Recently, I asked recruiters what they would do in these situations.  This is answers.  Keith has been a recruiter for 20 years with the last 2 being with Medical Staffing Solutions, Inc.   The following is his interview answers.

  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 thank the nurse for letting me know what her situation is. Honesty is always the best policy. Second, I would contact our account manager that is directly responsible for our contract with this facility and request that the facility stays within the context of the signed agreement.

  2. Baby Nurse Betty is a skilled labor and delivery nurse, who also can float to post-pardium 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 let the facility know that Nurse Betty is not to float to NICU and that it is beyond her competency level. I would hope to find common ground with the facility and then call my nurse to let them know all is well. Our contracts are very specific as to where each nurse is allowed to float so this just does not happen at MSSI.

  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?  If this ever happened I would first thank the nurse for sending me pictures and calling, then apologize and immediately make arrangement for a hotel for the night. Depending upon all the circumstances I may have the nurse move into a different apartment. All of our apartments are inspected and cleaned prior to move in. A huge difference with MSSI vs most other agencies is that our housing is “suitcase ready”. All you have to bring is your personal belongings. This is why about 95% of our travelers let us arrange the housing for them. They LOVE this level of service which is why most of our travelers check with us first.

  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?  I have not had this happen to us however if it did I would for sure suggest that the nurse listens to her doctor first and follow their advice. Depending upon the doctors recommendation we would then proceed with a plan that works best for the nurse and hospital.

  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?  I really can’t comment as this would never happen at MSSI. Sending a nurse without a contact with the facility makes no sense at all. Our nurses are not sent to a facility unless contracts are signed.

  6. What would you like travel nurses to know about being a great traveling nurse and making your job easier?  It’s truly a partnership. Honesty is always the best policy and both nurse and recruiter working together as a team usually ends with very happy outcomes!

If you are interested in working with Keith Kappel.  You can email him at: 


(take out the space)