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Wolf at the Door, BSN, RN Pro 8,883 Views

Joined Jan 29, '12. Posts: 805 (31% Liked) Likes: 470

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  • May 22

    Quote from Wolf at the Door
    Republic Health Resources
    So, I went on to the VA's website and they have their own travel nursing program. Would you think it would be better to work directly with the VA, or go through another company? I did call the VA's recruiter, but I haven't heard back yet.

  • May 16

    You say it shouldn't take long, but the truth is, it has. So that's why I'm asking. I've travelled before so I don't need to learn the basics. I watched a video where the person suggested I go find a Facebook community of travel nurses that I could share information and advice with. All the pages I find are travel companies. I was hoping people here would know of an actual community so I won't have to page through dozens of companies before finding one that is created by nurses for nurses.

  • May 11

    Don't like: MDs who are chronically late, leaving pt lying on the hard table (everything ready!!)!
    Don't like: Missing lunch to hurry a case through for someone's private agenda.
    Don't like: Taking call (it can take over your life; then again, I'm a little jaded, after taking call nearly 25 years, sometimes every other week)


    Like: working closely with a good team (techs, RNs and MDs)
    Like: the autonomy
    Like: always learning (and Cardiologists who love to teach)
    Like: 1:1 pt care and hands-on (scrubbing and assisting)

  • May 11

    I've been researching travel nursing for over a year now and keep seeing people mention how low the current pay is. I'm so close to taking an assignment, or would be if I could just find one that pays well. Some recruiters recommend that I just take "whatever" to get an assignment under my belt, but honestly, I don't want to take just anything. I have a few years in at a large teaching hospital (level 1) and I'll be honest, I'm cool with going to a small community hospital if needed. I want a reasonable paycheck though. It has to be a lucrative situation if I am going to be paying bills in two locations. I recently applied for my CA license and realize it will take awhile to actually be approved. That's okay, no issues there. I am, however, a bit confused with the pay there. I'm in a few of the Facebook groups for travel nurses and when I see recruiters post new contracts, some of the net weekly checks are under $1500 in CA (some way under). It's so bad that I'm actually considering just applying for a staff job instead of a travel contract once I get my license. A quick Google search will bring up the union contracts and pay scale. UCSF legit pays over $73/hr base at my experience level...and I'm only a few years in. Recruiters are a whole different ballgame as well. I've been talking to a few and even went as far as to complete all the paperwork, skills checklists, references, etc. One recruiter specifically was trying to push me to take a position in MA where my net weekly pay would be less than $1200 a week. I was pretty clear from the beginning regarding income requirements. It's insulting and I feel like I'm dealing with a car salesman. What is everyone's take on those FB groups? Is that where bottom of the barrel recruiters and positions are posted? Am I coming at this from the wrong angle? Is this the wrong time to get into travel nursing? I've seen a lot of experienced travel nurses express that the pay packages go up and down based on needs, which makes sense. A lot say we are at a low point and that it will eventually go back up, but I have been watching for over a year and do not see any improvement. How long do these low points typically last for and is there a light at the end of the tunnel?

  • May 11

    Posts are too long to actually read all the way through, but it sounds like schools are graduating more nurses so demand for and therefore pay to travelers is falling. More of a lifestyle thing than for the money now.

  • May 6

    Wow, This has been the absolute worst agency ever. Nothing but problems with them shorting paychecks over and over again and never being able to get in touch with my recruiter when I need them the most. Hoping to get the message out to any potential Travel Nurse to think twice before signing anything with Supplemental HealthCare Staffing!!!

  • May 3

    I sent all my info in the end of december and the website says it's still processing. I call and email without response. It says I submitted everything that's required, it's just taking forever. I got a job offer at a VA, thankfully, so I'm not jobless in a new state anymore.

  • May 2

    How can some one switch speciality while travel contracting ??? Any ideas ??

