By The Gypsy Nurse

September 20, 2016

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Relief for Nursing School Loans – Forgiveness Options Part 2

In this series, we take a high-level look at popular Federal and State-based financial assistance programs. They are designed to help you tackle the costs of your nursing education. These benefits can be determined based on the area in which you live, position (whether you are an RN, or a Nurse Practitioner, etc.), and level of education.

Below is some basic guidelines around the Perkins Loan Cancellation Program.  In short, repayment benefits are paid based on your length of service. However, there are many requirements and restrictions that apply. Please be sure to investigate the options thoroughly to ensure you are eligible and can take advantage of forgiveness benefits.

Perkins Loan Cancellation Program

This is very much like other Federal School Loans Forgiveness Programs. The Perkins Loan Cancellation Program removes some portion of your student debt once you satisfy the eligibility conditions of the program. In fact, Perkin’s forgiveness for nursing provides debt forgiveness for both the original principal amount of your school loans, as well as the accumulated interest. Only Perkins loans are available for it, so you’d have to plan to use this one in advance of taking on debt.

 Benefits Overview

  • 15% of the Principal School Loans + Interest Cancelled after 1 and 2 Years of Full Time Employment
  • 20% of the Principal Loan + Interest Cancelled after 3 and 4 Years of Full Time Employment
  • 30% of the Principal Loan + Interest Cancelled after 5 Years of Full Time Employment
  • The potential to receive total cancellation benefits (with 100% of your school loans forgiven) after 5 years of medical service

Eligibility

RNs, LPNs, CNAs, MAs, ARNPs as well as Licensed Medical Technicians qualify for this program. Licensed Medical Technicians must be certified, registered, or licensed by a state agency under which they provide health care services, and they must fit the definition of being someone who “assists, facilitates, or complements the work of physicians or other healthcare specialists”.

As of Oct. 7, 1998, all Perkins Loan borrowers are eligible for all cancellation benefits regardless of when the loan was made or the terms of the borrower’s promissory note. However, this benefit is not retroactive to services performed before Oct. 7, 1998. Specifically eligible loans made on or after July 23, 1992, and loans made prior to July 23, 1992, for service starting October 7, 1998.

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By The Gypsy Nurse

September 14, 2016

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Top 9 Tips to Make your Vegas Travelers Conference Experience Better

The Travelers Conference is one of the biggest events for travel nurses. Travel nurses and agencies look forward to this event all year long. Although you may have traveled many places, you may have not traveled to a place quite like Las Vegas.

Below are the top 9 tips to make your Vegas Travelers Conference experience better.

1. Wear Comfortable shoes!

There is a TON of walking in Vegas, so make sure that during conference hours you’re wearing your most comfortable shoes so that you can still walk & dance in the after-hours!

2. Bring your own Business Cards

You are going to meet a TON of new friends. Have an easy way for them to remember you and get in touch after the conference. Having a photo on the cards is also a plus so your new friend can put a face with the name.

3. Distances are further than they appear

I really wish that someone had told me not to walk all the way from the Bellagio to the MGM Grand—sure, it doesn’t LOOK far, but a couple of blocks in and you’ll wonder what made you do it. The Strip is four miles long, and because the buildings are so close together, they appear closer than they really are.

4. Carry a Light Jacket

Even if it’s 110 outside, the temperatures inside and sometimes in the exhibit hall and classrooms get cold. Have a light jacket so you’ll be comfortable in any temperature.

5. Talk to the exhibitors

Find out what after-hour events and activities the agencies are holding and get an invite! With over 70 exhibiting agencies, there is always an opportunity for a Happy Hour, Dinner, or excursion!

6. Leave extra time for Travel from one place to another!

Make sure to factor in time waiting for your transportation. It can take up to 20 minutes or more waiting for a Taxi, especially at peak times.

