The Benefits Of Traveling With A Nursing Compact License
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life I was unknowingly blessed as a new travel nurse because I chose to start traveling in my home state. I was testing the waters and wasn’t quite ready to venture out while my husband finished grad school. I did go through the process of applying for my New York and Kansas licenses after a few months. I was still lucky in a sense because I knew that even if these did not come through in time, I would be able to look for jobs in my home state or several surrounding states thanks to my compact license status. I was not constantly worried about if I needed to fork out money for a new license, or if I would be limited by the one or two licenses I had in hand. The enhanced Nurse Licensure Compact (NLC) was established in 2018 as an expansion of the previous Nurse Licensure Compact and is an agreement for license reciprocity between states that are a member of the compact. If your primary state of residence is listed as a compact state, that means you can practice in any of the listed states without having to apply for a new license in each state. This has been such a huge benefit to my travel nurse journey that I have even advised people living close to compact state lines to consider relocating, especially if they plan on traveling for several years. The benefits of traveling with a nursing compact license are extensive, and many states that are part of the compact have low costs of living. Benefit #1: No fees between nursing compact license states. An individual state license can cost upwards of $350 after basic fees, fingerprinting, and Nursys verifications. If you travel between compact states, all of these fees are irrelevant. You simply prove your primary license is in a compact state and you are safe to practice under that license in a state with reciprocity. Even if you request compensation from your company for these fees, most of the time you will still pay up front and be reimbursed. Very few companies offer direct payment for licensing fees unless there is confirmation of a strike or other critical need. Benefit #2: You can submit ASAP to jobs in other compact states. In some compact states, it can take four or more weeks to get a single-state license. Travel nursing jobs typically open and close within a day or two, so most hiring managers are not willing to wait on a license to come through and will just select another nurse instead. The majority of nursing jobs are listed as “license in hand” which means you have to have proof of an active license to even be submitted. With a nursing compact license, a recruiter can submit you instantly for a job you are interested in, which can put you ahead of the competition. Benefit #3: Less licenses to maintain. Although having multiple state licenses can make you more valuable as a traveler, it can also be costly and time consuming to maintain. Each state has its own set of fees and continuing education required to renew a nursing license. Some states even require yearly renewal, which can add up quickly. By having a nursing compact license, you only have to maintain your primary license. I only have to renew my Missouri license every two years. As an added benefit, Missouri does not require continuing education, so I simply pay the fee and have an active license in 31 states. Benefit #4: As each new state joins, your options for travel are expanded. During my three years as a travel nurse I have seen Florida, Kansas, and Louisiana join the compact. According to the compact map, there is also the potential for Washington, Hawaii, Illinois, Indiana, Michigan and New Jersey to join. Assuming all of these states pass legislation to join, in the next year or two I could be able to practice as a nurse in almost 40 states. This opens up so many avenues for travelers and will make holding a compact license an even more powerful tool as more states join the compact. So what if I don’t live in a nursing compact license state? I recommend looking into how feasible it could be for you to maintain residency in a compact state prior to becoming a travel nurse. It may sound a little complicated, but if you travel for several years and plan on going to multiple states it could save you thousands of dollars on state licensing fees alone. This would require a tax home in that state, which you can learn more about here. If you live in border cities like Kansas City or St. Louis this could be as simple as moving 20 minutes down the road. For others people, it could be a little more complicated. If you are interested in specifics on how to legally obtain a compact license if you move, be sure to check out the FAQ page on the NLC’s website. Regardless of your residence or if you choose to travel, this is something to keep an eye on as laws are being made in your home state. Pay attention to local politics and discussions about interstate licensing so if the issue does come to a vote in your area you can make an educated decision. Compact licenses are a valuable tool for nurses and are something we should all know about, even if it doesn’t apply to those of us working permanent jobs. Alex McCoy currently works as a pediatric travel nurse. She has a passion for health and fitness, which led her to start Fit Travel Life in 2016. She travels with her husband, their cat, Autumn and their dog, Summer. She enjoys hiking, lifting weights, and trying the best local coffee and wine.
