By The Gypsy Nurse

September 2, 2017

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Ask A Travel Nurse: Can I expect Compensation for Pre-Employment Testing

Gypsy,
Are travel companies required to reimburse you for orientation/hospital education? Specifically, I’ve been given education/assessment assignments on Healthstream.com and it’s proving to be rather time-consuming; I figure it’s going to take me at least 4 hours to complete. Is it an unrealistic expectation to reimbursed for this time?

Thank you, Jessica, RN ASN

Jessica,

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

Unfortunately, it’s not required nor is it common for travel companies to offer compensation to a traveler for pre-required testing/paperwork.   This is no different from any other pre-employment paperwork in their eyes.

Having said that…  There have been occasions where I have asked my recruiter if I could get some compensation for the time spent (especially if I can prove the time or the hospital is requiring an exorbitant amount of extra online tests).  This has worked on some occasions but I have never gotten fully compensated for all the hours spent doing online pre-employment testing.  I once received a visa card and another time I was compensated for an additional $50 bonus on my first check. So in summary; it’s not required or expected but it never hurts to ask.

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. If you have any questions please share them in our network group.

(Disclaimer:  Please note that this is the Author’s opinion only.  I do not provide career counseling, legal or medical consults.  If you require any of these, please search out the appropriate resources)

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By TNAA- Travel Nurse Across America

August 12, 2017

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EMR Conversion – Not a Bad Gig if You Can Get It!

This article is sponsored by Travel Nurse Across America®

Questions come up frequently about working in facilities undergoing EMR conversions.  The usual, “What’s it like? Is it hard? What do they want you to do?  I’ve work two EPIC conversions so far and am willing to do it again. 

EMR Conversions

Both have been great experiences.  I have also been involved in EMR conversions as a staff person several times too.  My experience has been that the facility is bringing in traveling nurses to allow staff off the unit to do the intensive classroom training.  I have been included in this classroom portion on one assignment (I learned EPIC right along with the staff) and not so on the other. To be fair, I declined on the second assignment since I knew EPIC already and was comfortable with what they were planning on teaching in the class.

In a conversion situation, the facility may not be bringing in additional nurses due to short staffing, although it has been part of the reason in my experience, so the work load is more manageable.  Conversion to a new EMR also can mean work flow/process changes on the unit and I have been asked for input in process change, specifically because I was a traveler and have seen how “other places do it”.   As a traveler, you are in a unique position to add input to a situation as an outside observer.  Be cautious though, how you present your ideas for change. 

Make certain you are not coming off judgmental about their crazy, multi-step system!  Many times, you are working with staff who have never had the opportunity to work in other places and people cling to what they know because change is scary.  So, keep this in mind.  As travel nurses, we all expect change everywhere we go and have learned to adapt to this, and most of us like the challenge of the change, but this is not true for so many nurses at the facilities you are going to.  Changing everything for them is like walking into a new job and some staff doesn’t handle it the best.  Be open and patient with the staff and smile, because you get to leave in 13 weeks.

The “Go Live” date can be chaotic and tension can run high because everything the staff has ever known is now gone, throughout the whole house!  Your lab orders are not getting released the way they always have, the new printers are screwing up, you’re scanning fluids and items you never scanned before, it can be crazy.  The “old school group” and the “newbies” are now on an even playing field learning new things.  My experience with EPIC conversions has been a good influx of IT people are on the units to help staff work through the roadblocks for several weeks, with hotlines available to call when you get into a jam.  Many times, daily huddles at the end of shifts took place the first few weeks for discussion of “what worked, what didn’t and how do we fix it?”  It seems, in my opinion, to take about 4-6 weeks after the conversion for the daily routine to really settle and be routine again.  There are still the unusual, infrequent tasks that must be worked out in the system sometimes.

Because of the stress to the staff during this time of conversion, the hospital plans lots of activities for staff as stress relievers and just fun.  Everything from Unit T-Shirts, free meals on conversion weekends, snack carts throughout the unit, upper management gets more involved and is more visible to the staff.  These are all good things.  One assignment had a room with  massage chairs for the nurses and they made sure that all staff got to participate in that!  The facilities use this time as a team building experience, as they should, because everyone must work together to get through the initial days of the conversion.

