Travel Nursing: The good, the bad, and why I probably will never do again-Part 1

Travel Nursing offers high pay, glamour of seeing new sites, and making new friends. But, for me, there is a dark side. Specialties Travel Article

  1. If you had the chance, would you choose to be a Travel Nurse?

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Based on true Travel Nursing experiences by Cynthia Hubbard, R.N.

It was Wednesday when the call came in: "Can you be here by Tuesday?" Moira, the Director of a well- established Home Health and Hospice company up in northern Maine had just phoned me for an interview. It wasn't 10 minutes and I found myself saying with enthusiasm, "Sure!" Never mind I was in Wisconsin, but then, I have always been an optimist.

"Really???" Hope was evident in her voice. "Wow! That would be great."

"See you Tuesday, " I replied. I placed a call immediately back to my travel agency per instructions, to let them know that I would accept the assignment. Now I needed housing. I hate apartment living so Janelle in the travel agency's Housing Department was scrambling to find me a single family rental near where I would be working. She phoned to tell me she was waiting for a reply which we found out later - would never come.

After three hours, Janelle called to say she found a "cute place on a lake with a private deck and everything. I found it on Craig's List," she said happily. She gave me the phone number to the lady who owned the house. She lived upstairs from the studio I would be renting. It was in my price range. Little did I know what I was in for.....As I already had my necessary administrative paperwork done, all except the drug test and a few FAX's to send, all I to do was pack a suitcase....or so I thought.

The vehicle I drove was a 2000 Plymouth Voyager Van, 15 years old. While it got its' oil changes done religiously, and had new brakes, tires, and insurance, it lacked a tailpipe, one hubcap and had no back seats. Mind you it was great for loading stuff, but as it has crossed the country four times in the last 5 years and been exposed to extreme temperatures, so of course it had some rust. I suddenly wondered if we would really be okay on this trek to "God's Country." I phoned my mechanic to schedule the oil change. It was a tough squeeze but he agreed to do it later that afternoon.

As there was no internet in my apartment, keeping communication open between the travel agency and myself was a challenge. One is only authorized 2 hours a day of internet at the library unless one brings their own computer. Experience has taught me that using my computer in the library, is an exercise in patience. It could take up to 2 hours just to log on. Some documents such as titers, immunization records, physicals, respirator fittings, etc. needed timely FAXing so I jumped into my car to our apartment manager's office to use their machine. Caroline was behind the desk, hunched down, speaking to a prospective renter on the phone. (I think she had hoped I wouldn't see her.) Her desk piled with papers, she was trying to eat her lunch at the same time. Clearly, she was doing the work of 2 people. I felt guilty for asking for her help, but FAX's sent from her office do not cost anything and I was told in the past that it's ok to ask them to send. She hung up the phone.

"Hi, Caroline," I said with some mustered up cheerfulness, "How are you?"

"Busy," she said flatly.

"I just got offered a travel nurse position up in Maine and I need to send these right away. She loaded the machine. While it was sending, her phone rang. As the pages fed through the FAX, they fell on the floor, gracefully spilling in all directions. I wanted to go behind the desk and help gather them up but renters aren't allowed back there so I helplessly stood while she spoke on the phone while I waited. The Confirmation Page printed. I thanked Caroline very much and headed out the door to the mechanic, 45 minutes up the highway. As I rolled into the garage for the oil change, my phone rang. It was Joe, from the travel nurse company.

"We never got the FAX," he informed me.

"But I have a confirmation!"

"Nope, it's not here. Can you send it again?" Caroline again and I was too far away from town anyway.

"Wait," I brainstormed. "My church is about a half mile up the street. I'll see if I can use theirs."

"Ok, just let us know when you are transmitting so we can watch for it."

"You got it," I said. Throwing the car into reverse, before he got a chance to raise the hood, I left the mechanic with a mental promise I would call him later and re-schedule. As I sailed into the parking lot at church, I prayed I could get this all done before I had to leave for Maine in the morning. Slamming the car door and racing to the entrance I nearly dislocated my shoulder as I grabbed the door handle to the church entrance.

Locked! I forgot that the church was also a school and that school was now out for the summer. Frantically I phoned the Pastor. (I had him on Speed-Dial.)

"Hello," he said cheerfully.

"Pastor, I've got kind of an emergency.." and explained to him what I needed.

"May I use your FAX?"

"Sure! Just tell Amanda what you need. Come to the end of the building and she'll let you in. I'll let her know to open the door."[

"I breathed a prayer of thanks." Amanda opened the door and said seriously, "You need to send a transmission? We will need to de-activate the alarm, as school is closed for summer and the equipment is rigged to go off if being used without authorization."

"Wow, so what do we do?" I asked.