Traveler Tips: Benefits And Challenges Of Traveling As A Team
By Stephen Stockhausen, PT, DPT, OCS, Contributing Writer, PT Adventures The travel physical therapist life is pretty incredible—bouncing around to new places, new jobs, new friends and new adventures! But it is no secret that life on the road alone can get lonely. This is where travel teams come in. Simply put, a travel physical therapist team is a pair of PTs (or any combination of PTs, occupational therapists, registered nurses, speech-language pathologists, dieticians, physician assistants, medical doctors/osteopathic medical doctors, respiratory therapists, etc.) that decide to explore the world together. Teams do not necessarily have to be in the same field, and often it is easier to have different professions in order to find jobs in the same locations. Travel teams have a few distinct challenges and benefits that should be considered before you combine powers with another fellow traveler. Challenges of being a travel physical therapist team Job selection via GIPHY As a pair of PT travelers ourselves, we have had to accept that most of the quaint mountain towns we want to explore do not have two openings for PTs at that exact same time. If we had separate specialties this might be a different story. We have accepted that for us to be in the same general location we must consider larger towns or cities to find two PT jobs at once. Neither of us is dead set on working for the same company or even in the same town as one another. However, with our new child, we do require that we can still live together regardless of where we are working. Commuting distance For this reason, we have created what we call the “60-Minute Rule” for job locations. We will consider jobs that are within a 60-minute drive from one another as long as there are viable housing options in between them. (Notice that we do not call it the “60-Mile Rule” California traffic can be crazy!) This ensures that, at worst, one of us will have an hours drive to work, and at best we each have only a 30-minute commute. Enacting this rule requires some research, however. In Alaska, Ellen took a job in downtown Anchorage, while I was in Eagle River. My facility provided us with free housing, walkable to the clinic, and it was only 13 miles from Anchorage, so obviously we lived in Eagle River. Initially, we thought this was going to be a simple solution and would fit our rule easily. What we did not consider was winter traffic on Glenn Highway! Road Rage GIF from Roadrage GIFs Anchorage sits on a precipitously skinny sliver of flat land wedged between the Chugach Mountains and the Cook Inlet. Flatland is at a premium in Alaska, so there is literally only one road connecting the two towns. Ellen would frequently have 75-90 minute commutes as the highway would be bumper to bumper due to a moose kill or black ice. Lesson learned. Being flexible with your job selection and keeping in mind the “60-Minute Rule” will keep your travel team resentment-free and happy as clams. Benefits of traveling as a team Travel physical therapist teams have some distinct advantages over solo travelers. Shared expenses, added safety, and friends are just a few. Shared expenses via GIPHY By far, the biggest benefit for a travel physical therapist team is shared housing costs. For most of us, housing is the largest single monthly expense (assuming you are not drowning in loan debt). Being able to split the burden between both of you will save some considerable cash. Even up-sizing to a two- or three-bedroom place won’t compare to the cost of renting a one bedroom apartment. Many travel teams can save $300-500 per month each by pairing up and splitting housing costs. Other shared expenses can also add a little extra cash to the coffers. One travel nursing team we are good friends with were big time city girls. They took jobs in Chicago, San Francisco, Los Angeles, and Denver to name a few. In doing so, they often only required one car, as city transportation in large metropolitan areas is frequently cheaper and less of a headache to manage. Plus, a bus pass is far cheaper than gas and parking in most major cities. Safety I only bring this up because of the huge number of questions regarding safe travel as a single person. Our fear-obsessed society loves bad news, and as we have all heard, “if it bleeds, it leads.” Having worked home health jobs in two of Californias most “dangerous” cities, I firmly believe the world is not out to get you. via GIPHY However, we all must do our due diligence to ensure personal safety. Traveling as a team provides one more layer of protection against a dangerous situation from happening. It’s one more set of eyes and ears, and one more rational mind to help make the good decisions that prevent problems from ever starting. Friends By far the best gift that this lifestyle has provided us is the friendships we have made across the country. That being said, there are some lonely times out there. Many of our solo travel buddies have lamented about periods of loneliness they deal with. Most often this is at the beginning of a contract before they have been able to settle in and meet new people, but it’s still a problem. Having a travel buddy helps to inoculate yourself from these feelings. You will have someone to explore with and someone to commiserate with on bad days. Someone to help you out of a jam and someone to push you into new, uncomfortable, and exciting situations. As you each branch out and make new friends, your travel buddy will provide a solid base that you can build a new community around. via GIPHY Being a travel PT team has been a life changer for us. We went from drowning in student loan debt in permanent positions to debt free in four years (less than 2 years as
Traveler Tips: Setting Realistic Expectations For Your Healthcare Career
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life Working in travel healthcare is a great way to branch out in more ways than one. Traveling allows you to visit new areas, expand your skills as a practitioner and build relationships across the United States. When you first leave your staff job, there is a certain thrill of anticipation that becomes embedded in your soul, and your world is suddenly open to a host of possibilities. As a brand new traveler, it can be hard to balance these great expectations with a small dose of reality. Not every assignment will fulfill every point on your list of assignment goals, but by setting some realistic travel nurse expectations, your career can strike a balance between fun, adventure and regular employment. Know what you want from each assignment A great way to have success in any situation is to set goals. Travel nursing is no different. Before starting your career as a traveler, it is important to sit down and think about what you hope to accomplish by working as a travel nurse. Decide if you have a set amount of time you plan to travel or if you are going to reassess how you feel at the end of each