By The Gypsy Nurse

October 16, 2021

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Writing a GREAT Travel Nurse Resume

An up to date resume is a vital part of any Travel Nurse Portfolio when submitting to a new travel nurse agency. Writing a great travel nurse resume can be daunting. The old adage of ‘keep your resume one page’ does not apply to the Travel Nurse resume.

Steps to Writing a GREAT Travel Nurse Resume

#1 Your Header

Your Header is at the top of your resume and contains your name and contact information. It’s also the first thing a hiring manager or recruiter will look at. Make certain to include both an email address and a phone number.

#2 Summary

Recruiters are busy these days and often, great resume’s get missed. Recruiters often scan resumes for keywords. Use these keywords in your summary and make it clear your years of experience and specialties.

#3 Certifications / Licenses

If you hold multiple state licenses and certification, this section can get lengthy. Don’t Stress. Provide clear details on State licenses (including expiration dates) and all pertinent certifications that you hold.

#4 Work History

Detailed work history is important. Include the Agency, Hospital, Unit, Dates, and brief description of your role.

#5 Education

Be sure to include the Institution Name and location, degree obtained and dates of attendance. You will likely also have to provide your agency with a copy of your educational transcripts.

#6 Computer / Charting Systems

List all of the computer charting systems that you have worked with. These skills can be key for some travel nurse positions. Are you a ‘super user’? If so, be sure to note this on your resume. Having skill with multiple computer charting systems will help your travel nurse resume stand out.

#7 Other Skills

Do you have other skills that might set you apart from other applicants? PICC line insertion, CPR Instructor, member of the Code or Rapid Response Team, participant in hospital ethics committee are just some examples. Be sure to highlight any additional skill that you have gained. Include any committee work that you’ve done as well.

You’ve perfected your Travel Nurse Resume…now what?

Now that you have perfected your travel nurse resume, you can check out these Top Agencies to help you find your next great travel nurse contract. Following these tips will help get your resume noticed and open doors to interviews. What change can you implement to improve your resume today?


Check out these HOT Travel Nurse Jobs


By The Gypsy Nurse

February 7, 2021

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Understanding Travel Nurse Bill Rates

All of your compensation and the company’s expenses/profits will come from one thing; The Bill Rate.  A bill rate is the amount contracted for the hospital to pay the agency based on hours worked for each nurse contracted.  You, as the travel nurse, may never know your bill rate between the agency and the hospital.  You need to know how it’s broken down and why you only have a certain amount to negotiate with.

Bill Rate

Bill Rate Broken Down

Please note: The actual numbers in this calculation are strictly for example purposes. Bill rates fluctuate continuously, so this in no way is a statement on what a current bill rate might be.

Bill Rate: $65/hr
Nurse pay rate: $35/hr (~53%)
Social Security and unemployment,
workers’ compensation, liability,
malpractice, recruitment and
other administrative costs (including profit or GPM): $30

Think of it as a huge pie

The best way that I can think to break down the bill rate is by thinking of the Bill Rate as a huge pie.  Each separate component is a slice of the pie.  Each individual contract has its own pie….some are large, and some are small.  This is dependent on many factors, including location, hospital size, company relationship with the hospital, level of hospital need, etc.   Ultimately, the size of the pie is beyond your negotiation.  There is a separate contract between the hospitals and the nursing agencies that defines this.

The travel company gets their slice

The travel company is going to take a percentage of the pie right off the top.  It’s important to remember that your recruiter does not have a say in this.  This is generally corporate-mandated and covers such things as overhead for the company, employee salary/benefits, and a defined profit margin.  The amount of the pie that the company will lock out of negotiations varies from company to company.

The standard GPM (gross profit margin) is 20-22%. Some agencies, the larger agencies, maintain a 25% GPM for most contracts.   Smaller companies tend to maintain a lower GPM, as low as 15%.

– Crystal Lovato, Placement Specialist at Freedom Healthcare Staffing

The last part of the pie belongs to the traveler (you).  

Several items will come out of your part of the pie.  These may include:

– Travel reimbursements
– Licensing reimbursements
– Any benefits offered, i.e., 401K, health insurance, etc
Housing

And last but not least…..Salary.

