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Kuyafern 5,860 Views

Joined May 15, '12 - from 'Alaska'. Kuyafern is a RN,BSN. He has '<1 year' year(s) of experience and specializes in 'Medical Surgical'. Posts: 245 (12% Liked) Likes: 39

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  • Feb 15 '13

    I have just read a post in a Nursing Specialties forum on Staff Development that makes reference to the need to recognize and nurture new nurses because the nursing-eat-their-young attitude is so widespread. I went to respond to that but realized it might see more eyes here.

    As a clarification, it is critically important to know that someone who has a bad experience is likely to tell the story 25 times, while someone with a good one is likely to tell that story only 5 times. If therefore you apply this algorithm to the posts complaining of wretched treatment at the hands of old meanies who don't remember what it is to have a dreeeeaaaammmmm and passsssssiooonnnn, then you come out with a more realistic picture.

    Language is also critically important. Using words like, "It has been a chronic problem that has driven new nurses to leave nursing areas they had aspired to work in, and oftentimes caused new nurses to leave the nursing field entirely. No one knows how many talented people have been driven from the field of nursing, but it seems to be a widespread problem if all the articles and discussion in nursing forums is representative of most nursing environments" makes assumptions on facts not in evidence. "Seem(ing) to be a widespread problem" only works if you believe that "all the articles and discussion is representative of most nursing environments." (emphasis added here and below). Data, please. What's the source of that information?

    There are many threads and posts on AN that describe awesome experiences and workplaces, yet this assertion of "all the articles and discussion" clearly ignores them. There is ample evidence of older nurses here and at work supporting, teaching, and mentoring younger ones, on their own time, for free, late at night when they ought to be in bed, precisely because they want to nurture new nurses. We know they are our future, and we want them to be good. At the same time, there are multiple posts from new nurses that can bitterly dishearten the seasoned thoughtful practitioner, posts that indicate low levels of preparation, high levels of neediness and entitlement, unrealistic expectations of the realities of bedside work, and inability to adapt to the labor market.

    Those older, seasoned, and experienced practitioners express their dismay at these attitudes in many ways, from light-hearted banter to bitter and heartbroken rant. The resulting wails are instructive-- and demonstrative of a problem that has generally nothing whatsoever to do with young-eating. Perhaps some of those "many talented people" (in whose estimation? their own?) are "oftentimes" "driven" away by other factors than this seriously-overused and incredible (in the definition of the word, meaning, "not believable," not "rad, totally awesome, duuude") sound bite. Beware the shallow thinker who prefers sound bites to thoughtful analysis; do not be that person. We need better critical thinking in nursing. It can start here.

    Those of us older and more seasoned nurses know better than to discourage all new nurses from practice. We, better than they, have a clearer vision of being in those beds rather than beside them; we, better than they, have a larger perspective on the world of nursing care. We have already been new nurses. We have already been managers. We have already taken the responsibility of being charge nurses. We have been years at bedsides. We have already seen and participated in disasters, codes, deaths, family tragedies, fights, and labor actions. We know what it takes. We know we need more of us, as we age and leave because we are not able to do it anymore.

    We can be pardoned for being scared to death of those soi-disant (this means, in translation, self-described) "talented people" who are unable to (for lack of a better word) hack it at the bedside and do not understand, or try to understand, from whence we come. The perennially-aggrieved give us heartburn; we have no patience with them, we don't have time. We are scared of what will happen to us and our loved ones when the self-esteem movement leaves us with caregivers that need more validation from their patients than they have the fortitude to learn to give them.

    We welcome whole-heartedly, unreservedly, new nurses who are willing to put their education in its proper place, planning and providing competent care. We love the one who doesn't come in and say, "I'm just working here for a year so I can go to ICU and then go to CRNA / NP school." We want good nurses; we are willing to help new nurses who want to work wherever there is a need even if it's not their dreeeeaammmm job, and work hard, to grow. We want to work with people who don't have such a twitchy trigger finger, ready to go off with a bang over the least perceived slight. We want colleagues who believe this: Let me never fall into the vulgar mistake of dreaming that I am persecuted whenever I am contradicted. (~Ralph Waldo Emerson)

    Anyone who wants to be a nurse who has the strength of character to do that, we're ready for you. Are you ready for us? We are already here.