contract. Then, set some financial goals for yourself. One of the most popular reasons to work as a travel nurse is financial security. For a majority of people travel healthcare is more lucrative than working in a permanent position. This could allow you to spend more money on travel between assignments, or give you enough extra cash to save for a large purchase such as a house. During other assignments, you may have the chance to work in a dream location. While you may not earn as much during this time, there should be other positives to focus on during these types of contracts. Every job may not come with a killer location and awesome pay rate, so setting a specific goal for each assignment is a great way to stay focused and keep a positive attitude even if you had to make some compromises on location or unit setting. Decide if there are other “must-haves” for each contract Some travel nurses are very particular about shift while others are happy to work nights or rotate if needed. While it is not impossible to travel as a days-only nurse, it can limit your job options. By limiting your shift preference, you may also limit your location or even pay. Most hospitals do not offer a traditional differential for travelers, but they may set a higher bill rate for a night shift position. The same rule applies to other non-nursing specialties. If you are a therapist, limiting your setting may result in fewer job options. Radiology travelers may have to be willing to work an odd shift or take a little more call than they would like. Each field has different considerations, but being open to new settings or learning new skills is helpful when trying to land a contract. Other things to consider for each contract are time off, holiday schedule, and floating stipulations. Adding a laundry list of requirements to your contract may cause managers to pass you over for more flexible candidates, but do not agree to something you are unable to sustain for your entire contract. Expect a few bumps in the road Anyone who has worked as a travel nurse will have a story or two about a time where almost nothing went according to plan. However, most of these people will also tell you they have stayed in the field and rolled with the punches. Whether your assignment gets canceled, your licensing takes longer than expected, or you have to change housing plans last minute, know that it is all part of the journey and take each hiccup as a learning experience. Keeping an open mind and being flexible is key to working as a traveler. If your experience is wearing you down more than you can handle, do not be afraid to reach out for help or advice. There are some great online communities for travelers to connect, and chances are someone has experienced a similar situation. Don’t be afraid to reassess at the end of each assignment One of the best parts of being a traveler is you do not have to do it for very long. Some people take one assignment and realize the lifestyle is not the right choice for them, while others spend years working travel jobs. There is no one-size-fits-all requirement, and by going in with realistic expectations you can be better prepared to make your experience as a traveler right for you.
Stocking Up: 4 Ways To Cheaply Furnish Your Travel Nurse Short Term Rental
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life Editor’s note: Stocking Up is a three-part miniseries that covers the essential travel items and furnishing methods Alex McCoy uses to make it feel more like home at each new travel assignment without breaking the bank. Click here to read part one, or click here to read part two. One of the best ways to save money on short term rentals is to do a little more leg work when it comes to furnishings, linens, or other household supplies. While fully furnished places might sound appealing, opting to furnish a rental yourself may be a great way to save money while on a travel nurse assignment. There are several ways to approach furnishing a short term rental, from bare bones furnishings up to move-in ready packages. This week I want to share some ways to save money while furnishing a rental yourself. These options won’t get you a decked-out crib, but hopefully, you will be able to weigh the pros, cons, and cost of each option and make the best decision for you. How To Furnish A New Rental As A Travel Nurse Option One: Bare bones furnishings. Most travel healthcare workers are minimalists at heart. If all of your belongings fit into your vehicle, chances are most of your life is pretty “no frills”. As a result, I have seen many travelers opt for the most basic of furnishings to save money and time. Many of these travelers will simply invest in a decent air mattress and use plastic tubs as tables in their home. They will sometimes buy inflatable couches or a cheap futon to act as a couch. Camp chairs also work well for watching TV or eating dinner if you want to avoid purchasing actual furniture. While this may seem extreme to some people, to others this is simply a practical way to live to save money. If you are not entertaining guests and sleep well on an inflatable bed, there may be no reason to spend money on any more furniture than what can fit in your car. Option Two: Purchase cheaply or find free furniture. Some travelers prefer to purchase gently used furniture at the beginning of each assignment or even find offers for free furniture on Facebook or Craigslist. One great way to source cheap furniture or other household items is to find a local traveler page for the city you are living in. By searching “City + Travel Nurses” on Facebook you can find a specific group for almost every major city in the United States. I have seen many furniture listings on such groups, and most travelers looking to sell will list their whole apartment as a lot for an incredibly low price. The downside to this option is having to then get rid of the furniture at the end of each assignment. However, it can be easy to simply offload possessions in the way you acquired them: by listing them for very cheap or free on different networks. This also requires some leg work the last few weeks of an assignment when you have to coordinate pick up times and meet-ups. One way to skip this hassle would be to simply donate items, or you could re-list as a lot for people to pick up in one go. Option Three: Rent cheap from a furniture store. If you go online and browse some of the more popular rental furniture stores, you will notice that a full apartment worth of rental pieces will run several hundred dollars. But what they don’t tell you is if you go in person to the store they will have a selection of gently used pieces that may not be as “pretty” as the online photos but will be just as functional. You don’t actually have to rent a full package—you can simply pick the basic necessities (think mattress, couch, coffee table, TV stand) and build your own perfect package. Some of these stores will even have furniture that can be sold and delivered