By The Gypsy Nurse

July 3, 2018

13556 Views

ADVERTISEMENT

Violence in the Workplace: A nurses perspective

Violence in the workplace is not tolerated. Most professions will protect their workers from workplace violence.  Nursing, however, is very different.  How can you be protected from the violence that confused, drugged-out, neuro-damaged patients will ultimately give you?  You can’t.  It’s a simple fact that nurses will be assaulted at one time or another during your career.

The National Institute for Occupational Safety and Health (NIOSH) defines workplace violence as any physical assault, threatening behavior or verbal abuse occurring in the workplace. Violence includes overt and covert behaviors ranging in aggressiveness from verbal harassment to murder. (NIOSH 1996)

Violence in healthcare

Violence in healthcare is such a formidable issue that OSHA has put together a complete policy to address it.

Head Nurse, a fellow nursing blogger posted about an incident that occurred to her in the workplace.  “Well That’s Never Happened Before” She puts a funny spin on the experience but the reality can be scary and potentially dangerous.

I’ve been assaulted on many occasions as a nurse.  Once a young confused patient grabbed my stethoscope (that was around my neck) and proceeded to nearly choking me to unconsciousness with it.  Needless to say, I never wear my stethoscope around my neck anymore.

I’ve been punched, kicked, spit on, pinched so many times that I can’t even count them.  This is just the physical violence that I’ve encountered.  I haven’t even mentioned the verbal assaults that I’ve received not only from patients and family members but doctors and co-workers as well.

According to the Bureau of Labor Statistics, the healthcare sector leads all other industries, with 45% of all nonfatal assaults against workers resulting in lost workdays in the US. (BLS, 2006).

Why aren’t nurses and healthcare professionals protected better?  We aren’t allowed to utilize restraints except for extreme circumstances and at that, it takes a ridiculous amount of steps to obtain. It’s unethical to simply ‘drug’ a combative patient.  What is being done to protect us as nurses from violence?

As a healthcare worker, have you been assaulted by a patient or family member?  What are your thoughts on what can be done to protect nurses in the workplace?  Do you feel that violence is just ‘part of the job’ and accept it?

By The Gypsy Nurse

May 23, 2018

10227 Views

ADVERTISEMENT

The Anatomy of a Road Trip for the Travel Nurse

Building the road trip can be an exciting part of travel nursing.  The pieces and parts of the trip all combine to make up the anatomy of the road trip.  But what goes into it isn’t always how it works out in the end.

My most recent road-trip was a long one.  Traveling from the Louisville KY area to Eureka California it was nearly 2500 miles.  I had two routes that I could contemplate; the northern route via I 80 which would allow me to stop in and visit with my recruiter and the more southern route via I40 which would take me through the middle of the country.

Due to the nature of our business, we rarely get to meet with our recruiter or our company in person.

Knowing this I choose to take the Northern route…knowing that it would take me through some pretty remote parts of the US. If you have ever driven through Nebraska, Wyoming or Northern Nevada, you’ll understand what I mean when I say remote!

Don’t get me wrong; all of these states have their unique charms and if you have never driven this part of the US, I highly recommend it at least once.  Take a friend along, it will lessen the boredom when you have no cell service and the radio is only 3 stations…all country music.

Making Connections along the way was a mission for this trip.

I had planned an overnight stop in Omaha Nebraska where my current company Triage Staffing is located.  I met up with my recruiter Jason Sagehorn at a local place called Jimmy’s Egg for breakfast.  I’ve met Jason previously and we had a great time catching up on personal stuff and finishing up some last minute paperwork for the upcoming job.

After meeting with Jason, I set up a meeting with Atlas MedStaff.  Atlas is one of the sponsors for the 2013 Gypsy Nurse Brunch/Luncheon happening in Las Vegas in October.  When I realized that they were in Omaha, I couldn’t resist meeting with them in person.  The crew at Atlas met (and treated) me for lunch at Joe’s Crab Shack. We discussed the business of travel nursing, some of the ups and downs and of course the upcoming events in Vegas. I wish that I’d had more time with this group as they were a ton of fun to visit.

We also scheduled a Meet & Greet at the Cheesecake Factory after our business lunch.  Joe Smith from Travel Tax was in the area and came out to meet with us.

From Omaha, I traveled on to Cheyenne WY. It was late when I finally arrived and I can’t tell you if there is anything fun or interesting to see/do in Cheyenne because I basically ended up sleeping then hitting the road again…onto Salt Lake City.  In SLC, I met up with a fellow Gypsy Nurse Andrea.  We chatted for a bit but I had arrived a day earlier than expected and she was at work…

The final leg of the trip ended up much longer than I’d expected.

