Massachusetts Voters Split On Mandated Nurse Staffing
With only two weeks left until the Nov. 6 midterm election, Massachusetts voters are split evenly on establishing statewide mandated nurse-to-patient ratios, according to a new poll by WBUR, Boston’s NPR news station. Of the 506 Massachusetts residents surveyed, 44 percent were in favor of mandated nurse staffing, and 44 percent were opposed. The remaining 12 percent said they were undecided. Advocates for the mandate, also known as Question 1, have said establishing mandated nurse staffing ratios will lead to better patient outcomes and improve quality of care. Opponents have said the opposite and also claim mandated ratios will put an expensive burden on state hospitals. Both sides claim nurses fully support them. Both groups have spent a combined total of more than $14 million on competing TV advertisements and campaign initiatives. Because both groups have run similar ad campaigns, voters have had a difficult time figuring out how nurses actually feel about the issue, according to the WBUR report. The pro-mandate group, the Committee to Ensure Safe Patient Care, is sponsored by the Massachusetts Nurses Association. Most of the group’s supporters are nursing unions, labor unions, international labor unions and local community groups, according to their website. The group also earned key endorsements from several local, state and federal representatives, most notably Sen. Elizabeth Warren and Boston Mayor Martin J. Walsh. “Nurses work hard to take care of all of us when it matters the most, and we should do the same for them by establishing standards to ensure they have the help they need to do their job safely,” Senator Warren said in a press release. “I stand with our nurses and support a yes vote on Question 1 in November.” The opposing group, known as the Coalition to Protect Patient Safety, is supported mostly by hospitals, hospitals associations and local chambers of commerce, according to their website. The organization has also earned a handful of endorsements from local mayors, including Waltham Mayor Jeanette McCarthy. An independent study conducted by the state’s Health Policy Commission found that implementing the mandate would cost an estimated $676-949 million per year and potentially save $34-47 million. The study also found that hospitals would need to hire 2,286 to 3,101 additional full-time equivalent nurses to meet the mandate. You can read the full analysis of the study below:
Hurricane Michael: Florida Panhandle Hospitals Brace For The Storm
Update, 8:30 a.m. CST, Oct. 10, 2018 After gathering speed and intensity, Hurricane Michael is tearing towards the Florida Panhandle and increased in strength Wednesday morning. As of 8 a.m. CST, Michael was upgraded to a Category 4 hurricane with top sustained winds of 145 mph. Forecasters have said Michael could be the strongest storm to hit the Florida Panhandle in history, affecting nearly 30 million people in the Southeast. New forecasts expect Michael to make landfall Wednesday afternoon. Along with devastating wind speeds, storm surge predictions also increased to 14 feet and forecasters warn of flash flooding in Florida, southern Alabama and Georgia. Florida Gov. Rick Scott and emergency response officials have advised any residents who have not already evacuated need to hunker down, as it’s too late to leave the area. “The time for evacuating along the coast has come and gone,” Gov. Scott said in a Twitter post. “First responders will not be able to come out in the middle of the storm. If you chose to stay in an evacuation zone, you must SEEK REFUGE IMMEDIATELY.” You can find online resources for emergency preparedness and help here: Find open shelters here: https://www.floridadisaster.org/shelter-status/ Free housing for evacuees and disaster responders available through Airbnb: https://www.airbnb.com/welcome/evacuees/hurricanemichael Report significant debris from the storm: https://survey123.arcgis.com/share/466259a6f3fc41e58bb3f651e59e3bd1 App for emergency updates on the storm: http://fpbs.org/get-emergency-info-on-free-florida-storms-mobile-phone-app/ Find out current traffic conditions: https://fl511.com/App Original Story Hurricane Michael, a major hurricane with winds up to 120 mph, is expected to make landfall Wednesday afternoon near Panama City, covering most of Florida’s Panhandle region, according to current hurricane models. The National Hurricane Center expects life-threatening storm surge—up to 12 feet in some areas—along the coast of the Florida Panhandle, Big Bend and Nature Coast regions. Hurricane-force winds from Michael will extend across parts of the Panhandle, southern Georgia and southeast Alabama. Unlike Hurricane Florence in September which stalled on the Carolina coast dumping record-breaking rainfalls, Michael is expected to move quickly through the Panhandle and curve northeast, moving through Georgia by Thursday afternoon. The storm could also intensify to a Category 3 hurricane by the time it makes landfall, carrying winds of up to 130 mph. Florida Gov. Rick Scott declared a pre-landfall state of emergency for 35 Florida counties to secure federal assistance and encourage residents to evacuate before the storm hits. Scott also activated 2,500 National Guard members for storm response, he said during a press conference Tuesday. Florida health officials communicated with healthcare facilities and nursing homes Monday afternoon to prepare for the storm, Scott said. After Hurricane Irma hit last year, 14 people died in South Florida when a nursing home lost power and air conditioning. “The Florida Department of Health has five ambulance strike teams and 35 special needs shelter teams ready to deploy,” Scott said. “The expectations are: If you’re responsible for a patient, you’re responsible for the safety of that patient through this entire storm.” As