GHR Education Quick Apply GHR Live!
larger-font-no-titles.jpg

Travel Nursing Dos & Don'ts: Expert Tips from GHR's Peter Mecouch & Itilite's Anish Khadiya

January 15, 2025

In the dynamic field of travel nursing, understanding best practices is crucial for success. GHR Healthcare's Chief Clinical & Compliance Officer, Peter Mecouch, and Itilite's Anish Khadiya share their expertise on this topic.

In their discussion, Peter and Anish delve into essential guidelines for travel nurses, covering topics such as:

  • Professionalism: Maintaining high standards in diverse healthcare settings.

  • Adaptability: Adjusting to new environments and protocols efficiently.

  • Communication: Effectively interacting with patients and healthcare teams.

  • Compliance: Adhering to varying regulations and policies across assignments.

Their conversation offers valuable insights for both current and aspiring travel nurses, emphasizing the importance of flexibility, continuous learning, and cultural competence in delivering quality patient care.

For a comprehensive understanding of these best practices, watch the full discussion below:

 

I am Anish Khadiya, the Chief Business Officer of Itilite and your host for today. Itilite is a travel booking
0:12
expense reimbursement and payments platform, our focus is on simplifying travel for healthcare providers as well
0:19
as the organizations. We work with several Health Systems and staffing agencies to make travel easy and enjoyable
0:27
and safe for the providers. In a webinar today, we look under the hood of travel
0:32
nursing with an eminent voice from the industry before I get started, let
0:39
I share some context about the state of the healthcare industry and travel nursing in
0:45
particularly once their healthcare care systems emerged from the COVID pandemic and entered the new normal, many found
0:53
that their staffing issues had only gotten worse. Healthcare professionals
0:58
and nurses, in particular, experienced increased burnout from the prolonged Healthcare crisis. Many chose
1:06
to switch roles or leave the profession together in 2023. Most health
1:12
systems sought to prioritize workforce stability; this has continued into
1:18
2024, with healthcare systems putting in increased effort to recruit and
1:24
retain permanent nurses; however, talent shortages and
1:30
turnover rates continue to persist, and hiring travel nurses remains a key
1:35
strategy to fill open positions, this is more pronounced for hard-to-fill roles such as registered
1:42
nurses, nurse practitioners, physical therapists, and mental health
1:47
professionals in a tight talent market like today, hiring travel nurses can
1:53
widen a health systems stent pool, providing more patient coverage and helping reduce burnout facility
2:00
administrators understand that it may be easier to work with staffing agencies and MSPs to shuttle in
2:08
qualified experienced nurses rather than endure the lengthy and costly cycle for
2:13
recruiting onboarding and training perm nurses for the expected job growth for
2:21
RN is 6% higher than average, but the supply of travel nursing
2:26
jobs cannot be boiled down to one specific number. It depends on several
2:32
factors such as facility need, geographic location, the specific role
2:38
and so on. This brings us to an essential question for recruiters at the Healthcare
2:44
systems or for Arn, looking to explore travel nursing, how do you identify the
2:50
the right fit in a hire, what type of opportunities align with your qualifications, and
2:56
aspirations to answer this and more part questions, I am thrilled to welcome one
3:02
of the true Veterans of the nursing profession with 28 years of experience as a registered nurse and a background
3:10
that spans from bedside care to corporate leadership. Please welcome Peter Mecouch, Chief Clinical and
3:17
Compliance Officer at General Healthcare Peter, it's a pleasure to have
3:23
you at the healthcare hon chos can you start by telling us a little bit about
3:28
you and your journey till now sure thank you anise um I became a
3:35
nurse in 1993, so I'm actually at 31 years of nursing. I did about 15 years of
3:44
clinical nursing direct patient care, my areas of specialty were nephrology
3:50
nursing and critical care, um. I both worked as an employed
3:56
staff nurse and for a period of time worked as as an agency Staffing nurse um
4:02
I did local agency Staffing, not travel agency um in the Greater Philadelphia
4:09
Market moved um into nursing leadership and nursing management EV
4:16
eventually into Hospital Administration and have made my way to GHR Healthcare
4:22
in the last four years, moving into the Staffing industry um was
4:30
a new role for me, not something that I would have ever imagined, even as soon
4:35
as five years ago, would I imagine that I'm sitting here talking to you and and our listeners, um, being in charge of
4:43