"I'll call them and ask them to de-activate it while we are using it. It shouldn't be a problem."I watched as she contacted the Security folks. "About a half hour I would think," she said to them. I pulled out my paperwork and got my agency on the line to confirm as it was being transmitted.

"By the way", said Lisa, (H.R. Compliancy Officer at the company), "we also need a copy of your C.P.R. card and proof of car insurance."

"Great," I thought to myself. "It will mean a trip to the car," as I kept that in the glove box. I glanced sheepishly up at Amanda- she's very tall. "I will need to go out to the parking lot and I'm afraid the door will lock after me."

"Just prop it open with the child bench outside the door," she suggested. I ran down the hall. We were racing against the clock so I was only thinking about my Team that was waiting for the FAX, the alarm and how much time we had. The bench was within reach. As I held the door open and reached over to pull the bench over, I was shocked to feel how heavy it was and nearly threw my back out in the process. No one mentioned it was made of concrete!

As I reached the car and threw open the glove box, I saw to my dismay that although I had current coverage, my card had expired. "This just keeps getting better and better," I said to myself ruefully. As I trotted back to the church office and handed her the expired insurance card, I called Joe to let him know that the card is expired, but I could prove coverage.

"Yeah, we really do need a current card or something from your insurance company," he droned.

"You'll have it within the hour, I promise." I shot back with a forced smile. To my horror, while Amanda was making copies of my tiny cards to FAX, the alarm went off. We stared at each other. "Really?!" I asked. "Has it been a half hour?" We waited. No phone call.

"Great," I said chuckling, "Do we wait for the S.W.A.T. Team?" "I don't understand it," Amanda said looking bewildered. "They're supposed to call when it goes off." "Well," I replied, "I'm on a mission. They're gonna have to shoot me first." I started laughing. Amanda didn't think it was funny. The phone finally rang. All was well. I thanked her profusely and she wished me well.

Another ring...it was my cell: "By the way," (it was Lisa again) "You will need to take a couple of quick tests online. Can you get to the library?" No stress there. I was only 45 minutes in the opposite direction. I said I would get there in about an hour. It was a miracle it went as well as it did. The tests got done, I was packed, mail forwarded and out the door, I went the next morning. I don't think my feet even touched the ground.[

Travel Day

First stop, the garage. I still needed that oil change and I knew I'd be walking on eggshells with the mechanic, due to the afternoon previous.

Jeb was in a bad mood, crabby and the only person in the world I know who can make "good morning, " sound like it was a bad thing.[ I pulled in the garage and left the car to wait in the waiting room. About 15 minutes later Jeb approached me scowling, "You might need another one of these." He held out his hand with a broken piece of rubber hose that used to be part of the crankcase apparatus.

"What are you guys doing? I only wanted an oil change."

"I'm not breaking stuff on purpose! It just came off. Here, I'll show you. Follow me." I obeyed.

"Can you tape it for now? I need to get on the road." He showed me a print out of my battery. It didn't look good.

"Promise me you will get the battery replaced as soon as you get there if not sooner. The tape will hold for now. The oil change is done." I was on the road.....

The deadline to get there was Tuesday to start work, so my time was limited. Wisconsin, Illinois, Michigan, Ohio, Pennsylvania, New York, New Hampshire and finally, Maine. The scenery was an education in the geography and demographics of our wonderful land. The glorious sunrise of gold, pink white and silver, the rolling green hills flowing of farmlands, bays of blue-silver water, sailboats, colorful gardens, all were reminders America's beauty. I smiled as I anticipated how much fun driving to the northeast would be.

It rained in Michigan, quite a lot. Highway traffic was deadly. I prayed for Travel Mercies the whole time. Unfortunately, in every state I hit construction. Still, the delays weren't too bad and I managed to make it to a nice motel by 8 p.m. the same night.

When I got to Ohio, the highway suddenly closed down without warning compliments of the State Highway Patrol. All traffic was detoured through Sandusky, at the height of the motorcycle gathering of veterans, and a celebration of the anniversary of the end of the Viet Nam war. The colorful flurry of flags that flew, planted in lush lawns, the bands playing, vendors, outdoor cafes in full swing, folks honoring those we lost and those who came home scarred inside or out, made me take pause. To this day, when I see a convoy, I still get choked up.

The one thing that I thought was a miracle, is that the whole time that I was driving, my blower fan which needed repair, was working beautifully! There wasn't time to fix it and frankly, I hadn't the finances to do so. It was to God's grace to which I give credit. By the time I got to New England, my spirits began to soar. The mountains, mists, colors and lack of billboards made the drive look like a picture postcard. Such graceful and treacherous beauty!It felt as though I was entering another world...

