Travel nurses have the freedom to choose where they want to work and live, yet crossing state lines to practice can complicate the nurse licensing process. Nurse licensing and credentialing are critical to the travel nursing profession, and the process can be complex. Here are some suggestions to help you navigate this process, streamline it, and set yourself up for success.
Travel Nurse Licensure and Credentialing:
Understanding State Licensing Requirements
If you want to work in a state other than your own, you should first understand that the nurse licensing process can be time-consuming. Talk to your recruiter about the timeline for beginning work in another state. This will allow you to budget your time and plan accordingly. Research and contact the nursing board of the state you want to apply to for precise timelines and additional information. Find out what the licensing requirements are and create a timeline for how long it takes to obtain your license. Work with your recruiter to understand the estimated time frames to prevent waiting for your license.
Nurse licensure requirements for travel nursing differ by state, but the Nurse Licensure Compact (NLC) allows nurses to have a single multistate license that allows them to practice in all compact states. The NLC was first enacted over 20 years ago, and as of October 1, 2023, 41 jurisdictions participate in the compact. If you want to apply, you must be a resident of the state you are applying to, and you must have a valid state ID or driver’s license. Be sure to select “Multistate” on your application, as not every state issues a compact state license just because you live or reside there. Check with your state to understand the process and timeline.
NLC as of 1/8/2024
Travel Nurse Licensure for Non-Compact States
If you reside in a non-compact state and do not qualify for a multistate nursing license or want to work in a state that does not yet participate in the NLC, you will need to obtain a new, single-state nursing license. Begin the process by contacting the state’s Board of Nursing and working with a credentialing specialist at your travel nursing agency. These professionals can help you through the process and ensure you have all the appropriate paperwork to obtain your state nursing license. Licensing fees vary by state or jurisdiction, and many times, these fees will be reimbursed by your staffing agency. Check with your credentialing specialist or recruiter to see if reimbursements are available.
Credentialing, Verification, and Special Certifications
Before starting an assignment with a new healthcare system or facility, nurses must provide extensive documentation. The proprietary AMN Passport app has been a tremendous help with the overall process of travel nurse licensure and credentialing, but it is only as good as the information that goes into it. Promptly upload all documents on the app and double-check that they are clear copies. If your documentation is rejected, it will continue to be listed as outstanding items on your list of to-do’s. This can be confusing, so be sure to attach all documents to one or two updates weekly instead of sending multiple emails every day.
Travel nurses often require basic and specialty certifications approved by the American Heart Association and other credentialing bodies. Review the job requirements for the travel nursing jobs that interest you on the AMN Healthcare website or via the AMN Passport app. A credentialing specialist will also work with you to ensure that these certifications remain current throughout your assignment.
Final Tips to Speed Up the Process
Researching and planning for travel nurse licensing and credentialing can help set you up for a successful and stress-free experience. The quicker you start on your list, the faster you will clear the requirements and have them out of the way. Don’t wait until the last minute to do anything! Sign forms immediately and respond promptly to all emails. Keep your recruiter updated on your email communication to facilitate the process. Finally, upload all your current medical titers and vaccinations when your assignment is booked to schedule one trip to the clinic instead of going in multiple times.
We hope you found this article on travel nurse licensure and credentialing helpful. Do you have any tips or advice on travel nurse licensure and credentialing to share with your fellow travelers? Comment them below.
Find Your Next Travel Nurse Assignment with Our Job Board!
Are you on the hunt for your next travel nurse gig? Look no further than our job board! Click here to explore all our current opportunities.
Discover the Perfect Housing for Your Next Assignment
Need somewhere to stay on your next travel nurse assignment? We’ve got you covered. Check out our housing page to find your ideal home away from home. Click here to start your search.
If you are a new travel nurse or looking into becoming a travel nurse:
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!”
Encouraging healthcare professionals to prioritize their mental health is important to us here at Titan Medical. The mental health of healthcare professionals is vital as it directly influences their ability to provide quality care not only to their patients, residents, and families but for themselves. Healthcare partners in a healthy mental space are more resilient to the stress inherent in the profession, reducing burnout and turnover rates, which are pervasive issues in healthcare settings. Regular check-ins, access to mental health resources, and fostering a culture that destigmatizes seeking help are essential components of ensuring healthcare providers can cope with the challenges they face!
Caregivers put their personal needs and mental health on the back burner.
We know that caregivers often put their personal needs on the back burner while pouring into others. While this is fulfilling in many ways, it can also leave some of your own needs unmet. At Titan Medical, we want to encourage and empower you to prioritize your well-being. We recognize that in order to give high-quality bedside care, you need to feel fulfilled outside of your career, too. Our Clinical Team here at Titan Medial has a few ideas and tips for Healthcare Professionals on staying mentally healthy!