  • Dec 21 '12

    It's official! I took NCLEX RN for second time on Dec 17 and passed! My name appeared on CABON website this morning. As promised, here's how I studied. It's a long post. Hopefully, this will help others.

    I would recommend you find the RIGHT book that best fits your learning type before making the purchase. Also, I cannot stress enough to answer as many questions as you can.

    Good luck and God Bless!

    Materials I used:

    I came upon MaryAnn Hogan's book and went to B&N to browse through it. Formatting of the book fit my type of learning and decided to purchase it. Granted, I already have Saunders, PDA, Kaplan 2012-2013 Strategies, NCLEX 10,000, Exam Cram, Hurst (2 books) and also did NCSBN. I attended live Kaplan and Hurst in 2010 as well. (yes, 2010 2 years ago and took the exam initially on in June 2011 and again Dec 17, 2012)

    How I studied:

    1.) MaryAnn Hogan's Pearson Reviews & Rationales: Comprehensive Review for NCLEX-RN, (013262107X), Mary Ann Hogan, Textbooks - Barnes & Noble. I like the fact that I can retake unlimited number of tests online for each client needs based on my diagnostic pre-test result. And the good thing is...access is good for a year from time I activated. It's similar to NCSBN but a little more structured, in my opinion. The online questions are great and thought-provoking. Makes you really use critical thinking skills. I get frustrated here and there because of higher level questions having VERY similar answer choices.

    Here's excerpt from Hogan study plan:
    "The Client Needs study plan will help you focus on and master the eight Client Need outcomes covered on the NCLEX-RNŽ exam. To begin, complete the 100 question Diagnostic Pretest. Based on the results of your pretest, you will be assigned a study activity, a self test quiz, and links to the eText for each Client Need outcome for which you need additional study."

    "For those who want to prepare for the NCLEX-RN(R), taking multiple practice tests online will help you become more familiar with the computer-based testing experience, especially for the new alternate item formats such as audio, media-enhanced, hot spot, and exhibit questions. With this new edition, use the code printed inside the front cover of the book to access more than 5,600 practice questions using all NCLEX(R)-style formats. This includes the practice questions found in all chapters of the book as well as the comprehensive exam questions. Plus, it contains 4,000 NEW question to help you further evaluate your readiness for the exam and hone your test-taking skills. This allows you to choose two ways to prepare for the NCLEX-RN(R). Both approaches personalize your practice experience according to what stage you are at in your NCLEX(R) preparation."

    2.) I followed the study plan religiously and re-read the section if my score fell below 75% then retake the exam. I would also answer questions on the same client needs category using PDA and NCLEX 10,000. I would also refer to other books just in case I need a little more clarity or detailed explanation about a disease process, nursing management, medication, etc. Yeah, this is definitely my OCD kicking in However, since I graduated eons of years ago, I need all the help I can get. As Aunt Marlene would say, "must know it without a doubt and without hesitation."

    3.) Once I've mastered Cardiovascular for example, then I would move on to the next chapter listed on my study plan. There were some chapters that I simply browsed through. But studied heavily on cardio, endocrine, maternity, pediatrics, burns, GI, Infection control. I also completed PDA La Charity as I go through each chapter based on my reading.

    4.) Before and after reading each chapter, I would answer questions just to familiarize myself with how the questions are worded, understanding what the question is asking, etc. Then when I start reading the chapter, I find it easier to comprehend and retain the information.

    5.) As I go through each chapter, I write down the disease, its definition, s/s, nurse teachings, meds, etc, etc. Hogan's book has this all laid out neatly. Since my brain is old, I needed to write down KEY concepts for better retention.

    6.) Answer questions after questions after questions! A definite MUST! Understand why you chose the correct answer and also research what made you choose the incorrect answer. This will help with critical thinking. I have to admit, this process was tedious! But I had to do it.