I had planned on taking 2-3 days for the remainder of the trip and ended up instead traveling the rest of the route in one fail swoop.  I just kept thinking… ‘I can make it to Reno…it’s only x miles’ then it was ‘gosh…I’m just not tired, let’s see how far I can get tonight’.  

So, I’ve arrived in Eureka California and have had a couple of days to relax and settle in before I start work on Monday.  It’s not the road-trip that I planned and I wouldn’t recommend traveling from SLC to Eureka in one ‘fail swoop’ but it was the trip that it was….

Sometimes even the best-laid plans go awry…

**My camera decided to stop working on this trip which deterred me from doing much sightseeing along the way.  There were several spots that I normally would have stopped and gotten out to explore and take a few photo’s but it all seemed futile without my camera.

By Focus Staff

May 22, 2018

10198 Views

ADVERTISEMENT

Fear of Becoming a Travel Nurse? Here’s What You Should Know

This article is provided by: Focus Staff.

By 2022, more than 1.1 million new nursing positions are expected to be created [1]. For travel nurses, this presents even more opportunities in a field that is already in high demand.

fear of becoming a travel nurse

Have you considered working as a travel nurse, but have fears that are holding you back? It’s definitely the time to put them to rest. To help you, here is a quick look at the most common fears associated with travel nursing and what you should really know about them.

Adapting to a new work environment:

When you are working as a travel nurse, you are essentially starting a new job with each move. Fortunately, the basics of nursing care are the same all over the country. This means your biggest challenge will be learning where everything is and the protocols of each hospital. Go into each job with a plan to fit in by being friendly, working hard, and making it clear that you are there to help. When you do this, others are more likely to embrace your presence and help you adapt to your new environment.

Adapting to a new unit:

It’s not unusual for travel nurses to be floated to a variety of different floors while on assignment. Thus it is worth mentioning again that the basics of nursing care are universal. If you are considering becoming a travel nurse, it’s a good idea to join the float pool at your current facility. This will increase your comfort level in areas that you may be somewhat unfamiliar with, such as pediatrics, oncology, or postoperative care. When you are working, don’t be afraid to ask questions. Remember, you are there to help, and most other nurses will appreciate that and be glad to assist.

Feeling lonely:

Travel nursing does have the potential to be lonely, especially when you first arrive at a new assignment. Fortunately, once you start working, you’ll start to develop new friendships. Until then, keep busy by exploring the area, working out, reading, and doing other things that you may not have the time to do at home. Another way to beat potential loneliness is by traveling with a buddy nurse.  You’d be surprised, there are many traveling groups and forums online specifically for traveling nurses to the network which helps tremendously in this area.

Missing family and friends:

There is no doubt that you’ll miss your friends and family while traveling. Thanks to technology, it is easy to stay in touch, whether via phone, text, email, Skype, or social media. You can also invite them to visit your new city. After all, you won’t be working every day, and you’ll have time to explore the city with them.

Finding a place to live:

In some cases, the agency you work with may already have a plan in place. In other cases, you may be given a housing allowance and the opportunity to choose your own home base. Plan ahead, making certain your home is close to your assignment, as well as in a safe neighborhood. Again, many traveling forums give insight into housing options at any given facility or area so you aren’t alone in finding a good place to rest!

The “what-ifs”:

Considering the possible what-ifs can make you crazy. What if you don’t like an assignment? What if you get sick? What if a family member gets sick and you need to go home? In many situations, your agency will have policies in place concerning most of your possible what-if situations. Reviewing those policies may put your mind at ease. In most cases, these potential fears never materialize. Don’t let something that will probably never happen to prevent you from a great opportunity.

[1] According to American Nurses Association.

By The Gypsy Nurse

February 28, 2018

29316 Views

ADVERTISEMENT

Ask A Travel Nurse: Travel Nurse Orientation

Travel Nurse Orientation:

Gypsy,

I am a new travel nurse; I’ll be starting my first contract soon.  I’m nervous and excited, but most of all, I am curious to know what to expect during Travel Nurse Orientation?  Will It be like a normal hospital orientation?

Thanks!
New Traveler

Thank you for reading The Gypsy Nurse. You have taken the first step on your journey to becoming A Gypsy Nurse.