“We, as the Clinical team, can empathize with the demands of running on empty while caring for those around you. We know that as caregivers, we often put our personal needs on the back burner while pouring into others. While this is fulfilling for us in many ways; it can also leave some of our own needs unmet. At Titan Medical, we want to encourage and empower you to prioritize your well-being. We recognize that in order to give high-quality bedside care, you need to feel fulfilled outside of your career, too. “
Here are a few quick and simple suggestions to help prioritize YOU!
Take 10 minutes to step outside & walk. An opportunity for sunshine and fresh air always seems to help! Stepping away from the bedside to clear your mind and walk for enjoyment.
Meditation. Even if you only have a few minutes, taking the time to deep breath in a quiet, peaceful space, can help provide a moment of relaxation.
Find local gyms or fitness groups to join where you are traveling! Mention you are a healthcare worker who is traveling through and ask about special rates/ pricing!
Try a new restaurant! Ask co-workers who are local about some of their favorite hidden gems in the area!
Talking with friends and family. Be sure to stay connected with those around you who provide comfort and support!
Learn something new! Nurture your inner creativity and talent.
Is there a local community college that offers adult classes? Cooking, musical lessons, art, etc.
Community Centers may offer sporting leagues/opportunities for recreational involvement.
Subscription to a meal-prep or culinary delivery service! Easy to change your address and preferences. These services help fulfill your nutritional needs while traveling! Access to high-quality foods can be challenging in some areas.
Create an ID.me account (free to make) to gain access to many discounted services, apps, apparel, scrubs, shoes, etc.
If you or someone you know is struggling with their mental health, below are resources to reach out for help.
Mental Health Emergency Hotline
988
Self-Harm Hotline
1-800-366-8288
For the Frontlines
Text FRONTLINE to 741741
Therapy Aid Coalition
https://www.therapyaid.org/
Happy
https://www.happythemovement.com/home
The Emotional PPE Project
https://emotionalppe.org/
Make sure to follow Titan Medical on Facebook, TikTok, Instagram, and LinkedIn for the latest updates on all things Titan and Travel Healthcare!
Find Your Next Travel Nurse Assignment with Our Job Board!
Are you on the hunt for your next travel nurse gig? Look no further than our job board! Click here to explore all our current opportunities.
Discover the Perfect Housing for Your Next Assignment
Need somewhere to stay on your next travel nurse assignment? We’ve got you covered. Check out our housing page to find your ideal home away from home. Click here to start your search.
If you are a new travel nurse or looking into becoming a travel nurse:
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!”
As a travel nurse, choosing your next assignment location is an important decision. You want to work in a city that offers excellent job opportunities, a thriving healthcare system, and a great quality of life. To assist you in making an informed decision, we have compiled a list of the top US cities for travel nurses in 2024. These cities not only offer excellent career prospects but also provide a conducive environment for personal and professional growth.
1. Seattle, Washington
Seattle has consistently been a top destination for travel nurses due to its renowned healthcare institutions like the University of Washington Medical Center and Seattle Children’s Hospital. In addition to a strong job market, the city offers a spectacular natural landscape, a vibrant food and cultural scene, and plenty of outdoor activities for adventure enthusiasts.
2. Denver, Colorado
Known for its stunning Rocky Mountain backdrop and abundant outdoor recreational opportunities, Denver has emerged as a popular destination for travel nurses. The city boasts top-notch healthcare facilities, including the University of Colorado Hospital and Children’s Hospital Colorado. Its thriving arts and music scene, diverse culinary options, and easy access to hiking and skiing make it an enticing choice.
3. Boston, Massachusetts
Boston consistently ranks among the top cities for healthcare and nursing excellence. The city is home to world-renowned medical centers such as Massachusetts General Hospital and Brigham and Women’s Hospital. Boston offers a rich historical and cultural heritage, top-tier academic institutions, and a vibrant city life with an array of dining, shopping, and entertainment options.
4. Austin, Texas
Known for its warm weather, vibrant music scene, and bustling tech industry, Austin has become an attractive destination for travel nurses. The city boasts top-ranked healthcare facilities like the University of Texas MD Anderson Cancer Center and St. David’s Medical Center. With its unique blend of outdoor activities, live music venues, and diverse cuisine, Austin offers a dynamic and exciting environment for nurses.
5. San Francisco, California
San Francisco has long been a hub for healthcare innovation and boasts renowned medical institutions, including UCSF Medical Center and Stanford Health Care. Though the cost of living may be higher, travel nurses are drawn to the city for its iconic landmarks, diverse neighborhoods, and mild climate year-round. The city’s proximity to natural beauty, such as the Golden Gate Park and coastal destinations, adds to its appeal.
