3 Critical Things That Will Move You To The Front Of The Line To Get The Nursing Job

May 21st, 2009

We recently had the opportunity to talk with a hospital decision maker about what makes one RN candidate stand out over another during the candidate selection process. We asked “Help us look through your eyes when you review the RN candidates that have been submitted to your open jobs from agencies”. Here is what we were told:

First, in today’s environment, having at least 3-5 years current experience in a specialty is just a ticket in for consideration. If nurses don’t have that, they will likely move to the bottom of the stack of profiles. Attention gets focused on 3 critical points:

1) The Nurses Resume. Nurses need to remember that a resume does the talking for them. Unit Managers don’t have the time to call and pre-screen candidates. The resume is what speaks on the nurse’s behalf. Many resumes that we receive from agencies are outdated, lack dates (we like to see month’s and years…not just years), and often do not contain all the necessary data such as the patient population the nurse has worked with, equipment used and procedures familiar to the nurse. The nurse needs to be able to summarize in her resume the reasons we would want her to work at our hospital.
2) Skills Checklist. A nurse’s skills checklist should be current up to the date of submission. Nurses typically update their skills checklist annually. However, we like to see skills checklist that are a true reflection of the nurse we are going to get. What a nurse can and can’t do is a determining factor if we are going to select them or pass on them.
3) References. We like to see references from supervisors. While our hospital policy does allow references from fellow nurses, we still prefer supervisor references. The reason being is that it is too easy for a nurse to have a couple of her friends give her a glowing reference based on their friendship vs. what the nurse is capable of clinically. If it comes down to two like candidates and one has supervisory references and the other has references from co-workers…well the supervisory references will get the advantage. That being said, we also realize that some nurses don’t want their supervisor to know that they may be moving on and that is why we don’t rule them out.

Well, there we have it…straight from the person who selects agency / travel nurses for her hospital. Whether you agree or disagree…it was an honest dialog and we appreciate her sharing her selection practices with us. What do you think?

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

Travel Nursing…Is It Dead?

May 6th, 2009

Travel nursing has certainly been contracted by the economy. But is it fair to say that it is dead?…on life support? Our opinion is that travel nursing is very much alive, but the rules of the travel nursing jobs have changed. Not too long ago, travel nursing jobs out numbered the available travel nurses. Travel nurses could be selective and move at their own pace and the travel nursing job, more often than not, would still be there when the nurse was ready. This is no longer the case. Now, travel nurses outnumber the available travel nursing jobs. Let’s be clear though, travel nursing jobs continue to open everyday, just not in the volume they did in the past. The difference today is that the jobs tend to close minutes after they open because tens to hundreds of travel nursing candidates get submitted that quickly. Good or bad, that is the way it is today. It is probably a short lived scenerio that is tied to the economy. But, nonetheless, it is a scenerio that we all have to adapt to if we want to succeed. So what should a travel nurse do to put the odds in his/her favor for a travel job? First, the nurse should work towards getting speciality specific credentials. For example; An emergency room nurse should strive to acquire TNCC, CEN, and PALS in addition to having BLS and ACLS. Secondly, the nurse should discuss geographic locations with their recruiter and give permission for submission to any jobs that open in those predetermined areas. Thirdly, the nurse needs to be fully compliant with his/her agency’s submission policy. This is usually the basics: resume, skills checklist, two professional references, and copies of the nurse’s professional license(s). Travel nurses that follow these 3 tips will increase their odds of landing a travel nursing job. Happy travels!

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

The Great Recession?

April 7th, 2009

At the risk of sounding like Andy Rooney – things sure have changed a lot from when I was a kid. Growing up in the 1960’s (a time my son refers to as “the dark ages”) we lived meagerly for the most part. We weren’t poor – far from it. My father worked every day and my mom stayed home and raised us.