for cheaper than renting it, but once again you will have to decide if purchasing and then reselling is worth the money you may save up front. Option Four: Scout out locally-owned furniture stores for deals. Last time we rented furniture ourselves, we found an incredible deal from a local furniture shop. We initially planned on just renting the basics, but the cost of an entire apartment worth of furniture was less than $200 so we splurged a little to make our place feel more like home. Because locally owned stores have less overhead they may be able to keep prices down. This is even more common in areas with large military bases where renting furniture is a much more common practice. These types of places may be easier to find in person once you arrive at your destination. You can simply plan on using an air mattress for the first couple of nights while checking out the local area for potential rental shops. Or, combine all of the above. Some travelers will simply rent or purchase a couch while sleeping on an air mattress and using a plastic bin for a TV stand. Regardless of how you make it work, all that matters is that you are comfortable and happy with your living space. By getting a little creative when deciding how to furnish your travel nurse apartment, you can skip the big prices and still end up with just what you need. Skip the major websites, look for local travelers offloading items, and itemize rather than renting full packages to save cash all around. Make note of what furniture you actually use on a regular basis rather than worrying about filling space, and it will be easy to see what the must-haves are for each assignment. << Part Two: Saving Money On Essentials For Your New Travel Home
Stocking Up: How To Save Money On Essentials For Your Travel Nurse Rental Home
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life Editor’s note: Stocking Up is a three-part miniseries that covers the essential travel items and furnishing methods Alex McCoy uses to make it feel more like home at each new travel assignment without breaking the bank. You can read part one by clicking here, or jump to part three by clicking here. Finding housing can be one of the most stressful parts of working as a travel nurse. At the beginning of my career, I always looked for a place that had all the bells and whistles: furniture, linens, and dishes seemed like “must-haves” for a short term lease. I started to realize that this was actually costing me money as I have moved back and forth across the country. I could pay for the convenience of having everything I needed ready and waiting or I could spend a little extra time and cash up front and save myself hundreds of dollars a month at each assignment. Aside from corporate rentals or Airbnb, I have found that most apartment complexes that offer furnished options do not usually offer a “fully stocked” option. This means your apartment will have all of the big pieces of furniture, but smaller items such as dishes and linens will not be provided. I have found these rentals to be much cheaper than move-in ready versions, and for our last three assignments, we have gone this route instead. In the process, I have learned several shortcuts to get all the necessities we need without breaking the bank or overflowing the car. 1. Get familiar with Dollar Tree and other discount stores. My first stop is Dollar Tree whenever we have to purchase small household items including kitchen utensils, dish towels and bathroom accessories . I usually make a list of things we need and go their first and see if I can get lucky and find most of the items I need. After that, I go to Big Lots. I can usually find some of the larger items here like shower curtains or small kitchen appliances for $10 or less. By purchasing cheaper versions of some necessities, I can usually keep my first-day expenses under $150 and donate anything that won’t fit in my car at the end of the assignment. 2. Remember that you likely won’t be entertaining large groups of guests. I think one of the reasons we stress about having certain items in our home is because friends and family might be coming to visit and “need” something like a matching hand towel or an extra blanket if they get cold. When you start to think about what you personally use on a regular basis, the need for extra “stuff” will start to dwindle. Even when we do have friends come out to visit, we simply make a joke about the travel life and hand them our plastic silverware and a paper plate. 3. Pare down linens to the bare minimum. When it comes to bulkier items like blankets and towels, space gets taken up wdqquickly. As a traveler, you have to analyze what you actually use on a regular basis, and weed out items that you might have at home for “show” rather than usability. For example, traveling with a good quality fleece blanket or heavy afghan will take up less space than a comforter. Try to bring no more than two towels per person—one for everyday use and an extra in case you go to the pool, gym, etc. Use dish towels that can double as hot pads when cooking. 4. Opt for disposable options. Madeleine Olivia Get Rid Of It GIF from Madeleineolivia GIFs While producing extra waste is not my favorite way to live, often as a traveler, we have to take a few shortcuts here or there. One way I have learned to save space when packing is to utilize disposable silverware, plates, and bakeware when I can. One way I do this and cut back on overall waste is to reuse these items as I can. By buying the heavy duty plasticware, you can actually get quite a bit of use of them by re-washing. I have also rewashed plastic cups and aluminum pans that are meant to be disposable and then I try to recycle as much as I can when they are worn out. 5. Be willing to do dishes and laundry more frequently. If you only have one towel or just a couple sets of silverware it is inevitable that you will have to wash these items quite frequently. I often hand wash my dishes as I use them because I know I will be using them again soon. I also do a lot more laundry as a traveler than I did when I had a permanent home. This may seem like a little bit of a pain, but the other option would be to create more space in your vehicle for extra items or splurge on a few things you want to donate at the end of your stay. I personally am fine with washing my towel every couple of days to save a little money and space. 6. Don’t stress—you’ll get more efficient as you go along. Model Of Efficiency GIF from Model GIFs Any long term traveler will tell you that as your career progresses you will find yourself getting better at streamlining what you need and cutting back on what you don’t. I used to spend way too much money stocking up on “needs” at the beginning of each assignment and quickly realized how fast three months goes by and what we really use in that time frame. Now, if I end up needing it, I can always go back for it. Whether you decide to aim for the convenience of a move-in ready rental or to save a little cash by bargain shopping your first few days, you will find the routine that works best for your lifestyle