How these items come together in your contract is discussed in Preliminary Contract Negotiations. Check out the TOP 10 Questions for Travel Nurses on Taxes

If you are a new travel nurse or looking into becoming a travel nurse:

Travel Nurse Guide: Step-by-Step (now offered in a PDF Downloadable version!)

By The Gypsy Nurse

June 17, 2020

51934 Views

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My Travel Nurse Contract was Canceled. Now What?

There are a multitude of reasons that a travel nurse contract can/will be canceled. This is a scenario that you must prepare for as a Travel Nurse. It happens.  Most agencies have an ‘at will’ employment clause.  If you don’t know what this means, I suggest that you do some research.  In a nutshell, it means that the contract can be canceled at any time for any reason with no recompenses on the Travel Nurse side.

The unfortunate part of a contract cancellation is that the hospital will, many times, give a bogus reason for firing you: a missed med, an insignificant charting error, etc.  It’s usually a ‘clinical’ related reason given.  Realistically though, you probably got canceled for reasons other than your nursing skills and performance. Don’t let this bring you down.  Your reputation is not going to be slaughtered by this, and you will find another travel position.  It’s the nature of the business.

contract was canceled

Unfair? YES.   Realistic? Unfortunately, YES.

It’s not fair, but it’s the ugly side of travel nursing.  If your contract is canceled, you will have two choices in how to handle it.

#1 Let it go and try to get an immediate placement with your agency somewhere else.

This is the option that I most recommend.  Talk to your agency and have them find you something else.  Most of the time, our contracts are canceled for reasons beyond our control (regardless of the reason the hospital gave).  The administration may have decided too late that you were too expensive to keep and was just looking for any reason to fire you, the hospital may have hired enough core staff, and now they don’t need a traveler.

Unless the cancellation reason was a life-threatening issue or something that will be followed up with the Board of Nursing (drug abuse is a good example of this), a good Staffing Agency understands that this happens from time to time and will work with you to find another suitable contract quickly.

#2 Take it to court.

contract was canceled

It’s important to understand first that you are an employee of the agency, not the hospital.  Your agency is not going to support you in your lawsuit.  The agency’s customer is the hospital, not you.  I don’t personally recommend that you take these issues to court. There is an exception to this; if you are reported to the Board of Nursing for a violation that you feel is unfounded.  If this is the case, you will first have to clear yourself through the Board, and then you could pursue a lawsuit with the Agency/Hospital.

*Disclaimer: I do not give legal advice and recommend that you consult a legal professional for these issues.

What expenses will I be responsible for now?

If your contract has been canceled, the first thing that you need to do is consult your contract.  What does the contract say regarding cancellations? There may be fees incurred for housing, travel, etc. Did the hospital give a ’cause’ for termination? If you don’t know, find out from your Travel Agency before moving forward.

Your responsibility for any expenses will depend on your company and your contract. Some travel companies have it written into their contract that the traveler could be responsible for “fees or expenses” when the contract is canceled “with cause”, but some offer no protection and can leave the traveler on the line for expenses even if the facility does not show cause.

The possibility of a Contract cancellation should emphasize the importance of reading the entire contract and understanding what can happen in the instance of cancellation. If you are taking an assignment thousands of miles from home and the contract states that you will be charged housing and other fees in any event of a cancellation (where no cause is needed), perhaps you should either decline the contract or negotiate with the company on this point.

What can I do ahead of time to ‘lessen’ the impact of a canceled contract?

1.  Maintain a Savings – This is something you should consider before ever starting an assignment. Do not put yourself in a position where a week or two without pay could totally cripple you financially. Contracts do get canceled, and if you are not prepared financially, it can have serious consequences.

2.  Make sure you are with a company you can trust – Having a company that knows your reputation and is easy to contact can be a lifesaver in a contract cancellation. Is your recruiter quick to respond and fix the ‘little issues’? Easy to reach during ‘off-hours’?  These are important factors that will assist you in a smooth transition if you should experience a contract cancellation.

contract was canceled

3.  Work with More than one Company – I’ve recommended this before and will re-iterate it here. Have your profile on file with several companies.  Should you need a ‘quick’ response due to a canceled contract, not having to go through the application process with make things move much smoother?

