By The Gypsy Nurse

September 19, 2017

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Travel Nurse Banking

Travel Nurse BankingIn Step #14 of the travel nurse guide, we discussed knowing in advance what your bank allows and doesn’t when it comes to traveling.  This is an important and often overlooked step. Now let’s take a closer look at the banking aspect of Travel Nursing.

Travel nurse banking should be a non-issue, right? Wrong. There are multiple potential complications for the travel nurse when it comes to banking.

You should consult with you bank before you leave home and cover these basic questions:

  • Is there a local branch at my assignment location?
  • Does the bank offer online check deposit?
  • Will I incur ATM fees and are they refundable?
  • Are my withdraw limits something that I can live with?
  • How do I resolve Fraud Alerts/blocks on my account?
  • If my bank cards are lost or stolen, what information will I need to obtain a new card?
  • Does your bank offer free online bill pay?

It doesn’t happen often but what happens if your company didn’t get your direct deposit set up on time for your first paycheck and you are issued a paper check?
Receiving a paper check and having no local branch can be frustrating.  This issue has been resolved in most cases by the mobile apps that are now available for check deposit.  Find out if your bank offers this as an option.

There isn’t a local branch or ATM.  How do you handle the ATM fees?
ATM fees can add up quickly.  Some banks will refund these as a curtosey to customers on a monthly basis.  If your bank doesn’t refund these fees, there are other options.  Most department stores ie Wal-Mart, K-Mart, etc. will allow cash back with no ATM fee with a purchase.  This option however depends on you making a purchase in order to avoid bank fees.

I recommend talking to your bank about their ATM policies and considering if the cost is avoidable.  Your bank may have ‘partner’ banks in the area that you are unaware of.  If your bank doesn’t offer a way to avoid these fees, figure out in advance how you will deal with withdraws.  There are several options available:

– Budget and plan your weekly expenses so you only have one ATM withdraw weekly.
– Assess you need for additional cash EVERY time you make an ATM purchase and have an opportunity for a fee-free cash withdraw.
– Find a different bank option that will allow no ATM fees

Do you know what your daily withdraw and purchase limits are?  If your wallet is lost or stolen you will want to minimize the potential amounts that would be available to a thief.
If your bank has automatically set your withdraw and purchase limits, they may be well above what you even need.  Find out what the limits are and determine if they can be lowered.  If you rarely make a purchase above $500, there is no need to have your purchase limit set at $1500.  If your maximum cash withdraw is never above $200 then change this as well.

When I initially called my bank to have my limits lowered they were floored.  They couldn’t understand why I wanted my limit lower and not higher.  I live pretty frugally day to day and the limits were way over what I would ever need on a routine basis.  I explained to the bank that if my wallet was stolen I would rather the thief only be able to hit my account for $500 instead of $1500 and they began to see my logic.

What happens if I lower my ATM/Withdraw limits and need to make a purchase or withdraw that is over my pre-set limit?

If you have analyzed your spending habits thouroughly and have set an appropriate limit, this should happen only rarely.  This is very easy to adjust while on the road.  Simply phone your bank and ask for a one-time withdraw or purchase.  The bank should be able to set this up right away and you’ll be on your way to big spending.

In addition to minimizing your potential losses if your bank cards are stolen, having a lower limit will cause you to contemplate any large purchases.  It’s a great way to curb any impulse spending.

Have you ever been standing at the check-out line with a full basket of groceries only to have the teller inform you that your card was denied?
As a service to it’s customers, banks will place automatic holds on your account for any suspicious activities.  It can be frustrating if this happens but it’s important to remember that this is for your protection.  Help the bank help you by communicating with them.  How were they to know that you were going to be living in Seattle for 3 months?  If you have never had transactions from the opposite coast and suddenly you have 10 of them, this will set off a fraud alert and lock you out of your account until it’s resolved.