Travel nurse orientation is very unpredictable.  Do not expect it to be anything close to ‘normal’ hospital orientation.  As travel nurses, we are expected to jump in immediately and assist during periods of the high census of low staffing.  Because of this, orientation is not a priority.

Personally, I have experienced anything from a full-blown hospital orientation lasting 3 days to walking onto the floor my first day and give my patient load and told where to go to receive the report.  Each hospital is different.  Some things that you ‘may’ expect:

  • Computer Training – this can consist of nothing more than obtaining your passwords/IDs, a self-taught course, or days of classroom training.
  • Policies and Procedures – this could be as simple as finding the resources for full days of classroom general hospital orientation.  I’ve also experienced times where I received nothing and had to seek out these resources on my own while working on the floor.
  • Skills Testing – Many hospitals will require some sort of testing on arrival.  This may include dosage calculations, unit-specific testing, hands-on skills check-offs.  This varies greatly.
  • Floor orientation – Again, you may or may not receive floor orientation.  Most hospitals that I have worked in have given at least one day of floor orientation to work with a staff nurse and share a load for a shift or two.
The most important thing to remember when it comes to orientation is no matter how extensive, or non-existent the orientation is, make sure that you are willing to ask questions when needed.  I insist on a few items on arrival before accepting patients.  These items are needed to ensure the safety of my patients, and I refuse to accept a patient load until I am informed of the following:
  • Crash Cart
  • Emergency policies/procedures, codes, and numbers
  • Procedure for calling a code
  • How to reach MD
  • Tour of unit: med room, supplies, emergency exits, oxygen, equipment, etc.
It’s important to remember that you already ‘know’ how to be a nurse…this doesn’t change with location.  Learning the charting and the details will come with time.  Expect that your first week or two will be hectic and confused.  This is normal.  With a little time and patience on your part, things will settle in quickly.

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments.  Do you have a question for me?  Fill out the Ask A Travel Nurse form and submit your questions.  In addition, if you like what you’ve read here, don’t forget to SHARE.

By The Gypsy Nurse

February 18, 2018

15327 Views

ADVERTISEMENT

Ask A Travel Nurse: Missed Shift Fees

Gypsy,

Is it common for the agency to request monetary repayment for missed shifts? I’ve worked on two assignments, and this has never been part of my contracts before.

Thank you,
Anonymous RN

Thank you for reading The Gypsy Nurse. You have taken the first step on your journey to becoming A Gypsy Nurse.

It is common in this industry.   I’ve worked for multiple agencies over the past 8 years of Travel Nursing, and only two did not have a dollar amount for missed shifts in their contracts.   One used to allow two missed shifts per contract, but too many of their travelers abused it, so they no longer do.

The penalties are to cover housing costs.   If you don’t work, the agency doesn’t get paid, but they must still pay for housing.   The penalties should approximately equal the cost of housing.

Example: housing is $1200/month.   The contract is for 36/hrs a week, 144 hours a month.   $1200 divided by 144 = 8.30/hour.   If the penalty seems excessively high, ask what housing costs are.   If the agency has not secured specific housing yet, they may not have an exact figure, but they should have a general idea.

I had one contract in a smallish city, and the hourly missed shift penalty was equal to the housing costing the agency nearly $3000/month.   I knew there was no way they would spend that amount and refused to accept it.    They lowered it to a more realistic figure.

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments.  Do you have a question for me?  Fill out the Ask A Travel Nurse form and submit your questions.

Do you have any insight into missed shift fees?  Comment them below to share those with fellow travel nurses.

By The Gypsy Nurse

February 11, 2018

9224 Views

ADVERTISEMENT

Ask A Travel Nurse: Contract Cancellation?

Contract Cancellation:

Gypsy,

One of my big concerns is the possibility of contract cancellation. From your experience, how often does this happen? How does the Travel Nurse respond to the event? I would appreciate your insights on this issue.

Jeff 

Thank you for reading The Gypsy Nurse. You have taken the first step on your journey to becoming A Gypsy Nurse.

Jeff,
There is always the possibility of a canceled contract. I’ve had this happen on several occasions.  Once before I even left and once during the contract.  This is one reason why it’s important to have a good savings cushion in place before traveling.  Another thing to keep in mind when it comes to cancellations is your company.  If you work with a good/reputable agency, they should be able to find you another position quickly should a contract be canceled.

Here is some practical advice on how to handle a canceled contract and the possible implications: My Contract Was Cancelled…Now What? 
 
I hope that this helps to answer your questions.

