I have worked two travel contracts in Nevada, one in Reno and one in Las Vegas. Let me tell you.........it is like working in Mississippi during the 1970's.
Without nurse-patient ratio laws and the increase in patients at the hospitals, the staff is at the mercy of the corporate money-makers and suit-sayers. No designated triage nurse around the clock, the charge nurses taking a full patient load, some ratios are 7-1 and over. That's on the floors.........the icu's and er's are just as bad or worse.
Some icu's are 3-1 and one er in Reno only has two RN's from 12am to 7am (and it is a huge er). So they only keep 10 beds open for the two nurses. (oh yeah, they have to triage everyone also because there isn't a triage nurse!) This is horrific staffing.
I have finally realized that it is not worth it to renew my NV license. Other travelers have told me the same at the facilites they have worked at. Believe it or not, some of the staff nurses working at these facilities have actually been thought-led to believe that this is safe for patients and best for the hospital. It is just amazing to listen to them defend these staffing levels. Just unbelievable.
So, I will visit Nevada for vacation and fun.............but not to ever work again as a RN.