Our clothes were simple. Levi Strauss was the closest thing we had to a designer label. For a long time, we survived with one car – which my dad paid cash for. While waiting for the next car to be purchased, my parents “saved” for it (for the uninitiated – saving means not spending more than you make and putting the “extra” money into a bank account). My folks worked diligently to pay off their home mortgage and NEVER carried debt. They grudgingly got a credit card in the 1970’s because they found that they couldn’t rent a car or travel without one. We almost never went out to eat. When we did, the fare was Elias Brothers – home of the Big Boy.

We did venture out on an annual vacation every year. This was also something my parents saved for. We would arrive home from a week’s vacation with no debt.

To get to the point – my wife and I were out last month in suburban Metro Detroit. It was our monthly dinner and a movie night. The State of Michigan had just announced 10.6% unemployment. The Metro Detroit area was likely at 20% or greater unemployment. We tried to get a table at Outback Steakhouse and there was a 1 hour and 15 minute wait. The place was packed! We went down the street to another restaurant – same story! We decided that we would see the movie before we went to dinner – so we headed over to the theater (a 20 screen multiplex). We had to park in the boondocks because the lot was full. There was a 5-10 minute lineup for tickets and you could just forget about the concession line – we would have missed all the previews and had to sit in the front row had we decided to get popcorn.

On our way home, we both commented on how full the bar and restaurant parking lots were. Other than nursing jobs or other healthcare based employment, I really don’t know that any industries are thriving – yet many people seem unphased by the economic downturn. It may have affected them psychologically, but it seems to have little impact on practical matters.

I guess that’s a generational difference. There are people in America in their late 20s who have never experienced any sort of financial setback in their lives. The response to hardship seems to be more spending. Massive debt has become a fact of life for us here in America. My Father was an Irish immigrant who worked for Ford Motor Company for 40 years. He used to say, “boy, in this country – its not how much money you’ve got – it’s how much they’ll let ye borrow”.

There endeth the lesson.

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

Market Condition Snapshot

March 25th, 2009

Summer is fast approaching and we are starting to see some signs of life for a better tomorrow in healthcare staffing. Travel nursing is still soft but we are seeing fresh jobs open but there remains intense competition for every open job amongst travel nurses. Fresh jobs are still closing fast. Most travel nurses have accepted the fact that to get a travel nursing job in today’s market, a complete profile is essential along with a willingness to be flexible on geographic location. We have seen some competitors driven out of the market place. Sadly, a few more will most likely follow in the coming months. Per Diem nursing jobs remain steady. We are seeing ebbs and flows in job orders. Hospitals are continuing with planned expansions and demand is slowly rising. Across both travel and per diem, we are seeing many nurses “doing what they have to do” until the economy turns around and they can resume focus on their own goals, dreams, and aspirations. We have seen many hospitals tightening their belts during this economic downturn and some nurses are reporting that as staff nurses they are being overworked and “burn out” is starting to set in. Many of these nurses are starting to work less and look for a different job. Fortunately, we have not had many reports of nurses leaving the profession. Actually, we are seeing more folks looking into nursing as career…perhaps a silver lining in the grey cloud of the economy.

However, with the recent improvments on Wall Street and the economic data that is getting released, market sentiment is starting to turn positive….perhaps less fearful in what the future holds would be a more accurate statement. So, what does all this have to do with today’s nursing market? In short, the answer is that the healthcare staffing market is getting positioned for improvement. We don’t expect a “V” shaped recovery but we certainly see an uptick towards a slow and steady market improvement. Summer vacations will create job openings. Improved Wall Street market sentiment will convert Americans behaving more normally in their spending habits which will give a shot in the arm to economic recovery. The bottom line: Smile, better days are on the way.

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

Funds Invested Into Nursing

February 24th, 2009

Business Wire

February 18, 2009

WASHINGTON – The American Association of Colleges of Nursing (AACN) applauds President Obama and our Nursing Champions on Capitol Hill for securing additional funding for nursing education in the newly enacted American Recovery and Reinvestment Act (H.R. 1). Of the $500 million allocated for health professions training in the final stimulus package, $300 million will be awarded to the National Health Service Corps and the remaining $200 million will be divided between the Nursing Workforce Development Programs (Title VIII of the Public Health Service Act) and the Health Professions Training Programs (Title VII). In addition, the conference agreement includes $10 billion for the National Institutes of Health with $7.4 billion being distributed to the Institutes (including the National Institute of Nursing Research), the Centers, and the Common Fund.