Stocking Up: My Top 5 Travel Nursing Kitchen Must-Haves
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life Editor’s note: Stocking Up is a three-part mini series that covers the essential travel items and furnishing methods Alex McCoy uses to make it feel more like home at each new travel assignment without breaking the bank. You can read part two here. You guys—I love to cook. Like, a lot. Before travel nursing, I had all the gadgets. Pressure cooker, Ninja blender, wine glasses for each style of wine…the list went on. But when we had to pack up our life into our small SUV and Nissan Altima for our first out-of-state travel assignment, I knew there was simply no way I could fit all of my precious kitchen items into our new lifestyle. After almost two years on the road it is safe to say I have our kitchen box down to a science. I have made a few alterations as we’ve gone along, and I also have some “disposable” items that I can donate and then buy again at Goodwill if needed. By keeping a few quality items on hand I have made sure we still eat healthy, home cooked meals on a regular basis and that everything I need for the kitchen fits into one 30 gallon tub. My number one tip would be to start with the box you know is feasible for your vehicle, and dedicate only that space to kitchen supplies. If an item doesn’t fit in the box, try 13 weeks without it. Worst case scenario? Amazon will deliver just about anything you could need. My Top 5 Travel Nursing Kitchen Must-Haves 1. Crock-Pot A lot of people swear by their Instant Pot, but I left mine behind in favor of my trusty slow cooker. I love it for long work days because I come home to a ready-to-eat meal, whereas with a pressure cooker I would still have to throw it all in and wait 30 minutes or so for dinner to be ready. Fun fact: I left my Crock-Pot behind for one assignment where we had to pare our belongings down to one car and I thought I could make it three months without it. It took me one week and I ordered a new one on Amazon. I will never ever leave it behind again. 2. A high-quality kitchen knife While it would be nice to have the perfect knife for every occasion, I have found that keeping one high quality knife and sharpener in my box does the trick. I usually buy a medium-sized knife so I can use it for lots of different tasks (think cutting open a spaghetti squash or eating a steak you grilled at home). Another option is to buy a mid-range knife every couple of assignments. Depending on how often you cook, the blade may stay sharp enough for several months and then you can purchase a new one when you start feeling like it isn’t safe to cut your sweet potatoes any longer. 3. Dutch Oven Initially, I thought I could get away with my crock-pot for all of my bulk meals or entrees that needed a larger pan. I quickly realized I needed something with a little more room to cook some of my favorite recipes like taco chili soup or salisbury steak. This is not an item you have to buy high-end. I was already on assignment when I realized how much I needed some sort of soup pot, so I made a trip to the nearest thrift store and found a plethora of large pots to choose from. This is also an item that you could probably donate and re-purchase if needed, as most of the thrift store options were under $5. 4. High-quality skillet People might argue you can make do with whatever is supplied at your rental house, or you can purchase this from a thrift store. However, after our first assignment where the cheap, nonstick coating from the provided pan started scraping off into our food, I decided keeping my own skillet was worth the extra space. I personally have a nice Calphalon pan that can also go into the oven up to 500 degrees, so it doubles as a casserole dish when needed! This is an item I would splurge on a little bit as it is hands down the most utilized cooking tool in my box. 5. Pizza cutter Yes, I run a health and fitness coaching program and no, I am not above a homemade pizza night or a good ole’ take-and-bake every once in awhile. For those occasions, there is nothing worse than trying to cut a hot pizza with your medium-sized kitchen knife without burning your fingers or sliding the cheese all over. This is another item we did not bring at first and ended up buying early on. Since then, we make sure our pizza cutter makes the cut (no pun intended) every time we start packing up. While there are some other kitchen items I would love to bring along—my favorite wine glass and my French press are top of the list—I have found that with everything else we can usually make do. Most of my other kitchen utensils come from Dollar Tree, which makes it easy to get rid of them if we need to make space. I also like to reach out and ask if there are specific items provided by the rental I have chosen. Things like a toaster or coffee maker might seem standard, but I have found most landlords have differing ideas of what’s considered a necessity. >> Part Two: How To Save Money On Essentials For Your New Rental Home
5 Reasons Why Travel Nurses Would Actually Want To Work Night Shift
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life My relationship with the night shift has always been a tenuous balance between love and hate. Being on day shift allows for a more normal routine and definitely makes my husband more at peace with my work schedule. The feeling of being fully rested on my off days has led me to continue taking day shift assignments, but there is always a small piece of me that is envious when I meet the new night shift crew. Night shift has plenty of downsides–less support staff on duty, irregular sleep schedules, and more difficulty contacting physicians are just a few of the problems any night shift nurse could list for you. But at the end of the day, there is a reason many travel nurses prefer nights even if travel contracts don’t come with a hefty night shift differential. Less support staff at night means night shift travel nurses don’t have to learn extra procedures for working with these staff members. via GIPHY One of the first things I ask about at each new assignment is how to contact people I have to coordinate care with on day shift. Whether you are trying to contact a social worker or order lunch, there is a different procedure for these tasks at each hospital. If you work the night shift, you have the blessing—and the curse—of not having access to most of these extra pieces. While missing out on the support may cause some stress, it is nice to know you don’t have to relearn these procedures because they simply don’t apply to your shift. Unless it is a rare exception, the night shift gets to skip over this piece of knowledge when zipping through each new orientation. Less pressure from management or less involvement in unit politics. via GIPHY I wrote a whole article on the reasons why travel nurses should avoid hospital politics. The