This has happened to me and beyond the annoyance of having to figure out why, it was the pure embarassment of the situation that stands out in my memory.   You can’t totally prevent this from ever happening but you can reduce the potential.  All it takes is  a simple call to your bank and inform them that you will be traveling.  They will need the dates of travel as well as the locations.  Don’t forget to include any surrounding states or areas that you think you might want to explore while on contract.

What do I need to know if my wallet is stolen while on contract?
I’ve had my wallet stolen only once while on contract.  I happy that it was only once but it was a near nightmare to deal with.   Along with the fear that goes with any theft, there was a myraid of things that were just difficult to deal with gettiing replaced while away from home.

  • Banks will NOT mail your new bank card to any address other than your primary address listed on your account.  This is important to know especially if you only have one bank.  My first recommendation is to always have two banks and have them linked together.  If your ATM card is lost or stolen, you can easily transfer money to the alternate bank and at least be able to buy gas and groceries until you receive the new card.
  • Have a back-up credit card or savings account in case of emergency with enough available balance to cover anything unexpected.
  • NEVER keep all of your cards in the same place.  Having two accounts will do you no good if they are both lost or stolen.
  • Depending on how you have set up your mail, it could take a week or two to receive your new bank card in the mail.  What would you do if you couldn’t access your account?
  • You should always have important banking phone numbers available.  It’s a good idea to make a paper or digital copy of the front/back of all of your credit cards and save in a secure location in case of theft/loss.

Is online bill pay an option?
The advantages of online bill pay for the traveler are tremdous.  I have utilized online bill pay for several years now and can’t imagine going back to paper bills.  As travelers, receiving mail can be timely.  By the time you have received a bill it may be just days to a due date.  If your like me and don’t read your mail quickly, you could easily be facing paying something late.

There are many options available for online bill pay.  From fully automated scheduling to single payments.  Once you have set up the online bill pay schedule that you are comfortable with, it can nearly eliminate not only the paper piles but also the monthly headaches.

Are there other questions that you have regarding banking while on contract?  Do you have tips to add to the list above?

 

By The Gypsy Nurse

September 30, 2016

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Life of a Traveler – Leaving New Friends

The following is a guest article written by: Michelle Lane, CNA

I love to meet new people! Perhaps for me, that is the best part of being a traveler. Well, that, and the fact that I get to go to a new place every 13 weeks! I love the adventure of getting on the airplane- the final destination, somewhere I have never been!

I am a new traveler, fresh off my first contract, and not even 8 days into my new one. I spent 16 weeks in Seward, AK and I made some really great friends and I think that made it even more difficult when it came time to leave! Everyone, from my onsite manager, all the way down to the maintenance guy in my apartment building were the nicest people, so helpful and genuinely wanting to help and make my time in Seward the most enjoyable. They not only succeeded, it made it very difficult when it came time to leave.

Text, Twitter®, Facebook® and Email! Oh My!

In our modern age of technology we are afforded so many options to keep in touch with people! It is like “Instant Gratification”. We may be thousands of miles away from our new found friends by the 14th week of meeting them, but we are able to stay in contact instantly, when we choose to.

Through the invention of Facebook ® we can follow along in the lives of new and old friends, alike. You can send a text on their birthday by using wireless phones, or send and receive emails with pictures that you took of them while on assignment, and even follow them on Twitter® if you choose to. No longer do we have to wait weeks for a letter, or schedule a phone call when the rates are the lowest. Do you remember those days? (Or, did I just date myself? LOL) No way, we are of the technology age, baby! We can instantly keep in touch and maintain those new found friendships through so many options now!

It may not completely eliminate those feelings of sadness when it does come time to leave your new friends, but it is now easier than ever to keep in touch and maintain those friendships for years to come! So go out there and meet people, Gypsies! The friendships do not end when the assignment does!

Happy Traveling, my friends!

Michelle

Relationships while on the road can be a huge joy and a source of camaraderie. They can also blow up and cause drama and pain.  Relationships are a part of life.  The good ones, we want to hold onto forever and the bad…generally teach us something about ourselves if we are willing to take a minute to reflect on them. “Scrubbing In” a recent MTV reality series reflects both the good and bad in some of these relationships.