    7.) Kaplan NCLEX-PN 2012-2013 Strategies, Practice, and Review (Kaplan Nclex-Pn Exam): Kaplan: 9781609785666: Amazon.com: Books made it all come together for me. I read this book cover to cover 2 weeks (no skipping pages) before my exam and answered ALL the questions without looking at the answer key. Then I read rationales and made sure I understood WHY I chose the incorrect answer.

    8.) I prayed and asked for patience, perseverance and guidance.

    9.) Read through study guide NOT endorsed by AN several times.

    10.) Also, gnjoy posted what's called "SAARE Method" [COLOR=#003366]http://allnurses.com/nclex-discussio...537-page5.html.

    Stable versus Unstable
    Acute versus Chronic
    ABCs
    Real versus Potential
    Expected vs Unexpected....

    during my exam..when nclex asked me to pick the least stable patient...i analyzed each of this patients next to the SAARE method...
    and said

    Is this patient:
    Stable versus Unstable (u would of course pick the unstable patient based on the choices given)
    Acute versus Chronic (does the patient have an acute condition or chronic...chronic can wait..acute is NOW)
    ABCs (ABCs is priority....no need to explain this one)
    Real versus Potential (is patient having a real problem now or potential problem...fixed the REAL problem NOW)
    Expected vs Unexpected.... (does the patient nclex gave u have an expected or unexpected outcome...for least stable patient..u will pick the unexpected action)

  • Nov 4 '12

    I've always loved reading success stories from this site, and it really helped me get motivated. Now it's time to share mine, and hopefully my story will inspire someone somehow.

    A Little About Myself:

    I graduated nursing school in 2009 from a foreign university. I didn't take NCLEX right away due to some life events. 3 years passed and finally I was able to apply for the exam. When I got my ATT, I realized I needed to study. The first thing I did was answer some Kaplan questions just to see where I was at in terms of content. Boy, I couldn't remember the normal value for temperature and what incentive spirometer was! I had to look it up in a dictionary. I couldn't remember which one is insulin dependent, DM1 or DM2. It's a shame. I mean these are real basic concepts! You can just imagine how out of touch I was to the nursing world. I figured I needed a real review!

    Before we begin...

    I believe that everyone is different. My study habits and materials may not work for you. I'm not prescribing any specific review material/class/practice/habit to anyone. I'm not affiliated to any review material/class. What I'm sharing here is mainly based on my own experiences, with the purpose of inspiring others.

    Okay, enough on that. Let's get on to why you're reading this post...what I did to pass.

    Review Materials I Used:

    Kaplan- NCLEX-RN Strategies, Practice and Review 2012-2013. I feel like the book wasn't much of help to me. My weakness is not with strategies but with content. The nursing content isn't discussed in-depth in this book. But I would say that I really loved the Q-trainers and the Q-banks. The rationales are well explained. You would really understand why the answer you picked is right or wrong. This helped me practice in answering NCLEX type questions.

    Feuer Audio Review - These are MP3 files I got from my sister. I think she got the CDs from Feuer when she herself was studying for NCLEX a decade ago. This was a 2002 review, so I was scared it might be outdated. However, I find the review still very useful. This review has tremendously helped me with content. It helped me get back on track. I personally LOVE the Psych portion. It is very well explained, and the lecturer helps you boast your confidence. Not a dull moment with this review.

    Saunders - Comprehensive Review for the NCLEX-RN Examination 5th ed. This book didn't work very well for me. After reading around 10 Chapters in a month, I got too overwhelmed. My brain was fried with too much information. DONT GET ME WRONG. This book is EXCELLENT for content. It's very complete. I believe that if you can get to master this book alone, you are safe. Almost all the NCLEX topics (from what I saw in the exam) are covered by this book. The problem is with me. I don't have enough time to read and review everything, and actually remember what I've read. So I took the quicker route. Also, the practice questions are too easy compared to NCLEX. I didn't bother answer them.

    Hurst - I took the online review for $300, and I find it very informative. What I like about them is they focus on the WHYs so you understand the topic, and you don't have to memorize a lot. I also benefited from a lot of the 5th day materials, like normal values, Peds, etc. One negative thing I've noticed is there were a lot of topics that weren't covered by Hurst. Good thing Feuer discussed them, so I'm glad I have both. Overall I believe that if I took only Hurst, I won't be able to pass that exam. Hurst is really good, and I don't regret taking it, but it felt that it was not enough. I needed other review materials to complement it.