Specializes in Med/Surg/Infection Control/Geriatrics.
I love this! You are an awesome writer. Looking forward to reading the rest :)

Thank you so very much!

The terrain where I was made it very difficult for good internet access, which is one reason why I chose not to purchase it where I lived. My neighbors often complained that they had trouble keeping a connection in Waukesha. Life was a different pace there in 2014-2015 in my area. I have to smile when I read some of these arrogant assumptions that some of the readers make. I could almost accuse them of ethnocentricity. Still, my experience was unique.

Sure was unique! Lots of people do not have internet access, often because of affordability. They go to libraries and coffee shops. Virtually everyone, even back in 2014, have smart phones. Even Waukesha has 4G internet cellphone service, and many travelers use their cell phones to communicate, yes, and even fax with lots of good fax apps available.

Try to understand why some here are rolling their eyes at your narrative. These are simple problems and simple decisions. Nope, I'm not going to read the rest of the parts so you can rest easy, I won't be posting about them. Maybe the last paragraph of the last part to see what point you are making, if any.

Specializes in Med/Surg/Infection Control/Geriatrics.
Sure was unique! Lots of people do not have internet access, often because of affordability. They go to libraries and coffee shops. Virtually everyone, even back in 2014, have smart phones. Even Waukesha has 4G internet cellphone service, and many travelers use their cell phones to communicate, yes, and even fax with lots of good fax apps available.

Try to understand why some here are rolling their eyes at your narrative. These are simple problems and simple decisions. Nope, I'm not going to read the rest of the parts so you can rest easy, I won't be posting about them. Maybe the last paragraph of the last part to see what point you are making, if any.

I appreciate your words, but as I stated earlier I had my reasons. And coffee shops and phones are not secure for what I had to send. I am surprised that others forget that. I did not use a smart phone. I had a flip phone at the time and only used the smart phones from the companies with whom I worked so I didn't have to purchase one. Coffee shops are never safe places for internet use let alone sending documents of a confidential nature unless the email is secure and allowed.

Sending personal documents that way is unwise and many places, not all do not allow it.

As far as "simple problems with solutions", it was. I handled it and enjoyed it in the process. Thank you.

Specializes in Med/Surg/Infection Control/Geriatrics.
I just wanted to tell you that I appreciated getting to travel along with you on this journey! Writing is such a tough thing as when our fingers find the keyboard often our hearts are attached as well. I celebrate anyone brave enough to do it.

I loved your description of the country and the people. As to your technology situation, I too live in a very remote area in which we just got wifi about a year ago and hotspots do not work! What a luxury to now be able to get online whenever I want!

I read your part two, first and then found your first installment. I'd like to read the rest but I'm assuming you've not posted them yet?

Thank you again for taking the time to share your story with your fellow nurses.

Blessings to you!

JSM7

Thank you!

Specializes in Med/Surg/Infection Control/Geriatrics.
HaveNurse, honestly...this first part is what is basically an expectation of fast response travel nurses. The first responsibility is on YOU to make sure you can take a job 7 states away in the dead of winter with a crap car, not the travel agency. They asked, and you said okie dokie.

I empathize with your winter driving. Grew up not far from northern Ohio. So I have very little patience for anyone who uses that as an excuse, particularly someone who LIVES THERE. If you were from Florida or California and had never experienced that kind of driving before, I would say...lesson learned, I am glad you're okay. But you are from WISCONSIN. You knew better than to try speeding to a job that far away in that kind of weather.

If the remainder is like this, I really am wondering what Ned said..."what is your point?" What is the "dark side" of traveling?

This IS traveling. It's flying by the seat of your pants and being organized and with enough common sense to be able to add, read a weather report and know your limits. If you don't have these, travel nursing is NOT FOR YOU.

Cancelled when you drove 3000 miles? Gonna sit and cry? Uh...then travel is not for you. It's in the contract. Facilities can cancel at any time. Get your feet under you and compensate.

I can name a thousand things that have happened to me over the years traveling, not all of them even in the realm of reality...but you sign up for a large amount of UNCERTAINTY. That IS the job. Anybody who tells you otherwise, is lying. Period.

This isn't dark so far. I'm not sure why you'd find it acceptable to drive that vehicle to a regular job 25 miles away, let alone 2500 miles in the northern tier winter.

Kinda flies in the face of the commentary on the thread about the kid who got fired for calling off a day before a snowstorm because she had a crap car.

I know I am being harsh. But read the thread about this kid and how this forum came down on her for even complaining about her situation.

What I think you should be hearing from this same group is....

GROW UP AND GET A GOOD CAR!

Adulting is HARD! Suck it up!

YOU made this commitment, you stick to it even if you DIED TRYING!