Would you like to share with The Gypsy Nurse readers your experiences with relationships on the road?  Do you have a good or bad experience that left you reflecting on yourself or life?  How have the relationships you’ve experienced impacted your life, attitude or outlook? If you would like to share your Travel Nursing experiences, please submit HERE.

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Provided by: Aya Healthcare

Our mission at Aya Healthcare is simple. When you’re happy, we’re happy. We put our heart and soul into creating the best possible travel nursing experience.  With over 10,000 open assignments spanning all 50 states we can place you where you want to go, like sunny San Diego or near your favorite aunt in her small, quaint town in Ohio.  We have an expert team to guide you and help you accomplish your travel nursing goals.  You need help with licensure, we do that. Want assistance relocating? We’re on it. Dream of showing up to a beautiful, fully furnished apartment in your new city without lifting a finger? Done.

Let’s be honest- for all of the wonderful things traveling brings, it can also come with a bump or two. We leverage our thoughtfulness, experience, and skills to not only smooth over these bumps but anticipate and prevent them so you can spend more time focusing on what you care about.  We even want to help you make friends and celebrate your birthday, so we send a pizza because co-workers workers quickly become friends over a hot slice of pizza! Rather than continue to tell you how great we are, we’d like to hear about what’s important to you. Feel free to give us a call and let us know! 

By The Gypsy Nurse

August 4, 2016

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Travel Nurse Pay: How Do I Know I’m Getting a ‘Fair’ Offer?

This article was provided by: Aya Healthcare

Determine your Minimum Worth

My first advice to any traveler is to know what you feel your minimum worth is.  Determine how much you need to make a travel contract worth your time and effort.  We all have bills, and expenses and knowing your absolute minimum is a great place to start.

Once you have figured out what your personal minimum amount is, you should consider the location that the position is being offered in.

Why should the Contract Location affect my pay?

The extreme differences in the cost of actually living from place to place across the country are astounding.  An easy example of this is the cost of gas from one region of the country to another.  See the map below as an example.

Click anywhere on the map for a state-by-state average list of fuel prices.

AAA Fuel Gauge Report

If I’m working a contract in Missouri, gas is as low as $3.37/gal, whereas if I am working in California, it’s as high as $4.24/gal.  This is just one example of how the actual cost of living can affect your final take-home or living money.

Based on the cost of living, I could take a contract in Missouri at my minimum pay but would be very hesitant to do so for a contract in California.

Shop Around

Please realize that this is a very touchy subject and can be somewhat unethical depending on how it’s done. I would never recommend that you give job specifics from one company to another. This will not go over well with any recruiter.  I do, however, offer a slightly different approach.  If you know that you would like to work in San Francisco and are being offered X amount from Company A, there is nothing to say that you cannot talk to companies B, C, and D and ask them what positions they have in the same city or even ask them if they have contracts at a particular hospital.  If they do, find out what they are offering.

I do not recommend that you pit one company against another when it comes to negotiations. Ensure that you are clear with all companies you are working with that it is NOT acceptable to submit you to any position without your express permission.  The last thing you want to happen is to have a low-paying company submit you when you have another company looking at the same position.

Many of the contracts out there are actually submitted through some Vendor Management. Ultimately, there may be dozens of companies, all with the same contracts at slightly different rates.

Every agency contracts with the hospital at a different rate, no different than each travelers contract is different than another travelers contract. Some companies will be able to pay you more based on their bill rate and some less.

Consider Your Relationship with the Company/Recruiter

Your relationship with your preferred companies and/or recruiters can also play a huge factor in your decision.  Perhaps company B is offering slightly more, but you have worked well with Company A, who is slightly underpaying?  Is it worth $1/hr to you to deal with a company or a recruiter that you don’t really know or fully trust?  Is it possible that with a little nudging, Company A would up the pay just a little due to your extended relationship?

