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Travel Nursing Resource Center
What you'll need on your first day

Practical tips from a veteran traveler.

BY JOHN H. BERRY, JR., RN
Orthopedics Staff Nurse
St. Elizabeth Hospital
Beaumont, Tex.


After 10 years and over 30 assignments as a travel nurse, I've discovered one indisputable truth about travel nursing: When your travel agency or hospital tells you that something is essential, it is.

To help me prepare for my first day on a new assignment, I developed my own list of essential items. Having them on hand saves time, trouble, and frustration. This list can help you too, whether you're preparing for your first or hundredth travel nursing assignment.

  • Current state nursing license. Whatever horror stories you've heard about obtaining a nursing license in a different state are probably true. The process can be simple--or arduous and frustrating. If you're thinking about accepting an assignment in another state, start the process of obtaining a license immediately.

  • Certifications. Depending on your position, you may need certification in advanced cardiac life support or other areas. At a minimum, you'll need cardiopulmonary resuscitation certification. If these certifications will expire midway through your assignment, consider renewing them before you go.

  • Valid driver's license.

  • Social Security card or birth certificate. You may also want to carry your passport. These documents help you complete the federal Employment Eligibility Verification Form (I-9).

  • Yearly physical, tuberculosis skin-test results, routine blood work, and immune titers and immunizations (especially hepatitis B). Whenever anyone draws your blood or body fluids for a lab test, request a copy of the results. Sooner or later, the agency or the hospital will ask for it. Some hospitals provide tests for free. Otherwise, you'll need to obtain physicals, blood work, and related tests on your own. Note: Hepatitis B immunization is highly recommended for health care providers.

  • Nursing malpractice insurance. Purchasing this inexpensive coverage to protect your assets is a wise move and worth the investment--whether the hospital policy covers you or not.

  • Drug and urine screening tests. Your agency will let you know what tests your new hospital requires. Copies of previous tests aren't acceptable.

    Carry this stack of papers with you that first day. Bear in mind that nursing, human resources, and payroll departments, as well as other areas, may want to see and copy these documents.

    Getting to work

    To avoid problems when you report for work, do exactly as your contract specifies. Follow its directions for when and where to arrive (on or off campus) and how to dress.

    Your orientation process will vary radically from hospital to hospital. If you want to know more about your orientation, call the number listed in the contract and ask.

    Whatever information you receive, your orientation as a travel nurse will be shorter than a staff employee's. Because you won't receive an employee benefit package, you'll skip any time devoted to that topic. Instead, you'll be engaged in "accelerated acclimation" to your new surroundings. In fact, you may visit your unit the first day of orientation.

    Experienced travel nurses know one big secret that helps with orientation. Before orientation, take an hour or two during the shift you'll be working to tour the unit alone and undistracted. This is your edge against distractions and mistakes when the time comes to work in the unit. Just be sure to introduce yourself to the nurse-manager and get permission to tour the unit.

    A matter of attitude

    Although as a travel nurse you may work in unfamiliar environments, your nursing skills and professional attitude remain the same. Stay confident and inquisitive and rely on your native abilities to guide you through any rough times. In travel nursing, your skills and your calm, positive attitude are the ultimate essentials




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