Overall, if you are comfortable with learning new computer systems frequently, and enjoy the challenge of helping people streamline processes, take an EMR conversion assignment.  You don’t always have to know the new system to get the job, they can train you just like the staff.  It’s something a little different from the ordinary and it can only help in future interviews for assignments to be able to say, “I’ve participated in X number of conversions” if you like the work.  It’s a great resume builder.

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Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

August 5, 2017

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Ask A Travel Nurse: Travel Nurse Pay?

Gypsy,
What is the average Travel Nurse Pay?

Thanks!
Anonymous, RN

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

Travel Nurses work in a variety of settings and specialties.  Generally (if you take out the provided housing perk), travel nurses make just a little more than staff nurses.  It’s impossible to state a pay rate because there are many factors that go into the determination of pay.  Location, need, specialty, etc.

There are some ‘travel’ specialties that do make a significant amount more than staff nurses and those are Rapid Response and Strike nurses.  These can make up to double or triple what a standard staff position will pay.

One of the downsides is that you are away from home (family/friends), no paid time off (sick/vacation), and a lot of companies that do Travel Nurse staffing do not provide healthcare benefits.

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.  If you like what you’ve read here don’t forget to SHARE.

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

July 20, 2017

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Ask A Travel Nurse: Choosing a Travel Nurse Company?

Gypsy,
What travel companies have you had the most success with … and the least? Any recommendations?

Thank you, CardiacRN



CardiacRN,

Thank you for reading GypsyNurse and contacting me.  Choosing a travel nurse company can be so frustrating. However, when you find the company(s) that you love, the search will be worth it!

I have worked for a variety of companies from the large nationally known ones to the smaller family/nurse owned ones.  I will not give a specific company recommendation on this site.

Choosing a travel nurse company (and recruiter) is a very personal thing. A lot of the success between traveler and recruiter/agency relies on common ground. Does the agency provide the benefits that are important to you? Are they available? Do they have contracts where you want to go? These are all questions that are specific to each individual travel nurse.

My general preference has been for a smaller company.  I like the personal attention, the fact that I only deal with one person for everything and I get to develop a more deep relationship with the recruiter.

If your struggling with finding a company, you might want to read Step #7  (Research Travel Nurse Companies) in my Travel Nurse Guide. Additionally, once you’ve narrowed down your choices, you can ask for feedback on our Travel Nurse Network group on Facebook.

Additional Resources


Find your Next Travel Nurse JOB


 

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Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

July 15, 2017

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Ask A Travel Nurse: New Travel Nurse Positions

Gypsy,

I’m a brand new traveler and seeking my first contract.  I’m having a hard time securing a position. I’ve been submitted to several but nothing is coming through.  Is this normal? Are new travel nurse positions normally difficult to find?

Nicola

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

Nicola,

Most hospitals that hire travel nurses are looking for someone with travel nurse experience.  It can take some time to get your first contract but don’t despair!!  Keep your options open and be willing to perhaps accept a ‘less desirable’ location and something will come through for you.

There are several things that you can do to help make yourself a bit more marketable:

  • Update any certifications
  • Obtain New Certifications (NIH Stroke Certification is hot right now)
  • Make sure that your Travel Nurse Portfolio includes some GREAT references!
  • Make sure that you have filled out your skills assessments/resume and included any/all ‘oddball’ items that you may have experience in that someone else may not have.

The current market is pretty busy with a good amount of job positions open.  Keep your spirits up and continue looking…the perfect position will come along.

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.

Join The Gypsy Nurse Nation

Discover new travel nurse jobs, subscribe to customized job alerts and unlock unlimited resources for FREE.

Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

July 8, 2017

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Travel Nurse Housing: How to Choose the Right RV

Karen Bell has provided the following information.

Karen is a solo female traveler and has been a Travel Nurse since 2000.  She has worked approximately 24 assignments in WA, OR, CA, NV, and NM.  Karen has traveled exclusively via RV since 2005.  Karen works in L&D and NICU II.