    LaCharity - Prioritization, Delegation and Assignment by LaCharity. This is the book that everyone should have! I mean it! Please buy yourself one if you still don't have it. I find the questions in NCLEX to be just like this book. Majority of my questions are Prioritization, and this is what really helped me understand how to prioritize. This book is more than worth buying.

    Pharmacology Memory Note Cards 3rd ed. Pharm is my worst nightmare! This is my weakest and this book helped me. What I like about it is it has pictures that helped me remember those darn drugs. The pictures are funny, and I always find myself laughing whenever I study this book. I got a lot of meds in my exam, and some of them, I haven't heard of before, but there were meds that I recognized from reading this book.

    NCSBN learning extension program for $50 (3 weeks). I think this was a huge waste of money. I signed up for this mainly for the questions, and not the review. I know a lot of people like it, and I don't mean to offend anyone. Everyone is different, and it just didn't work for me. The questions were like NCLEX but the rationales were not well explained at all. I felt like even if I answered a ton of questions from their site, I won't be able to remember them because I don't understand why the answer I picked was right or wrong, especially for the prioritization questions.

    35 Page Study Guide that's been floating around here- After I was done with Hurst, Feuer, and LaCharity, I read this guide. It's packed with helpful random facts. I didn't get a lot of Infection Control, so Spiderman and Mrs. Wee weren't much of help to me. But I was able to review other information from this material. Overall, this guide is great to have. Whoever made it, thank you.

    Youtube, google, wikipedia - I think everyone uses these. So I don't think I need to elaborate.

    In the end, I think that the materials that helped me the most are Feuer, Hurst, and LaCharity.

    Other things I did:

    • I wrote down important facts I came across from answering Kaplan and LaCharity in my notebook. And I review them every chance I get until I'm able to store them in my long term memory.
    • Because I didn't have Feuer's review book, I wrote down everything that was discussed in the audio. And that helped a lot too.
    • I studied for 2 months, 4-6 hours a day, 5 days a week. I only answered 25-75 questions a day, and reviewed each rationale. I wasn't able to finish all the Q-trainers but I wish I did. My Kaplan scores were in the high 50s to low 60s, and some are in the 70s. I got 50s to 70s in LaCharity, with 80% as my highest score. My pretest for NCSBN was only 50%. I didn't take the Hurst Mock Exam.
    • Prayers- This is the most important thing...having GOD with me all way from the review to the exam. I was so scared the week before the test, but when the exam day came, He kept me calm and at peace. I fervently prayed to our Heavenly Father to help me get through this. I fasted for 3 Sundays to ask for guidance in this exam, that I will be able to remember the things I've studied, that I will have the wisdom in discerning the right answer and be able to pass, and that I will stay calm, focused, and have peace of mind. I lifted everything up to Him. And He never failed me.


    The day before the exam:

    Unlike what most people do, I studied the day before my exam. I read the 35 page study guide and memorized normal values. I also went to the testing center just to make sure I know where it is and I don't get lost the morning of my exam. I made a list of the things I needed to bring so I don't forget anything. I prepared my clothes ahead of time, and bought some snacks and drinks to take with me. I called my Mom and Dad, and they both said a prayer over the phone.That night I was able to get a good 6 hours sleep. I just listened to religious music to calm myself. I prayed and prayed, and I fell asleep.

    The Big Day:

    I woke up well rested and full of energy. I ate chicken tenders for breakfast and electrolyte drink. I wore comfortable jeans, regular Tee shirt, sweat shirt, and running shoes. I found out that you can't wear a jacket or sweat shirt that opens in the front (like zipper)--just wanted you to know. My exam was scheduled 8:00 am. I got there 7:30. Registration process took around 30 minutes. I was then escorted to the computer. Oh and I took the ear plugs and the erasable sheet they provided.