bottom line is: it’s much harder to accomplish this during the day shift. One of my least favorite scenarios is having a manager wander through on day shift and stop to ask my opinion on the unit. I appreciate the fact that they are looking for constructive feedback, but I also like to have more time to think through responses and articulate my feelings. As a night shifter, you are much less likely to get pulled into these types of conversations. If a manager is looking for some feedback it will be easier to strike up that conversation via email. For me, I prefer this method because I can still give meaningful feedback without becoming too involved in whatever issues the manager is trying to address. Patients are less likely to need to be prepped for procedures and testing. via GIPHY Another policy that can change drastically between assignments is pre- and post-procedure policy. I have seen several variances from how a patient is transported to how frequently nurses monitor post-op vital signs. I very rarely had to know the details of these procedures on the night shift. Except for rare emergent cases, my patients rarely left the floor at night. I was especially thankful as a new traveler to not have to learn the ins-and-outs of consents and transport when I was desperately trying to pick up on all the other new procedures during my short orientation. The night shift lull can be a great time to get to know your coworkers. via GIPHY During the day shift, the 2-4 p.m. period can be one of the busiest. This is when baths are fit in, discharges and admissions become a revolving door, and all the catch-up charting happens before starting the 4 p.m. rounds. On the night shift, this is what I liked to refer to as the “golden period.” Once your midnight rounds are done you inevitably cross your fingers and hope for no excitement during this chunk of the night. Some of my favorite memories as a night shift nurse were made during this time frame, where patients are finally sleeping for a bit and families have calmed down enough to get a bit of rest themselves. As a traveler, this is when you have time to get to know your coworkers. Use this to your advantage and strike up conversations or share some stories to make the shift go a little faster for everyone. Breakfast drinks are a great icebreaker to meet new friends. via GIPHY There is a weird bond that can only be formed over a glass of local beer at 8 a.m. in the dingy bar two blocks from the hospital. If you are feeling shy or struggling to make friends at your new assignment, one of my favorite ways to break the tension is to ask about the favorite night shift hangout. I have found that once you have a breakfast and beer date with new coworkers, a wall comes down that allows for more camaraderie and connection at work. Even though I enjoy having a normal schedule and not having to nap on my days off, as a traveler I truly do miss working the night shift. There is a certain bond that all night shifters share and I don’t feel like day shift has quite the same connection. I absolutely loved my night shift assignments and felt they were less stressful for reasons other than the stereotypical “Oh, it must be easy because all of your patients are sleeping” (Hard eye roll to that statement). Even if the money doesn’t necessarily change between day and night shift for travelers, I certainly understand the draw many nurses would feel to work nights as a travel nurse and am thankful for those who love the nocturnal life and adjust to it so well. Alex McCoy currently works as a pediatric travel nurse. She has a passion for health and fitness, which led her to start Fit Travel Life in 2016. She travels with her husband, their cat, Autumn and
Traveler Tips: Is The PT Compact License Worth It For Travel PT?
By Stephen Stockhausen, PT, DPT, OCS, Contributing Writer, Founder of PT Adventures Having the freedom to take different jobs in various parts of the country is by far the best, and the most obvious, perk of being a travel physical therapist. But it comes at a cost of the occasionally arduous task of obtaining a new state license. There are the jurisprudence exam, state license fee, FSBPT test score verification fee, and license verification letters—with subsequent fees that need to be sent to any state you have ever held a license. Whew! That’s exhausting just to type out let alone piece together and mail off. Oh, and then you have to wait anywhere from two to six months to find out if you’re new license has been granted or not. But fear not—the Physical Therapy Compact license is designed to fix all of that! In case you haven’t heard about the Physical Therapy Compact license here is a quick summary. Enacted in 2017, the Physical Therapy Compact Commission was created to provide a vehicle for improved interstate license accessibility while maintaining the safety of the public consumer as set forth by each state’s practice act, according to their website. The PT Compact Commission has since built up an impressive list of 21 states willing to recognize the validity of physical therapist and physical therapist assistant licenses from other participating states. The first privileges were then officially granted in July of 2018. While all 21 states have passed legislation to be members, not all states are currently issuing compact license privileges at this time and are still resolving internal issues—or just dragging their feet. At the time of this writing, nine states are active participants in the compact license process, with more joining every month! Pros and Cons of the Physical Therapy Compact License for travelers Pros: Therapy privileges can be granted in minutes rather than months Once you take the jurisprudence exam for your new state—often completed online—and pay the necessary fees, you are eligible to begin working in the new state Low Fees The fees involved with the new PT Compact are very minimal compared to sending out license verification fees for each state you have ever had a license. $45 goes to the PT Compact Commission, and then each state has their own fee. Most range from $45-60, with the exception of Mississippi at $150. (Come on, Mississippi!) One set of Continuing Education Units (CEUs) to manage Since you do not have a full state license in every state that you obtain privileges for, you do not have to maintain their Continuing Education Units. The only set of CEUs that you absolutely must follow is that of your home state. Gone are the headache-inducing hours of cross-checking CEU dates with license expiration dates! Renewal This is one of the coolest aspects of the Compact system. 