clinical and compliance for for GHR healthcare um and I have always
4:51
loved the career I went to nursing school right out of high school so
4:56
that made me a bit of a unicorn um um, and I knew when I was a sophomore in high
5:03
a school that nursing school was what I wanted to pursue um. I do come from a family of nurses. My mom, my mom's sister
5:11
and my mom's mother were all nurses, so I consider myself a third generation nurse within that side of the family um, and
5:22
you know, I knew well ahead of time before nursing school what I was getting into because my mother and my aunt were
5:28
more than happy to tell me what what nursing was going to be like when I got there
5:35
so well then y,ou know I should correct myself. You have not just 31 years of
5:42
nursing experience you have three generations of nursing experience behind you, yeah yeah, right, which brings
5:50
me to my first question, um, you know you've had a long and distinguished
5:55
career in nursing how have you seen the profile of a nurse EO over this
6:02
period so I would I would the profile of a nurse and the profile of the
6:07
profession, um, I think that they have
6:12
they have symbiotically grown together, um. I think nursing as a
6:17
profession, we have seen a lot more nurses with Advanced
6:23
degrees, um, in the last 20 years, we have seen the push to see more
6:34
Balor prepared nurses coming out of school working directly at the bedside
6:39
in my own experience, I have seen nurses working still at the bedside with
6:44
Masters and um phds or doctorate and nursing practice
6:50
degrees, so I think that one the profession has pushed itself to
6:55
become more strongly educated and that education to accolades that that
7:02
go back to Collegiate degrees and advanced Collegiate degrees, I think that
7:08
the industry or the profile of a nurse has become um as much technology and
7:17
you know forward use of technology in care of patients as it as it has
7:26
always been the Simple Touch you know of a human being providing care to an
7:32
individual who's at their worst Point in their life so I think that I
7:39
think that education professionalism that ties back to that advanced
7:44
education um and the advanced learning that nurses are doing
7:51
um I also think that nurses are focusing a lot on certifications they're focusing on
7:58
certifications and and expressing their expertise in their different areas of
8:03
nursing through those certifications, um whether that's y,ou know, a certification in the emergency room
8:09
nursing or a certification in Critical Care Nursing um I think nurses are tying
8:15
back their clinical expertise and putting a Capstone on that expertise by getting those those um nonacademic
8:24
certifications but nonetheless rigorous certifications with x amount of hours
8:30
worked in that area comprehensive exams that you know tie back to that
8:36
certification and then ongoing education with continuing education
8:41
requirements or repeating that examination that ties back to their
8:48
certifications. Thirdly, I would say that there's been a lot of focus on the
8:53
nursing realm and advanced practice, a lot of nurses um are coming into the
8:59
field they're spending some time at the bedside and then they're going back to school to become nurse practitioners or
9:05
certified registered nurse adst and they're entering the world
9:11
of licensed providers um they are writing
9:17
prescriptions they're seeing patients they're in the 50 states don't quote
9:23
me exactly but I know that there's probably about 25 or more states that allow nurse practitioners to hang their
9:30
own shingle out and practice, um, the other states are taking note of that, um
9:37
some states are, you know, doing it specific to certain areas of nursing
9:42
practice and others are loosening the amount of partnership that NPS need
9:49
to have and oversight that they would need to have with, you know, a physician provider, which back, you know
9:56
at the original outset of nurse practitioners, you could not practice ice without a physician provider you know
10:03
being your exact, you know, your direct cohort in the practice that you were in, so I think that there's there's a lot
10:11
that the profession has experienced in my 30 years and it's definitely a lot
10:16
that we've experienced coming out of of my mother's generation of nursing and
10:22
I think they're all great moves. They're all great things that are happening
10:27
and I think that the fourth thing that I went add ties back to our conversation today I think that the mobility of
10:33
nurses across the United States and internationally is marketly
10:43
improved over years in the past because we have things like compact
10:50
lure and the 30 two states that recognize uh compact lure and office
10:57
offer compact lure which allows nurses to you know live and be licensed in the
11:04
State of Florida but then work in the state of New Jersey the state of Georgia