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By The Gypsy Nurse

July 18, 2015

11763 Views

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New Requirements for the Travel Nurse

We recently polled our sponsor companies to see about a rumor of new credentialing requirements for college transcripts. We were shocked to learn that this is truly becoming a new requirement
for travel nurses for many hospitals.

Travel Nursing is an ever-changing field, just as nursing in general is. There are constant changes in our industry and it’s up to us to make certain that we have the most up to date information available.

These are views on the new requirements for the Travel Nurse:

Mike Spies, Client Manager at Atlas Medstaff states that “The places that do ask for these (transcripts) normally want it mailed directly from the school. It is just so rare. Hopefully, the recruiter will be aware when they are submitting you for a position if the hospital will need that. It is good to have a copy of your transcript though, just in case.” He further reports that “I would add that not all facilities are uniform. You will find facilities that will just take what’s on the background check, some will take the transcript directly from the nurse, and others that do require a transcript will only take it directly mailed from the school. The recruiter should have all the requirements that the facility requires for compliance and present them to the nurse.

Scott Smith, Recruiting Team Leader at Tailored Healthcare staffing states “We are starting to see more and more facilities requiring them. If you have a copy of your diploma, that will typically work, but if you don’t have it, they’ll ask for official transcripts.”

Julie Cerbone at Cross Country denies that she has run across requests for transcripts but reports that “some hospitals are asking for diplomas now.”

Travel Nurse, Jackie Gray reports that Banner Hospital System is requesting transcripts as well as an undisclosed hospital in Lancaster, OH.

Lissa Harris-Soto at Century Health concludes that we may “start to see the trend eventually hit nationwide as hospitals go through their lab accreditation renewals” She further reports that the requirement “is for units that do POC testing. Which includes ER, Cath Lab, and L&D. This is for facilities that have inhouse labs that are accredited by governing agencies.” Traveler, Shelly Coto Grecco backs up Lisa’s report by stating that “I needed transcript or diploma for documentation purposes to run ISTAT’s and POC testing for a CA hospital. Does not need to be official or sealed.”

No one, including recruiters, wants additional paperwork. Different facilities and different states have different requirements. Travel companies, recruiters, and nurses have to jump through the hoops imposed by the facilities. So my advice is to get a copy of both officially sealed transcripts as well as your nursing diploma for your records and add to your profile so you can easily access it to send to your agency.

By Joseph Smith @ Travel Tax

May 22, 2014

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Talking Travel Nurse Taxes- The State Tax Return

But I Didn’t Work There!!

…and similar comments about travel nurse taxes and state tax returns….

In previous articles, I have pointed out the difference between a permanent residence and a tax residence; and how this distinction is the main source of confusion among travelers, recruiters and staffing agencies who try to determine whether travel reimbursements can be excluded from taxable wages.

In this article, I want to focus on the permanent residence side of things and how it affects the filing of state tax returns. When travelers work in a states other than their permanent residence, a common mistake that tax preparers and travelers make is focusing too much where the income is earned vs. where the traveler is domiciled. “Domicile” and a permanent residence are closely related and for the purpose of this article, I will treat them synonymously. While they are slightly different concepts, travelers tend to have their permanent residence and domicile in the same place.

A person has domicile in the state where his legal ties are more closely aligned. A driver’s license, car registration, voter registration and resident professional licenses are significant connections to a state. These ties are often established long before a traveler begins their career and state tax agencies view these as significant proof of residency in a state. An individual files their “resident” tax return, not based on where they earn their income, but where their permanent residence/domically ties are strongest. There are three additional reasons that this applies

  1. Travelers are working “away from home”. They are not moving, but temporarily “mobilizing” to an assignment location. The fact that they do not earn income in their home state has no bearing on whether they file in their home state or not. Further, when travelers receive tax free reimbursements for lodging and meals, they are usually attesting to the agency that they maintain a residence in their home state.
  2. Almost every state has statues or regulations establishing a “presumption” that a taxpayer’s domicile will continue until the taxpayer BOTH severs all significant residential/domically ties AND establishes new domiciliary ties with their new state. It’s not enough to simply abandon a residence but establish a new one.
  3. For nurses domiciled in a compact state, the filing of a resident tax return is universally expected for renewal or validity. Nursing boards and state tax agencies readily exchange information and some states treat tax delinquency as a basis for non-renewal of a license.