4. References – When it comes to contract cancellations with reasons of clinical insufficiencies, it’s important to have previous good references in order to keep your reputation intact.  I was actually ‘fired’ from a contract once just days after obtaining a glowing reference from my charge nurse.  Showing this to my staffing agency proved to them that the reasons for termination were just bogus, and they were willing to work with me to find me another contract quickly.

5. Use your support Network – I can’t emphasize this enough. No matter what the reason for contract cancellation, it’s going to leave you with a myriad of feelings. Frustration, defeat, incompetence, etc.  NOW is the time to reach out to your support system.  If this is family, friends, travel nursing groups, etc. Reach out and share the experience and use your support network to help you get through this difficult time.

If you are a new travel nurse or looking into becoming a travel nurse:

Travel Nurse Guide: Step-by-Step (now offered in a PDF Downloadable version!)

By The Gypsy Nurse

June 25, 2019

109178 Views

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Streamlined Nursing License: Your Guide to States, Application, and Processing Times

The Nurse Compact License

Requirements for a nurse compact license are similar across states. However, each state may determine and vary its own licensure requirements.  The states that participate in the compact have agreed that the licensing requirements in the individual states are compliant with their own licensing requirements. Therefore, these states allow you to work in their state without any additional licensing.

Nurse Compact License Requirements

Who’s Eligible?

Currently, the Compact license is available for LPNs and RNs.  Additionally, there is current legislation attempting to provide a compact for Advance Practice Nurses.

According to NCSBN, The following are necessary in order to qualify for a Compact License.

  • Legally reside in an NLC state.
  • Hold an active RN or LPN/VN nursing license in good standing. (APRNs are not included in this compact.)
  • Declare an NLC state as your primary state of residency.
  • Meet the licensure requirements in your home state.

Additionally, some states have additional requirements in order to qualify. Check each state board’s website for details.

Which States Participate in the Compact?

Over the years, the nurse compact license has evolved. Now referred to as the eNLC. There are currently 42 states that have passed legislation as of June 10, 2024.
nurse compact license
Screenshot

NLC States

  1. Alabama
  2. Arizona
  3. Arkansas
  4. Colorado
  5. Connecticut
  6. Delaware
  7. Florida
  8. Georgia
  9. Guam (Allows nurses who hold active, unencumbered, multi-state licenses issued by Nurse Licensure Compact member states to practice in Guam under their multi-state licenses.) 
  10. Idaho
  11. Indiana
  12. Iowa
  13. Kansas
  14. Kentucky
  15. Louisiana (RN & LPN)
  16. Maine
  17. Maryland
  18. Mississippi
  19. Missouri
  20. Montana
  21. Nebraska
  22. New Hampshire
  23. New Jersey
  24. New Mexico
  25. North Carolina
  26. North Dakota
  27. Ohio
  28. Oklahoma
  29. Pennsylvania- (Partial Implementation)
  30. Rhode Island
  31. South Carolina
  32. South Dakota
  33. Tennessee
  34. Texas
  35. Utah
  36. Vermont
  37. Virginia
  38. Washington
  39. West Virginia (RN & LPN)
  40. Wisconsin
  41. Wyoming

Pending States

  • Guam: Pending tentative implementation in 2023. Nurses holding a multistate license in other NLC states may now practice in Guam. Guam residents cannot obtain a multistate license until implementation is complete.
  • Virgin Islands: NLC enacted Dec. 6, 2021. Pending tentative implementation in 2023. Criminal background checks must also be implemented. VI residents cannot obtain a multistate license until implementation is completed. Nurses in other NLC states with a multistate license may not practice in the Virgin Islands until implementation is complete.

Additional Reading


All information on this page was obtained via nurse.org. Please check back often for updates.

Finished the travel nursing guide and are ready to look for an assignment?

Check out our travel nurse jobs!

