Travel Nurse Toolbox - Travel Nursing Help Desk

Find the Best Travel Nursing Recruiters

2008-07-08T21:04:00.005-04:00

It is IMPORTANT that you are in Contact with the Best Travel Nursing Recruiters from

the Best Travel Nursing Companies to Get the Best Travel Nursing Jobs & Housing!

To get in Contact the Same Travel Nursing Recruiters that I've used with Success....

Fill out this Short Web Form and The same Recruiters will contact you ASAP!

So Expect a call, Voicemail or Email !

You can get a free email address just for this purpose at Yahoo, Hotmail or Gmail

For a free voicemail phone number try Evoice which will send your voicemail to your email or is accessible via phone.

Thanks for Stopping by and Happy Travels!

CJ Jones RN Traveler TravelNurseToolbox.com

Funny Healthcare-Nursing Videos

2008-07-02T02:59:00.012-04:00

Nurses Rap Song

Nurse Bertha

]

New Baby Bambino Ready to meet his Parents in the Hospital.

Colonoscopy with Doctor Lou Rawls and his Nurse assisting......

Worst Hospital Ever.....

Health Savings Accounts-Boost Your Tax Advantage

2008-05-19T18:31:00.001-04:00

This one doesn't require a Permanent Tax Home......

Are you tired of those ever increasing high Health Insurance Permiums?

Are you tired of having to itemize deductions for medical expenses and jumping through hoops to maybe get a little more money back through refund if any?

Then At Least you should look into a HSA qualified health insurance & HSA's.

First, Don't confuse HSA's with FSA's (Flexible Spending Accounts) that many employers offer. You know the one you set aside a specific amount of your income per year for medical or childcare expenses that is not taxed BUT if you don't use it for that year you LOSE it. Noooooooo...

HSA's are more like an IRA in that your money can grow and be invested. You can withdraw money from your HSA without penalties or paying any taxes as long as it is a IRS qualified medical expense which is a broader category of things compared to what your insurance will cover.

In order to start an HSA you have to have a HSA qualified insurance. What's that?

It's a higher deductible health insurance with no co pay system for meds or office visits but can offer free annual physicals, OBGYN annual visits and discounted or free services. This requires a leap in thinking outside of what you are used to so read on and consider before rejecting.

First ask your self how much am I paying extra per year in higher premium payments per month for the priviledge of having copays and lower deductibles compared to the lower premiums per month offered by various HSA Health plans?

Is that deductible per family or per person?

What about those out of pocket costs I pay after the deductible is met, which might as well be considered part of the deductible?

I'll give a concrete example of my BCBS HSA OPTIONS individual plan for my wife and I.

Premium: $340/month
Deductible: $5300/yr (Out of Pocket Cost for Meds Goes Toward Deductible as well)
Out of Pocket Cost after deductible: $0 (Covered 100% after Deductible)
Get BCBS Discount on Prescription Meds and Covered Medical Treatments (This year and past year Generics Meds are Free)
Free Annual Physicals including standard tests
Free OBGYN /yr including standard tests
All Prescription Meds & Covered Medical Treatments Go towards the deductible.
No Lifetime Limits

This is just one plan there are variety of plans from an assortment of Health Insurers. HSA's started as an option in 2004 so as time goes by you will see more options.

I carry my own insurance and The Travel Nurse Companies usually reimburse you up to $300 a month from my own experience but it depends the total package you negotiate.

The Beauty of it is that your HSA account and is portable. You don't have to move it to another HSA Adminstrator if you change employers or become self-employed unless you want to, for example, to get better service or get better investment options. Perfect for Travelers as we may rotate to a few or more of our favorite companies plus it gives us a tax advantage whether you have a Permanent Tax Home or Not.

Travel Companies can put funds into your HSA without having to pay taxes on it. They can offer a Group Coverage HSA Health Insurance plan or you can start your own Individual HSA Health Insurance plan as I have.

OK you say. HSA Health plans may be great if you are healthy and don't need to see the doctor often but what if you do and you are on multiple prescriptions. HSA-Insider (link below) probably gives a better explanation of why HSA's are still good in this instance.

I will say Traditional Health Insurance premiums are increasing every year especially if you have a chronic illness and you pay big time in premiums for those low co pays but you have become so used to it that you don't think of that money as a loss.

You really have to crunch the numbers considering tax savings and lower premiums and you will see that you don't have to be healthy to take advantage of HSA's.

HSA Facts 2007 - HSA Qualified Insurance:

Minimum Deductible: Single: $1100/yr, Family: $2200

Maximum Out of Pocket Costs: Single $1100, Family $5500

Note: These Max Out of Pocket costs limits Includes the Deductible amount and you can be covered 100% after the Deductible as in my plan.

You can Increase your Deductible to lower your Premium Payments.

No Co-pays for Prescription Meds Allowed. You can still receive discounts or free generics as in my plan and all out of pocket costs go towards your deductible.