“In their work to stimulate the U.S. economy, federal legislators recognized the connection between funding health professions education and preparing a workforce large enough to meet the nation’s healthcare needs,” said AACN President Fay Raines. “Nurse educators are grateful for this infusion of funding, which will help nursing schools battle the financial challenges they are currently facing.”

“The nursing community truly came together as a strong voice to save funding for nursing education,” said Representative Lois Capps, RN (D-CA). “I am proud to have helped my fellow nurses achieve this goal and strengthen the nursing workforce so that all Americans will benefit from the quality health care nurses provide.” Below is Congresswoman Capps’ floor statement in support of the bill.

“The American Recovery Act is about creating jobs,” Senator Barbara Mikulski (D-MD) said. “Not only jobs in construction, but jobs in healthcare, jobs in education, and jobs for women. America is facing a nursing shortage that affects every city in every state. If we don’t invest money in educating our healthcare professionals, we won’t be able to increase our healthcare workforce, which is so important for our hospitals and for our patients.”

“The funding for health professions and nursing training included in this legislation ensures that thousands of vacant healthcare positions across the country will be filled,” said Senator Dick Durbin (D-IL), Majority Whip. “More than that, it gives men and women the opportunity to secure meaningful, well-paying jobs where they will work everyday to help prevent illnesses and save lives.”

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

Travel Nursing Jobs –In a downed economy

January 29th, 2009

What Many People Believe?

There are many folks that believe that the healthcare industry is recession proof. After all, nearly all healthcare jobs have to be performed in the USA and can’t be shipped overseas to a lower cost supplier. Additionally, people can’t fully control sickness. Nobody wants to get sick, injured or ill…it just happens. While all of this is true, it is also true that healthcare does echo the effects of the economy. What can slow healthcare in a down economy? Well, first people put off receiving healthcare services because they might not be able to afford their insurance deductable. They stay at home sick or postpone elective surgeries. Secondly, job loss is a by product of a downed economy. Job loss often means no healthcare insurance benefits to protect people during times of sickness or injury. Thirdly, a depressed stock market impacts investment revenue that many hospitals depend on. This lost revenue causes hospitals to layoff employees, implement hiring freezes, and often increases the work load of those remaining employed…doing more with less so to speak. Hospitals also acquire bad debt as more patients tend to put off paying their deductibles during economic hardship.

So When Will the Healthcare Staffing Market Improve?

While none of us claim to have a crystal ball, there are some indicators that we can look at to gauge a comeback. First we have to understand a couple of key points. Number one, people can only put off sickness so long before it exacerbates into a situation so bad that healthcare services are sought regardless of cost or consequences. Number two, healthcare staffing leads into an economic recession and always leads out. So, in staffing, when jobs contract or are not available over a length of time….staffing is leading into a recession. As the economy begins to bounce back, staffing jobs will open back up…leading out. Number three, hospitals typically gain patient admission through four vectors. (1) Direct admission from their doctor’s office (2) The patient is born there (OB/GYN) (3) The patient has surgery there (OR) (4) The patient is sick or injured and is admitted by the attending physician (ER).

What We Are Seeing:

*Nationally, we have seen travel nursing jobs decrease in some states as much as 90%. (This is clearly a sign of staffing leading into a recession and happened in the fourth quarter of 2008).

*Nationally we are starting to see OR positions opening up. (This has started to occur in mid January 2009. As the OR is one of the vectors that supplies patients to hospitals, we expect admissions to rise and additional specialty travel nurse positions to open up in 8-12 weeks as a result of this.)

