Recently, I asked recruiters what they would do in these situations.  Diana has been a recruiter for a total of 9 years with the last 2 years at Atlas MedStaff.  This is her responses:

  1. In a large metropolitan area, Nurse Floating Flo contracts to float between three hospitals within a 10 mile radius of her housing. Starting in the 6th week, the company ask her to float to a hospital 15 miles away, the 7th week she goes to one on the other side of the city, that is 30 miles away, plus one that is 17 miles away. The nurse is willing to take the first few, but after the behavior continues, she has had enough and voices this to her recruiter.  First, I would listen to my nurse and get an understanding of her frustration and see what she feels would be an agreeable solution.  Ideally this would have been clarified prior to the start of the contract but it is important for the recruiter to communicate these concerns to the hospital and work on an agreeable solution for the nurse.

  2. Baby Nurse Betty is a skilled labor and delivery nurse, who also can float to post-partum care after the delivery as well as the well-newborn nursery. At 7:30pm, the staffing company hotline gets a call stating that they want her to float to the NICU, which is beyond her competency level. What is your company’s response?  As a recruiter, I would listen to the Nurse’s concerns and work with the client manager to make sure we all have an understanding of what this hospitals NICU demands will be. If we need to push back on the hospital and deny this we will.

  3. Nurse Roach is all excited about her first travel nursing assignment. She drives 750 miles to her new assignment housing. After getting the keys from management, she opens the door and three cockroaches scurry across the floor. After further investigation, she also finds a ring of mold in the shower. She can’t stand it and immediately texts you with pictures. How do you respond?  Immediately let her know we are here to help her.  She is probably exhausted after driving 750 miles.  Find her a place to stay tonight and then work on a long term solution.  Clarify the situation and if necessary, add the bad housing to a do-not-use list.

  4. You have worked with Nurse Asthmatic for 3 years now and she has done a great job for you, when she takes an assignment in Southeast Colorado. She envisions magic mountains that reach to the sky, only to find that she has landed in wheat country. Not wanting to cause problems she continues to work and everything is fine, until harvest. She has an asthma attack, ends up in the hospital, and is told that she is going to miss at least 2 weeks of work related to asthma induced pneumonia. How do you work things out?  Communication first.  Make sure she is OK.  Talk to the hospital.  See what would be acceptable to them.  Work with everyone to see when she can get back on the schedule and see if we can find a replacement.  Make note of this to be sure not to send her to another assignment that could hurt her health.

  5. You have worked hard to find Nurse Roulette a job in Las Vegas. You send the nurse a contract that she readily accepts, signs, and sends back. The next morning the bags are packed and Nurse Roulette is on the way to the assignment of her dreams. At 0800 she is out the door and to the hospital. Checking in with HR, they inform her that there is no contract between the hospital and the company, related to the fact that it has not been approved by HR. About the same time, the recruiting manager comes to you and tells you not to send Nurse Roulette on the assignment. This shouldn’t have happened, but unfortunately it does happen. What do you do?  Compensate Nurse Roulette for her travel; see if there is another position for her in Las Vegas. Pay for her housing for a few days while you look then send her home.  Learn from this mistake and make sure you always have a clear contract with the hospital before sending a nurse there.

Highway Line

If you are interested in working with Diane Ernatt, you can email her at: 

dernatt @atlasmedstaff.com

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