    Before I started anything, I prayed. The first 10-20 questions were real easy. But after that I was guessing all the way to the end. I had no clue which answer to pick. I was pounded with a lot of meds. And there were meds I've never even heard of before. Majority of my questions were priority questions, just like what you see in LaCharity... "Which patient to see first", "Which s/s would concern you the most", "Which patient statement would require immediate intervention". I didn't get delegation and assignment question at all, and I didn't get a lot of infection control either, probably only around 5 or less. Most of my questions were Med-Surg, then a little bit of Ped and OB. I got 21 SATA, 5 pictures, 5 drag and drop, and 1 exhibit, and the rest were multiple choice. I had around 100-115 questions in total. It shut off when I least expected it. I didn't even know what number I was.

    The moment I got out of the testing center, I told my husband I need to start studying again. I was certain I failed. There's no way I passed that exam. My husband brought me to a nice restaurant for lunch. He's very supportive of me. He said I need to calm down, and whatever the result is, he'll always be there for me. That made me feel a little better. When we got home, I rushed to the computer and checked PVT, and I got the good pop-up. I couldn't believe it. At that time, I was too overwhelmed with feelings I couldn't even describe. I was in denial. I didn't wanna believe I passed until I actually see my name in BON website. And today, my name is finally in the BON website. I'm now an RN!!! Hoooray! God is so good...

    In conclusion, even if you graduated years ago, don't despair, you can still pass NCLEX. Being out for years was my greatest challenge, but studying brought back memories of the nursing world. You can do it too! Second, you'll never know what questions you'll gonna get. They say there are a lot of delegation and infection control but that wasn't the case for me. Some get a lot of meds, some get only 1 or 2. Just study as much as you can, and hope that the knowledge you have will lead you to the right answer. There's no way one can learn everything there is to learn about nursing. The important thing is you did your best. Leave the rest to God. He is always there and He will guide you and help you. Like they say "Work like everything depends on you, Pray like everything depends on God". I'm not trying to push my beliefs here. All I'm saying is pray according to your beliefs, wether you're a Buddhist, Hindu, Islam, etc. Lastly, you are the best judge on what study material or study habit and pacing works for you. Find what is most effective and comfortable. Identify which areas you're weak in and focus on those areas. Don't lose focus. Believe in yourself. Like I said, everyone is different. Don't compare yourself to others, and feel sad because you're still in Chapter 6 and they're now on Chapter 10, or they answered 500 questions and you only answered 300. The important thing is you progress as you study, and you actually understand what you're studying. Remember Quality is more important than Quantity. You can do it! God bless, and good luck with NCLEX!

  • Oct 4 '12

    Hello there sorry for the late reply i was busy reviewing...i just took my Exam....i got a good pop up...but still waiting for the official result....Here is my story I am a out of state graduate i didnt have a local board because of my citiizenship.... I applied in Louisiana but i was denied by CGFNS for the Certification Program because i lack hours on my psych....after that i applied again California because they dont have any CGFNS requirement which is also a BIG mistake....And lastly i applied in Michigan state CGFNS CES took 6 weeks to be done... After another 6weeks i receive my ATT....so that is my story....

  • Aug 30 '12

    Hi kuya fern remember me? I was going to appply in nevada but then i changed my mind when I saw the requirements in Hawaii State Board of Nursing. They only require a ces report from cgfns and an application form filled out which us just 1 page plus $40 fee. My sister and I both applied in Hawaii she applied first because het ces report was done on august 8 she then turned in her application august 15 and it was received by hawaii on the 20th. Yesterday she received her approval from Hawaii and then registered in pearsonvue. She then got her Att today.I might say Hawaii is pretty fast and not strict at all you might wanna check their website if you want to. Hope this helps!

  • Aug 16 '12

    Just so you have some more information to know when the time for you to start your travel journey I wanted to post this for you....
    Happy finishing your education, passing NCLEX and that first job!!

    Reigen
    Travel nursing


    Travel nursing and the Travel Nursing Industry developed in response to the nursing shortage in which nurses travel to work temporary short-term nursing positions. The current severe shortage of nurses in the United States has increased the need for this type of position. To recruit qualified Registered Nurses, LPN/LVNs and Allied Health professionals hospitals and travel nurse recruitment/staffing agencies are offering incentives including higher wages, relocation assistance, furnished housing, and bonuses.