Travel Nurse Housing: Choosing the right RV for your travels can be a daunting undertaking.  I, fortunately, had been “camping” for many years, so I was aware of many of the positives and negatives of each type of RV.

Choosing the Right RV

Some of your choices will be dictated by finances, family, security, personal preferences, and many other variables unique to each of us.  I will attempt to explain some of the differences, but I have not had the pleasure of having every type of RV.

Choosing the Right RV: My routine

I have a 35 ft Class A Motorhome.

I chose this specifically because of the ease of setup, safety, and enough room so I don’t feel confined.  I have it set up to tow my AWD SUV.  I did not want to drive a large truck as my only vehicle. Once on assignment, I love to go exploring and take many side trips, so a vehicle with a little better fuel economy was my choice.  My Motorhome is not easy on gas, but at least once I get where I am going, I can remain parked and drive my SUV.  My travel money helps defray the cost of travel.  I don’t usually take assignments across the country as the cost would be astronomical for just a 3-month assignment.

Safety was another concern for me.  People are unable to tell if I have a house full of people with me or if I am alone. When I stop somewhere for lunch or a restroom break, I don’t have to get out of my rig.  And if I do, they don’t know who is left behind.

Once I arrive at the RV park, setting up is easy.

Level, plug in the electricity, hook up the water and cable, and attach the sewer hoses.  I am done!!  Class C Motorhomes are the same for setting up.   I think the dreaded sewer hoses are the thing most of my friends think is SO hard.  In reality, it is very simple.  Attach to the outlet (usually just swivels and locks into place) of the Motorhome, and place the other end in the campgrounds septic outlet (I have a sandbag I put on top just so there are no issues of it coming out of the outlet).  Open the valve on the Motorhome.

Choosing the Right RV: Types of RVs

Travel Trailers

Travel Trailer towing I know very little about but have watched many a person set them up.  Seems the basics are the same for setting up.  However, towing seems a little daunting to me as they talk about weight distribution hitches, sway bars, brake controllers, and jacks.  You need the right-sized truck designed to be able to tow the chosen trailer.  Salesmen will sell you anything and tell you, “Your truck can do it,” but that is not true in many instances.  Do your research.

Fifth Wheels

Fifth wheels seem to me to be the biggest “bang for your buck”.  They tow very well, are very roomy, and come in all sizes and prices.  Again, you need the right size truck for the RV.  I have watched people set these up, and they seem very labor-intensive.  If I did not travel alone and had a spouse, this would probably be my preferred choice.  I just don’t have some of the physical strength required to deal with the hitch and jacks, etc.  Although I understand many of them to have electric jacks, which makes that easier.

My best suggestion is to go to RV shows, Sales lots, internet, and look at all the different types of RV’s.  When you think you have found “the one”, then research the manufacturer, reviews, complaints, and customer service.

No one manufacturer is perfect.  Some are just better than others.  Hope to see you on the road.

Do you use an RV for your travel nurse housing? Have you found any tips for choosing the right RV? Comment them and any other RV travel nurse tips below.

More Travel Nurse RV Resources:
Katy Blythe is another Travel Nurse traveling full-time in an RV.  Katy writes at Blogspot about her experiences: http://rnrvfulltime.blogspot.com/

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!)

Join The Gypsy Nurse Nation

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Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

July 5, 2017

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Making New Friends in a New Town

Travel Nurse Across America® provided this article

Tips to social success as a travel nurse

So you are on your latest adventure as a travel nurse…you landed the ideal job in your dream city, packed up, and settled in. Now what? Suddenly, you have some time on your hands and no one to share it with, nowhere to go, and you’re feeling a little lonely. It’s perfectly normal to go through this type of adjustment stage as a travel nurse. And, with the stressful demands of your job, sometimes it’s better to keep a more moderate schedule. However, that doesn’t mean living like a hermit. Socializing is very important for everyone’s mental and emotional health. To keep nursing and life balanced, you should stay connected with people, feel needed and appreciated outside of work, and look for opportunities to meet new people that can add richness to your life.