By Health Providers Choice

April 20, 2019

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The Fight Over Nurse-to-Patient Staffing Ratios Continues

Sponsored post by: Health Providers Choice

Nurse to Patient Staffing Ratios

“People over profits” has become a rallying cry for nurses who feel current hospital staffing practices are damaging to patient health and safety. This is especially true for #NursesTakeDC, a grassroots organization whose members led a march on Washington, D.C. this past April. While nurses continue fighting for federally mandated nurse-to-patient staffing ratios, progress is slow around the country.

Understaffing Dangers

A busy shift might not seem dangerous, but for some patients it could be the difference between a full recovery and a patient’s death. Each additional patient on a nurse’s roster can increase medical complications by 17%. Once a nurse is caring for four patients, each additional patient added to her or his care roster can increase mortality rates by 7%.

Research continues to link patient outcomes to nurse staffing levels. Many nurses know this, live this, and deal with the stress of having too many patients and not enough time.

Outside of negative patient outcomes, understaffing can also take a huge toll on nurses. About one in five nurses burns out within the first year of getting her or his license. This is mostly due to stressful work conditions. At two years, the ratio of nurses who opt to walk away from the profession rises to one in three.

The Pitfalls of Mandated Nurse to Patient Staffing Ratios

Of course, not everyone is on board. Some hospital leaders are concerned about the added cost of new staff. Additional concerns are accidentally conflicting with mandated minimums in the event of an emergency. In an interview with The Washington Post, the nursing director of Washington Hospital Center, Sue Eckert, expressed concerns in cases where nurses are late to work or call in sick.

With mandatory nurse to patient staffing ratios, nursing directors might have to choose to violate the law when moving nurses between units to deal with short-term shortages. The Illinois Hospital Association suggests ratios may be too broad for different hospitals and worries about the availability of nurses for new positions.

While short-term emergencies and broad ratios may be legitimate concerns, we know many nurses are available and ready to answer the call.

Nurse to Patient Staffing Ratios

Nurse to Patient Staffing Ratios: Laws Nationwide

Federal regulation requires hospitals participating in Medicare to have an “adequate number” of nurses. They don’t actually specify what that number is, so the regulation’s actual effect is negligible.

While a national standard for nurse-to-patient staffing ratios does not currently exist, Congress has received several bills to change that. In February 2018, a bipartisan pair of congressmen introduced an amendment to the Social Security Act to the Senate and the House, but has stalled out in committee. While it does specify staff ratios, it focuses mainly on “certain Medicare providers” and not the entire country.

Nurse staffing laws vary by state. Currently only 14 states have any kind of law relating to staffing ratios.

  • California is the only state requiring a minimum nurse-to-patient ratio by any unit.
  • Massachusetts has ICU-specific ratios depending on the patient’s stability.
  • Minnesota requires a single chief nursing officer to develop core staffing plans with “input from others.”
  • Connecticut, Illinois, Nevada, Ohio, Oregon, Texas, and Washington require staffing committees for hospitals.
  • Illinois, New Jersey, New York, Rhode Island, and Vermont require hospitals to publicly report or disclose staff ratios.

Whether it comes in the form of state or federal regulations, making sure there is an accommodating nurse-to-patient staffing ratio is a key to the health and well-being of patients and their nurses.


Do you Want to Become A

Travel Nurse?


 

By The Gypsy Nurse

November 28, 2018

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The Altruistic Nurse vs The Career Nurse

Is there a requirement for a nurse to have a ‘calling’ or to be altruistic in their reasons to become a nurse?

altruistic nurse
Provide by Mellisa Dockley via Instagram (melldkly)

I’ve recently ran across several articles and nursing forum posts related to nurses having a ‘calling’.  Something deep seated in their personality or their mind-set, a need or want to ‘help’ others. Something altruistic in their reasoning for becoming a nurse. The argument that I’m seeing repeated over and over is that you ‘have to’ or ‘should’ have a need, want and desire to help others in order to be a good nurse.

I’m going to rant on this…please do not send me ‘hate’ mail.  If you would like to have a respectful discussion; I’m open and willing to participate

Confession:  I never wanted or desired to be a nurse.

 WHAT??!!??!?