Maximum HSA Contribution per Year: Single: $2850 Family: $5650

New in 2007: You can deposit per year up to the above amounts regardless of your deductible amount. In the past you were limited to your deductible amount. For example, if you had a family plan with the $2200/yr minimum deductible, you were limited to $2200/yr for HSA deposits. So you can lower you deductible while still maximizing your deposits which I plan to do.

Anybody or entity can put monies into your HSA tax-free. Employers, Family, Friends, Yourself or Anybody else that wants to help you.

You can set up a pre-taxed amount through an employer or you can put post-taxed money into it and lower your yearly taxable income by the amount you deposited into your HSA (Adjustment to Income Deduction).

You can spend money for medical costs from your HSA usually by checks they issue you and/or a VISA or like Debit card.

If you pay out of pocket throughout the year and have no funds or limited funds in your HSA you can make a deposit or deposits up to April, 17th of the next year and apply it to the previous year to be able to make the adjustment to yearly taxable income deduction.

After the money is deposited in your HSA you can write an HSA check to yourself equal to what your out of pocket medical costs for that year, which is basically reimbursing yourself if you need to but you still get credit for your deposit for tax purposes.

If you don't even have the money to do the above you may need a short term loan from family, friends, bank, or even your credit card for two weeks tops or a month to give yourself a time buffer. Hopefully though you keep money in your HSA and it builds from year to year like an IRA.

HSA Administrators will give you various options to invest this money in your HSA.

At Retirement Age you can withdraw HSA for any reason without penalties.

Not Taxed on money you or anybody else that deposits into the HSA.

Not Taxed on investment interest earned on HSA funds.

Not Taxed on money you withdraw from the HSA for Medical Expenses (IRS)

You can maintain your HSA if you switch to a non-qualified HSA health insurance plan but you can't make any deposits. You can make withdrawals though.

You don't need approval from your HSA administator to withdraw monies from your HSA account. If it is not for an IRS qualified medical expense you would have to pay taxes on what you withdraw plus a 10% penalty like with IRA's.

New in 2007: You can rollover funds from an IRA or FSA (Flexible Spending Account) once in a lifetime to your HSA but you must maintain an HSA qualified health insurance plan for 12 month after the rollover or you would have to pay taxes plus 10% penalty.

You can still maintain Vision Insurance and Dental Insurance.

Alot of first time Travelers may receive a lump sum pension from their previous employer. You could roll this into a standard IRA to avoid taxes and maintain control over it and then later roll part of it into an HSA once you have a HSA Qualified Health Insurance Plan.

For more Info on HSA's and HSA qualified health insurance plans:

Wikipedia-HSA - Constant Up to date Detailed Info on HSA's

HSA Insider - Find HSA Adminstrators or Health Plans for your State, Many FAQ's

HSA State Income Tax Guide - HSA Tax Guide Specific to States.

E-HealthInsurance - Find HSA Health Plans for your State and Compare

Blue Cross Blue Shield - I believe most State BCBS plans offer Group or Individual HSA Health Plans. I like in particular their online tools where you can compare in detail many different HSA plan options and crunch the numbers yourself, get detailed info on coverage, and various other healthcare cost estimate tools.

IRS - HSA

IRS 06-07 Changes for Individuals - Includes HSA Changes

HSA Qualified Expenses - Covers a long list

Travel Nursing Tax Advantage Program

2008-04-01T04:52:00.001-04:00

Tax Advantage programs allow you to receive a tax free reimbursements to cover meals & incidentals and lodging expenses or tax free Travel Nursing Company supplied housing.

To participate in the Tax Advantage Program you need to maintain a residence as a renter or owner in your permanent resident location and state with associated expenses and be working away from this residence on a temporary assignment living in a separate temporary residence. This permanent residence is called a Permanent Tax Home as defined by the IRS.

You should have connections to this address such as: Drivers License, Insurances, Professional License, Voters Registration, Property Taxes and other various bills connected to the Permanent Tax Home. It is advisable to return there between assignments if possible, apply for jobs there, do business there, even work there if possible.

Generally if you reside in another state or same state, different location, for more than a year you can lose your Permanent Tax Home status. Keep documentation of these activities to keep the information organized and easily at hand if you needed it. The Travel companies usually just have you fill out a form verifying you Permanent Tax Home.

The Travel Nursing Company will give you a tax free reimbursement per day that you are on an assignment staying in temporary housing away from your Permanent Tax Home (Meals & Incidentals and Lodging or Company supplied Tax Free Housing). This per day reimbursement is different where ever you go. The Federal Government has a web site, Domestic Per Diem Rates - US General Services Administration that supplies this information.

The rates on this website are in reality reimbursements figured for government employees traveling to, staying in hotels and/or eating in other cities for work purposes. The costs a Traveler will incur on a daily basis may not be as much depending on various factors generally because the Traveler is usually staying at least 3 months and buying groceries mostly instead of eating out for every meal. That could be different if you are on a short term contract such as a Strike.