Here are a few ways to meet and win new friends while on a travel nurse assignment. They may not all be right for your particular personality, but keep an open mind and be sure to give some a fair try. Here’s hoping you are on the road to popularity very soon.

Network

One of the fastest ways to meet new people is through your existing friends. Ask if they know people in your new location. This can be an excellent source of new friendships because your current acquaintances know your personality and might be able to match you with those who share common interests.

Be approachable at work

You don’t want to limit all your friends to co-workers because that would leave very little variety to your day. However, it is an excellent place to start. Grab lunch or take a walk with others in your department. You will learn who is a good fit quickly, then perhaps it can grow into after-work get-togethers.

The fitness factor

Join a gym or sign-up for a class. Yoga, Pilates, Zumba, and other fitness classes are all popular ways to get exposed to a group of diverse people. These also provide flexible commitment on your part. You set your time at the gym and usually roam away from a conversation if it’s not working for you. Classes have set time limits, so you know there is little time at the start and finish if you want to pursue a new friend further.

Start a club

Once you have a few people that seem to fit well with your personality, engaging regularly can be very helpful to help those relationships grow. Host a book club, regular dinner potluck, or even a wine and cheese tasting to bring people together.

High-tech options

As the name suggests, social media is a place to foster socializing. Look for Meet-Ups, Facebook pages and groups, event pages, and apps that are designed to connect people with similar interests. Always use precautions to stay safe. Never give out personal information online, meet only in well-lighted public places, inform someone about any meetings with location details, etc.

Open up

While it’s not advisable to download your entire life story at a first encounter, it is often helpful to share about yourself gradually to grow a relationship. Showing emotion and confiding in someone you trust can help bolster a casual friendship into something more valuable to both parties.

Tread lightly on work talk

Most of your life may be consumed by your work, and it is undoubtedly a proud part of your day. However, nursing may not be interesting to everyone. Share on a gradual basis and gauge reception from your audience. And be sure never to share personal details about your patients or information that can be linked to a specific person. Privacy and discretion should always be your top job despite how rousing the details may be.

Maintain

Once you have done a great job meeting new people and forming a few friendships, you must keep them going. Any relationship takes some effort. Try to schedule regular “dates” or activities. Go for coffee, have a monthly movie night, commit to trying a new restaurant regularly, or even have a “call date’ to chat. In a world of instant technology and texting, it is still imperative to have live conversations for a relationship to last.

Join The Gypsy Nurse Nation

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Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By Honza Hroch – CreativeNurse

July 5, 2017

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Have You Thought of What it Takes to be Wealthy?

Most people try to get wealthy through quick schemes, gambling, lottery, or hoping to inherit some money in the future. The possibility of acquiring wealth through these means is almost non-existent. The truth is that most people can acquire wealth if they can follow basic guidelines and discipline. The challenge is that there are different obstacles and distractions along the line. So, staying clear is very important.

These problems might be: 

Lack of discipline (living outside of your budget), personal and consumer Inflation as well as having an overall financial plan.

Lack of Discipline

How disciplined are you when it comes to your financial plan?
Do you feel satisfied that you are saving and investing every month/year?

Most people lack discipline of following a path of savings and investing and therefore they never reach their goals and objectives. Understanding the impact of starting early and knowing the right amount of new savings will help start the process.

As soon as an individual/family begins to build savings for their short, mid and long-term goals, they may be on the road to becoming wealthy. Relying on unusual rate of returns or on a possible inheritance only discourages new savings and encourages people to live beyond their means.

Personal Inflation

All goods and services tend to become more expensive over time and according to www.BLS.gov, $1,000 in 1995 would have the same value as $1,560 of today.  This means that goods and services over the last 20 years increase cumulatively by 56%. This is one type of inflation but there is also personal inflation which involves improved lifestyle, new technology gadgets that are replaced every 2 years, and maintaining the lifestyle of friends and neighbors. If you can control these roadblocks, you will be closer to becoming wealthy in the future.

With systematic savings in place, understanding your goal of each savings/investment account and sticking to the plan will give you financial success.

There are other aspects involved when developing a financial plan that will create wealth for you and your family. One of these areas involves being certain that unexpected life events such as loss of job due to sickness, premature death or market corrections does not stop your goals and dreams.