The take away:

Travelers report worldwide income to their home state as full year residents and receive credits for taxes paid to other states (unless a reciprocity rule applies). If the tax rate of the home state is higher than the work state, the difference in tax must be paid to the home state. The fact that one does not work at home does not change this.


Would you like to learn more?

Check out the TOP 10 Questions for Travel Nurses on Taxes.


By The Gypsy Nurse

January 10, 2013

5313 Views

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Cervical Health Awareness Month

January is Cervical Health Awareness Month.  In support, The Gypsy Nurse will feature several articles throughout January in an attempt to raise awareness.

Cervical Health Awareness:

According to the CDC:

“All women are at risk for cervical cancer. It occurs most often in women over age 30. Long-lasting infection with certain types of human papillomavirus (HPV) is the main cause of cervical cancer. HPV is a common virus that is passed from one person to another during sex. At least half of sexually active people will have HPV at some point in their lives, but few women will get cervical cancer.”

The CDC also states that:

“Cervical cancer used to be the leading cause of cancer death for women in the United States. However, in the past 40 years, the number of cases of cervical cancer and the number of deaths from cervical cancer have decreased significantly. This decline is largely the result of many women getting regular Pap tests, which can find cervical precancer before it turns into cancer.1″

1National Institutes of Health. Cervical Cancer. NIH Consensus Statement. 1996;14(1):1–38.

 Resources:

Forums:

  •  Cancer Forums

 Blogs:

Organizations

If there are other Cervical Health Awareness resources that you use or know about and would like to recommend, please list them in the comments!

By The Gypsy Nurse

June 19, 2012

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Understanding the Nursing Shortage

Everyone has heard that there is a Nursing Shortage.  The nursing shortage provides a never-ending supply of Travel Nurse Assignments.  A continued nursing shortage is primarily a cause of the following factors:

  • The average age of RNs projected to 44.5 years by 2012. Nurses in their 50s are expected to become the largest segment of the nursing workforce, accounting for almost one-quarter of the RN population.
  • According to the July 2001 report, Nursing Workforce: Emerging Nurse Shortages Due to Multiple Factors (GAO-01-944), a serious shortage of nurses is expected in the future as demographic pressures influence both supply and demand. The future demand for nurses is expected to increase dramatically as the baby boomers reach their 60s and beyond.
  • Nursing colleges and universities across the country are struggling to expand enrollment levels to meet the rising demand for nursing care.
  • According to a May 2001 report, Who Will Care for Each of Us?: America’s Coming Health Care Crisis, released by the Nursing Institute at the University of Illinois College of Nursing, the ratio of potential caregivers to the people most likely to need care, the elderly population, will decrease by 40% between 2010 and 2030. Demographic changes may limit access to health care unless the number of nurses and other caregivers grows in proportion to the rising elderly population.
  • In the March-April 2005 issue of Nursing Economics, Dr. Peter Buerhaus and colleagues found that more than 75% of RNs believe the nursing shortage presents a major problem for the quality of their work-life, the quality of patient care, and the number of time nurses can spend with patients. Looking forward, almost all surveyed nurses see the shortage in the future as a catalyst for increasing stress on nurses (98%), lowering patient care quality (93%), and causing nurses to leave the profession (93%).
  • According to a study in the October 2002 Journal of the American Medical Association, nurses reported greater job dissatisfaction and emotional exhaustion when they were responsible for more patients than they can safely care for. Researcher Dr. Linda Aiken concluded that “failure to retain nurses contributes to avoidable patient deaths.”

What are your thoughts on the nursing shortage?  Do you agree with the experts above?