7. Use Discount Codes and Buddy up!

Buddy up with new friends to get to all the hottest events and save a little!
New Uber riders can sign up with this LINK for their first ride FREE (up to $20)

The Travelers Conference has also negotiated some special discounts for Airport Shuttles and Lyft:
Las Vegas Limo is offering the following rates for a shuttle bus:
One way from airport to hotel $8.20 including airport fee
One way to airport from hotel $7.20
Roundtrip $13.60
Use the coupon code: TRAVCON2016

Lyft: Code TRAVELER333135

8. Don’t try to see/do everything.

Don’t schedule every waking moment. There are tons of activities and experiences to be had. Let spontaneity be your guide.

9. Stop by and Visit the GYPSY NURSE!

Stop by Booth #329 and get your official #GypsyNurse swag!
Want to learn more about the Annual Travelers Conference? Check it out HERE.

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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!
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By The Gypsy Nurse

September 13, 2016

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Place Your Bets on Las Vegas

Las Vegas offers a variety of attractions and entertainment. Below you will find just a few of the things you can do if you take an assignment in Las Vegas!

All Shook Up –A Tribute to the King

No other performer has influenced rock ’n’ roll as much as Elvis Presley, which makes the tribute performance All Shook Up so compelling. Sing and dance to your favorite hits by The King at this high-energy performance at the Planet Hollywood Resort and Casino.

Penn and Teller

Penn and Teller’s live show has a permanent home in Las Vegas at the Rio Suite Hotel and Casino. Don’t miss their outrageous blending of comedy and magic, which stretches the boundaries of every imagination.

Planet Hollywood Casino

Try your luck at this high-energy casino where you will feel like an A-list movie star. Enjoy an atmosphere that stimulates all the senses—dancers, lights, and music. Plenty of popular table games like Vegas blackjack, roulette or craps or poker and 1,200 slot machines, ranging from penny video slots to popular progressive games like poker, Wheel of Fortune, Megabucks and Monopoly.

Eiffel Tower Experience

This is one of Las Vegas’ premier attractions with absolutely amazing views. An icon of the city skyline, the high-altitude attraction is located 46 stories up and is a half-scale replica of the world-famous Paris, France landmark. The observation deck features 360-degree city views and don’t miss the unforgettable night view of the bright, colorful lights and the lit water show.

Gregory Popovich’s Comedy Pet Theater

This extravaganza of juggling, European-style comedy, and a furry entourage of performing cats and dogs. Loved by all ages, this unique and hilarious show features cats and dogs that have been rescued from animal shelters. Enjoy a display of amazing feats such as jumping, dancing, flying through the air, or balancing—as cats perform alongside dogs, birds, and white mice. All led and orchestrated by circus superstar and master juggler Gregory Popovich.

High Roller

Take a spin on the world’s tallest Ferris wheel. Measuring 520 feet in diameter, the High Roller faces north and south parallel to Las Vegas Boulevard. The observation wheel takes 30 minutes to complete one full revolution and features 28 glass-enclosed cabins with stunning views, especially at night. Each spherical cabin can hold up to 40 people, with benches on either side of the cabin and room to stand.

Fountains Of Bellagio

This spectacular show of thoughtfully interwoven water, music and light is designed to mesmerize. Cited as the most ambitious, complex water feature ever conceived and it’s absolutely free for any visitor to enjoy. This amazing aquatic accomplishment will surely delight as you enjoy a concert of opera, classical, Broadway, and pop tunes. The fountains are set in an 8-acre manmade lake serviced by a freshwater well and incorporate a network of pipes with more than 1,200 nozzles choreographed with more than 4,500 lights.

Many of these attractions require tickets and have varying schedules. Please be sure to check with local representatives to ensure you make the most of your visit.

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

August 26, 2016

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How to File a Formal Complaint to NATHO – Infograph

As a travel nurse, you will come across many staffing agencies and recruiters during your travel nursing journey. Many agencies are really great at putting their nurses first. They send gifts, food, and check-in on you as your own mother would.

But sometimes there are agencies out there that don’t treat you as well as they should. This could range from pay discrepancy issues to housing problems, to contract challenges. When you come across these “bad apples” it can make you feel frustrated as well as helpless!  Where do you go?  Who do you turn to?  You feel like screaming to the travel nursing world about your problem.  While this may make you feel better temporarily, it won’t fix the problem.  Your voice is being heard… but not by the right people. You need to document your grievance and must start first by filing a formal complaint to the National Association of Travel Healthcare Organizations.