    There are many reasons healthcare professionals choose to travel including higher pay, professional growth and development, and personal adventure. Travelers typically select from one to several recruitment agencies to act as an intermediary between the traveler and hospitals or other potential employers. There are over 340 Travel Nursing Companies in the U.S. as of 2009. Agencies may submit applications for numerous positions concurrently on behalf of a traveler. More Stats below...

    Applying with one of these agencies usually involves a substantial paperwork burden. This includes completing an employment application, work history, verification of licenses and certifications, skill assessments for your nursing specialty, verification of immunizations or titers for common communicable diseases, current TB skin test or chest x-ray, a physician's statement certifying you are fit for work, and numerous other documents required by the agency. However this paperwork need only be completed once per agency. Some agencies will accept much of the paperwork completed for competing agencies. The information provided is then condensed by the agency into a summary/abstract of the traveler's credentials, skills and experience. This summary is usually referred to as a profile.

    After completing the agency application process, each agency will search through temporary job postings to identify those that match your profile. The agency, after obtaining your consent, submits your profile by fax or email to the hospital. A human resources employee or department manager will review all profiles submitted for the specific job posting. No single agency has access to all temporary job postings. This is why many travelers choose to apply with several agencies.

    The amount of money a hospital pays to the agency is referred to as the Bill Rate. The agency will calculate and subtract their costs, overhead and profit margin from the bill rate and then, with the difference, make a detailed offer to the traveler. Offers should include the specific dates and location of the contract, details of pay, housing or stipend amounts, insurance or other benefits as the agency may choose to include in their offer package. Agencies' costs and profit margins vary widely. This will directly affect the amount of money available to package into an offer for the traveler.

    Further, different agencies will package the same amount of money quite differently. One agency may offer luxury housing, high end health insurance, license reimbursement, a rental car and many other perks. Another may not offer health insurance, may provide low quality housing or even no housing at all. It is important to understand that there is no such thing as free housing or other free benefits. All of these things have a cost. Since all costs and compensation must come out of the bill rate, a traveler working for an agency offering a high level of "extras" will probably be paid lower wages than one working for an agency that offers few or no non-wage perks.

    If the traveler, tentatively accepts the terms and conditions of the offer, the agency will arrange for a telephone interview between the manager and the traveler in most cases. Assuming a successful interview, a formal contract will be prepared by the agency and sent to the traveler for their signature. Every aspect of compensation, including wages, stipends, reimbursements, housing, insurance, and any other perks is subject to negotiation between both parties and should be adjusted and spelled out in the written contract which ultimately is, with both parties signature, legal acceptance of the terms and conditions of the assignment contract.


    Clinical requirements

    The usual requirements for becoming a travel nurse are a minimum of one year of clinical experience in one's specialty and licensure in the state of employment, usually granted through reciprocity with the home state's board of nursing. Some travel agencies will reimburse travelers for the cost of the license or other required certifications. While only a minimum of one year of experience is required, it is highly advisable to have two or more years of experience prior to becoming a travel nurse. A travel nurse may receive a minimal orientation to the assignment hospital, most often only one or two days. Some travelers may receive no orientation at all. This is a subject that should be clarified in the interview. Travel nurses are expected to be very experienced and knowledgeable in their specialty by their assignment hospital.

    If the nurse's home state has joined the Nurse Licensure Compact (NLCA), the nurse can work in any compact state using their home state license. The nurse must have a license (RN or LPN) in good standing in their resident Compact state. There are currently 23 states participating in NLCA with Missouri pending implementation.

    Travel nursing assignment

    Travelers typically work under a short-term contract (usually ranging from 4 to 13 weeks). Contracts outside of the U.S. can last 1-2 years. Frequently an extension or a permanent position is offered by the hospital at the end of the contract.

    Assignment housing

    If travel agencies provide housing it usually consists of a one bedroom furnished apartment although other options can be arranged. Utilities (electric, water, trash) may be included. Telephone, cable TV and sometimes Internet service can be included. Housing often includes basic furnishings and may include a washer and dryer, dishwasher and a microwave but this must be clarified during negotiations. Many companies also provide housewares, which include pots, dishes, utensils and linens.

