Reigen

Been bi vocational many many years.... RN and Ordained Minister....has been a great experience for me.... I have worked in Peds, Med/Surg, ICU, Hospice and LTC ... have given many a sermon at nursing homes, especially at Holiday Times, and officiated at many weddings ( in fact I have 4000 weddings "under my belt"). Comforted patients and families.... and saved my sanity from "THOSE DAYS" at work. I pondered the calling...I took that leap of faith....and happy I am I answered the call. Blessings on you and your choices in front of you. I know you will be great either way your choose.

What are some good traveling agencies to look in to? Do they have short term jobs or are most of them 6 month terms? This is most likely more than you wanted.... Travel nursing 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. 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. 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. 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.

I am so sorry to hear of your problems with family and management. I too, had a family member very much like the one you described, she yelled, threw items, pushed and shoved.... and I fell down, have been off work under a worker's compensation injury for 15 weeks now....I may never get to return to Nursing because of the injuries I substained. Please do not wait until a serious injury occurs to you or another staff member. Do the harder right thing, instead of taking the easier wrong way (paraphrased from the West Point Cadet Prayer)....

The hourly rate is far below what a RN wage should be, also if you need to file for unemployment or worker's compensation your benefit based on that wage amount. The IRS would be wondering why the wage was so low, and could bring an aduit. Also if you do not have a tax home you will not qualify for the tax adavantage program for housing/ per diem and that income will be 100% taxable. This part will be what would be of concern to the IRS for any audits. If you can please use a tax advisor that specilizes in travel nurse taxes...

Ours counts Lyrica and it is placed with other narcotics, and we count coumadin and all antibotics as well....last two prevents missed doses (or so we hope).

Start by preparing yourself to confront the real issue. Keep the discussion as rational and factual as possible. Be able to state the issue in one (or two), non-emotional, factual based sentences. Tell him/her what you need from him/her in terms of direction, feedback and support. Be polite and focus on your needs. Ask the DON how you can help him/her reach his/her goals. Make sure you listen well and provide the needed assistance. Say what you want to say (the confrontation), then just allow the other person to respond. Your boss is unlikely to change; he/she can choose to change, but the person who shows up to work every day has taken years and years of effort on his/her part to create. And, who your boss is has worked for his/her in the past and reinforced his/her actions and beliefs. Instead of trying to change your boss, focus instead, on trying to understand your boss's work style. Identify what he/she values in an employee. Does he/she like frequent communication, autonomous employees, requests in writing in advance of meeting, or informal conversation as you pass in the hallway. Your boss's preferences are important and the better you understand them, the better you will work with him/her.

I took a $5.00 per hour cut in pay to work day shift... When I think I need some more pennies I pick up an extra shift. For $180 per week less, I get to sleep at night, and not have everyone in (it seems) the world calling or knocking on my door while trying to sleep. For me it was worthwhile to take less money to have somewhat better hours. If your expenses will allow you to take less, Go for it... if expenses don't still go for it and pick up an extra shift or two. Hope your decision that you make is the best right one for you Reigen

Unless you are finding your own housing, it is not usual for the nurse to pay a housing deposit. A PET deposit yes, but not the regular apartment/housing deposit.

This is pretty long, but I hope it helps you with all the information to have some idea on how travel nursing works... Godd luck in finishing school, and passing the NCLEX and your nursing carrer. Reigen 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. 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.

My facility has Trach Residents and also has Vent Residents... Vented Residents are on one unit/hall and there are 10 however we also have a round the clock Respiratory Therapist on duty. There is one nurse for all 10 of those to do treatments medications etc. The RT nd Nurse work closely together, as the Vented Residents are take off the vent and "bagged" during a shower.... The Trach Residents are "scattered" over four units/halls through the whole building. Each Unit has one Medication/Treatment Nurse, who is also responsilble for the Trach care, and suctioning (which must be done every 4 hours) and PRN as well, on assigned Trach Residents. This assignment of Trach Residents can be one to 3 depending on how many the hall/unit has at any given time.

When finding an unusal doseage, if not comfortable inadministering, one should call and speak to the person who made the order, and clarify the reason(s) for that particular doseage. Calling pharmacy is also an option, as the pharmacy may have already clarifed with the person who ordered that dose. Documenting speaking with either the orginal ordering person and the pharmacy , and reporting these conversation to the on coming shift/nurse would also be good. I hope this helps

PanTravelers - Home You will need to register (that is free) but they do have a travel nurse pay calculator you can use to see what your take home pay might be.

This is just some general information. I hope it can help you 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. 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.

PanTravelers - Traveler's Calculator3 This is the link to a calculator, while you will have to registered to use this it's free to register.... This will help you figure out if what you are being offered is a fair wage.

Last week I worked 97.25 got paycheck stub to prove those hours.... and I feel like that picture! LOL