Just who is “NATHO”?  According to their website, they are a “non-profit association of travel healthcare organizations, founded in 2008 to promote ethical business practices in the travel healthcare industry, setting the gold standard for conduct that is aligned among member agencies on behalf of travel healthcare candidates and clients.”  NATHO advocates for the travel RN through this process and can help to positively affect change in individual cases or industry-wide if the need is there.

Below is a step by step guide to filing a formal complaint and the actual formal complaint form

NATHO Rules

NATHO Ethics Committee Formal Complaint

<Complainant Name>
<Address>
<Phone number>
<email address>
<Current Date>

Dear NATHO Ethics Committee Chairperson:

Indicate any request for anonymity. Please keep in mind that certain details may have to be divulged to determine if wrongdoing has occurred. In that event, your permission to reveal said details will be necessary.

Please include a detailed account of how the NATHO member in question has violated the NATHO Code of Ethics. Provide a direct reference to sections of the code that are in violation.

Also include action, if any is possible, by the member in violation that would provide sufficient remediation of the violation.

Salutation

Attach any evidence that may support the claim

Send to NATHO via email as a signed pdf document or via post to:

 National Association of Travel Healthcare Organizations (NATHO)
555 Eighth Avenue, Suite 1902
New York, NY 10018

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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 23, 2016

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Travel Nurse Outlook Looks Bright – More than a Million Jobs by 2022

Research suggests that employment trends for nurses are very positive. The reality is that travel nurses will contribute significantly to help meet this anticipated demand.  In fact, according to 2012-2022 employment projections from the Bureau of Labor Statistics, in terms of growth RNs are one of the top jobs in the country. The data shows that the RN workforce is expected to grow 19% with net new jobs—from 2.71 million jobs in 2012 to 3.24 million in 2022.

What’s more, the Bureau projects the need for 525,000 replacement nurses in the workforce. These opportunities for registered nurses will be needed due to attrition and retirement so the total projected number of job openings for nurses will reach 1.05 million by 2022.

The job market outlook suggests it is a great time to be a travel nurse. Your willingness to relocate and work in areas with more need adds up to an even greater advantage. If an area’s job market happens to be saturated, you can easily move to another location where qualified nursing care applicants are lacking. This growing demand could also mean more options. It may be even easier for you to pick your favorite city and find a financially as well as emotionally rewarding position.

Some of this increased demand for nursing professionals will come from outpatient centers. Most hospitals pay close attention to turnover rates. Profitability is important and there is often pressure from the Board or shareholders to discharge patients as quickly as is safe to do so. Just as in a restaurant, when a table is free there is opportunity for additional income. The sooner a bed is vacant, the sooner the next paying customer can come in.

It is important to note, however, that many patients leave the hospital and still require a certain level of professional care. As a result, outpatient care is in demand. Healthcare has transcended the traditional walls of hospitals, with home care and rehab centers taking on a growing population of patients—especially the elderly. This care has a greater sense of community and often appeals to travel nurses who welcome diversity in their job.

The aging population in the United States is also projected to rise. As this segment of our country increases there will be a significant impact on the healthcare industry. The elderly will make more visits to the doctor’s office and often require ongoing monitoring to ensure health and proper dosing of medication. Thanks to newer healthcare laws, some of this care can be conducted at home.  As a result, nurses will be needed to care for patients in their residence rather than facilities.

The need for nurses is expected to grow in the coming years. The types of assignments and varying demand by region mean a bright future and promising employment environment for travel nurses.

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

August 8, 2016

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How are Hospitals Dealing with the Nursing Shortage?

In a recent article Nursing Workforce: Is there still a Shortage? We addressed the lack of research on the current state of the Nursing Shortage. In a follow-up, I wanted to bring to you some of the information that I’ve found regarding what some of the hospitals and colleges are currently doing in an effort to alleviate these shortages.