  • May 2

    I am having the same issue. The N 95 mask that I am already fit tested for is not the same one that is used at my upcomming travel hospital. My credientling coordinater contacted the hospital (at my request) and asked if I can do the fit test there when I arrive for my assignment. They said I can and that it will cost $40. That is expensive but saves me a lot of hassle.

  • May 2

    Urgent care center costs varies from $60 to $95 I told the recruiter if he knows an affilite i can go to get it done, he said basically, no to google it. I replied I not ok with fitting the bill for these upfront costs, i filled out a tonne of paper work online passed all their tests but i am still not officially "hired".By then my "spidey sense was tingling" lol . I replied I need to hold off on my application for now.I don't know just something smelt fishy, i wondering how much other costs i have to pay for. Including this respiratory fit test, I also got to pay for a physical.

  • May 1

    Pros:
    the high acuity of specialty type of patients, especially neurosurgery. Stanford does specialty type surgeries that many hospitals across the country do not do, which allows you as a nurse to learn new things, and see things you otherwise wouldn't. They have specialty surgeries and referrals from head to toe.
    Neuro-trauma is big because of the neuro specialty, if you love neuro, this is huge. However, other trauma not so much, think location. If you're looking for urban traumas you go to a more urban hospital (SFGH, Highland...) Stanford is located in palo alto where bicyclists get hit by prius's.

    Patient ratios law abiding.

    Extra nurses on the unit for help (good and bad), but really what other hospitals outside of california hires extra nurses on the unit, none. Stanfords budget is great.

    Resident to assist, not all of them smart, but that's everywhere, but they're there, at all times really trying to do their best and engaged.

    Multidisicplinary rounds including the nurse (depending on the service).

    Protocols for everything, never leaving anyone to wonder much about what to do in a given situation or given drug. (good and bad).

    The mandatory breaks throughout the day and the fact that there are resource nurses that cover your break and watch your patient. This doesn't happen across the country, I assure you, I've worked at many top hospitals but because of California ratio laws and stanfords insane budget, there are way more nurses on the unit then any other unit I've seen. Standards are high here for that.

    Traveler friendly. Great for a short-time, enjoy what the bay area has to offer.






    Cons:
    When a secretary called in sick, an RN making 6 figures was answering the phones all day, because the nurse was extra for the day and stanford would rather have more nurses on hands for 'safety' then not. Budget, anyone? It was not good to see that nurse all day sit there while the rest of us were getting our behinds served to us with patient load. This is what the nurse did for 12 hours that day, I witnessed it.

    Not utilizing nurses properly: See example above. Second example witnessed every shift: There are extra nurses on every shift, with travelers and some staff taking actual patient assignments. Instead of allocating assignments better, these extra nurses on the unit are there to 'help you'. My idea of help is for them to take some of those assignments off of our hands, plenty of rooms open to do that. But instead, these extra six-figure nurses walk around and help do basic tasks at the bedside that I don't really need help with, or I could just ask my nurse neighbor to assist with. I think we'd much rather them have take some of the entire patient care off of our hands instead of seeing them walking around the unit seeking to do something all day and being turned down most of the time. These are the extra nurses that break you throughout the day, what a great gig.

    For an experienced nurse that may be burned out and no longer want to do too much thinking or perform autonomously, it's perfect. Stanford is regimental, a rigid structure in how every disease should be treated, how every problem should be solved at the bedside with family members, a protocol for everything, leaving little room for outside opinion on how things are done at other high ranking facilities. This makes you a robot, easier to control staff this way, its been a winning ticket for them. For a new nurse, or a new traveler, this is outstanding, and it provides you little risk at the bedside, you'll always have a guide or extra nurses on hand. For an experienced nurse, this of course backfires, unless you're able to let go of that.

    There are more assistant managers to a unit then they really need, maybe like 5? I lost count. You feel like you're always being watched, someone is always looking into your charting. At least at other hospitals they do that but in an office away from the unit you work on, it feels more in your face here. If you don't check off a box on a piece of paper in morning report about something minuscule that has nothing to do with your patient care, you'll be notified by email and possibly one of them will approach you. Again, too many cooks in the kitchen with not enough to do.