of Tuesday afternoon, several healthcare facilities in the path of the storm activated emergency response procedures, canceling or rescheduling outpatient and elective procedures. Some facilities in the Tallahassee area are monitoring the storm before activating emergency response declarations. Flowers Hospital in Dothan, Alabama is closing all of outpatient departments on Wednesday, according to a WDHN report. In response to the storm, the Department of Health issued an emergency order allowing healthcare professionals with a valid, unrestricted and unencumbered license in any state, territory, or district to render services in Florida during a 30-day period, according to Gov. Scott’s website. Florida became a compact nursing license state this year but does not normally allow for quick temporary licenses. The Florida Board of Nursing office, located in Tallahassee, will be closed until Thursday, according to their voicemail message. Travelers entering the state should be aware that major highways designated as evacuation routes could be congested with evacuees and could affect their access to locations along the Panhandle. Hurricane Safety Checklist Regardless of where you are located or if you’re working at a hospital during the storm, your first priority is to have a disaster plan in place to protect yourself and your family in a time of crisis. The American Red Cross has provided a hurricane safety checklist that has everything you can do to prepare for the storm and respond to the aftermath. We’ve provided a PDF of the checklist below, but you can also download or view it here: Hurricane Checklist
Travel Jobs: Where Travelers Applied In Sept., Oct. Market Predictions
October is a crucial month for the travel healthcare staffing industry as a whole. For staffing agencies, it marks the beginning of the busiest month of the year as healthcare providers recruit temporary staff at breakneck speeds. For healthcare providers, October is the final push to find as many quality temporary workers as possible to help carry operations through at least February. As a result, the last two weeks of September ramped up sharply in job board activity leading into October, mostly affecting states that are popular destinations for snowbird travelers who head for warm weather locations like Florida, Arizona and California. The record-breaking impact of Hurricane Florence also provided an unexpected boon for travel nurse needs in North Carolina, as hospitals located away from the coastline needed help dealing with the increased patient census due to hurricane evacuees. Travel healthcare jobs October 2018 In short, we expect the travel healthcare market and job board activity to remain red-hot throughout most of October, with the potential for a slight dip at the end of the month as less new needs hit the market. Most of the market activity is expected to be driven by core specialties—for travel nurses, this means a high number of medical-surgical, telemetry and ICU will be available. We are also starting to see a noticeable increase in OR job needs in the market, which is part of the expected year-end rush for scheduled elective surgeries. While most of the hospitals near the North Carolina coast have reopened in the weeks following Hurricane Florence, there is still a heavy demand for travel nurses in Charlotte and Wilmington, according to staffing agency sources. States that were popular in September will continue to remain popular this month, including California, Arizona, Florida, Missouri, Tennessee and parts of Texas. This is a result of the regular “snowbird” traveler migration and because most of those locations—excluding California—are often the first places affected by high levels of flu activity early in the season. At the same time, northern states will also see an increase in job needs as they will look to fill vacancies left by snowbird travelers. Some of those areas include Michigan, Wisconsin, Oregon, New Hampshire, Pennsylvania and Maine. Hospitals in northern states will also typically increase bill rates for travel contracts during this time to entice recruiters to submit quality candidates who will stay through the winter, which can translate into higher pay packages depending on what agencies travelers use. This mostly applies to the coldest areas like Michigan, Wisconsin and Maine, and not so much for winter tourist destinations like Colorado or Utah. Core specialties are expected to be the most in-demand. For travel nurses, this means medical-surgical, telemetry, and ICU. We also expect to see an increasing amount of OR job needs, as more elective surgeries take place during the end of the year. Let’s take a closer look at what we learned from the StaffDNA job board about where travelers applied in September. Michigan, Missouri enter the Top 10 Michigan jumped eight ranks from August to September, moving from No. 17 to No. 9. Missouri made a smaller climb of three ranks to take the No. 3 spot. We may see both states retain their top 10 status as winter approaches. Of the two, Missouri is most likely to drop in total traveler applications in October. The late-August hiring surge in St. Louis may have been a factor in the increase of applications for September, but we expect it to at least hang around the top 20 states for October. September’s Top Markets California Florida Texas North Carolina Georgia Pennsylvania Arizona Tennessee Michigan Missouri Virginia South Carolina Indiana West Virginia Wisconsin Arkansas Kentucky Iowa Nevada Oklahoma Maine Idaho New Mexico Oregon Hawaii Colorado Washington Ohio Illinois Alabama Alaska Massachusets Maryland Connecticut Kansas New Jersey Louisiana Minnesota Wyoming Montana New Hampshire New York Washington D.C. Mississippi North Dakota Nebraska Rhode Island South Dakota Vermont Delaware Utah
Michigan Medicine, Nurses Union Members Reach Tentative Agreement