60 days before your home license expires they will email you a reminder. Once you renew your license at home, the Compact will automatically notify you that you are eligible to renew your Compact privileges as well, typically within a week. Responsive Admin Team When I was doing research for this article, I had a few questions that I could not find on their website. Opting to call instead of email, I was quickly connected with the lead administrator who thoroughly answered my questions and was exceedingly friendly. This was a pleasant surprise compared to the typical experience I have come to expect when dealing with licensing staff at the various states I have worked. Telehealth? While not entirely applicable to the traveler, based on the language written into the Compact it appears that Compact privileges can also be used to treat remotely via telehealth. In a burgeoning field, this is super exciting news! Especially for the therapist looking to mix in some patient care in a state where they previously worked as a traveler or will soon work as a traveler. Instead of being limited to one license per job, multiple licenses can be utilized all at once depending on the patient’s location, independent of where the PT is located. Cons: Few states fully participating Obviously, if your home state is not a participant you are fully excluded from the entire process… bummer. For those of you who are fortunate enough to have a home state proactive enough to join up, your options for states to travel to may be slim pickings. Currently, only nine states are fully active. On the positive side they are some pretty cool states. Oregon, Utah, New Hampshire and North Dakota all have some great outdoor experiences. Texas Tennessee, Missouri and Mississippi all have some killer food and Southern hospitality. As for Iowa…well, Field of Dreams is there. That’s something! There are 11 other states on the doorstep to full participation so check the site often to see if your home state or dream location is up and running. When you renew your home license you have to renew ALL of your Compact Privileges This will negatively impact folks living in a home state that requires yearly license renewal. These therapists will now have to pay all of the Compact fees again as well as fees to the state where they are working. Now, compared to paying all of the other fees typically involved in maintaining multiple licenses, this could still end up saving you money, but you will have to do the math on your specific situation to be sure. Overall the PT Compact License is—or is going to be—a huge improvement in the logistics of being a travel therapist, especially if more states get involved. If every state were to join the Compact, it would mean one license to worry about, one set of CEUs, and only paying fees to the states where you are actively working. Stephen Stockhausen is a doctor of physical therapy, a traveler, and a founder of PT Adventures—a blog created with his wife Ellen to help travel PTs take control of
Travel Healthcare As A Pair: Getting Creative When The Market is Tricky
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life My husband Keaton and I are lucky enough that we both have careers that allow us to travel as a pair. I am a registered nurse and he is a physical therapist, so we are both able to work 13-week contracts throughout the country. We have been doing this for about 18 months and have managed to find contracts together about half of the time we have traveled. Even if you don’t have a spouse who can travel, many people choose to travel with a friend who is also a travel nurse. Not only does this help with loneliness on the road, but it cuts back on the cost of living and some of the work that has to be done when you move to each assignment. If you travel as a pair it can be a little trickier to find jobs that work for both of you at the same time in the same area. In the past 18 months, we have gotten a little creative, but we have managed to make it work and have some great ideas for anyone else looking to travel as a pair. Look for jobs in larger metropolitan areas. While some rural assignments offer big money based on location, the job concentration will be much lower. We have had much better luck if one person takes a job in a big city and then the second person works on finding something in that area. Plus, jobs are more likely to pop up for later start dates throughout the duration of the first person’s contract (more on that later). Be willing to have a longer commute. Many large metropolitan cities come with the price of heavier traffic. Keaton and I have each had to commute up to 1 hour each way to find contracts in a similar area. Whether it is heavy traffic or long distance, commute time could very well be an issue you have come up when trying to find jobs in the same location. Have a plan for if one person’s contract falls through. We always pick our housing based on one person’s income. Because contract cancellations are an unfortunate part of working as a traveler, we want to know we can survive even if one of us gets cut from a job. Similarly, if you travel with a friend, make sure and have a plan or a good chunk of savings in case you lose your job while on location. Look for start dates no more than 3-4 weeks out. A few times one of us has jumped on a great-paying contract early only to find the market drying up for the other person. The travel market is so hard to predict, so you may not be able to guarantee jobs for both individuals if you look too far in advance. For example, the Phoenix market was great back in the fall, but by the time we got here in the winter, physical therapy jobs for my husband had dried up and he has had to get a little creative with finding work. Which brings me to my next point… Don’t be afraid to think outside the box for jobs. Even if you can’t find a contract, that doesn’t mean there aren’t facilities in need nearby. I was able to sign up for per diem flu shot clinics in Georgia, and my husband found a per diem agency locally in Phoenix. Many hospitals choose to use local agencies first, so you may have luck reaching out to them directly once you are in town. Some places will even hire you directly knowing you’re short term because ultimately it saves them more money than hiring a traveler through a company. While traveling with a friend or spouse may take a little more leg work, it sure is nice when you get hit with a little bit of homesickness or loneliness. Knowing you have a roommate or companion to lean on is always a great source of comfort when dealing with the stress of changing jobs and adjusting to a new floor. Be sure to be open and honest with your recruiter about your goals are if you are traveling as a pair. It is even more beneficial if you share a recruiter, but for many companies that won’t be possible if you are different professions or specialties. Also, keep in mind my previous advice about working with more than one company, as it will be especially helpful if you need to try and match specific locations with your travel partner. Alex McCoy currently works as a pediatric travel nurse. She has a passion for health and fitness, which led her to start Fit Travel Life in 2016. She travels with her husband, their cat Autumn and their dog, Summer. Alex enjoys hiking, lifting weights, and trying the best local coffee and wine.