    Because of it's name, patients and families sometimes lead the care, sad really. Nothing new though, I've seen it all the big name hospitals which is probably why I'm burned out of these high end patient factories. Even though patients and their families would be reminded of how fruitless the path they want to take is, Stanford goes against its own evidence based practice that's constantly talked about to appease affluent patients and their families. Puts a strain on the experienced nurses and experienced staff wanting to actually do things properly, rather than being told what to do by those who have zero experience in healthcare.

    I've noticed there are no single beds for ICU patients unless they're in isolation. If you're a nurse getting that patient assignment, it is 1:1, and you're in the room for 12 hours. Read that again, you sit in the room for 12 hours regardless of their acuity level, because they're in isolation. Is that fair to the other nurses on the unit busting their ass discharging and admitting patients? No. Does that patient need you in there to stare at them for 12 hours? No. Does that improve their care? Nope. Stanford says it's the service they provide, someones always watching the patient. If you think this decreases self-extubations, you're wrong, still happened. It also lowers team morale and teamwork, because you're not with you're team at all, until someones pops in to see if you need to turn your patient. 95% of the ICU patients share rooms. Think about that. Ventilators, head bolts, drains, screams, cries, deaths, families, a curtain doesn't block grief out too well. They're building a new hospital, but that was a shock to see at Stanford, given the name and especially coming from some hospitals without such popularity and budget that have their ICU rooms private and spacious.

    I got to know my fellow nurses the least at this hospital because of their rule of staying in the patients room for you're entire shift. Some of them think this decreases cellphone use, or chitchat. what do you think the nurses are doing in the rooms? internet..cellphones...and those extra nurses on the unit I talked about earlier, they're not busy most of the day and chitchat's all they do.
    They do have a tele-station to watch patients if you walk away from the room, they just choose not to use it.

    Teamwork is 'team', not just a handful of nurses that are allowed to walk around and analyze and assist other nurses in a given situation. That's what I love about nursing, solving my own problems but also helping other nurses with interesting cases try to solve theirs too. If you're patients stable, there's not reason to be there for 12 hours staring at them.

    Pay is good but cost of living is horrible. Some nurses stay at hotels and knock out their shifts in a row but live far away. Even if you get paid well, it's difficult to see the benefits when you can't really live nearby, avoid paying high taxes, tolls...etc..

  • May 1

    Unless you are already an LPN/RN it is against terms of service to use the word "nurse" in your username. "Nurse" is also a legally protected term in may states that believe you have to earn it.


    You might not know it but impersonating a nurse is a crime. And even though a medical assistant may believe what they are doing is innocent, in reality it is a crime. What they are actually doing is misrepresenting themselves and leading people to believe that they have a greater level of education and qualification than they have. Just like a physician held legally responsible for practicing medicine without a license, medical assistants that call themselves nurses can be held legally responsible for practicing nursing without a license. Depending on the laws of your state it can either be considered misdemeanor or felony. Practicing nursing without a license is always a criminal act which is punishable by the sentencing rules of the appropriate statute. For example,California part of the nurse practice acts states that a person cannot let someone assume they are a nurse, much less call themselves one:
    “In the interest of public safety and consumer awareness, it shall be unlawful for any person to use the title “nurse” by any individual except for an individual who is registered nurse or a licensed vocational nurse. This law does not prohibit certified nurses’ aides from using their specific title.”

    copied from Nursing World web site

  • Apr 30

    She let you go.

    How to avoid in future: Negotiate in person IF it's really the deciding factor.

  • Apr 30

    Update I appled for WA, OR, WY, and CA at the beginning of April. I got my OR almost right away and my temp WA about 2 weeks later. California had a few things for mew to work on so I sent that in (possible delay there) and I havent heard a single thing from WY, not an email, regular mail, phone call nothing. So far this method seems to work. Overall cost was about $6-700 i think ( i didn't really keep note).

  • Apr 28

    The company says that contract work does not include a shift differential and that day and nights pay the same. Is this the norm for travel nursing?


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