*Nationally we are starting to see ER positions open up. (This tells us that patients are starting to visit the hospitals again…volume is up. The ER also is one of the vectors that supplies patients to the hospital. We expect to see admissions rise and more travel nursing jobs created in about 8-12 weeks)
*Nationally we are starting to see travel nursing jobs rise. (This might be a sign of staffing starting to pull out of a recession….we need to see continued job openings for a few more weeks before it has our full confidence)

*Nationally we are getting notified that hospitals have planned expansions set for spring and summer of 2009. (This will clearly create more travel nursing opportunities)

What We Predict: Based on the data that is before us today, we believe that travel nursing jobs will be slowly trending upward in the first quarter of 2009 and start to gain momentum around the end of March through the end of April 2009. This momentum will continue until around October 2009 and then seasonally adjust.

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

Travel Nurses & Income Tax

January 21st, 2009

It is that time of year when travel nurses start receiving their W-2’s and “tax time” is steadily approaching. Are you ready? Do you have all the documentation you need from your travel nursing assignment to accurately complete your tax return?

At Expedient Medstaff, we diligently train our recruiters to insure that our pay packages are compliant with the Internal Revenue Service. One of the professionals we work with to help train our recruiters is Joseph Smith of Travel Tax LLC. Having been a traveling healthcare professional himself, Joseph understands travel tax from a traveler’s perspective. We trust his advice.

As a travel nurse, you may already have a tax professional that you already work with and have the confidence your tax return will be completed fully, timely and accurately. However, if you are a travel nurse that is in search of a tax professional, and you would be interested in speaking with Joseph Smith, his contact information can be obtained by clicking on Travel Tax.

We wish you the best success in your travel nursing career and cheers to a prosperous 2009.

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

Seasonal Travel Nursing

January 13th, 2009

Many RN’s seeking travel nursing jobs have contacted our offices greatly concerned over the diminished number of available assignments throughout the USA. For that reason, this week’s blog article is on seasonal staffing norms and how to best position yourself to get an assignment as they come available (and they WILL come available).

SEASONAL NORMS

The arrival of 2009 will mark my 12th year in the nurse staffing business. I can tell you one thing for certain. Every year in the 4th quarter (without fail) nursing job orders diminish.

There are a few reasons for this:

1) Hospital budgets – the “year end” phenomenon – back in the last century  when I worked as an ER manager, the 4th quarter (October – December) was the time of year when budgets came under scrutiny. That still is the case today.

All things budgetary will be looked at. Anything that exceeds budget, will suffer cuts. In a market where nurses are growing more and more scarce, nurse staffing budgets or “agency usage” always exceeds the amount hospitals are willing to budget. For that reason, hospitals (in the 4th quarter) always cut their agency usage to bring the amount spent in line with what is budgeted.

2) The Holiday “OT” Phenomenon – Simply put – staff RN’s tend to pick up extra shifts in November and December to pay for Christmas gifts (holiday gifts for the politically correct).

3) The Holiday “low census” phenomenon – any elective procedures are put off until the new year whenever possible. Also, patients always push for early discharges during the holidays, so that they can be home with family. This “low census” phenomenon means lowered staffing needs.

POSITIONING YOURSELF FOR SUCCESS

Just like I know that orders diminish in Q4, I can tell you that by the end of January, orders will ramp back up. You need to know that travel nursing is a fiercely competitive business. When assignments come available, there are sometimes as many as 20 candidates submitted to one assignment. Some of these candidates are submitted within a minute or two of the order being made available.

There are ways to position yourself for success when orders come available. Follow these steps to be successful:

1) Complete your profile – When assignments come available, it is impossible to submit you if your profile has not been completed. Talk to your recruiter about what constitutes a “complete” profile.
2) Pre-authorize submissions – unless you are available 24/7, it is in your best interest to pre-authorize your recruiter to submit your profile to jobs which meet certain criteria (i.e. I will accept any 13 week ER assignment anywhere in Arizona – midnights – that starts by February 1st).

Often assignments close submissions after reaching a threshold. We hear all the time, “I don’t need any more profiles on this assignment, I have 15 to choose from”. If it takes us 8 hours to reach you for a choice assignment, you may not get an interview.