6. Charlotte, North Carolina
Charlotte is rapidly growing as a Healthcare destination, with exceptional medical centers like Atrium Health and Novant Health. The city’s lower cost of living compared to other major metropolitan areas, pleasant weather, and thriving culinary, arts, and sports scenes make it an attractive choice for travel nurses seeking a balanced lifestyle.
As a travel nurse, choosing the right city for your next assignment is crucial for both professional growth and personal satisfaction. The top US cities for travel nurses in 2024, including Seattle, Denver, Boston, Austin, San Francisco, and Charlotte, offer abundant job opportunities, exceptional healthcare facilities, and a desirable quality of life. Consider these cities when planning your next adventure as a travel nurse, and make the most of the rich experiences each locale has to offer.
Remember to research each city’s specific requirements, job market conditions, and lifestyle factors to ensure a seamless transition. Happy travels!
Interested in a travel nursing job? Our job board is a great place to search for assignments, and if housing is an issue, our housing page can help. It’s time to make a difference!
If you are a new travel nurse or looking into becoming a travel nurse:
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!”
As a travel healthcare worker, having the ability to travel the world is one of, if not the biggest perk of traveling for a profession. However, depending on your work and rest schedule, you may find yourself a bit bored at times. Sometimes, being in a new place, away from friends and family, can urge you to fill your time with something a bit distracting or exciting – a new hobby, perhaps. Listed below are six ideas of hobbies you could pick up while on your traveling adventures.
Hobbies for travel healthcare professionals:
Photography
Now I know what you’re thinking: you may not have an expensive camera and lighting – that’s okay! If you have a phone, you can capture your moments. When you start taking photos as a hobby, it allows you to see the beauty in little things. Like your brunch and iced coffee, a new street that you’re walking down for the first time in a city that you have never been to, a flower that is growing that doesn’t grow in your hometown. Interestingly enough, when you look back on the pictures you captured, you’ll remember memories that you normally wouldn’t have.
Collecting
Every spot that you go to has something unique about it that it is known for. For example, Georgia has the peach, and Idaho has the potato. Other countries even have these niches as well. To help you remember these interesting places that you go to, try collecting something from each destination. This could be a trinket, a stamp, a magnet, even a rock – anything that you want! Sometimes, just being on the hunt for these collectibles is most of the fun. You will be surprised at the things that you can acquire, and somewhere down the line, your family members may want certain ones.
Cooking
If you are in a new area, take time to figure out what the signature dish is there. Culturally, for years, locations have adapted different food types down the line. Expand your pallet by trying new meals wherever you are. I mean one of the best things about traveling is – the food! Try something that you can’t get at home. Then, make it a goal for yourself to make the dishes that you like so you can enjoy them even when you leave!
Dancing
Dancing, for many of us, is out of our comfort zones. Like many of the things listed, dancing styles also differ culturally. For example, if you are in Alabama or Arkansas, you may want to try a real square dancing class. Or, if you are in Kentucky, you might try a clogging class. And, of course, it broadens even more when you go out of the country.
Traveling can help you broaden your talents. How many of your friends can say they took a real Shag or Polka class? Plus, dancing is proven to be a stress and anxiety reliever as well as a great source of exercise. Even if you aren’t fond of dancing, you don’t have to be perfect at it. It is the mere idea of learning something, getting yourself out there, and moving your bones!
Learning a new language
Whether or not the location that you are in speaks a different language than yours, learning another language can be beneficial to you. Not only is it a great expansion of your mind, but it can connect you to others and their cultures. Apps like Duolingo, Babbel, and Rosetta Stone are features that you can download straight to your phone and allow you to practice linguistics anywhere you are. Learning a new language can open new opportunities for you as well. For instance, you could be an interpreter for spoken languages or even American Sign Language. Overall, learning a new language is beneficial no matter what!
Reading
Reading is a piece of locational art. It’s a physical piece of time-stamped cultural history. I suggest learning about what kind of books and articles stimulate you and making yourself a “TBR” list, which means “To Be Read”. This would be a list of books that you would like to make a goal to read, it could be made on preference, location, history, and so on. Reading is a great escape, and a mind cleanse from reality while you are on assignment. Expand your mind!
Learning and trying new things is one of the most exciting things in life! You work hard as a travel healthcare worker, it is important to find little pieces of pleasure where you can. That could be any hobby, even hobbies not listed here. Remember to take time for yourself and to find new things around you wherever you go, happy hobby-ing!
We hope you found this article on hobbies to do in your free time while traveling helpful. Have you picked up any hobbies while on your travel healthcare adventures? Comment some of your favorite hobbies below.