2016-30483  Exp.  10/17

Join The Gypsy Nurse Nation

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Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab

By The Gypsy Nurse

July 4, 2017

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What is ICE? Travel Nurses get informed!

What is ICE?

ICE is a concept that was originally conceived by British paramedic Bob Brotchie in may 2005. ICE stands for In Case of Emergency. ICE is a cell phone contact listing that is searched for via paramedics and more frequently by police or emergency room personnel when caring for a non-responsive patient.

As a travel nurse, we are most often away from home while traveling long distances (generally alone). If something were to happen and we became unresponsive, it would be nice to know that emergency personnel would have a contact person to inform. Many times, my company wouldn’t even know who to contact in case of an emergency and who would even know to contact my company?

It’s recommended that you add an ICE contact to your cell phone contact and add the name and relationship of the person to the ‘company’ section. In addition, it’s recommended that you also place any pertinent medical information in this contact as well. This would include: Allergies, Medical Conditions or any other information that would be pertinent in an emergency situation.

From my point of view, the concept is wonderful. I added an ICE1 and an ICE2 contact to my phone several years ago when I first heard of the concept. I figured if it works…great. If not…it was only a few minutes of my time to add the information.

Who is trained to look for an ICE contact in your cell phone?
Emergency responders in St Paul MN
Police Department Fergus Falls, MN
– Ready.gov  Recommends that you:

Program “In Case of Emergency” (ICE) contacts into your cell phone so emergency personnel can contact those people for you if you are unable to use your phone. Let your ICE contacts know that they are programmed into your phone and inform them of any medical issues or other special needs you may have.

– The LAFD encourages the following:

We tell people: Add ICE contact information in your cell phone only after you’ve affixed similar information to (or near) the official photo identification you routinely carry in your wallet.

Please encourage your interested friends and colleagues to make a free ICE entry in their cell phone, especially if it will give them peace of mind – but never at the expense of written emergency contact and medical information.

These are just a few of the organizations that I found that have ICE training for their emergency medical responders or that recommend that you include an ICE contact. It’s something that we all hope never to need but I recommend that you add your ICE contact today and encourage your friends and family to do the same.

I’m unsure how frequently the ICE contact information is attempted to be accessed. I would love to hear feedback from those that work as paramedics, police or ER. Do you have an ICE contact in your phone?  Have you ever accessed an ICE contact as a first responder?

An important reminder: This information would not be accessible if you have a lock on your phone. iPhone4s (and probably 5) have an easy work-around for this. If you have an iPhone check out the following information on how this information can be accessed.

1. Go into your contacts and create a new contact. The FIRST Name must only be the word “ICE”
2. DO NOT ENTER any words in the Surname field or the iPhone will automatically put it alphabetical order according to that word and not under “I” for ICE
3. Put the name and relationship of contact into the COMPANY FIELD. For example “Jon Doe (Partner)”. By putting your contact’s name and relationship in the Company Field, you eliminate the alphabetical order problem of surnames and keep ICE where it belongs
4. As we state in our instructions, enter all of the information and contacts you have for that person in the body of the contact so emergency personnel will be able to track down your contact person ASAP. Remember that you may be unconscious and unable to communicate that information for yourself. In fact if you do tend to pass code lock your phone, you should also put any vital medical information like allergies or chronic illnesses into that contact as well, just in case the ICE contact is the only one that medical personnel can access.
5. To access this information even when the iPhone is pass code locked, press and hold down the main key to access Siri. Then ask Siri ‘Contacts ICE’. Siri will then display all the information you have saved as ICE…
6. If you are in the medical or emergency field yourself, don’t forget this trick the next time you encounter an unconscious patient who has a locked iPhone4. Press and hold down the main key to access Siri and ask her “Contacts ICE” You might just save a life!

These instructions were obtained from: Get Your Stuff Together

Join The Gypsy Nurse Nation

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Since just recently joining The Gypsy Nurse, I have had so many questions answered about the world of travel nursing. This has been an excellent resource!
—Meagan L. | Cath Lab