11:09
the state of, you know, any one of those 32 states, so um it, it's a significant
11:17
Improvement uh in the recognition of our profession it's a significant Improvement in the uh mobility and um uh
11:29
and and I lost the word there the mobility of nurses but the also the ability to pull nurses to higher areas
11:36
of need you know we may have a region in the United States that has a much
11:42
higher need for nurses, and that may be due to, you know, a crisis that may be
11:48
due to seasonality issues, nurses are able to make those moves, and there is
11:54
a there is a class of nurse out there that they're seeing the United States by traveling from state to state
12:02
spending time and you know they're making a career of using their skills
12:09
and their certifications and their lure to also see parts of the world and parts of
12:16
the United States, they might not ever see if they stayed as a staff nurse, um, and I think that that's a great thing
12:22
it's not something that I partook of when I was in my 20s and 30s I sometimes
12:28
wish I had, but you know we have nurses who are professional travel
12:34
nurses, and that's a wonderful thing not only for them and their lifestyle but it's a wonderful thing for the
12:39
facilities that need them, um, and that they're willing to come in and support, you know in that, in that
12:49
process, so some very interesting points you make. I think the last one you
12:55
know the ability to go see the world. I remember when we were prepping uh for our
13:01
discussion today you mentioned that you spent most of your career just you know
13:06
just in the Philadelphia area, so yeah, you know, that adds a very
13:11
different dimension to the role itself AB question is you know is around the
13:18
hiring of nurses right now you mentioned nurses are now going for advanced
13:24
degrees much more going for professional certifications as well
13:30
how has this translated into what recruiters look for when they hire a
13:35
nurse and has Co impacted this in any
13:40
manner so uh the recruiters are the recruiters are going to be responding to
13:45
what our clients are looking for you know our clients are going to be spelling out what their needs are based
13:51
on level of care where those nurses need to have expertise they're also then going to
13:58
spell out what do they expect of the nurses in terms of certifications in terms of um
14:04
experience um many facilities, many clients want to see nurses that have you
14:10
know a minimum of two years experience um at the level of care the nurse expects to work at so if I'm a if I'm an
14:18
ICU nurse and I've been a nurse for a couple years working Med surge Telly and I just moved to the Intensive Care Unit
14:24
you know, eight months ago, I might be able to go work a med Sur Telly contract, but I'm probably not
14:31
going to be able to place myself as a as an ICU level nurse because they're going to want to see at least at least a year
14:37
if not two years of that level of care experience from me and my
14:43
profession um, I think that um, the recruiters are going to, you know
14:50
they're going to ask to see, you know, solid resumés um, those resumés are going to
14:56
have to spell out what you have been doing. If you are an experienced nurse, where have you been? How long were you
15:02
working there, um, it's important for many of our clients, um to have certain
15:09
background checks run and so we need to see from a from a nurse a solid resume
15:15
that tells me how long you've been in this state and how long you've been in that state and who were you working for
15:22
in that facility, that's also important, um, many nurses will say well, I worked at
15:28
X Hospital for the last three months, you weren't employed by that
15:33
hospital you were working for that hospital for ghr so ghr was your employer not the hospital so if we go to
15:40
run a background check we call xh hospital and ex Hospital goes we don't even know who that nurse is because they
15:47
have no record of their employment they were there as a contingent labor um uh
15:52
contract, and ghr was really the employer of the last three months, so
15:59
solid resumés and resumés that are up Tod date um it is it can be I would I
16:05
would imagine painstakingly difficult to keep track of what's going on with your
16:10
career when you make changes like that, and if you're an experienced travel nurse, um, and you're traveling to you
16:17
know three or four different facilities maybe in a year or two years, um, you know
16:22
keeping update keeping updates to your resume is something that's going to be important because that's going to be
16:27
something that the clients are going going to want to know where have you been and what have you done um and then
16:33
obviously, make sure that your certifications are not out of date, and that's simple things like your basic