Some Travel Nurse Agencies may not use the max rate all the time unless it reflects more in reality the true costs. This Tax Free Reimbursement is separate from your Pay Rate which IS Taxed.

Some Travel Nurse Companies that are new to this get confused and think the reimbursement is per day that you work but that is wrong. It is per day that you are on assignment residing in that area in temporary housing away from your Permanent Tax Home.

There is no 50 or 80 mile radius rule with the IRS. Those rules are more so rules with Travel Nursing Companies and/or Hospitals to set some standard for being away from home or to prevent perm or potential perm staff in the area from converting to Travelers (Hospital Rule).

Travel Nursing Agencies if they are supplying temporary housing will only use the the meals and incidentals max rate to figure the tax free reimbursement although you will not be taxed for your housing supplied.

If you are receiving a housing stipend instead of the Travel Nurse Agency supplying the housing, the Travel Nurse Company will use both the per day Lodging Rate and the per day Meal & Incidentals rate to calculate your total tax free reimbursements depending on how those rates reflect true costs for you in that area.

Below are some examples of how some companies figure Tax Advantage reimbursements.

Housing supplied:

Government site reports a per day rate for Meals & Incidentals of $25/day for a certain locale.

They are saying the maximum you would spend per day for Meals & Incidentals is $25

$25/day X 7 days = $175/week $25 X 30 = $750/ month Tax Free Reimbursements

Alot of Travel Nursing Companies will also figure it into a virtual pay rate to see the actual value that you get in terms of $'s/hour. Let's say you work 36 hours/week with a pay rate of $28/hour and you get $475/week in tax free reimbursements (Meals & Incidentals + Housing Stipend for this example)

$475/week divided by 36 hours/week worked

= $13.19/hr Virtual pay rate

$28/hr Actual Pay Rate + $13.19/hr Virtual pay rate

= $38.19/hr Actual pay rate + Virtual pay rate

This is only a way to for you to see total value. Your pay check stub or contract should avoid the above language because tax free reimbursements are not pay rates. If you are supplied housing by the Travel Nurse Company you could still convert it to a virtual pay rate if you know the housing costs + meals and incidentals reimbursement.

If you were Not a Tax Advantage Traveler you would have to pay taxes on your supplied housing or housing stipend and you could not receive Meals & Incidental Tax Free Reimbursements either.

If you are NOT a Tax Advantage Traveler but you DO maintain a Permanent Tax Home you can deduct expenses that are above what is covered by the Travel Nursing Agency at the end of the year so keep a record of these expenses and keep receipts.

Even as a Tax Advantage Traveler you need to keep track of reasonable expenses above what is covered by the Travel Nursing Company such as Medical Expenses, Travel Costs, Mileage to location, Mileage to and from Facility from Temporary Housing times number of trips. When you deduct these things the dollar amount that ends up in your tax return is not as much as you would get receiving the Tax Advantage tax free reimbursements. That is why people are are attracted to Tax Advantage .

Some disadvantages of being a Tax Advantage employee are:

Lower reportable income which may affect getting loans based upon your income. With the competition for loans these days I would think this has little effect especially if you have good credit. Some banks are friendly towards nurses or healthcare professionals. They consider them reliable borrowers because there is a great demand for healthcare jobs and other factors . The right bank or credit union, good credit and the right loan officer can be more important than the higher reportable income.

Your Social Security you get when you retire is based upon your reportable income. So if you make less reportable income you will get less money when you retire from Social Security.

Solution: You take some or all of the extra amount you get and invest it wisely and have even more when you retire.

Some people just don't want the hassle of returning home and maintaining a permanent residence or being limited in how long they can stay in another state. You may still be able to maintain residency in another state without the requirement of having an Official IRS Defined Permanent Tax Home.

Warnings:

Avoid Contracts where the Travel Nursing Company pays an Extremely Low Pay Rate which is below the norm for your profession for that location such as $10/hr along with the Tax Free Reimbursements. You don't want to get mixed up with Travel Nurse Companies that may get you in trouble with the IRS.

This only a general article and you should seek the advice and guidance of a Tax Professional experienced in working with Traveling Professionals. I've listed some below along with some other helpful websites.

Travel Tax

Kobaly Traveler Tax Service

Hicks Tax Service

Muret Tax Services

IRS

GSA USA Per Diem Rates

Dinkytown Financial Calculators

Pay Check City Calcualtors

Travel Nurse Toolbox.com

The Best Travel Nursing Forum

2008-02-16T00:44:00.004-05:00

There are other Travel Nursing forums but they really don't compare to the consistent contributions and discussions of many members through the years.

I'm speaking about the Travel Nurse and Therapist Forum on Delphi Forums.

The moderators keep a lid on trolls and fakes but encourage open discussion and differences of opinion. You can remain anonymous in the forum and people can email you privately if you choose that option. Registration is required when you click on the above link but it is Free and well worth it.