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!”
As we step into 2024, travel healthcare professionals find themselves at the intersection of opportunity and adventure. The landscape of healthcare is ever-evolving, and for those seeking new travel contracts in the United States, this year promises an array of exciting possibilities.
In this blog, we will explore key insights and strategies for navigating the dynamic world of travel healthcare in 2024.
Tips for Travel Healthcare Professionals seeking assignments in 2024:
Embrace the Shifts in Demand:
The healthcare industry is continuously adapting to changing demographics, technology, and global events. As a travel healthcare professional, staying attuned to shifts in demand for specific specialties and locations is paramount. Keep an eye on emerging trends and high-demand areas, as they can significantly impact the availability and competitiveness of travel contracts. Whether it’s addressing critical shortages or responding to public health needs, being adaptable to these changes can open doors to fulfilling and in-demand assignments.
Leverage Technology for Job Search:
In 2024, technology continues to be a game-changer for healthcare professionals seeking new travel contracts. Utilize advanced online platforms and job portals that specialize in connecting healthcare providers with travel opportunities. Platforms like Nomad Health, Health eCareers, and Gypsy Nurse have become indispensable tools for streamlining the job search process, providing a wealth of information on available positions, compensation packages, and facility details. Ensure your online profiles are up-to-date and compelling to stand out in a competitive market.
Consider Telehealth Opportunities:
The rise of telehealth has been a defining trend in recent years, and its impact on travel healthcare is undeniable. In 2024, consider exploring travel contracts that incorporate telehealth components. This not only broadens your scope of opportunities but also aligns with the evolving healthcare landscape. Telehealth assignments offer the flexibility to provide care remotely, allowing healthcare professionals to blend the benefits of travel with the convenience of virtual practice.
Navigate Licensing Changes:
Stay informed about any changes in licensing requirements across states. As states adapt to the evolving healthcare needs, licensing regulations may be subject to adjustments. Make sure you are aware of the latest updates, and initiate the licensing process well in advance to avoid any delays in securing your desired travel contract. Agencies and facilities appreciate proactive candidates who are prepared and ready to hit the ground running.
Prioritize Work-Life Balance:
In the pursuit of exciting travel contracts, it’s important not to overlook the importance of work-life balance. Evaluate the overall lifestyle and community of the locations you are considering. Factors such as housing options, recreational activities, and community amenities can significantly impact your overall satisfaction during a travel assignment. Prioritize contracts that not only align with your professional goals but also contribute to a fulfilling and balanced lifestyle.
As travel healthcare professionals set their sights on new contracts in the United States in 2024, embracing change, leveraging technology, considering telehealth opportunities, staying abreast of licensing changes, and prioritizing work-life balance are key to a successful and rewarding experience. The dynamic nature of the healthcare industry provides a canvas of opportunities, and by navigating the future with resilience and adaptability, professionals can shape a fulfilling and impactful travel healthcare journey.
We hope you found this article on tips for travel healthcare professionals seeking jobs in 2024 helpful! Do you have any tips to share? Comment them below.
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!”
For first-time travel nurses, it may be a bit of a shock to discover that the hardest part of the new gig isn’t adjusting to the actual work–it is adjusting to all of the time you have to fill on your days off. Without social or familial obligations, your free time on assignment can start to feel abundant, and not always in a good way.
Especially if you are a social person, it may take some time to adjust to your new lifestyle. But the great news is with modern technology and tons of networking opportunities for travelers, it has gotten much easier to meet new people all across the country.
Networking is key as a travel nurse. Meeting and connecting with other travelers tends to have a domino effect. You meet someone on one contract, then connect with a mutual friend on the next contract, or run into each other at a conference with other friends, and before you know it, your circle has grown! Not only does this help with loneliness, but it can even help you find housing or secure contracts in the future based on hearsay.
Here are a few ways to start the networking process:
Attend the Traveler’s Conference
The Traveler’s Conference, or TravCon, is a yearly conference in Vegas designed specifically for healthcare travelers. This is a great way to meet new travel healthcare friends from all over. Between networking events, free happy hours, and educational sessions, you will meet and mingle with tons of people who “get it” when it comes to the travel nurse lifestyle.
Join the MedVenture App
MedVenture is a platform designed by travel nurses for travel nurses. Their app is kind of like a giant online forum specifically for travelers. You can search for people currently living in your area or look for meetups being hosted near wherever you are.
Network on Facebook Groups
Even if you aren’t an avid Facebook user, the groups can be a great way to meet other people in your area. The Gypsy Nurse Network has almost 200,000 members, so it is a great place to post and just say, “Hey, I’m in X area and would love to meet up with other travel nurses!” You can also try searching for specific travel nurse groups for your city.