16:41
life support and your Advanced cardiac life support and your pediatric Advanced life support certificates up to date um
16:48
are they going to expire during your current contract if I'm getting ready to sign a contract to start on you know the
16:56
9th of September, I'm going to have trouble selling myself as a travel nurse
17:01
if my if my uh BLS expires at the end of September and I don't have proof that
17:07
I've got a class scheduled and I'm ready to go um those type of certifications are must haves um it's it's almost
17:15
equivalent to your nursing license um nowadays with joint commission and
17:21
Department of Health uh, in individual states having oversight facilities, must
17:26
must know that you're going to remain compant with those expected um uh with
17:32
with your license and with those expected uh uh
17:37
certifications got it picking on a slightly different dimension of
17:44
hiring you know I know there are different types of nurse roles but are
17:50
there some common skills that you know irrespective of what specific uh you
17:56
know faculty you may be a nurse in you know recruiters agencies and
18:01
healthare systems assess you for specific skills. If you have to pick some you know skills, what would those
18:09
be um, well, I mean obviously General General Nursing Care and general
18:15
knowledge of nursing care of the patient um minimum understanding of um uh you
18:22
know anatomy and physiology those type of things that we would have come out of nursing school having that we would have
18:28
had to shown competency in by taking our boards and nursing unfortunately the the
18:34
items that cross over from job to job or from Clinical role to clinical role are
18:41
those basic entrylevel nursing practice items where where
18:48
clients and recruiters are going to become more specific is tying back to your skill set and your
18:55
experience um you know if I if I was an emergency room nurse 10 years ago
19:02
and I clinically practice as an emergency room nurse, but I've been doing home care for the last eight
19:08
years I'm not going to be somebody who can be placed in the emergency room my skill is not my skill set from the ER is
19:15
not current, it's not up to date. I haven't been in the ER for eight or 10 years, so I'm I'm not going to be
19:22
somebody who can say well, I worked in the ER, so I'll I'll go be a travel nurse in the ER that's not, you know, it's
19:29
got to be current level of experience in that um in that level of care that you
19:34
want to work, uh, and then, of course, certifications that tie back to that
19:39
level of care um and uh relevant experience um there's no real I mean the
19:47
basics of nursing is the basics of nursing what what really is going to be important is what is your your clinical
19:54
competency: can you prove that clinical competency? There'll be an exam that you may be asked to take. You will, uh whether you
20:02
know at that the level of care pharmacology um a lot of facilities now
20:08
have mixed Telemetry units, so do you have a good understanding of basic dis
20:14
rythmia uh and heart conduction interpretation um and can you you know
20:20
can you prove that uh because we don't have a lot of freestanding singular Med
20:25
surge facilities anymore or units anymore they're mixed Med surge Telemetry so I'd like to say there is
20:33
more than just the basic nursing skill sets um but there isn't really because
20:38
then you get into clinical Specialties and you have to show competency and recent time worked in those clinical uh
20:48
settings got it. I think that's a great point. You know it happens to all of us. I
20:55
you know I've been a generalist, right? Or you could say when I started my career, I was someone who could do
21:01
everything, but as you know I',ve become more specialized in what I focus
21:06
on you know my you know my employers past and present always look for
21:13
relevance of my experience right those are, you know, in many ways, very simple
21:18
Concepts, but they do carry over from profession to profession. The same is the cas
21:23
nursing as as you just mentioned y now I know we are you know we are running a
21:28
bit bit short on time but are there any certifications that you would recommend
21:35
to uh, you know, nursing candidates today, you know, especially those who are looking to make a career in travel
21:41
nursing and a FastTrack one at that. Um w,ell obviously, there's the
21:48
there's the certifications that tie back to their just ability to provide direct patient care that's the basic life
21:54
support the advanced cardiac life support I would say that many nurses need to be looking at their uh um nihss
22:03
which is their stroke Stroke Scale certifications many hospitals in the United States are applying for and being
22:10
garnered um Joint Commission certification in stroke care and many of
22:16