After you register and you are taken to the forum learn to navigate the forums and to use the advanced search function. I would read, read and read a while before you post questions as many topics have been discussed over and over but then again there's always new developments and twists on the same topics.

There are other related forums linked to this forum you can find in their drop down menu (top right) labeled visit our friends such as Travel Psych Nurses, Nurses on Wheels, Independent Contracting Nurses, TNT Recruiting (Travel Nurse Jobs and Allied Traveler Jobs posted in Specialty Folders). Please read the rules on each forum and abide by them .
The many experienced Travelers there are always willing to listen to problems of other Travelers, new or experienced and give advice or feedback. It's also a home away from home with joking and funny stories.

Don't worry about being bothered by recruiters trying to recruit you as recruiting is strictly not allowed although you can quickly go over to the TNT Recruiting forum to find or inquire about Travel Nurse Jobs or Allied Traveler Jobs.

I remember delphi forums back as far as when the web with graphics and html was just developing around 1992 or so. They have numerous great forums and more with a lot of dedicated members.

How I got into Travel Nursing

2007-12-14T04:53:00.001-05:00

I had researched Travel Nursing for years before I finally did it. I kept talking about it with my peers at work and they said I'd never do it. That is possibly true if it weren't for a few experiences and everybody has there own reasons.

I still love my hometown. I wasn't born and raised there but did live there for years and know it like the back of my hand. The staffing levels had been getting worse and worse over the years. I like to stay busy but it was getting to the point that it was unsafe and tiring even when working with the great staff I worked with. I joked about how if the staffing got any worse we may have to get microphone/headsets to be more efficient like at McDonalds!

Then the last straw is where they made us reinterview for positions at reduced hours based on our education, certifications, evaluations and etc. . I ranked high in all of those areas but my hours were reduced drastically anyway. The other option was to be retrained for other positions in the hospital such as educator, or different specialties with the promise that you would be thoroughly trained.

I decided to go that route and go for the educator position but that job fizzled along with others one by one. At this point I lost my slot for the reduced hour position within my own specialty (Psych) because I chose door two. I then decided I was going to pursue Travel Nursing.

I had married 6 months earlier and I wasn't saving a lot of money so I had to make a move for me and my wife financially speaking and for my career. It was a depressing and anxious period knowing I was going to be leaving my hometown or what I called my hometown.

As a kid I was a military dependent and moved quite frequently until my father retired and moved to where my home is now. So having a hometown is really important to me.

The negotiating with other Travel Nursing Companies to find a good assignment was exciting at times but very anxiety producing at other times. Change can be stressful even change for the better. In a way I thank God these things happened to push me to the next level.

I did luck out though and found a good assignment in Tucson Arizona in the Fall and Winter Months as a Charge RN and when I arrived found out it was a Nurse Manager position so I adapted and learned and made some new friends. They wanted me to stay on as a Manager but I caught the Travel Bug and was eager to keep Traveling.

I lucked out again to find a RN support/educator position in Los Angeles VA working with the administration and on the units which was a good experience. I keep saying I lucked out but really it was being prepared for opportunities, marketing myself everywhere and scouring the Internet for the right assignment and negotiating the right deal.

Each new assignment I find, negotiate and work on I learn a lot about myself , others and the business. I still have a lot more to learn too. This constant change really makes you grow as a person and how to solve problems and adapt. It is an adventure. On my permanent job the routine was getting monotonous even though I enjoyed the people I worked with.

With all that said though I wanted to return home to the east coast. Basically I missed home. My wife took a Certified Nurse Aide course so she could easily find work while we traveled even though she was educated as Psychologist in her country of origin Brazil.

I searched for the next Travel Assignment but more and more wanted to find a job at home. I was torn. I loved the opportunities Travel gave me for my career and the money. In two three month assignments my wife and I had ten times more money than I had saved at the hospital I had worked at for 6.5 years. I was basically living off that money when I returned home.

I almost took a night job at the same hospital I had worked at before . Thank God the human resource department were playing games and having me jump hoop after hoop it seemed to me at least after other opportunities in other places came so many times.

I almost took a managed care position for workers comp where I would work out of my apartment using my laptop and there fax machine. It sounded great on the surface but after two days of orientation I said it wasn't for me! I'm a Mental Health Nurse and a Traveller.

After that my wife and I decided time to travel again. I kept looking and looking on the Internet for an attractive Psych assignment but Psych was in a low cycle at that time. Finally after much anxiety with money being spent and not coming in I lucked out to get the same hospital in AZ with the same position as a Traveller! Wow life was good .

I think it pays not to take the first thing that comes along but stick it out until the right one comes and to be able to do that financially. Although don't confuse persistence with hesitating which can cause you to lose an opportunity as well.

