Recently, I asked recruiters what they would do in these situations.  This is Julie from MSSI’s answers.  She has been a recruiter for 20+ years; with the last year at Medical Staffing Solutions, INC.

  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.  I would agree with the traveler that this is unacceptable and different than was agreed upon up front. I would ask the traveler if they were open to traveling beyond the 15 miles, certainly with reimbursement of mileage or if they would like to just stay within the 15 miles. Whatever the traveler would like, I would follow up with the facility and get an agreement in regards to what floating actually means for the rest of the contract.

  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?  I would tell the facility that Baby Nurse Betty will not be able to float to the NICU, as she does have the experience or knowledge to provide the excellent care that both she the nurse and they the facility, want to give to their patients.

  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?  I ask that she gives me a few minutes to contact my housing person. I let her know that  we will move her to a hotel until the housing can either be straighten out or she definitely will be move to an acceptable living situation. Either way I do not expect her to stay there. 

  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?  First, I would hope that I would have the knowledge before the start of the assignment that Nurse Asthmatic is indeed asthmatic.  If not, I would inform the hospital of the situation and explain that things happen and my nurse cannot complete the assignment.  I would immediately get to work to find her a place where she can work and feel more comfortable.

  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?  First, it would be my responsibility to make sure that we have a contract with a facility and that indeed an offer has been  made and accepted BEFORE I ever have a nurse travel. If the would happen I would put her up in a hotel until we figure things out with the facility.

  6. Is there anything else you would like nurses to know?  Be flexible, have an open mind and tell me exactly what your hopes, concerns and expectations are.  I am very transparent with my travelers and take pride in partnering with them on their assignments. I love what I do and have a passion for working with Travel RN’s.

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If you are interested in working with Julie.  You can email her at: 


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