Michigan Medicine and nurses with the University of Michigan Professional Nurses Council (UMPNC) reached a tentative three-year contract agreement last Friday, according to a UMPNC press release. “Details of the tentative agreement will be discussed at membership meetings, and nurses will have the final say through a ratification vote,” Katie Oppenheim, nurse and chair of the Michigan Nurses Association, said in the press release. “Our bargaining team is recommending this agreement because it will allow nurses to continue to provide world-class care. We are proud of our nurses and their ongoing dedication to patients.” UMPNC is an affiliate of the Michigan Nurses Association and represents more than 5,700 nurses at University of Michigan Health System facilities. More than 4,000 of those members voted in September to authorize their bargaining team to implement a three-day hospital strike if an agreement could not be made. David Spahlinger, M.D., president of the University of Michigan Health System and executive vice dean for clinical affairs of the University of Michigan Medical School, said the system is pleased they could reach this agreement. “Reaching a resolution is the best possible outcome for our hospital employees, our patients and our community,” Spahlinger said in a press release. “We all care deeply about our patients and our top priority is to ensure our patients receive the highest quality of care. We know families and patients choose Michigan Medicine because of our devoted teams of faculty and staff, including our excellent nurses. We are eager to move forward together.” Full details of the agreement will be discussed at UMPNC member meetings, and a ratification vote is scheduled from October 7-10, according to the UMPNC website.
Travel Market: Florida Sees Wave Of New Jobs In September
Want to find positions in Florida now? Click here to check out the most recent posts on the StaffDNA job board. Most veteran recruiters know that Florida is a juggernaut state for travel healthcare staffing. The Sunshine State utilizes more travelers than most states, in part because of heavy winter seasonal needs. Those job needs have come back in force in the last few weeks of September, according to staffing industry sources. David Kinslow, a senior client advisor for LiquidAgents Healthcare, said he’s aware of more than 140 new jobs in the state, an increase of 80 compared to August. Agencies have anticipated this spike in job needs for several weeks. Florida ranks third in the country for most hospitals statewide according to American Hospital Directory data, and many of those facilities start recruiting for winter in late September and early October. Along with other southern states like Texas and New Mexico, Florida is a large target for “snowbirds” seeking warm weather for winter contracts. This could mean the job market will continue to ramp up through December, eventually cooling down by next January. For travelers who are interested in Florida, here are some things you should consider before working in the state this winter. 1. Florida became a nursing compact state this year Florida joined the enhanced Nursing Licensure Compact in January, so nurses who have their compact license can now work in the state and don’t have to apply for a single-state license. This only applies to nurses, so allied healthcare travelers will still have to get a single-state license. Click here to see a map of states who have joined the enhanced Nursing Licensure Compact. 2. Hospital Corporation of America (HCA) uses a lot of travelers HCA is one of the largest private health systems in Florida with 50 hospitals and 31 surgery centers across the state, according to their website, and many HCA-associated facilities use a large number of travelers, according to staffing industry sources. This is good news for travelers who want some variety when picking a location, as HCA-affiliated hospitals are located in almost all major cities in the state. 3. Depending on location, cost-of-living in Florida is pretty cheap According to our Travel Nursing Pay Package Ranking List, Florida has a 99.7 rating on the U.S. Bureau of Economic Analysis price parity index, which means the state is almost exactly at the national average for prices on housing, gas and other goods. However, the state average is largely affected by Miami, which is significantly more expensive than most other cities in the state. When looking at other locations like Tallahassee, Tampa or Orlando, prices drop to 5 percent or more below the national average. This is mostly because of dirt cheap rent and housing costs, which is great for travelers hoping to pocket extra money from agency housing stipends. Florida is also peppered with temporary vacation homes and seasonal vacancies, so finding proper short-term housing may be easier than in other states. 4. Expect fierce competition Just because there are lots of job opportunities in Florida doesn’t mean travelers can apply to jobs at their leisure. Hospitals in major “snowbird” states are looking to fill jobs fast, and agencies will send in qualified candidates even faster. Speed and efficiency are key to locking down a solid Florida contract, so travelers who are flexible on location and who can quickly produce necessary compliance docs will have the edge over others. 5. Beware of January pre-books David Kinslow, a senior client advisor at LiquidAgents Healthcare, said travelers should be wary about pre-booking Florida jobs with January start dates. Census numbers may not be high enough to warrant a high number of travelers, so January contracts could be canceled before the start date. While no one can perfectly predict how healthcare needs will change in the state once winter hits, it’s still safer to book early and ride out a fall contract through the winter than hope for needs to stay consistent.