So I returned to Tucson, AZ again in the Fall/Winter months and stayed 4 months after that again I got homesick and was tiring of management work because in the Travel Business Staff/Charge Nursing is your bread and butter and management positions are much rarer in Travel especially in Psych.

I found an assignment closer to home but was blinded in my judgement because of my obsession to be near home. The company was a Per Diem staffing agency and even the contract they wrote didn't have a start and end date at first . Later the contract between them and the hospital was cancelled after I had arrived home. Looking back on that it was a bad decision to go with some no name company in the Travel business when I had something good in AZ. That comes with the territory and I still like to think of it as being on vacation not unemployed because we had plenty of money but now a new car payment too.

Again I looked at some jobs in my hometown but they were either to low pay or someone else got the job. Funny how while traveling I was getting offers all over for Travel Nursing Assignments or Perm Management positions but I couldn't get the job I wanted in my hometown.

Well thank goodness my next assignment was 3 months in the Virgin Islands which I had been working on a few times before. It was a nighthift which I didn't like at first but now I am a night shift convert. I may never go back to days. It is much more peaceful at night even at the worst and more removed from politics. Just make sure you have a quiet place to sleep, cool and dark. I would say in my own opinion the best shifts are 3 12 hour shifts. You have 4 days a week to enjoy the place you came to enjoy. 12 hours goes by quickly at night if you keep yourself busy.

In the Caribbean everything is on Island Time and the people can be rude at times just like in the states but sometimes their reserved nature gets viewed as rude or their indifference to our now! now! now! ways. I'm learning that myself. I've lived many places including overseas but everywhere you go there is a different culture even within the United States.

You have to adapt or remain unhappy. It's a process you go through and if you start to panic you lose your ability function well, negotiate well and troubleshoot problems.

Travel Nurse Toolbox.com

Travel Nursing Applications - Documents

2007-12-12T04:55:00.001-05:00

Many Travel Nursing Companies offer online applications on there web site. Using the below process you'll be able to fill out on line applications rather quickly. You may want to fill out online applications for companies that show promise but usually it's best to wait until a recruiter presents an assignment with the details that you are definitely interested in. Play it by ear.

Keep all of the below information in the order listed in one Notepad Text File that you can minimize and maximize when you need to copy fragments and paste them in the online application. I use the Notepad text file because it is easier to manipulate than Word Processor Documents like WORD .doc and the online applications only allow unformatted text anyway.

As you fill out documents you will find Auto Complete Function in Internet Explorer or other Browsers will offer to fill In a block of text you have filled before. Some online application sections disable auto complete so you will only be able to copy and paste or type.

The below information is all possible info you may need to supply usually in this order...

Name & Address (perm)
Address (temporary)
Email address
Cell phone, Home phone or Voice mail
Original License Date (when you first were issued your first license)
State Licenses (numbers)
Expiration Dates
License of Resident State
Certifications, Expiration Dates
Clinical Experience in Reverse Chronological Order with below info:
Facility Name, address, phone number
Dates of Employment, Job Titles, Job duties
Job type: Perm, Per diem, Travel Nursing Assignment
Supervisors name, phone number + extension, email , alternate phone numbers
References: name, phone number + extension, email , alternate phone numbers
Not necessary to list Travel Nurse Companies you worked for. (Confidential)

Also keep copies of the below documents to scan and email or fax...

Licenses
Certifications
Drivers License
Employment Physical (current) (some companies may send you to their own medical screening if so request a copy for future use)
Immunization Records PPD
Resume
Complete Reference list
Letters of Reference
Past Evaluations
Skills check list (make sure it is a comprehensive one so the Company will accept it otherwise they may want you to use theirs)
W-2 (keep a blank copy for that year)
I-9 (Proof of citizenship) (Keep a Blank Copy for that year)
Copy of Check with VOID written across (for Direct Deposit)

There will be other documents that are more Company specific which just require your signature and to be faxed back or scanned and emailed back. I found the best way to scan the above documents is using my portable, usb powered Cannon flat bed scanner (cost me $29 at Circuit City) which came with easy to use software.

I Scan to a multi page PDF type file with high compression at 150 - 300 dpi ,depending, (dots per inch) in Gray scale. That way you have a quality image but not to big to email either. The multi page setting allows you to have more than one page per PDF file.

I have been able to scan all the above documents into one file less than 1 megabyte which is easy to email or fax if you want to using FAX program built into Windows XP to fax directly from the application. Basically you chose FAX instead of your Printer in the Print Dialogue Box then follow the directions from there.

You can also save files as attachments to emails in you web mail such as Yahoo, Gmail, Hotmail which all offer free accounts. You could then forward a saved email with attachment if you needed to.

Occasionally you may have to resize documents which can be done at a print shop or even your printer at work. You can also scan the image as a jpeg and then insert it into a WORD document by keying in (Alt - I - P -F ) after you click the blinking cursor where you want the image file placed. Single click on the center of the image, Point the mouse pointer on the vertical or horizontal edge until you see double arrows, then left click + drag to resize and save.