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments.  Do you have a question for me?

Do you have any travel nurse questions you would like asked? Our Gypsy Nurse mentors have great insight into many topics.  Click here to submit your questions here.  Another great option is to reach out to our Facebook group.  There are thousands of members, and many can answer your questions as well.

Have you had a contract cancelled as a travel nurse? How did you handle it, what did you do? Comment your tips below.

By The Gypsy Nurse

January 22, 2018

21091 Views

ADVERTISEMENT

Ask A Travel Nurse: Mail

Travel Nurse Mail:

Hi! I’m considering going into travel nursing but have a couple things I’m figuring out to see if this would be the best fit.  How does the Travel Nurse deal with the mail?

If I forward it all through the USPS, I should receive everything. Thanks for reading this whole message, and I can’t wait to hear back!!

Sherrie

Sherrie, There are multiple ways to deal with your mail as a Travel Nurse. Check out this article: Remote Control your mail.  Yes, if you have your mail forwarded via USPS you ‘should’ get it.  The trick is to make certain to address your forwarding in a timely manner so as not to lose anything when moving from place to place.

We hope this information was helpful. Have you found ways to work with your mail while you are travel nursing? Comment any tips you may have to share with your fellow travel nurses below.

Do you have any questions about travel nursing you would like answered? Our mentors have great insight into travel nursing. If you would like to submit a question, click here. Another great option is to reach out to our Facebook group members. Many of the members have expertise in areas of travel nursing.

By The Gypsy Nurse

January 15, 2018

5013 Views

ADVERTISEMENT

Ask A Travel Nurse: Roadside Assistance

Roadside Assistance

Gypsy,

I’m preparing for my first travel nursing contract and am curious to know if you find roadside assistance programs such as Goog Sam or AAA helpful or necessary?

Thanks!
Marrietta, RN

Thank you for reading The Gypsy Nurse. You have taken the first step on your journey to becoming A Gypsy Nurse.

Marrietta,
As a travel nurse, if you choose to drive to your contracts (which many do) you will be spending a significant amount of time on the road away from home.  Likely alone and without a local resource to ‘save’ you if you should happen to break down.  We all take precautions (or should) prior to hitting the road, but there is still a chance of a breakdown or other issue.

I have always carried a roadside assistance plan and I can assure you that it has come in handy on more than one occasion.

  • Have you ever locked your keys in your car?
  • Left the lights on and woke to a dead battery?
  • Ran over something and resulted in a flat tire?

In addition to the ‘break-down assistance, there are other benefits to these organizations such as discounts.

  • Roadside assistance
  • Travel Discounts
  • Trip Interruption Insurance
  • Towing
  • Theft Protection (wish I’d had this a time or two)
  • Emergency Medical Referral
  • …..and many more!

Travel ON…..

I hope that this has addressed your question.

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments.

Do you have tips for travel nurses regarding roadside assistance and traveling to your next assignment? Comment them below if you would like to share them with your fellow travel nurses.

By The Gypsy Nurse

January 11, 2018

29519 Views

ADVERTISEMENT

Ask a Travel Nurse: What Do I Do If I Am Called For Jury Duty While On Contract?

Gypsy,
What do I do if I am called for Jury Duty while on contract?

The best approach to jury duty, when you are unable to attend due to a contracted obligation is to contact the court with a copy of your contract and ask to be excused.

Here is a sample letter:
To:
Office of the Jury Commissioner
Address
City, State Zip Code
Telephone Number

From: John Doe, # (Jury ID)
5747 West Elm St.
City, State Zip Code

Subject: Permission to be excused from Jury Duty

Date:

I am writing this letter to respectfully request to be excused from jury duty with your courts due to current contractual obligations.

As evidenced by the attached contract with _______________ (name of Employing Agency). I am currently out of the state and contracted as a Travel Nurse at ___________ from ______ to ________.

I can be reached at (000) 000-0000 if you have any questions or require further documentation.

Thank you for your time and consideration with this matter.
Sincerely,
Your Name

We hope that this helps you with your jury duty question.

If you have travel nurse questions, you would like answered. Our mentors are a great resource. Click here to submit your question for them. Our network group is also a great place to reach out with questions.

Our job board is a great place to search for your next travel nurse assignment. We have you covered with our housing page if housing is an issue. You can search for what you are looking for.

If you are a new travel nurse or looking into becoming a travel nurse:

Travel Nurse Guide: Step-by-Step (now offered in a PDF Downloadable version!)