What is wrong with you that you have a crap car??? Don't you have common sense???

I think travel is not for you, because if this is how you approached it and are now saying it's the "travel job" and not your lack of prep and common sense coming into it....you really need to stay at a local perm job where breaking down between point A and B is nothing more than a mile walk home.

Wow. So where did all this rage come from, and, who are you mad at? Nobody got cancelled and who said anything about winter driving?? Not sure who you are talking to, but it isn't me. And who said anything about the car breaking down?

Happy landing!

Specializes in Med/Surg/Infection Control/Geriatrics.
Your story just makes me shake my head. From the old, broke down car, to not knowing how to use the internet, to driving to ask your preacher (of all people) to use his fax...I don't know if this is some weird attempt at travel nurse satire, or just a straight up lie. The whole thing with faxing this and faxing that is nauseating...can you not just email all your forms to your agent and call it a day? I have been traveling for a year now and NEVER had to fax anything...EVER! It's usually upload, email, text, go take a drug test, then head out for my next gig. Simple!

I really hope your story doesn't turn people off to the traveling world. Because it is nowhere even close to how you described it.

If you are a Traveler and doing well, that's wonderful! Not all of us are so lucky and a lot depends on who you work for.

You speak as though nothing can ever go awry with those who demand things to be sent immediately. It is fortunate that you have never had to fax anything ever. Good for you.

Some of us though, have had to reside in areas where there was poor internet, Security concerns so sending by phone wasn't an option, nor was using a café. Fax was the only option. And things can happen as you now know. And you really are taking the wrong tone here.

You focusing on the wrong thing here anyway. This first chapter is merely an intro to what happened later. I am sorry that you don't seem to possess the patience to read it with the spirit of which it was intended. Entertainment and a personal experience.

Your words are mean-spirited and angry sounding. Please don't deny others their own personal experience.

If you can calm yourself enough to stick with the story for all chapters, perhaps you will understand.

And I would think very hard before accusing someone of lying. There are times in life when incredible things can happen. I don't know how old you are, but I have lived a long life and have seen and experienced much- more than I cared to really, as I also served my country-twice, sometimes seen things I wish I hadn't.

But I also try to see the crazy humor in life and when it makes me laugh, I want to share it. And News Flash: It's o.k. for me to do that.

It is my hope that you can see that.

Thank you. Oh. And the car, wasn't broken down. I don't know where you got that from. If you really read the story it was missing some non essentials, but it ran just fine!

Specializes in Med/Surg/Infection Control/Geriatrics.
That was one of my initial thoughts too, was that either this was from the 80s, or that it was made up because it seems unnecessarily dramatic.

This has nothing to do with AFFORDING to send a fax. As a tenant in my building it is one of the privileges and I utilized it.

And as far as the mentioned "high pay", I hadn't yet started so I hadn't yet been paid. You really do need to follow the sequence of events before assuming too much. Just enjoy.

It was dramatic, and fun in the first chapters. Thank you for noticing. :)

Specializes in Medical-Surgical, Telemetry/ICU Stepdown.

Travel agencies are only interested in quick profit and they have no interest in you as a professional and they have no interest in helping you develop your career as part of the organization.

Some travel agencies have engaged in Medicare and Medicaid fraud. There have been convictions and hefty fines.

Travel agencies pay higher hourly wage than staff positions. This can be useful at various points in your life, but I think in the long run you lose, you miss out an growth opportunities. There are perks and benefits of working full time for a reputable company that offer you as much, if not more, value than the hourly rate.

Generally speaking, the best companies to work (in any industry) are great because they create a climate that helps you develop to your fullest potential, something agencies couldn't care less about.

That's why everybody wants to work for a Fortune 100 company or Fortune 500 company. Nobody wants to work for Johnie Doe's Travel Agency.

But if you have the choice between running out of money or taking a travel assignment, then you should grab the contract because it will give you time to think and plan and organize your next career move.

Specializes in Med/Surg/Infection Control/Geriatrics.
9 chapters? Where? But perhaps a one line summary of the point you are trying to make here. This sounds more like a complaint to a friend than something of benefit to a travel nurse community about internet issues.

I'm not sure why you interpret it as a "complaint," as it is not. It's only the beginning of a story that had 8 more chapters. If you will note, the first Chapter is Part 1. Thanks for reading!

Specializes in Med/Surg/Infection Control/Geriatrics.
I'm a bit wordy myself, but I don't think I can dig through 9 parts, or chapters to get to a punch line that doesn't look promising per the title. But it is original, I've certainly not read about emergency oil changes on this forum before.

LOL! The "punchline" as you call it, lies in the last chapter. You have to read this journey to understand why.

Nope, not reading further. But thank you for coming back 8 weeks later to encourage me.