Probably a dozen or more ways to do this. Resizing or enlarging to be specific is usually needed when faxing as the documents get degraded or don't come out as clear on the other end when faxing as many of you probably know. Another thing I found important is to carry a pen that writes in a dark bold black to use especially when people are filling out your evaluation forms as well as asking them to Print Clearly. You'll be glad you did this when you go to scan and may be able to keep your dpi (dots per inch) to 150 which make your file smaller and even easier to send.

I know all of this may sound complicated and a lot of work but actually the goal is to make it easier for you and other recruiters in a systematic way. I do keep hard copies in one folder as a backup if all else fails or I had to fax and email wasn't an option. There have been times I didn't have a phone line but had access to a fax machine and I'm glad I had the hard copies to just load up in the fax machine and send.

There have been times I had a phone line or access to a Fax Machine without long distance access and I needed to fax long distance. Solution: Penny Talk calling card. Basically you enter their toll free number, two commas, your ID, two commas, Pass code, four commas, and then the area code and number, then send. 1 cent per minute USA, Great Foreign rates as well. Usually pretty reliable but occasionally may take a few attempts but a great option when you need it as well as avoiding using up your anytime minutes on your cell phone.

Other options include Efax, MaxEmail and a dozen of others which allow you to Fax through your Internet connection at a charge. MaxEmail doesn't require software to download. Efax allows you to have a number for voicemail that can be delivered to your email and an efax number that people can fax to and is delivered to your email (Free up to a limit). Evoice is another option for voicemail to email.

TravelNurseToolbox.com

Travel Nursing Jobs Negotiating

2007-12-12T04:54:00.003-05:00

After you have narrowed down various Travel Nursing Job offers you may want to contact the travel recruiter at this point via email if you haven't done so already to start getting answers to questions from your recruiter question lists and housing question list.

Start with the your most important questions first. What is important may vary from person to person. You may start with discussing the pay rate and how it works, shifts available, start date , reimbursements then move to more detailed questions as your questions are answered to your satisfaction.

No use discussing getting a microwave or an apartment with a washer/dryer if the pay rate is not even suitable. Be patient but not a pushover. Negotiating is a process and doesn't end in the first call always. Keep the lines of communication open.

Remember it is the whole package that will decide if you sign or not. So if one part of the package is lacking another part can make up for it. Many times though it may be obvious that the package is poor and hopelessly non-negotiable. At this point tell the recruiter you are not interested so they can move on too. Recruiters are limited by what their bosses will allow them to do or what the Hospital base rate is but most of the time there is wiggle room.

There are various hidden perks that can keep communication going like a recruiter and company that is flexible and will work with you on finding the right housing with amenities. Sometimes if you give something you can get something such as signing for 6 months or longer than 3 months.

Use your imagination to make a deal that works for them and you (Win/Win). Sometimes you have to put your foot down and say what your needs are and be able and willing to back off if they don't meet those needs.

Having the financial resources and/or alternate assignments allows you to do this with confidence and less nervous nail biting and sweating. When you are in great need of money and desperate and worried your ability to negotiate calmly is lost.

You may be using Travel Nursing as a way to shop for a perm job so discuss clauses in the contract that may prevent this or limit this.

Ask what the housing stipend is to get an idea on how much they are spending for your housing but this may not be the amount they are actually spending. They may be getting a discount or not. Ask the leasing agent anonymously the cost of a short term rental, then figure in furniture rental, utilities and such to get a closer estimate. Many of the Apartment Seach Engines have 1 800 numbers to the leasing agent so you can get this info.

Always have a 8 X 11 paper pad and calculator when talking to the recruiter to write out the entire package with options and make quick calculations. This will enable you to go over the deal after talking with the recruiter and analyze the info more and maybe do further research before calling back again and continue negotiating.

Please inform other recruiters you have been talking to or communicating with if you decide on another assignment as professional courtesy and for the fact they may have a deal for you later in your career. Avoid alienating future opportunities although it may be inevitable at times. Send an email out informing recruiters who you've been communicating with that you have taken an assignment and when your next availability date is and thank them for their time once the deal is finalized.

This is why I like to get to the point and stay focused on getting answers and negotiating instead of wasting their time and mine, which doesn't mean interrogating either.

The recruiter has to please the hospital and talking on the phone is a way for them to assess if you come across as competent person. So always try to be prepared to talk in a private , quiet setting where you have access to paper and a calculator (your friends). If you are talking on the cell phone in your car while other people are present and laughing and you are in terrible traffic on a major road believe you will not come across as competent.

Keep a record of what was discussed on the telephone. With email you always have a record but email is a bad medium when you get to the intricate part of the negotiation where there needs to be a rapid back and forth communication. Make sure all agreements are written clearly within the contract and both recruiter and the manager of the unit are aware of them.