those facilities tie um the idea that all of their nurses are going to be
22:22
stroke certified, um I think that, you know, those are kind of the key
22:28
certifications that you have to have to be fluid and functional to be able to go from facility to facility and keep those
22:36
up to date and keep them in, you know, in real time, um if you have certifications
22:42
that relate to your specialty, whether that's a CCRN or a CNN or a Cen
22:48
certified emergency room nurse um uh, or do you have an OB specialty certification
22:54
or a NICU certification. Those certifications are always good to have. I've always um desired to put
23:04
that type of Capstone onto my career uh and on to the specialty that I've focused on. I am a previously certified
23:11
uh nurse, um, I stopped practicing in that Clin clinical certification so I could
23:17
not keep that certification because you have to be practicing, but you know those are always good things for nurses to
23:24
consider um how they bolster their how they express really their expertise um
23:32
and that's one of those ways that they can do that is is do those those Advance certifications uh related to their
23:38
clinical specialty, all right, I think I have space
23:45
for fitting in one final question um so so Peter you know as an industry veteran
23:54
what would you know? What would your top three tips be for a budding nurse
24:00
for a but for a budding travel nurse or for a budding nurse for a budding travel nurse for a budding travel nurse um one
24:09
I would say be very comfortable with your clinical area of expertise in your
24:15
clinical area of practice understand that um while the
24:21
jobs are there um we are no longer working in Co and clients can be a lot
24:28
more picky about the amount of experience that you have or the amount of experience that they're requesting of
24:36
nurses, um, I would say that a an an a novice nurse who is less than two years
24:43
of of clinical experience may not farewell as a traveling nurse um you may find jobs you
24:51
may have a recruiter who says hey I've got a a client that you know uh wants you to
24:56
come and you may you may get that job um the other thing that I would say is you
25:02
need to be very comfortable with change, and you need to be very comfortable with
25:09
being adaptable to different circumstances different clinical
25:14
practices uh different uh EMR um in terms of how you're
25:20
documenting uh different physician ideas and you know in particular if you're
25:25
working in a surgical unit you know every surgeon has a different way that they want their their patients taken
25:31
care of postoperatively, um so you need to be flexible, you need to have some
25:36
adaptability um if if you're feeling uh at the at the least bit timid
25:44
uh in your current nursing career and you're, you know, less than two years out of practice, maybe wait another year and get
25:52
another year under your belt, um you know in, in our profession, we talk about no to
25:58
expert, and while I don't think you need to be an expert to travel, you definitely
26:04
don't want to go out and ,you know, attempt to travel as a novice nurse, um
26:10
you want to make sure that you understand your lure uh one of the things that we in the industry run into
26:16
a lot is nurses are applying for compact lure in their home States they're
26:22
getting that compact lure, and then they're able to go and work elsewhere. Nurses are, unfortunately
26:29
forgetting that when they move, they need to notify their primary state where they
26:35
earned that license that compact license, or they were given that compact license, they have to notify that state in 60
26:42
days that's the rules of the compact licensure and you know we frequently
26:47
struggle with nurses who are coming to us and say well, I have a Florida compact license. Okay, well, where do you live
26:55
what's your tax home where is your driver's license from from well it's from
27:01
Georgia, well, I appreciate that Florida and Georgia are, you know, adjacent to
27:06
each other, but you can't live and claim Georgia as your primary state of
27:12
residence and work on a Florida compact license, you need to notify Georgia that
27:17
you've moved and applied for your compact license there, and you need to notify Florida that you're no longer living
27:23
there um so I mean that would be another thing that I think advice wise please
27:29
under you know, please read the rules about your compact lure and understand
27:34
it's a great vehicle for you and your profession. It's a great vehicle for our profession in terms of assisting our
27:41
clients Across the Nation and placing nurses but your license is not
27:47
transferable just because it's a compact license you have to have proof of
27:52
residency, um, and I think the third would be, um you know
27:59
be prepared to go through every single
28:04
time you're going to do a new contract, be prepared to go through a bit of work