5 Things They Don’t Tell You About Travel Nursing
By Alex McCoy, Contributing Writer, Owner of Fit Travel Life Now that the new year is officially in full swing there are a lot of people evaluating their life. Where do I want to be in five years? Am I working in a career that I love? What if now is the best time to take that leap I have been considering for a while? If you have been considering working in travel nursing for any amount of time I want to preface by saying I highly recommend this career path. My experience as a whole has been positive and to anyone considering travel nursing, I would say go for it. However, as with any positive thing, there are the inevitable negative aspects that come along with it. Getting into the travel nursing world can be daunting, and being unprepared is the worst thing you can do if you want to enjoy your work as a traveler. I feel that being upfront and honest about some of the common struggles travelers face is the best way for new travelers to be prepared to manage these stressors as they come along. Here are the top five downsides to traveling that I feel all travel nursing newbies should be prepared for: 1. There is a lot of behind the scenes work to get started in travel nursing. Before you can even submit to jobs, you must have references and an updated resume ready to go. In addition, you have to have licenses on hand, locations in mind and have a baseline idea of housing costs before you actually apply. Once you have secured a position, there is usually at least a few hours of credentialing and paperwork to complete. This includes visiting a walk-in clinic for drug screens, updated labs and submitting proof of all prior vaccinations and licenses. 2. There will be upfront expenses before you get your first travel nursing paycheck. Most travel nursing contracts include a form of travel reimbursement—on the first check, that is. This means if you move in the Sunday before a Monday start day, you will not actually receive your first housing stipend or travel money until about 12 days later. Some costs to consider at the start of each assignment include first month’s rent, pet deposits, and travel expenses on the way there. I have had to pay close to $3,000 before actually starting work, so planning ahead for this is key. 3. Each state has different renewal requirements you have to monitor. To make yourself more valuable as a travel nurse you will want more than one state license. If your home is in a compact state this is great, but a lot of the destination states are not part of the compact (Hawaii and Alaska in particular). After the leg work of getting the license is complete, you then have to maintain said license. Each state has different guidelines and fees for renewals and you will have to check the individual boards to make sure you stay on top of these. 4. Loneliness is a real problem in travel nursing. A more obvious downside to travel nursing is lack of in-person connections in each area you live. You may make friends on assignment but there is always an awkward period at the beginning where you don’t necessarily have people to hang out with outside of work. While there are many ways to combat this loneliness, it is also helpful to be aware of it so you can meet it head-on. This is a normal feeling and it is okay to be lonely, but have some plans in place to deal with these emotions. Call a friend, go to a workout class, or just go for a walk if you are feeling especially down about a lack of personal interactions. 5. If you decide to switch companies, all of that hard work has to be done a second time. Working with multiple companies is almost inevitable in travel nursing, but that doesn’t mean it is easy to coordinate. Each time you decide to submit for a contract with a company you haven’t worked with, you will have to re-submit your resumes, references and paperwork. The best way to handle this is to get organized at the start. Keep a folder of all your personal identification, license copies, and vaccination records. In the event that you have a company pay for a vaccine, TB test or physical, always request copies of these records in case you work with a different company for your next contract. By keeping your files up to date you can simply send all of your paperwork over in a matter of a few clicks each time you need to establish a contract with a new company. This can all be a bit of a downer, but I would not change my choice to work in travel nursing for anything. The people I have met and the experiences that came as a result of this career are without a doubt worth all of the extra work and planning. By being prepared and knowing what to expect you can have a more positive experience as a traveler and minimize the anxiety that comes along with this career. Expect the unexpected, plan for bumps in the road, and just be thankful when you don’t have to make use of those plans when everything goes smoothly. Alex McCoy currently works as a pediatric travel nurse. She has a passion for health and fitness, which led her to start Fit Travel Life in 2016. She travels with her husband, their cat Autumn and their dog, Summer. Alex enjoys hiking, lifting weights, and trying the best local coffee and wine.