Agreements can be solidified more by having the recruiter agree via email. Email that keeps a record of past communications is handy. You do this by using the same original email to reply with and keep it in a folder you can easily find.

Travel Nurse Toolbox.com

Is Travel Nursing For Me ?

2007-12-12T04:54:00.001-05:00

You may love your job and the work environment is great and you love the area and the pay is great. Then why move?

There many reasons people travel or combinations of reasons. Some people see the need for change to feel alive and see Travel Nursing as a chance to do that. Every decision has risks.

Before I left I did a 12 month Leave of Absence as a back up in case I wanted to come back immediately or before the 12 months was up. Most hospitals offer that option . Some Managers welcome you back with open arms but don't expect it everywhere in reality. In my case it was obvious I was going into Travel Nursing because I had been talking about it for years. Some places will do an LOA but you are not guaranteed the same job.

Some people Travel for the MONEY and you can make Mucho Dinero especially if you go to the highest paying states and work 48hr plus work weeks. Not for me I do fine with 36-40/wk.

Some people Travel for opportunities to work in prestigious facilities or in a part of the country they always wanted to be.

Traveling does give you chance to find a facility you like while getting paid to do it rather than spending your hard earned money to travel to an area to interview for a job you may not like.

As a Traveler you have a guaranteed job to a degree and if after the contract you don't like it you can go home or somewhere else.

Some people Travel for the clinical variety or career opportunities they don't have back at home.

Some people Travel to get away from home or they are burned out where they are working now.

Some people want to find themselves and it does teach a lot about yourself.

Another reason to Travel is you can take long vacations between assignments if you want to. I was off between my second and third assignment for 6 months. I never could have done that in my permanent job. Although I probably won't do that again for a long time.

You have more flexibility to take vacations when you want and how long you want to. You also have the money to afford a vacation or a cruise.

Some Travelers blow their money and that is their choice.

Some people quit Traveling and tell others it pays well but the money is soon gone, well that is their choice too.

Some people refuse to travel because there is no pension plan. Well invest your money with all the extra you make in a 401K, Real Estate, Stocks etc etc. . I rolled my lump sum pension into an IRA that I received from my permanent hospital. For 6.5 years work it was only $5500, less than $1000 a year and less than 50 cents per hour

Also here is another way to think about Travel Nursing. Lets say you stayed in your permanent job until you retired at 65-70 yrs old and live off your meager retirement pension, social security, and investments. You won't have much to Travel on, you may not be in condition to Travel depending on how well you take care of yourself

As Traveler I can Travel the country and the world and get paid to do it while I'm young. I think people get too wrapped up in their tenure on the job and their pension and don't really break down the numbers and explore the real reason they don't want to Travel: FEAR of the Unknown.

That is just one way to look at it. I certainly do not want to put down people who work and live in the same place all their lives and are happy in there jobs and lives.

I just want to make you think. I want you to realize that staying where you are in life is a decision as well even though it requires no change. You should put careful soul searching thought in that decision just as you would into the decision to Travel.

Some Travelers take permanent jobs and then go back to Traveling later or back and forth.

Most Travelers I talk to love Travel Nursing even despite some bad experiences. I may quit one day myself but I doubt it at this point. I will never regret having Traveled though. Whatever you do be sure you know why you are doing it in your heart. Question yourself always.

Travel Nurse Toolbox.com

Questions to Ask ? - for the Travel Nurse

2007-12-12T04:52:00.001-05:00

Questions to ask the Travel Nursing Recruiter....

Are the hours per week guaranteed?

While you are on assignment and the census is real low and you get called off will they still pay you?

Is there any floating required to other units? What units? If you don't want to float make sure it is written in the contract.

Is there a completion Bonus? How much? Can you work it into a reimbursement or per diem or into the pay rate (bonuses are usually taxed more than your pay) ?

Is there a renewal bonus? (If this is a renewal or extension contract) Negotiate for this because the facility would have a trained staff and no additional Travel pay for another Traveler.

What type of Unit is it? Staffing? Other Support Staff?

What shifts will you work? Will you have to float to other shifts or do rotating shifts?

Will you have to be on call? What is the on call pay?

Base pay rate per hour? Overtime pay rate? Holiday pay?

What Holidays does the Travel Nursing Company have?

Will you have to be Charge RN? How often? Is there Charge Pay? How Much?

Possible Extensions? What is the max amount of extensions allowed? How much time will you have to be gone before you come back after you are maxed out?

Is there a clause to prevent you from being hired as a perm employee? If there is for how long? Can the Hospital pay a fee to release the clause? Ask that they delete it which they may if they want to sign you.

If you are sick can you make up shifts? Will they deduct for Housing costs related to the time you are sick? Can you extend contract if you are sick for example a week? (some companies won't bother you if it is maybe 2-3 days in an assignment or will work with you if it is more so it is wise to discuss this possibility).