Union nurses vote to authorize strike at Michigan Medicine
Nurses at Michigan Medicine, based out of Ann Arbor and affiliated with the University of Michigan, voted last week to authorize a three-day strike “in protest of the University’s unfair labor practices.” No date for the strike has been set, but the vote allows the University of Michigan Professional Nurse Council (UMPNC) bargaining team to submit a 10-day strike notice if they feel it’s necessary, according to the union’s statement. “Our goal is not a work stoppage,” said Katie Oppenheim, RN and chair of UMPNC in the statement. “Our goal is a fair agreement which respects nurses and guarantees safe staffing. The University can remedy this situation immediately, by stopping their unfair labor practices and bargaining in good faith.” Of the approximately 5,000 nurses represented by the UMPNC, an affiliate of the Michigan Nurses Association, more than 4,000 voted last week to authorize a strike. Nurses at the facility have worked without a contract since it expired on June 30 this year. UMPNC and university officials began contract negotiations in January but have struggled to lock down a new agreement. A state mediator joined the bargaining table on July 10 to help parties reach a final agreement, but little progress has been made. “We are disappointed that our UMPNC nurses have voted to approve a strike,” said Mary Masson, director of public relations for Michigan Medicine. “We have been bargaining in good faith since January and have offered a competitive package.” If nurses decide to initiate a strike, the Michigan Medicine legal team is prepared to pursue legal action because “it is illegal for public employees to strike,” the university said in their bargaining update Tuesday. Michigan Medicine is also prepared to bring in temporary nursing staff if a strike notice is issued and “has been developing contingency plans in the event of a strike.” The union main complaints, according to the statement, include: failing to bargain in good faith, including over terms and conditions of employment; making changes in work shifts without notifying or negotiating with the union; and discriminating against union members who are engaged in legally protected speech in support of their right to collective bargaining. UMPNC filed four unfair labor practice charges with the Michigan Employment Relations Commission about these issues on September 12.
