the hospital. This usually means more money for you the RN.


    For those who have traveled please chime in why you work with XZY company.

  • Mar 20

    I will play devil's advocate and ask why you didn't give the antibiotic? Whether or not it was charted, the previous nurse told you that it wasn't given d/t incompatability with the running antibiotic. Even if the patient had a long-running antibiotic already hanging, like vanco, it would have been completed before 14:00. Clearly the running antibiotic was already running when you got there, so I feel pretty confident thinking that it was done some time in the morning and the second antibiotic was never run, equating to an entirely missed dose.

    I personally would not have written the other nurse up. And I'll be honest, I would be really irritated if I came back to a write-up for something I passed along at shift change. Even if that nurse forgot to unchart the med, you knew about it.

    I've had instances when they previous RN didn't run something charted because an IV infiltrated and it took a while to get a new one put in. I retimed the doses to reflect the late dose and charted a note as to why the timing was changed.

  • Mar 15

    One hour to never! It would be reasonable to give up after 3/4 days and broaden your search. Try to follow up and find out what the problem is (usually hospital HR in most cases) because it is possible there is something in your profile that makes you unqualified for the position submitted, or some negative they didn't like. Once in a while, you get useful intel from your failures.

  • Mar 14

    You know, Karen, I was typing my response and one thought kept crossing my mind. Since my colleagues have done such a fabulous job already, I have chose not to defend my career choice against your inaccurate statements and just post the one thought.

    If you are so anti-traveler, why are you lurking in a travelers forum.

    As a side note, maybe you could use that time and put it to good use, like actually educating yourself on the facts that accompany traveling.

  • Mar 14

    Also, we dont see the money that hospitals "shell out" for us. We dont make that much more. We dont get vacation pay, sick days or even 100% paid benefits. We go sometimes months without seeing our friends and family. So when you get "sick and tired of paying these high fees", just remember what we give up and live without just to help in your staffing crisis!

  • Mar 14

    John Hopkins is notorious for cancelling travel contracts. I did not get cancelled when I worked there but about 4 travel nurses were cancelled the same time that I started. And I know that someone got on about not talking about the " nurses attitudes" but it is because of these staff nurses that some of these nurses were cancelled.
    Just a word of advice ANYWHERE you go, document, document, document. And I am not talking about regular chart documentation.
    Document on their procedures (if it is something different than you are used to) and who told you and the date.
    Example:-
    I work with Open Heart patients, in one hospital a nurse orienting me told me that they do not check potassium levels on day 2 even if the pt has a couple of PVCs on the monitor. I wrote it in my little book that I carry every where I go along with her name and the date that she told me. Guess what, when she realized that I was writing down her name she re-canted what she said. Once these staff nurses see that you are knowledgeable about your stuff, they will just respect you.

    Even recently, I received a patient who was in recent Afib and the resident decided to stop the amiodarone drip. Mind you, the pt was still in Afib. I mentioned this to her about 3 times in 30 mins. and she adamantly told me that she doesn't want the pt on the drip. Well, I charted on the patient's chart the number of times that the MD was made aware. I also told the charge nurse and made it known to the supervisor. People may think that I may have gone overboard but guess what, I am here for my patients and mind you my pt was finally put back on the drip and broke the Afib 2 hours after. And the attending came in the morning abd read my notes and thanked me for taking care of his patient.

    Just remember you have to be on top of your game as a travel nurse

  • Mar 14

    Here's my two cents worth: I worked there as a Travel RN and extended my stay twice - I worked in the ICU and loved it - everyone worked together and I felt like part of the family. I would work there tomorrow if I could.

  • Mar 1

    The long lived what seems to be country wide rivalry between EMTs and Long Tern Care Nurses is an obvious one. Long into social media, you see EMT pages posting ridiculing memes about long term care facilities and the pooor nursing care provided. Visit and EMS forum, and you'll see threads doing the same.

    As a former EMT, now LTC Nurse, I've come up with a list things that I do believe every LTC Nurse wished EMTs understood.

    1. There's a big difference in quality of care when patient ratios are 2:1 rather than 1:40 plus. When an LTC Nurse doesn't know the answer to a question off the top of his/her head, doesn't know the events leading up to the emergency, I doesn't mean that they are lazy or incompetent, when you have 40 demanding residents, to give medications too, and loads of charting and other work to do, as a charge nurse, you will not know every detail about every resident every minute of the shift. Imagine getting to the hospital to give report on 1 patient and having 40 patients in the back of your ambulance.

    2. We don't make the rules. Sometimes as EMTs you may think that just because a patient fell and has no S/S of head injury that the transport isn't necessary, but a doctors order is a doctors order. If a residents primary care physician orders an ER eval, then that's fina. There's nothing you can say that's gonna change the fact that my resident is going to the hospital. As a licensed nurse, I will not be standing in front of my state board at a hearing, having to explain why i refused to carry out a physicians order. I once told an EMT who was being difficult and causing a scene in the hallway, asking why we were sending a resident out for such a small not in his head, in such stormy conditions outside, " Because I'm not putting my license on the line by tellling Dr. Brown (not real name) that I am not sending his patient to the hospital, but you are more than welcome to do so,".

    EMTs and Nurses play a very vital but very different part of healthcare today. And I do think that if we could be a little more understanding of each other's roles, responsibilities, obligations, and limitations, the ride for the resident from the LTC Facilty to the local ED may be a little less rocky.

  • Mar 1

    I work mostly nights and we all sleep during our breaks. We get 2 hours

  • Mar 1

    I'm a PACU/post-op nurse in Poland and when we are able to, we are allowed to sleep. There are usually 4 nurses on a night shift and when we only have 1 or 2 patients, half the team goes to another room to sleep for 3 hours and then we swap Our supervisor knows about it. Of course we don't sleep at all when it's busy and it would affect our patients - but 2 nurses is usually plenty for just 1 or 2 patients.

    We also don't have night shift nurses. All of us work rotating shifts (day -24 hours off - night - 48 hours off), so the night nap is a big help.

  • Mar 1

    Sleeping, or giving the appearance of sleeping , is grounds for immediate dismissal.
    There is a reason for this. The sleeper is incapable of performing their duties.
    Your relationship with the sleeper is a moot point. Sleeper is sticking you with THEIR nursing responsibility.

    Why would you accept taking over their duties.. while they sleep?

  • Mar 1

    Thanks for the thoughts. I haaaaate confronting people about stuff like this, especially since sleep is freaking precious! But we are a small unit, so when this happens that makes me the only conscious RN on the floor, which kinda stresses me out. But you're right, Cat365, it doesn't have to turn into a huge thing if I can talk to them about it first.

  • Mar 1

    Not much you can do about it when the same person falls asleep every shift right in front of the house supervisor and nothing comes of it. You can guess how the talk heated up when layoffs were announced and then Sleeping Beauty kept her job while conscientious employees were let go. That was one for the books.

  • Feb 27

    Quote from traumaRUs
    I'm a nephrology APN and no way in the world should this be done - uh just no way. BTW, CRRT don't run on batteries, you have to plug them into the wall - how the heck did you ambulate this pt anyway?

    My question exactly. How the heck??? My first thought was that this has to be a joke.

    A patient that needs CRRT (which as evidence suggests does not improve outcomes...just saying...) is in no way able to ambulate. I am scratching my head on this one.

  • Feb 27

    I'm a nephrology APN and no way in the world should this be done - uh just no way. BTW, CRRT don't run on batteries, you have to plug them into the wall - how the heck did you ambulate this pt anyway?


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