28:10
you're going to need a background check run. You're probably going to have to do a drug screen of some kind in your
28:17
your your agency and your recruiter is going to collect from you your driver's
28:22
license your I9, all of your employment documentation needs to be filled out
28:27
you're going to have to sign releases to run that background check and drug screen we're going to need you to go and
28:33
get a physical depending upon when your last physical was done and so for those
28:38
travel nurses that are new, um, you may not remember what it was like when you
28:44
were brought on board to the hospital, and you did all those things, but if you're going to be changing contracts
28:50
and changing clients every three months or every six months you have to do those
28:56
items over and over again. Again, my suggestion is to create a file and have that file
29:02
ready have a cop a clean copy of your driver's license front and back passport front and back um put those items your
29:10
BLS your ACLS cards with your expiration dates, put those into PDF format, and save
29:16
all of those PDFs in that file on your computer or maybe your phone you can you
29:22
can upload a lot of information to to different companies portals via your phone they are mobile compatible but
29:30
save them as PDFs. They're easier to transfer as PDFs and keep that ready
29:35
to go because the more the more quickly you produce that
29:40
product the more quickly your recruiter can get you to
29:46
work excellent points those and I, you know, while I'm not a nurse Ive been at
29:52
you know, at the other end of some of these recruiter requests Pe,ter makes some very, very, uh you know, very, very
30:00
useful and pertinent points, Peter. I have a bonus question, and this one is my special request. You mentioned that you
30:07
know many facilities today look for at least a twoyear you know twoyear
30:12
experience from a travel nurse in the relevant you know in the relevant
30:17
clinical Care Facility right or a clinical clinical care specialty now I'm a nurse that has about
30:25
a Year's experience, right? Of course, I can keep working in that, you know, in that
30:31
specialty for one more year and get this experience but is there you know is
30:37
Is there another way for me to get more experience faster? Sure, uh, I mean, you can always
30:45
look for, um you know if there's H other hospitals in your area, other systems, um
30:52
you can always look to start perdm jobs you can always look to pick up roll
30:58
where you know, maybe you're just picking up some extra shifts that are outside. It'll show on your resume, it'll show, uh
31:06
some variability in your experience, it'll show that you've stretched yourself a little bit, um and some
31:12
adaptability because you're learning to work in hospital a and Hospital B, um
31:18
even in the hospital f,ind out if there's not an opportunity for you to work off
31:24
of your unit or in a like unit um in the facility um find out from your Staffing you know
31:30
your nurse manager or for your Staffing Department are there needs in another unit that are of of like level of care
31:39
um, you know, push yourself to get certifications that you might not need
31:45
today to do this job, but you want to go and start training and practicing, or you
31:51
want to move to the next job you have to maybe there's certifications that you could get IV therapy or you know take
32:00
take some Advanced um uh arhythmia classes and and learn to do um you know
32:06
EKG interpretation better you know there are always things that you can do in the career that will make you a stronger
32:14
candidate take a critical care course um many hospitals offer Critical Care courses get that Critical Care course
32:21
under your belt, put that on your resume, let them you know let, any employer
32:26
not just a travel agency and not just a client that's accepting Trav you from a travel agency any employer no hey as a
32:34
nurse, I've done a lot to better myself. I've stretched Myself by going to work at hospital B, and I didn't spend all my
32:41
time in this one unit on Hospital a um there's a lot of opportunity there to stretch yourself professionally and show
32:49
that stretch as you fill out your resume and put in those details of the things that you've done um
32:56
educationwise uh training wise uh certification wise
33:03
Etc ,got it. I think that's, you know, that's what I like to call a growth hack
33:09
uh and a very good one at that so for for our audience and especially nurses
33:14
who are interested in becoming travel nurses, this is a great way for you to acquire more experience
33:21
faster now uh, let me go over to audience questions. Peter Adam has an interesting
33:27
one you know, given the nature of travel nursing, where you move from one
33:32
assignment to the next every three or six months and you are constantly doing