    The housing is typically arranged by the travel nursing agency in the company name. Some companies allow the travel nurse to participate in the search and selection process. Some parts of the country are much harder to secure reasonable housing than others.

    Nearly all agencies will offer a housing stipend if the nurse chooses to secure housing independently of the agency. Stipend amounts can be very substantial - often higher than the actual wages - and these may be provided tax free if the traveler has a qualifying tax home. The stipend is attractive to travelers who prefer to obtain their own housing, those who travel in RVs, and to those simply trying to maximize their income and who are able to secure inexpensive housing. Some companies require the traveler to take the housing stipend. The housing stipend or the value of the provided housing will be taxed as part of the pay if the traveler does not have a qualifying tax home.

    Assignment reimbursements

    A travel allowance is generally paid by the travel agency which may or may not cover all Travel costs.

    Some agencies offer healthcare insurance or reimbursement for insurance held elsewhere, the ability to contribute to 401(k)accounts (sometimes with matching funds), licensure reimbursment, referral bonuses for referring other travelers and loyalty reward type programs. Some companies are even starting to add vacation and sick days, stock investment options and continuing education reimbursements.
    Salary and benefits

    Salary averages are widely variable. Salary may change based on the location, the need of the hospital or nursing unit, the perceived staffing needs by the unit manager and the ability of the traveler to negotiate. Great differences are seen in various locations of the country. Generally, areas in the southern United States pay less than areas in the north or west. Areas where housing costs are high can impact salary ranges, as well. Travel nursing positions often can pay more than stationary nurse jobs depending on locations and demand.

    There may be tax benefits, commonly called "Tax Advantage" or "Per Diem" pay, if the traveler maintains a "tax home" while working and living away from that home. The tax-free reimbursement covers meal and incidentals as well as lodging. Some companies only offer the tax free lodging component, while others provide both. A "tax home" is a dwelling that you live in, maintain and return to between assignments. You must have living expenses at your tax home that you duplicate because your business requires you to be away from that home.

    Tax-free money is a complicated subject and many travel companies have little understanding of the tax implications for the traveler, often encouraging travelers who do not qualify to take it, leaving them at risk in an IRS audit. It is highly advisable to consult a travel tax expert prior to accepting tax free money.

    Considerations

    There are additional costs of being a traveler, which include additional licensing costs, traveling costs. These costs may be reimbursed to varying degrees depending on what company you use, your recruiter and your own negotiating skills.

    Often nurses will dream of traveling as a way of getting financially ahead and seeing the world. That dream can turn into a nightmare though if a traveler is not prepared and educated. Being a successful traveler requires using good financial planning, a flexible outlook, knowing what companies and recruiters to deal with, what questions to ask, and how to negotiate.

    The Professional Association of Nurse Travelers is the non-profit national organization representing nurse travelers in the US. The best inside advice covering pitfalls and workarounds comes from traveler-produced websites, blogs and forums on the web. Travel Nurses may get to go any where in the United States or other countries as well. This can be a big opportunity for many people, so you need to consider traveling when you become a nurse.

    Statistics

    There are an estimated 25,500 RNs working travel nursing jobs in the U.S. The number of LVN/LPN Nurse or Allied Healthcare Travelers is not known.

    Presently there are over 340 U.S. Travel Nurse Companies (110 are Joint Commission Certified) and over 480 Travel Nurse Companies, (U.S. & International), also staffing Allied Healthcare Professionals.

  • Jul 1 '12

    If California did not accept the RN endorsement from Nevada, I'm pretty sure they will apply the same rule/decision to whatever state you are licensed. I know you all have a reason why you want to work and settle in California. But be open to other possibilities and do not focus on just one state.

    I worked in the US before. My initial state of licensure was Oregon, then endorsed it to Kansas where I found a work. These two states are unpopular for Filipino grads but it sure gave me a lot opportunities and experience that I can't possibly get if I kept sticking myself to California where most of our relatives are.

    Good luck everyone.



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