That’s right.  I started my nursing career as a career choice and a JOB.  There wasn’t any deep seated desire to make a difference in the world.  No passion to ‘help others.  No ‘calling’ from a higher power.  Nursing to me was a stable career with attainable educational requirements, decent pay and job security. I consider myself an altruistic person but that was not my drive to become a nurse.

There are many that will immediately think that I am a bad person or worse yet, a bad nurse for my decision to become a nurse as a means to provide myself and my family a decent lifestyle.  To them, I say ‘YOU’RE WRONG’.

 I look at nursing as I would any other job or career that I could have chosen.  I WANT to do a good job.  I need  to perform well.  I expect to be able to take a certain amount of pride in a job well done.  These feelings are no different than if I had chosen to be a basket maker.  If I were a basket maker…I would still WANT to do a good job, I would need to perform well and I would expect to be able to take a certain amount of pride in a job well done.

So, am I automatically a bad nurse because I chose Nursing based on purely career and stability oriented reasons?  Or is it possible that even though my reasons were not altruistic, I am still a good nurse, a patient care-giver and able to provide safe care with positive outcomes?

I want to hear your thoughts.  Were your reasons for becoming a nurse altruistic?  Do you think it’s a requirement for someone entering the nursing profession to want to ‘help’ people?  Are you like me and see nursing as a career and a job to be performed to your best ability?

Feature image provided by Laura Z (via Instagram @Laurazee06)

By The Gypsy Nurse

November 25, 2018

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Ask A Travel Nurse: Drive or Fly?

Gypsy,

I’m speaking to a travel agency currently about a job that is nearly 8 states away from home.  I originally thought I would be perfectly fine with a job that required flying, but there is no subsidy for a rental car, and the apartment is 20 minutes away. I am looking into the bus system in the contract city, but I have to ask – how do you generally travel? I noticed you mentioned mileage reimbursement in your treatment plan, so do you typically drive to your travel jobs?

Thank you, Kate, RN ASN

Thank you for reading The Gypsy Nurse. You have taken the first step on your journey to becoming A Gypsy Nurse.

Kate,


I generally choose to drive to my contracts.  I lose out on the ‘pay’ because it always costs me more to drive than a company will reimburse me.  I don’t like being without a vehicle though, so it’s worth it to me. If you keep records of your mileage and hotel and meal expenses during travel, these are deductible on your year-end taxes

Flying

If you choose to fly, there are several things to consider and it looks like you have already started checking into this.  How far are you from conveniences ie grocery, banking, activities, etc.  what is the public transit like?  How far are you from work and it easily accessible via public transit?

In some cases, it’s just as easy to be without a vehicle.  When I was working in San Francisco, I was housed in a very good location that was close enough to work and everything else to use public transit.  

One other thing to consider if flying is the apartment amenities.  Is the company providing a FULLY furnished apartment?  By fully furnished, make certain that dishes, linens, shower curtains, window coverings, cookware, etc are all included.  I drive and bring a lot of these items with me because most ‘furnished’ apartments only include basic furniture. Google has a great resource to search the local area for conveniences called ‘walk score’  if you do a search, you’ll find it.  I frequently use a walk-score when checking my housing/hospital locations.

I hope this helped a little.  If you have further questions, please feel free to contact me again.

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments…

(Disclaimer:  Please note that this is the author’s opinion only.  I do not provide career counseling, legal or medical consults.  If you require any of these, please search out the appropriate resources)

 

By The Gypsy Nurse

October 5, 2018

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Ask A Travel Nurse: Brand New RN, Ready for Travel Nursing?

Gypsy,
HI Gypsy Nurse! I love your site. It’s so informative. I am currently working in the surgical trauma ICU at a Level! Facility. My one year is in Sept (brand new RN), but I am ready to start traveling, specifically in NYC! I have been talking with a travel company, started the app process, etc., but I wondered if you had any knowledge or info about being new RN and a travel nurse in NYC. Any info you might know would be SO wonderful as I start to work out all the details in the next few months…

Thank you, thank you!
Nurse K, RN BSN

Thank you for reading The Gypsy Nurse. You have taken the first step on your journey to becoming A Gypsy Nurse.