33:37
the certification and keeping up your you know licenses As you move from you
33:43
know one state to the next how does a travel nurse keep aite you know remain
33:51
focused on their professional goals, right? I am not sure if many nurses have
33:56
asked you this, but you know this was something that was, you know, that was floating in my head too right with so
34:03
much change in your life every three or six months ,how do you remain centered if
34:10
you're a travel nurse. Well, I, mean I, I'm gonna. I'm
34:16
going to suggest to Adam and anybody else who has that question: what did you go into nursing for? What are we there
34:23
for we're there for the patient we're there to provide for individual ual who are at the lowest point in their life um
34:31
whether they've elected to do that, whether they had to elect to do it, whether it's, you know ,their body's
34:37
wearing out or they've done something to their body to wear it out they people in
34:42
the hospital are probably at one of the lowest points in their lives and they need our care as nurses so you know
34:51
recentering yourself in the profession, go back to why we are there as nurses
34:57
and that's the patient, um I would, I would say to that in terms of how do you
35:04
keep track of where you are and what you want to do if you're if you're operating as a
35:11
travel nurse and you're experiencing different um facilities and different
35:16
policies and different practices and different emrs and and different medical
35:22
ideas that doctors are throwing out or practicing, you're expanding yourself right there, um you're stretching
35:30
yourself right there, um, and so to me, in my profession it was my my goal was
35:36
always to expand myself like what more can I learn what more can I do to
35:42
improve my clinical practice and sure I could stay in the same unit for 10 years
35:48
and become an expert in that unit ,an expert uh, a senior member of that team
35:54
uh, without becoming a nursing leader, I'd just be a a 10-year veteran of that unit. Um, just the fact that you're out and
36:01
traveling, you're expanding your horizon. How do you Circle back? Well, keep a
36:07
calendar of expiration dates and and so on and so so forth reminder so that you
36:13
don't forget certifications are timing out or expiring um stay focused in one
36:20
area um, you know, if you really love Critical Care, get some critical care
36:25
experience under your belt and then go and do critical care. One of the things that happened to me as a nurse when I
36:31
was doing my agency work, I was asked by hospitals to go give different units
36:37
tries even as an agency nurse, so um I, did emergency room, I did ICU, I
36:46
did GI lab, I did Bron broncoscopy lab, I did calf lab, um you know, it led to me
36:54
being asked to do a lot of different things as an agency nurse because i' get pulled to another unit, and I'd say, okay
37:00
well, I'm comfortable going and managing X, Y, and Z, but I've not done, you know
37:06
these other items, and they'd say, great, well, we're going to teach you how to do that now that you're here, um, so I
37:11
expanded my my experience um which to me was part of
37:17
the focus of my career is how do I, um, how do I grow myself and challenge
37:22
myself uh to be doing different things in the in my nursing career so that was
37:28
one of my goals and I actually obtained it by being an agency nurse terrific Point once again uh I
37:36
think Peter you're a gold mine of insight um so I think one you know Molly's question I particularly like um
37:44
she's talking about how I'm a travel nurse. How do I manage finances right, especially given that you
37:51
know uh incomes income and expenses can vary from state to state, yeah you know, very
37:58
very real life question I'm not sure you know you have the time to answer this
38:03
but I it if you can sure I do I have time um first of all I I mean I don't
38:09
want to be the financial adviser but you know Molly find a budget find a budget
38:15
and learn to live on that budget um and and if you're traveling you are most
38:22
likely working with a uh split form of income you have your taxable income
38:29
which is your hourly wages um that you're receiving for work rendered and then you have um your
38:38
tax-free um reimbursement or your taxfree MLA which is your your duplicated expenses
38:46
so, if I keep a home here in the state of Pennsylvania where I live, but I'm going to travel to California as a travel
38:52
nurse, I'm going to duplicate expenses. Um, I'm going to have expenses that are
38:59
paying for my apartment or paying for my home in Cal in in Pennsylvania and then
39:04
I have to pay for food, room, and board in California while I work my contract, and
39:11
in some in many cases that is a non-packed um straight reimbursement
39:19
that comes to you from your employer um but you need to be making sure that your