Hurricane Florence Shifts Demand Inland for North Carolina Travel Nurses
Update, 9:35 a.m. CST, Sept. 21, 2018 More open positions were made available in Charlotte, North Carolina to help deal with Hurricane Florence evacuee patient loads, according to information from industry sources. At least 40 open positions are available in the area for travel nurses. Most of the requested positions are for medical-surgical and telemetry travel nurses, but there are still labor and delivery spots available. Travelers can view North Carolina opportunities on the StaffDNA job board here >> Original story, posted at 9:43 a.m. CST, Sept. 19, 2018 North Carolina is a consistently popular state for travel healthcare professionals—it regularly ranks among the top 10 most applied-to states every month and has a wide variety of job opportunities through most seasons. However, the devastation from Hurricane Florence this weekend forced several coastal hospital locations to close entirely and evacuate patients inland, meaning travel nurse job opportunities have followed suit. “With the flooding…hospitals have been closed down close to Wilmington,” said Kelsey Moena, a client advisor for staffing agency LiquidAgents Healthcare. “They are not bringing in (travel nurse) candidates because you can’t even get to the hospitals.” Thousands of patients and healthcare providers evacuated early last week to avoid the storm, while a limited number of staff and hospitals in evacuation zones were granted mandatory evacuation exemption waivers and stayed behind to keep emergency centers open. Multiple facilities in the Cape Fear Valley Health System remained closed or had delayed opening on Wednesday from flooding and power outages, according to a press release. Several outpatient facilities associated with New Hanover Regional Medical Center in Wilmington opened Wednesday, but other facilities including Pender Memorial Hospital, NHRMC Orthopedic Hospital, and NHRMC ED-North remained closed, according to the hospital’s website. Because of these closures, travel nurse needs have shifted west towards the inland hub of Charlotte. Carolinas Medical Center recently posted at least 20 needs for travel nurses to help with new patient loads from the storm, according to industry sources. The hospital is primarily looking for medical-surgical, telemetry and labor and deliver travel nurses. Find travel nurse opportunities in Charlotte, NC >> Travelers who can’t make it to North Carolina but still want to help can donate to ongoing disaster relief efforts by clicking here. Closed Cape Fear Valley Health System facilities include: Bladen Medical Associates – Bladenboro Bladen Medical Associates – Dublin Bladen Medical Associates – White Lake Bladen Medical Associates – Clarkton Cape Fear Valley Primary Care at Lumberton QuikCare at Robeson Cape Fear Valley Foot & Ankle – Lumberton and Laurinburg offices Cape Fear Valley Podiatry’s Lumberton office Bladen Physical Therapy Cape Fear Valley Rehabilitation Center’s Outpatient Pediatric Physical Therapy All other Cape Fear Valley clinics are open, but Cape Fear Valley Diagnostic Center will open at 7 a.m. and HealthPlex will open at 8 a.m.
Mass. Nurses Argue Pros, Cons of Mandated Ratios In Ads For Ballot Initiative
Already know all about Question 1 in Massachusetts? Click here to read about how this could impact travel nursing in the state. Massachusetts nurses are arguing on both sides of the fence in the first wave of TV advertisements about a ballot initiative that would regulate nurse staffing ratios in the state, according to a Boston Globe report. The Massachusetts Nurses Association, which sponsored the initiative, supports the Committee to Ensure Safe Patient Care along with many other local labor unions both in and out of the state. The committee argues that safe staffing ratios in non-ICU units will cut down on patient complications, readmissions, errors and potentially life-threatening risks. The Coalition To Protect Patient Safety, an anti-initiative group backed by state hospital groups and local chambers of commerce, argue that adopting a rigid proposal will “take decision-making power out of the hands of healthcare professionals” and negatively impact hospital costs and quality of care. While both groups stances on Question 1 are clearly opposed, their similar advertising and marketing strategies could cause confusion for uninformed voters, according to the Globe report. Both groups have similar names, use nurse testimonials in their website advertisements, feature similarly designed lawn signs and even have nearly identical Twitter handles. (Pro-initiative @PatientSafetyMA and anti-initiative @MAPatientSafety) Both groups are ramping up advertising efforts ahead of the Nov. 6 midterm elections. If approved by voters, the initiative would establish patient limits determined by the type of medical unit or patient with whom a nurse is working, and the limit would be applied at all times, according to the Massachusetts Secretary of State website. Civil penalties for hospitals that don’t comply with the mandated ratios could go up to $25,000 per violation, along with $250-2,500 in fines per day for facilities that don’t have information about the limits in all patient rooms, units and patient areas. How “Yes” On Question 1 Could Affect Travelers In short, mandated nurse-to-patient ratios across the state could sharply increase nurse recruiting and retention efforts by hospitals, which in turn could increase the amount of travel nurse needs. While multiple states have laws relating to nurse staffing ratios, only California has both passed and implemented mandatory statewide ratios. The state passed the law in 1999, implemented it completely by 2004, and since then has been the source of numerous studies about the impact of mandated ratios. Most studies found positive benefits for patient outcomes, significantly lower mortality rates and reduced nurse burnout, but several also point to greatly increased staffing efforts leading up to and after implementation. A 2008 study submitted to the Journal of Hospital Medicine found that nurse staffing in California remained unchanged from 1993 to 1999, but facilities significantly increased staffing efforts between 1999 and 2004. As of 2017, the state had the highest number of registered nurses in the U.S. at 282,290, according to Bureau of Labor Statistics data. It also holds the top spot for the number of active nursing licenses with more than 432,000 as of Sept. 8, according to National Council of State Boards of Nursing data. There are other factors to consider when determining why California brings in so many nurses—geographic diversity, lots of rural communities, high paying contracts—but many staff and travel nurses cite mandated ratios as a positive benefit of working in the state, which could help with hospital recruiting.