3) Be flexible – setting forth really narrow “absolutes” make it hard for your recruiter to match you up to good assignments. Some absolutes are unavoidable, but whenever possible, be as flexible as you can be.

Have a wonderful and prosperous 2009. Happy traveli

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

Things I Have Learned From the Mistakes of Others

November 25th, 2008

  Many of the most useful things I have learned in life have been learned at the expense - some fatal - of others.  For thirteen years I worked at a municipal fire department as a firefighter and paramedic in the state of Florida.  The training I received to perform my job pales in comparison to some of the things I learned while on the job.  I would like to share some of these things with our blog readers.

  • 1) Never follow behind any vehicle with items hanging off it no matter how secure the load looks. I have discovered these items tend to look for (and penetrate) windshields when they fall off.
  • 2) When you are driving, never turn your wheels until you are ready to accelerate into the turn. If you are rear ended and your wheels are turned you will go the direction your tires are headed. Often this means into you will be thrown into oncoming traffic.
  • 3) Never ever hang glide or fly an ultra light airplane. While I am quite sure they are fun in the air, some landings can be ruthless.
  • 4) Wear your seatbelt! I can’t think of anything worse than finishing out an accident only to wind up out of the vehicle and lying in the middle of a busy highway.
  • 5) If you like Christmas trees please stick with the fake ones. While a real tree might smell nice, a dry one can become fully engulfed in flames in less than a minute. Spending the holidays homeless is not worth a smell.
  • 6) Never believe if you are careful enough on a motorcycle you are safe. I have seen accidents that absolutely no motorcyclist could have avoided. Do not ever ride motorcycles unless you are ok with losing a limb - or worse - in exchange for the thrill.
  • 7) If you own a pool please make sure it is fenced and has an alarm. http://www.poolguard.com/ These alarms will audibly alert you if anything greater than 15 pounds falls in. A pool alarm costs less than $200 and could have prevented child drowning incidents I have seen where death or brain damage was the final outcome.
  • 8) Make sure you have functioning battery operated fire alarms in you home on all floor levels. Test them at least twice a year. I have seen too many fatalities as a result of this cheap and simple prevention.
  • 9) Have actual home fire drills with your family. If you have kids can they open a window, remove a screen and get out? Is your family aware that in smoky conditions the best visibility will be obtained by crawling on the ground? Set up a meeting place outside the home so you can quickly determine if someone failed to get out.

Each and every point item listed above may seem like common sense to some.  Yet I can say that I have seen those who failed to follow common sense pay for it with their life, and in some cases the lives of others.  Hopefully the information I have outlined will in some small way keep both you and yours safe.

 

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post

Reasons to take a travel nursing assignment - Improving your resume.

November 19th, 2008

 

With all of the vacant nursing jobs around the country, you may have considered travel nursing yourself.  Travel nursing may not be your full time aspiration however.  There are many reasons to take an occasional travel assignment.  Perhaps you’d like to visit a close friend or relative in a certain city.  Perhaps you’d like to see a part of the country you’re considering relocating to.  There are all great reasons to take a travel assignment.

 

One benefit you may not have considered is the improvement of your professional qualifications and resume.  In a travel assignment, you will encounter personalities, processes, and procedures that invariably will be different than your accustomed routines.  This exposure will both challenge and reward you.  Successfully completing a travel assignment demonstrates that you have the core competencies and flexibility to adapt to dynamic environments.

 

You will of course need to be prudent in selecting travel assignments.  For instance, if your experience has been purely with small community or rural hospitals, you’ll want to gradually work up to the larger high acuity hospitals.  If you’re already accustomed to a large urban hospital environment, you might want to consider a university teaching facility.  Assignments at teaching facilities definitely serve to increase your exposure and knowledge of cutting edge patient care.

 

Enjoy meeting new friends and seeing a different part of the country on your next travel nursing assignment.  Enhancing your professional skills will be “icing on the cake”.

Share and Enjoy:
  • Digg
  • Sphinn
  • del.icio.us
  • Facebook
  • Mixx
  • Google
Share This Post