Get Out and About
Even if it feels a bit uncomfortable at first, don’t be afraid to get out and about on your own! Whether you find gym classes, a local library with activities, or just hang around your neighborhood coffee shop, getting out is key to meeting new people. One thing is guaranteed–you will not meet anyone sitting at home in your apartment.
Don’t Be Afraid to Reach Out
Have an acquaintance in a new city that you haven’t seen for a while? Does your recruiter have other travelers in the area? It’s always worth sending a quick email or message just saying, “Hey”. You might be able to connect with someone you end up really enjoying.
Of course, all of these options do require you to put yourself out there, which can be a learned skill! It can feel super intimidating or impossible to reach out to strangers in the beginning, but it gets easier over time. Plus, the more people you know in different areas, the more connections you have as you continue to move around.
If you ask most experienced travel nurses what their favorite part of traveling is, a lot of them will say the people they meet. Travel nurses tend to be open, fun, and eager to make friends. They are also some of the most interesting people you will ever meet. So don’t be afraid to get out there and meet your people!
Interested in a travel nursing job? Our job board is a great place to search for assignments, and if housing is an issue, our housing page can help. It’s time to make a difference!
If you are a new travel nurse or looking into becoming a travel nurse:
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!”
When considering a travel nursing assignment in 2024, you might want to consider these top 10 states that offer a combination of professional opportunities, lifestyle, and cultural experiences.
As the demand for healthcare professionals continues to rise across the United States, travel nursing has become an increasingly popular and rewarding career choice. Travel nurses have the unique opportunity to explore different states while making a positive impact on patient care.
Top 10 States to Explore as a Travel Nurse
1) Utah – Embrace the Scenic Beauty and Outdoor Adventures:
Utah, known for its breathtaking landscapes, offers travel nurses a unique blend of outdoor adventures and a growing healthcare industry. From the stunning red rock formations of Zion National Park to the world-class ski resorts, Utah provides an ideal backdrop for nature enthusiasts. The state’s commitment to healthcare innovation, coupled with a high quality of life, makes it an attractive destination for travel nurses seeking a balance between work and play.
2) Washington – Thrive in a Diverse Healthcare Environment:
Washington State boasts a diverse healthcare landscape, ranging from urban hospitals in Seattle to rural clinics in picturesque locations. Travel nurses can enjoy the vibrant cultural scene, outdoor activities, and access to top-notch medical facilities. With a commitment to innovation and a focus on patient care, Washington offers an enriching experience for those looking to advance their nursing careers.
3) Idaho – Experience the Charm of the Gem State:
Idaho’s welcoming communities and natural beauty make it a standout choice for travel nurses. From the scenic landscapes of the Sawtooth Mountains to the friendly small towns, Idaho offers a unique and relaxed atmosphere. The state’s healthcare sector is growing, providing ample opportunities for travel nurses to make a difference while enjoying the charm of the Gem State.
4) Nebraska – Discover a Welcoming Community and Affordable Living:
Nebraska’s affordability, friendly communities, and diverse healthcare settings make it an attractive destination for travel nurses. With a lower cost of living and a commitment to high-quality healthcare, Nebraska provides an excellent environment for both professional growth and a fulfilling lifestyle.
5) Minnesota – Navigate a Thriving Healthcare Ecosystem:
Minnesota’s renowned healthcare system and commitment to patient care make it an ideal destination for travel nurses. With a mix of urban and rural settings, diverse cultural attractions, and a strong emphasis on work-life balance, Minnesota offers an enriching experience for healthcare professionals.
6) New Hampshire – Embrace a Tranquil Lifestyle and New England Charm:
For travel nurses seeking a peaceful yet culturally rich experience, New Hampshire is a top choice. With its picturesque landscapes, historic charm, and growing healthcare sector, this New England state provides a unique opportunity to combine professional fulfillment with a tranquil lifestyle.
7) Iowa – Contribute to Healthcare Excellence in the Heartland:
Iowa’s friendly communities and commitment to healthcare excellence make it an appealing destination for travel nurses. With a balance of urban and rural healthcare settings, as well as a low cost of living, Iowa offers a welcoming environment for those looking to make a positive impact on patient care.
8) Wisconsin – Experience Midwest Hospitality and Healthcare Innovation:
Wisconsin’s blend of Midwest hospitality and healthcare innovation creates a compelling destination for travel nurses. Whether exploring vibrant cities like Milwaukee or enjoying the natural beauty of Door County, nurses in Wisconsin benefit from a supportive healthcare community and a welcoming lifestyle.
