Recently, I asked recruiters what they would do in these situations.  Leslie has been a recruiter for 3 years with the last year at Fusion Medical Staffing years.  Her responses are below:

  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 call my contact at the facility immediately. I would explain that this is in violation of the contract (another reason it is important to put everything that is agreed upon in writing)! Nurse Flo may consider going to the facilities outside her radius from time to time. However, this is something that should be discussed and she should not be required to do so. If the other facilities are desperate for help Nurse Flo may consider picking up an extra shift to get some OT.
  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?  Floating Baby Nurse Betty to the NICU is not in anyone’s best interest. The NICU is beyond her scope of practice and I would tell her not to do anything that would put her license at risk. I would tell Nurse Betty to discuss her concerns with her direct supervisor and explain that she is more than willing to float to Post-Partum. I would also follow up with my contract about the concerns and make sure we are all on the same page.
  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 would get her set up in a hotel until we could get the situation resolved. I would get my Housing Department involved right away. We would need to determine if the room can be cleaned adequately or if we need to find all new housing. It is important that the housing is clean, safe, and close to the facility!
  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?  Before even submitting Nurse Asthmatic I would have given her important information about the facility and the location. However there are many things that you cannot predict! If the nurse’s health is at risk I would let her determine if she can complete the contract.
  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? This should never happen. I would find out what went wrong and if there is any way to make this contract work (if even for a short time). There should be some sort of paper trail and on-going communication regarding this contract. If nothing can be worked out I would work hard to find her a contract in the area or pay for you expenses to get home.
  6. Leslie would like to add:  Not every contract is going to be enjoyable. There are going to be times when the staff, schedule, or location are not ideal. Just try your best to do your job well and be professional until you can get to the next assignment. Also, trust and communication with your Recruiter is extremely important!

Highway Line

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


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