If you extend can you have some time off between? Will you be charged for housing costs if you still want to maintain the same housing? Depends how long but if you have to pay see if you can exchange a bonus for these costs. If you may need sometime in the middle of an assignment for something very important and brief give your recruiter and manager forewarning and come up with a possible plan.

Supplied Car Rental or Car Rental Reimbursement? If you don't take how much more paid?

Airfare paid? How much? If you don't take how much more paid?

Travel Pay? How much?

Do they do the Tax Advantage Program? Details?

Temporary Housing Questions....

Closeness to facility? (verify through mapquest or googlemaps)

Can you take part in selecting housing that they will lease for you? Saying you will consider what they have if they consider what you find. (Negotiating)

Any Deposits? (Shouldn't be or very minimal like a pet deposit)

Will they cover utilities? Which ones? Up to what limit? (Be aware many Travel Nurse Agencies cover everything except maybe phone, sometimes cable)

What exactly is in the furniture package? What size Bed? What size TV? (Bed , Nightstand, Sofa, Coffee Table, Recliner-type chair, Side Table, 2 lamps, sometimes Art) Some Corporate Apartments come with a real nice furniture package because the owners supply it rather than the Travel Nursing Company renting. Do your Research.

Is there a housewares package? (Pots, Pans, Dishes, Glasses, spoons, forks, knives, kitchen utensils, microwave, towels, sheets)

Washer & Dryer? Dishwasher? If not where is the Laundry Room? On the same floor? How many W/D's ? Costs? ( I like to be able to wash my clothes when I want to, No Charge.)

Cable? Basic? Phone? Highspeed Internet? (Some places do have wireless)

Number of days you can move in prior to Start Date of Assignment? Number of Days to Move out after Last Day of Assignment?

Which Floor? End Unit? ( I prefer Top Floor End Unit For Quiet & Security but check the layout online for physical problems such as near a busy street, parking, pool)

Central A/C Heat? (Always ask . Remember without it you may need to open windows which invites noise, light, pollution and even bugs or thieves.)

Square Feet of apartment ? ( I've seen pictures stretched on the Internet and people lie about the exact square footage. For the most part if it is listed on a major apt search engine it usually is right but if it isn't you should find out through feedback from other Travelers on Travel Nurse Forums or Apartment Ratings).

Name of the Apartments and address? (With that info alone you can find a lot of info on the Internet and also calling the leasing agent.)

Travel Nursing Company Benefits

Health Insurance? Name of Company? 1st Day Coverage? Can they email Basic Info about the coverage?
Dental?

Reimbursement for carrying your own health insurance? How much? ( I prefer carrying my own. Blue Cross Blue Shield which is good almost everywhere. This way I have direct control of my insurance and if I change to another company no hassle. Negotiate the reimbursement . I've received up to $300/month and as low as $125/month . Really depends on the whole package.

401K? Matching? How much? Start Date?

Profit Sharing?

Vacation?

Referral Bonuses? For referring other Travelers and How much? When do you receive it? How many times can you receive it?

Bonuses? End of assignment? Extending an Assignment? Beginning of assignment? Loyalty Bonus or Rewards?

Reimbursement for Continuing Education?

Reimbursement for Licensure ?

Questions for the Hiring Manager

Note:Many of the questions you asked the recruiter regarding the facility need to be asked to the Hiring Manager too. This is important because they may have a better answer and so the recruiter and the hiring manager are reading from the same script. There is a contract between the Facility and the Travel Nursing Company that you don't see. This contract may vary from the one you have between Your Travel Nurse Company and You. For this reason you need to verify things. Also if the Hiring Manager is not the direct Manager of the Unit I would ask to speak with that manager if possible. An ounce of prevention is worth a pound of cure. This will also give you a chance to read that person and their management style.

Staffing Grid? Or Formula?

Floating?

On call?

Mandatory Overtime?

Shift or shifts working? Can you get your shifts back to back the same days each week or spaced out etc.? (Now is the time to negotiate this and IF they agree you may want this written in the contract)

Duties?

Breaks? Lunch?

Assistive Staff? What do they do?

Charting method?

Dress Code?

Inspections?

Charge?

Report procedure?

How many Travelers? Have any extended?

Possible Extensions?

Various procedures depending upon your specialty?

Orientation ? Classroom hours? Orientation Hours on each unit you will work? If there are classes to take later in your Travel Nursing Assignment will they adjust your schedule if you don't want to go over hours and agree to let you know well in advance?

Layout of the unit, size of Nurses Station, interview rooms, other necessary rooms?

Turn over of patients? Length of Stay? Average census?

Ask why they are using Travelers and how Travelers are treated by the perm staff. You may want to wait until later in the conversation to ask this one and pay close attention to the response noting any hesitations.

NOTE: Scrutinize assignments that show up on the radar frequently throughout the year which may be a sign that the hospital was not Traveler Friendly at all. Get feedback from other Travelers.

Travel Nurse Toolbox.com