39:26
a documented you you personally for your IRS situation you need to be documenting
39:32
your duplication of expenses, you need to keep a record of what those expenses were, whether you lived in an Airbnb or you
39:38
rented a hotel room, um what travel you had back and forth? Maybe you go and work
39:44
two weeks and you take a week off or you know you do your block schedule and you got a couple days off you're going to go
39:50
back to Pennsylvania, keep a record of that travel. Um budget's going to be the biggest one
39:57
um, you know, travel nurses and agency nurses do tend to make a little bit more
40:04
um hourly than staff nurses and the reason they do is because they're they
40:09
expect to be paid and they should be paid for the flexibility and the um
40:15
Readiness that they bring to hey I'm a nurse I'm going to come into your
40:20
the facility, I'm going to help you with your Staffing issue um, and I'm I'm not
40:26
employed by you, I'm not receiving your benefits. I don't have your pension or your 401k options so ,I'm going to
40:34
get paid a little bit more per hour to come in and be that you know kind of Johnny on the spot person that needs to
40:41
help you with your Staffing um stuff, so a budget's going to be important um re
40:48
Good Records clean records about your, you know, your duplication, how you've spent the money that is not taxed, how
40:56
you are saving money that is taxed and and what you're using that taxed income
41:02
for and um and how you're managing um you know those funds uh work
41:10
with your recruiters I mean if there is you know there
41:15
there sometimes there are options for, you know, uh temp to perm sometimes there's
41:22
options for uh facilities being willing to cover travel um it it all depends
41:28
upon what the client needs and what the client's willing to expend a,nd I'm not saying that every facility offers
41:34
travel coverage, but there are some out there that do, um, and it all depends upon your contract, so I would start with a
41:42
budget, I would start with an understanding of where you're going. I mean, if you're going to go work in
41:48
California, your cost of living to work in California for 3 months is going to
41:54
be much higher than my cost of living here in p pen Sylvania um and so uh you
42:00
know be prepared to you might be expending more money than you're actually being reimbursed
42:07
just because cost of living is difficult to measure and it's difficult to um some
42:14
of that may be put into your actual salary, your act, your actual hourly rate cost of living may be addressed there by
42:21
the client and not in your your um other funds um so
42:27
budget is going to be the biggest thing, um, keeping track of that and keeping track of your expenses, understanding
42:34
what they are and you may find secondarily there are websites out
42:40
there are resources out there. I can't give them all to you. I've not used them myself, but they exist when I travel
42:47
nurses have set up budgets, and they've set up online programs for you to track your expenses, Etc. um talk to your peers
42:55
in the industry, get on to chatline and ask them how they're managing their funds, um
43:00
there there are mechanisms out there to help you keep track and and keep good
43:06
track of your expenses and set those budgets that you need to set when you're
43:11
traveling all right uh with that uh audience we come to the end of our webinar today I think uh if you are a
43:20
travel nurse I'm sure you've you know you've gotten you know you've got at least one Insight a minute right and and
43:27
you know I can ,I can truly say, Peter, this has been one of the most insightful conversations I've had on the healthcare
43:34
honchos so on behalf of our audience andite thank you very much for taking
43:40
time out and giving us these wonderful insights travel nurses and recruiters I
43:47
hope you've you you know you've got some very interesting points from our
43:52
conversation today and very soon we'll come back to you with a fresh
43:57
episode of the healthcare honos also don't forget to catch us on YouTube so
44:03
we'll you know we'll be putting up some of the you know we'll put up the full recording on YouTube but also put up
44:10
some of the shorter Clips, um, you know, very valuable Insight from Peter in the
44:15
form of YouTube shorts, so do uh check out our YouTube channel and uh and look
44:21
us up, thank you, thank you once again. You've been a wonderful and patient audience. Have a great rest of the day
44:29
thanks everybody thanks Peter thank you everyone.

 


ghrlive-logo-color.png

Search, manage, and apply to healthcare jobs across the US.

With GHRLive!, your career is in your hands. Literally.

 

Download_on_the_App_Store_Badge.svg.png google-play-badge.png

 

Subscribe to GHR's Blog Newsletter

Your submission was successful.

Thank you for subscribing — we'll be in touch!