9) Vermont – Immerse Yourself in Natural Beauty and Community:
Vermont, with its charming villages, scenic landscapes, and a strong sense of community, provides travel nurses with a unique and enriching experience. The state’s commitment to healthcare excellence and emphasis on a healthy work-life balance make it an appealing destination for those seeking a change of pace.
10) Florida – Enjoy Sun, Sand, and a Thriving Healthcare Scene:
For travel nurses seeking a warm climate, diverse communities, and a robust healthcare sector, Florida stands out. From the bustling cities to the relaxing beaches, the Sunshine State offers travel nurses a unique combination of professional opportunities and a vibrant lifestyle.
As you embark on your travel nursing journey in 2024, these top 10 states provide a mix of professional growth, cultural experiences, and a high quality of life. Whether you’re drawn to the scenic beauty of the West, the welcoming communities of the Midwest, or the vibrant lifestyle of the East, each state on this list offers a unique and rewarding adventure for travel nurses seeking new horizons.
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!”
Becoming an oncology nurse was something I fell into. I had a rotation on the oncology floor during nursing school. I loved the patients and nurses, so I applied to that floor for my extended placement. What I didn’t recognize at the time was that my role as an oncology nurse included not only helping people heal and get better but also helping them die. Dignity, respect, and comfort are the goals of comfort care. This is for the nurses who need a little support and guidance when caring for patients at the end of life.
I began my nursing career in oncology, working inpatient at one of the largest teaching hospitals in the region. This meant I saw very sick patients with progressive illnesses, often at the end of their lives. The more senior nurses I worked with, my educators and managers, and an amazing palliative care team taught me how to properly care for someone who is actively dying.
The phenomenal multi-disciplinary palliative care team at this hospital consisted of social workers, nurse practitioners, physicians, and chaplains. This team was so involved, respected, and approachable that I was able to learn in a safe environment. I have not worked with a palliative care team this amazingly since, which leads me to believe that most nurses have not had this privilege. So, below are my biggest takeaways and starting points for those feeling somewhat lost.
Caring for end-of-life patients:
To start…
Advocate for your patient and find out what their wishes are. While some patients are admitted as end-of-life care (EOL), others transition to that status while they are in the hospital. While some treatment options might still be available, the true question is: what does your patient consider quality of life? With any progressive disease, the patient should be able to have a discussion as to what options are available, including treatment options and comfort options.
For some, that means exhausting every possible treatment option, including experimental drugs and trials. For others, that means spending their remaining time at home with loved ones. The problem is… we don’t know unless we ask. And the patient most likely doesn’t know unless asked either, as most people have been so focused on living they haven’t stopped to consider how they might want to die.
How do you accomplish this or begin to discuss these big questions? Below is a guide of possible ways to tackle this issue. While this is based on my experience in an in-patient setting, certain aspects can be applied to other settings. Your facility’s policies, your manager, and your charge nurse are also great starting points.
Ensuring the patient has an advanced directive is something you should be able to easily organize as a nurse. Finding out who the patient would want as their decision-maker is crucial. It can be introduced like this: this is the document that declares who you would want to be your decision-maker if you could not make your own decisions. This could include being too groggy after a procedure, etc.
Along with the advanced directive, the Five Wishes advanced care planning program – which is recognized in almost all fifty states – allows a more detailed description of what someone would consider the quality of life. If you feel uncomfortable going over this form, ask your social worker, chaplain, or palliative care team for support or guidance.
Code status
Has the medical team discussed code status and transition to a higher level of care with the patient? Often, transitioning code status is a gateway to greater discussions about quality of life. However, a person does not need to be a DNR to have this outlined. Ideally, a patient should have had the quality of life discussion before it gets to this. As a nurse, you can introduce this topic, but you should discuss it with the primary medical team if they have had a more in-depth discussion about this.
Palliative Care team
If your hospital has a palliative care team, you could advocate for a consult. Any patient with a progressive disease and/or at least two chronic symptoms should be eligible for a consult with palliative care. Some hospitals are just developing palliative care teams and might not have the full multi-disciplinary team my hospital had, but look into this team as an excellent resource.
Social worker
You can reach out to the patient’s social worker if a quality-of-life discussion has not been had or the patient has more in-depth questions. It is within the nurse’s scope to reach out to the patient’s social worker, who can then either introduce the topic to the patient themselves or discuss the need with the primary team.
Chaplain or Spiritual Care
Reaching out to the chaplain or spiritual care team at your hospital is a wonderful resource. A request can typically be placed directly by the nurse. Chaplains are very knowledgeable about how to navigate these difficult discussions and can help listen to what the patient’s wishes and desires are. Since some patients might be uncomfortable with the mention of “chaplain” or “spiritual care,” I try to introduce these services as non-religious if someone would like, and rather just a great source of information or someone to have a chat with. Many patients will enjoy the company.