University of Nebraska Medical Center (UNMC)

Has implemented a Nursing Summer Camp in an effort to get Nebraska teens interested in the nursing field. The UNMC Nursing Summer Camp began in 2013. It appears to be a successful program for inciting interest in nursing.

South Carolina

Columbia SC hospitals are offering sign-on bonuses and incentives, some as high as $10,000.

Texas

In Texas, the colleges and legislatures are focusing on non-traditional or what I would call the ‘second-career’ student. This encompasses students that are older and perhaps already working full-time. Texas Lawmakers seemed on board with the idea during a recent hearing, suggesting that a financial assistance program be put in place for these students.

Missouri

CoxHealth in Springfield MO is combating the crises by hiring overseas. They plan to hire 100 nurses from the Philippines over the next year.

Indiana

Indiana predicts a shortage of over 250K by the year 2025 with a huge lack of providers in geriatrics and mental health. The reporter states that Indiana University is working to address these shortfalls but it doesn’t state what measures they are putting into place.

Until the Nursing Shortages are addressed and corrected, there will continue to be a high demand for the Travel Nurse and medical professionals.

Finding contingent staff is a hurdle for the hospitals but for the Travel Medical Professional the Supply/demand is currently in our favor. If you are seeking your next travel position, check out the available jobs via thegypsynurse.com/joblistings, and if you are new to traveling read over our Step by Step plan to get started.

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

August 5, 2016

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The Nursing Workforce: Is There Still a Nursing Shortage?

It’s glaringly apparent that there is still an on-going nursing shortage in select areas in the US.  Every two years the NCSBN (National Council of State Boards of Nursing) works with The National Forum of State Nursing Workforce Centers to perform a study on the nursing workforce.

It’s interesting to note that over 50% of the participants in this study are over the age of 50. This would indicate that a large amount of our nursing workforce is approaching or at retirement.

Source: NCSBN

What’s Being Done to Alleviate the Nursing Shortage?

Interestingly, it was actually quite difficult to determine what steps the various states are taking in an effort to manage and work through these shortages. In fact, most of the reports that I sought out were well over 2 years old in most cases and some as much as 10 or more years since the last reporting. Here are some of the more recent reports.

  • The American Association of Colleges of Nursing | Nursing Shortage’s latest reporting is from 2014 
  • According to the Bureau of Labor Statistics’ Employment Projections 2012-2022 released in December 2013:

Registered Nursing (RN) is listed among the top occupations in terms of job growth through 2022. The RN workforce is expected to grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19%. The Bureau also projects the need for 525,000 replacements nurses in the workforce bringing the total number of job openings for nurses due to growth and replacements to 1.05 million by 2022.  (source: Bureau of Labor Statistics http://www.bls.gov/news.release/ecopro.t08.htm)

Who Is Taking Charge?

It’s unfortunate, but from the research that I’ve been able to find, it appears that states are ignoring this potential healthcare disaster.

How Florida Is Taking Charge

Florida, is taking charge of the situation. Not only has Florida opted to join the Nurse Compact, but they have also completed a comprehensive report, which includes strategies to address this looming crisis. According to the Florida Center for Nursing (reported in June 2015):

“Baseline forecasts show that Florida will face a shortage of RNs by 2025 that is capable of crippling our healthcare system and reducing access to care for Floridians…”

Unlike many other states, Florida realizes that it has a dire need to address this issue and has set up a series of strategies to address it.  Florida has identified four areas that they have addressed in the strategies report linked above.

  • Education
  • Work environment
  • Research
  • Policy

You can read more  from the Florida Center for Nursing and their Forecasts & Strategies for the shortage as well as their Strategies to Successfully Provide Floridians an Adequate, Qualified Nurse Workforce

What Does the Shortage Mean for the Travel Medical Staffing Industry?

The Affordable Care Act or “Obamacare” was implemented in 2014.  According to CDC.Gov data;

The current enrollment numbers (as of February 2016) are roughly: 12.7 million in the marketplace, and very roughly 20 million total between the ACA between the Marketplace, Medicaid expansion, young adults staying on their parents plan, and other coverage provisions. The uninsured rate remains at an all time low with 9.1% of under 65 uninsured as of 4th quarter 2015.