Travel Jobs: Where Travelers Applied In August, Sept. Market Predictions
In last month’s update, we touched on how August serves as a transitional period for the travel healthcare job market. Many travelers looking to avoid the early wave of competition in July waited until August to search for a fall contract. At the same time, many travelers went back to work or squeezed in a bit more “paid vacation” by extending at their summer facilities through the month. Pediatric facilities may have needed more help, with parents bringing children in for check-ups before school and to get the first round of flu vaccinations. As such, our predictions for the total volume of applications on the StaffDNA job boards were mostly on the mark, dropping by about 12 percent from July to August. Market activity ramped up towards the end of the month, but not fast enough to reach July’s high number of applications. Travel healthcare jobs September 2018 We expect September to at least recoup from the 12 percent drop in application volume for August, but we may also see a possible increase in application activity. There are a few market indicators that point towards September as a high-activity month: Many travelers who decided to extend their summer contracts will be looking for either a quick contract between fall and winter or they will already be planning for the winter months. Hospitals are continuing to push for more temporary staffing to bulk up for flu season. The great “snowbird” migration will start to ramp up this month. Travelers who moved north for cooler summer temperatures will head back south for the winter. Conversely, travelers who don’t mind the cold will head north to fill gaps left by summer travelers. If you didn’t catch it, the recurring theme here is winter. Late November through February are incredibly busy times for general healthcare facilities, so most hospitals, recruiters and travelers have already begun planning three months ahead. We already saw a few examples of the winter job swell in the past two weeks. Facilities in East Texas have been hiring medical-surgical nurses en masse, and one of the largest hospitals in St. Louis plans to bring in more than 200 travelers in the next two months. Unsurprisingly, both of these locations are in southern states where flu activity peaks early and stays high throughout the winter. Expect to see more facilities in Alabama, Mississippi, New Mexico, Arizona, Louisiana and Arkansas heavily recruiting in the next few weeks. While we can’t say for sure September will be the busiest month of the year for job hunting, we can guarantee travelers have a much wider range of options to find a contract right now that fits their needs. Let’s see what we learned from August’s top markets. State rankings show a gradual winter shift The StaffDNA state rankings list didn’t change much overall from July to August, but it did provide early hints to where travelers may be looking for the late fall and winter. Missouri, Arkansas, Oklahoma, New Mexico and Nevada continued to gain ground and now sit comfortably in the top 20 most applied-to states. Arizona also held a spot in the top 10, dropping only two spots to No. 8. Kentucky, South Carolina enter the Top 10 Kentucky just barely jumped into the top 10 most applied-to states for August, bumping Virginia down to No. 11. South Carolina made the largest shift, moving seven spots from No. 13 to the sixth place slot. We expect the state to remain popular in September, as there are many high-paying opportunities on the StaffDNA job boards in the state, especially for rad techs and OR, ER, ICU and PACU nurses. August’s Top Markets Florida California Texas North Carolina Tennessee South Carolina Pennsylvania Arizona Georgia Kentucky Virginia Indiana Missouri Oklahoma Arkansas Wisconsin Michigan Iowa Idaho Maine New Mexico Nevada Oregon West Virgina Colorado Ohio Hawaii Washington New Jersey Illinois Massachusets Alabama Minnesota Utah Maryland Louisiana New Hampshire Vermont Arkansas Montana New York South Dakota Connecticut Kansas Mississippi Nebraska Washington D.C. Wyoming North Dakota Rhode Island Delaware
Starting A Travel Job on Aug. 27? Don’t Delay Compliance
Staying on top of compliance due dates should be a top priority for every travel nurse when they book an assignment, but it’s especially important for those who start on Aug. 27. If a travel nurse misses a file due date this week and they have an Aug. 27 start date, there is a high probability their new start date could be pushed two weeks instead of one. Many hospitals are informing recruiters that, because of the Labor Day holiday affecting orientation dates, what would normally be a one week pushed start will actually be at least two weeks. Need some help getting up to speed on travel nurse compliance? We’ve got you covered: Find out why it’s so important to maintain your compliance documents as a traveler, as well as the most common items requested by agencies and healthcare facilities. Managing a growing list of compliance documents can be a pain. Learn about the digital tools you can use to make travel nurse compliance management easier. First-time traveler? Here’s your “cheat sheet” to getting your compliance documents in order ASAP.