If your patient transitions to EOL…
For end-of-life patients, everything should be focused on comfort. As the nurse, observe your patient and use assessment tools to determine if your patient is comfortable. Some patients will be able to supply subjective information to the nurse while using assessments like the numbers pain scale or inquiring about levels of anxiety or comfort. Other patients may be unable to supply this data, so nurses will need to rely on objective information garnered from other assessments like the Glasgow Coma Scale.
If family members are present, their familiarity with the patient’s expressions and demeanor can offer useful information as to how the patient might be feeling if unable to answer for themselves. Also, trust your gut – nurses are intuitive about what their patients might need. Here are some ideas that can make a huge difference in a patient’s comfort.
Medical Interventions
Pain Control
Using the common 0-10 Numerical Pain Scale if a patient can supply the information or using the Wong-Baker FACES pain scale if the patient can not is a good starting point. Is the patient grimacing or frowning? Is their forehead scrunched, or does their face look relaxed? It is then the nurse’s job to apply assessment findings to the orders provided. If the primary medical team has not changed the patient’s order set to reflect comfort care or you feel the pain control is inadequate, discuss your concerns with the primary medical team and advocate for appropriate changes.
If your hospital has a palliative care team, they should be asked to consult to help safely introduce and titrate higher doses of pain medication to provide adequate comfort. If there is not a palliative care team, request a consult with the pain management team, as this team will also know how to safely introduce the higher doses of pain medication required for end-of-life patients.
Respiratory Distress
If you notice a patient seems to be fighting for a breath, this is referred to as air hunger. Again, it is the nurse’s assessment that will determine how to adequately manage these symptoms.
What is the patient’s respiratory rate?
Does the patient have retractions, nasal flaring, or excessive accessory muscle use?
The Respiratory Distress Observation Scale can serve as a guideline for a patient’s level of respiratory distress, but nurses should also use their clinical judgment. For air hunger, morphine is the drug of choice. Morphine and other narcotics can help with air hunger by altering the patient’s perception of being unable to catch their breath, allowing the patient to relax. The comfort care order set should include these medications and how to safely administer them. Supplemental oxygen can be used if it provides additional comfort to the patient.
The nurse can ensure the effectiveness of these interventions by maintaining a RR of at least less than 28-30 breaths per minute and seeing that the patient’s muscles and fidgeting are more relaxed.
Anxiety and restlessness.
If the patient’s air hunger is being controlled, but the patient still seems agitated and restless after assessment (observed by trying to get out of bed, fidgeting with fingers, grimacing on the face, appearing generally not restful), other medical interventions are available. These medications should be present on the comfort care order set as well and could include Ativan or Haldol. If you feel the patient is still agitated after initiating the available medications, relay your assessment findings to the covering team and ask what other options are available. This could include an increase in dose, a more frequent dose, or trying another medication.
Secretions
Patients may have a buildup of secretions that could cause discomfort, which is observed through audible wet breathing sounds, drooling, or persistent cough. Medications such as robinol or atropine eye drops given by mouth can be effective. Providing gentle suction to the mouth is also helpful.
Non-medical interventions
Provide a gentle bed bath or a warm cloth to the face/forehead.
Administer good mouth care with a suction toothbrush or sponge and suction; if the mouth is dry, provide sponges dipped in water to gently moisturize the mouth; provide lubrication for chapped lips.
Play soft music or the patient’s favorite type of music.
Seek a family member, chaplain, or volunteer to sit with the patient so they are not alone.
Talk to your patients, let them know you are checking in on them, and help them feel safe.
Don’t be afraid to regulate who comes in/out of your patient’s room and advocate if the patient needs rest, as hospital rooms can be high-traffic areas. If the patient wants uninterrupted time with their family, ask your charge nurse if you can put a sign on the door asking visitors to check in with the nurse before entering.
Some patients might prefer a suppository to help them have a bowel movement; if a patient is incontinent or urine, an indwelling catheter might provide more comfort than frequent bed changes.
Pay attention to any possible cultural wishes the patient might have.
If the patient is awake and can communicate, try to honor their wishes. If they request a special meal, try calling down to the cafeteria and seeing if this is possible. If the patient has a wish to go outside, talk with your manager and the medical team to organize clearance for making this happen and seek support from other nurses or aids. If the patient wishes to see their young children, but the policy does not allow children on the floor, don’t be afraid to check with your manager to appropriately escalate the request and see if this policy can have a one-time exception.
Reposition the patient using as many pillows as necessary. Some patients might prefer to just lay in one position, but a simple boost or fluff of the pillows can help provide more comfort.