What this means is an all time high in the number of insured American’s. Where are these now ensured going for their healthcare needs? What are the hospitals, clinics and states doing to make sure that there is adequate nursing coverage? Here are some key perspectives:

  • According to a Forbes report from October 2015 (Hospitals are beginning to reach out to the ‘contract’ labor market. More specifically, the Travel Nurse Market.

A window into this trend opened this week at the nation’s largest hospital company, HCA Holdings, which said increased patient volume from the health law and an improved economy forced its hospitals to hire more nurses from “contract labor” firms given the need for hundreds of these health professionals at its more than 100 hospitals across the country. (See full Forbes.com full report here)

  • In a 2014 report on the affect of ACA on the Healthcare Workforce

Health care workers are facing mounting stress and instability as the Affordable Care Act forces industry changes that overburden health professionals, leading to increased dissatisfaction, burnout, and the loss of care providers.” See full report Heritage.org report here.

  • A 2015 report by Beckers Hospital Review stated that “almost 50 percent of healthcare employers have plans to hire temporary or contract workers this year.” See full Beckers Hospital Review Report here.
  • According to Staffing Industry Analysts 2016 US Staffing Industry Forecast: “the healthcare segment of the US temporary staffing market is projected to grow a robust 14% in 2016, following a 20% surge in 2015.”

What Does This Critical Shortage Mean for Travel Nurses?

Combining the fact that the states are not addressing these issues and the multitude of agreements that there is a significant increase of ‘contingent’ staffing for temporary shortages, the travel nurse market will continue to grow and thrive.  A quick search for “temporary nursing” nets over 12,000 results on Indeed.com and the new Job Listings feature launched just over a month ago on TheGypsyNurse.com/joblistings (link) currently has over 80,000 temporary jobs listed and is growing daily.

Finding contingent staff is a hurdle for the hospitals but for the travel medical professional the supply versus demand equation is currently in our favor. If you are seeking your next travel position, check out the available jobs via thegypsynurse.com/joblistings (link) and if you are new to traveling read over our “Step by Step” travel nurse plan (link to thegypsynurse.com/plan) to get started.

Stay tuned on more information on how to leverage this current nursing shortage in your favor as a travel nurse.

What is your home state doing to address nursing shortage? If you have information related to the state’s reactions and strategies on the nursing shortage, please post in the comments and let us know.

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

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?

———————————-

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 6, 2016

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Ask A Travel Nurse: Tax Home

Gypsy,

I am a travel nurse and am wondering if you have any advice about establishing a tax home? I won’t be keeping my apartment here, so will that mean everything I make will be taxed? I know my hourly wage will be, but the per diem wage the travel company gives you will be taxed? I have thought about asking a friend to let me use their address, but I don’t want to get screwed at tax time! Any advice?

Thanks!
Tiff

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

tax home

If you do not have a legal tax home, everything you are given should be taxed as income, including any per diem or housing. Many travel nurses will scoot around this by keeping an address with a friend or family member; however, there are HUGE risks with this. Suppose you are audited and cannot PROVE that you have paid ‘market value’ for a room/apartment/etc. Then, you will be back-taxed with penalties and fees. For me, the risk is too great, so I have always had a true tax home. At times, this was a full apartment of my own, and at other times, it was a rented room.

I HIGHLY recommend that you speak to a tax prep professional. I recommend that you contact a travel tax expert for your tax-related questions.  I use Joe Smith @ TravelTax.  Joe is well-versed and up to date with traveler taxes. His wife also writes tax advice for The Gypsy Nurse.  I have used Travel Tax for my tax questions and needs for the entire time I’ve been a travel nurse, and I trust his advice.  If you have more questions regarding tax home, subscribe to The Gypsy Nurse.  I have upcoming articles on housing and an upcoming article from Travel Tax in October that will discuss Tax Home status in more detail.

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

 

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

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