Kristen,
I have not personally worked in NYC, so I can’t give you any specific information on the location. Our Facebook group is a great place to ask questions about NYC. You could ask there specifically about NYC, and hopefully, someone with personal experience can help.

I would caution you on taking a travel contract as a new RN with only a year of nursing experience. As a traveler, you will be expected to ‘hit the floor running. You will be lucky to get a full shift of floor orientation. You will likely be given the worst patients. Staff could be helpful, or they could throw you under the bus and let you drown….either extreme is possible. As travel nurses, we are expected to adapt quickly to the new environment, rules, and patient loads. Not to mention new computer systems, new equipment, different drugs (what’s a common treatment in one part of the country may not be the same in another). I am not questioning your ability to care for patients. However, please understand that it’s best for the safety of the patients if you are experienced before traveling.

I would really encourage you to hold off on travel nursing until you have had a good two years of experience under your belt. In the meantime, I would suggest that you pick up a couple of ‘agency’ shifts in your local area and see how you adapt to the varied environments. This will give you a good feel for how you will adjust to travel nursing.

I realize that this is not the answer that you were looking for, and I’m sorry. I hope that you will consider my advice. If you decide to continue to pursue the travel nursing route, please feel free to contact me with any further questions.

I love hearing the opinions of my readers.  Your opinion could be the perfect solution for someone.  Please share your thoughts below in the comments.

 

By Health Providers Choice

July 19, 2018

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Sick Pay Laws For Travel Nurses: When it Affects You

This is a sponsored post by Health Providers Choice.

Many people in the United States face a tough choice when they get sick on a workday. For people in hourly positions, this can be especially painful since many hourly positions don’t offer paid sick or emergency leave.

You may have heard the United States is a no-vacation nation, but the lack of paid sick days is a major issue, especially in the health and hospitality industries. As a travel nurse, working while sick can potentially compromise patient health even further. So why do travel nurses feel they must choose between taking care of themselves or their bank accounts? Some paid sick leave laws are changing, positively impacting travel nurses.

Travel Nurses and Sick Pay Laws

Benefits of Paid Sick Leave

Even if they don’t affect travel nurses directly, paid sick days can make a huge difference in a community’s health. According to a 2016 study, areas requiring paid sick leave decreased the general flu rate by 5.5%. Allowing paid sick leave may help reduce turnover — and the associated costs — by workers leaving to seek positions with better benefits or by workers being fired after a serious illness.

Healthcare professionals come in anyway.

Paid and unpaid days aside, a survey found 83% of healthcare workers came to work sick at least once in the past year, even though 95% believed working while sick risked patient health. The main reason? They didn’t want to let their teams down or leave their units understaffed.

While admirable, we need to reassess how we view sick days in health care. Supporting sick leave within your own workplace and in your state can do just that.

The state of sick leave in the United States

Thirteen states and Washington D.C. have enacted laws to require paid sick leave, upon meeting the requirements, applies to travel nurses. These states include Arizona, California, Connecticut, Maryland, Massachusetts, Michigan, Nevada, New Jersey, Oregon, Rhode Island, Vermont, and Washington. However, state-specific requirements and employee eligibility vary.

  • Arizona requires at least one hour of paid sick leave per every 30 hours worked unless you already have at least 40 hours of paid time off.
  • California, Maryland, and Massachusetts require one hour for every 30 hours worked, but the ability to use accumulated sick days doesn’t start until 90 days after employment.
  • Connecticut requires one hour for every 40 hours worked for a maximum of 40 paid hours off a year. Employees can use these days after the first 30 days of employment.
  • New Jersey paid sick leave takes effect on Oct. 29, 2018. Per diem, healthcare employees are exempt from the mandate.
  • Oregon requires business owners with more than 10 employees to give employees 40 hours of sick leave at the start of each year.
  • Vermont states that people who are employed for less than 20 weeks are exempt from the paid leave mandate.
  • Like Connecticut employers, Washington employers must offer one hour of paid sick leave for every 40 hours of work, but employees can’t use it until after 90 days of employment.

While some states may not have statewide policies, certain cities within those states could have their own sick leave mandates. For a more detailed list, click here.