Helping the families
While everyone copes in a different way, provide space for the family members to grieve. If they wish, keep them informed with updates; provide water, chairs, and other accessible comforts. Sometimes just listening is all someone needs. Let them know they need to care for themselves, too. Social workers and chaplains are a great resource to mediate conversations between families and their loved ones.
While this is not an exhaustive list, these are the things I have witnessed and the tools I have used to feel confident that I am providing the best and most comfortable care to my patient at the end of their life.
In Conclusion…
Nursing is a challenging job, and feeling as though you have the skills and knowledge to administer the best care is crucial to feeling confident when helping your patient. I hope this can serve as a tool to guide you along that journey.
Main Takeaways
Advocate for your patient.
Every member of the care team has the same goal: doing what is best for the patient. Approach every discussion with this in mind, and work as a team. Don’t be afraid to enquire about palliative care or pain management team consults, and have your charge nurse help you if needed.
Use your resources
Talk to other nurses, your charge nurse, the social worker, or the chaplain if you are unsure or need support.
Remember that your patient is a person.
Provide your patient with choice and dignity; speak to them as you always would. Even if your patient is not able to engage and is unable to communicate, introduce yourself, let them know what interventions are being done, and explain why.
Use a combination of non-medical and medical interventions to achieve the most comfort.
Trust yourself and your intuition.
You are an amazing person for doing this job, and you are appreciated. We hope this article on caring for end-of-life patients has been helpful. Do you care for end-of-life patients? Do you have any tips to share with your fellow travel nurses? Comment them below.
Interested in a travel nursing job? Our job board is a great place to search for assignments, and if housing is an issue, our housing page can help. It’s time to make a difference!
If you are a new travel nurse or looking into becoming a travel nurse:
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!”
Working as a travel nurse while living in an RV is a great way to bring your home with you wherever you go. There are a lot of reasons people may decide to live in an RV while travel nursing, but a huge factor for most people is being able to bring their pets along without having to worry about finding pet-friendly housing.
Bringing your pets along in an RV can allow you to travel with multiple pets, elderly pets who are less able to adjust to new spaces, or bring along large breed dogs that may make rental housing difficult.
Tips for RV Travel With Pets:
However, one aspect of living with your pets in an RV that does not get talked about enough is how to ensure your pets are safe when you are at work or sightseeing around town.
While modern RVs come with tons of features and amenities that can make your home on wheels, feel very much like a “regular” house. But keep in mind RVs are made to be lightweight and portable, which can cause the quality of different aspects to be less than what you would see in a regular house.
Safe Temperatures
One huge concern when traveling with pets in an RV is maintaining safe temperatures for your furry friends while you are out and about. Unfortunately, RV air conditioners and heaters can sometimes be temperamental, or thermostats might not be 100% accurate.
In rare times when your heating and cooling malfunctions, it’s important to have a remote monitoring system to keep an eye on your home when you are away. Extreme temperatures can happen quickly in an RV since insulation is minimal, and the risk of freezing temperatures or heat stroke can be detrimental to your animal’s health.
First, you will need a WiFi setup that connects to whatever monitoring system you choose. Some options for RV WiFi are using a hotspot or using mobile wireless systems. These are WiFi routers that act similar to a regular router, but rely on cellular service to provide your internet.
Temperature Monitor Options:
Next, you can decide if you want to use a simple temperature monitor or something more complex. The temperature monitors are actually great for monitoring things like underbelly temperature as well, especially if you are traveling somewhere that gets below freezing and you are worried about pipes freezing.
If you prefer something more high-tech, you might consider looking into a specialized pet camera. Waggle is a very popular brand that has everything from temperature monitoring to treat dispensers and cameras.
Waggle also provides some great information on heat stroke in dogs and why it is so important to keep an eye on their environmental temperature when you are away.
Of course, paying for a dog walker or pet sitter to check in is always an option.
However, the risk of a malfunction happening right after someone leaves is still there, and the temperature in your RV may still be too high for your pets to survive until the next person is there to check in on them.
RV Travel with pets is a great option for many travel nurses. Just like anything else, being informed and prepared is extremely important to keep your entire family happy and healthy. Don’t skimp on pet safety while traveling in an RV, even if you are convinced an accident won’t happen to you!
Interested in a travel nursing job? Our job board is a great place to search for assignments, and if housing is an issue, our housing page can help. It’s time to make a difference!
If you are a new travel nurse or looking into becoming a travel nurse:
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!”
Happy Nurses Week 2025! We’re so grateful for all that nurses do—every single day. This week is all about you, and we’re excited to celebrate with a giveaway! Need more details? Visit our Facebook page.
