Travel Nurse
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RegisteredNursing.org Staff Writers Updated/Verified: Jun 26, 2021
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1. Nursing Background
I Am Not a Nurse I Am a CNA or Medical Assistant I Am a Paramedic I Am an LPN / LVN I Have an ADN, ASN, or RN Diploma I Have a BSN I Have an MSN
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Travel nurses are RNs from various clinical backgrounds who work for independent staffing agencies. They are assigned to different care areas on a temporary basis to fill in short-term employment gaps.
Travel nursing is a specialty that took root when the field of nursing faced a nationwide shortage. Hospitals, clinics, and other care areas had unfilled positions, yet had patients needing care. To try and attract nurses to the open positions, employers offered higher pay, housing, and covered the cost of relocating.
Due to these shortages, health care facilities have vacancies that need to be filled—and travel nurses are often the ones to fill open positions. Not only do travel nurses work in health care in any state in the country, but they also work outside of the United States as international travel nurses. The adventure and excitement of new opportunities, along with higher-than-average pay, are facets of travel nursing that many RNs find attractive.
Travel nurses are an important part of the health care team because they help bridge the gap between supply and demand in the field of nursing. Mandatory nurse-patient ratios have led to increased patient safety and lower patient mortality . While this is a positive finding, and more and more states are passing legislation to implement staffing ratios, there are not enough nurses to fill the openings. Travel nurses assigned those open positions help to increase patient safety and improve patient outcomes.
Additionally, nurses from different educational backgrounds, care areas, and geographic location brings a great deal to the practice of nursing. Sharing ideas and practices not only benefits patients, but also other nurses.
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A travel nurse should have the following characteristics to excel in the role:
Additionally, travel nurses should have supportive families and friends. It's difficult to either pack up and move an entire family or leave your family and friends behind. The flip side to this is that new relationships are formed in each new location.
Those interested in the specialty of travel nursing should first pursue a nursing degree through a two or four-year university. Obtaining an associate's degree ( ADN ) or bachelor's degree ( BSN ) in nursing is required. A BSN is not required to be a travel nurse, but some health care facilities only hire BSN-prepared nurses. The staffing agency in which the nurse is employed should match the nurse appropriately based on educational requirements.
After completion of an accredited nursing program, successful completion of the NCLEX-RN is required for licensure.
Most travel nurse agencies require a minimum of one year of hands-on experience in the chosen specialty of nursing. Additionally, some agencies will only hire BSN-prepared RNs. International travel nurses should speak the language of the country they are to practice in, as communication is an important part of effective healthcare delivery. Nurses are encouraged to research agencies when considering travel nursing.
No additional exams are required for travel nursing. Based on the specialty, certification(s) may be required. Examples include:
Additional specific requirements may be necessary for international travel nurses. These include:
Housing is one of the most significant concerns for a travel nurse. There are a few options available, and it depends on the travel nurse agency/company regarding how accommodations are set up. Some companies provide housing (i.e., apartment, duplex, etc.). Some companies offer a housing stipend, or a fixed amount of money each month to apply towards housing.
First, nurses need to be aware of where their “tax home” is, as stipends are tax-free if working away from the tax home. Having a tax home is necessary to receive tax-free housing. A "tax home" is defined as the general vicinity of an individual's primary place of work (regardless of where the primary residence is). Generally, the IRS considers someone traveling away from home (i.e., their "tax home") if it exceeds one workday.
Different travel nurse agencies offer different stipends - it’s important to research what the living expenses are in a specific area to ensure housing is adequately covered. The General Services Administration (GSA) lists the maximum daily amount for lodging, meals, and incidentals with regards to travel expenses . The key word is MAXIMUM. It's not required that a company pay employees the listed stipend. In fact, some travel nurse agencies offer higher hourly wages instead of housing stipends. Additionally, the GSA rates are based on short-term travel - usually less than a month. Travel nurse contracts can last three months or more.
Those interested in travel nursing may have questions about licensing; specifically, how are licenses recognized if practicing in another state.
Depending on the state, new licensure is not necessary. The National Council of State Boards of Nursing (NCSBN) developed the Nurse Licensure Compact which is an agreement between specific states to recognize nursing licenses without having to apply separately for licensure in another state. In other words, a nurse living in a "compact state" (one which is part of this agreement) can practice in another compact state without having to obtain additional licenses. There are now uniform licensure requirements that must be met when seeking a multistate license under the compact agreement. States that participate in the compact agreement can be found on the NCSBN website .
If not part of the compact agreement, some states allow nurses to obtain temporary licenses by endorsement. These are valid for specific lengths of time, so nurses must visit each state’s Board of Nursing website to determine specific temporary license requirements. If extending the assignment past the temporary license time frame, nurses must apply for a permanent license. Permanent licenses are also required for states that don't grant licensure by endorsement and don't participate in the NLC.
Travel nurses have a broad range of responsibilities and duties, and specific tasks depend on the specialty in which the nurse is trained. General nursing responsibilities and duties include:
Domestic and international travel nurses also have different characteristics specific to their role.
International travel nurses should have excellent communication skills, should be open to new experiences and challenges, and should have a strong desire to learn. These nurses are responsible for performing a wide array of duties. As stated previously, the tasks an international nurse will have to perform depend entirely upon their medical specialty. Some of the more general or everyday tasks that international travel nurses will perform include administering medication, wound care, and providing emergency medical services and care. Since there are often nursing shortages in many of the regions that international nurses travel to, another general role of these nurses is to educate family members and caretakers about the appropriate patient and medical care. In summary, international travel nurses:
As with any career, there are positive and negative aspects to working as a travel nurse. Nurses can suffer from stress as they may carry a heavy patient load and have many critical decisions to make. Additionally, travel nurses may suffer from feelings of isolation since they tend to relocate often. Having a strong sense of independence and a support system available, even remotely, can help.
Additionally, nurses may work in high-risk areas that may expose them to workplace violence, blood borne pathogens, and chemicals. Travel nurses must always familiarize themselves and adhere to safety standards set by the organization.
International travel nurses can face different challenges. Travel nurses must be familiar with the country's laws, geographic-specific diseases, and always keep their overall safety as a priority.
Despite these considerations, travel nursing can be immensely rewarding. Many organizations and staff nurses appreciate the help travel nurses offer. Travel nurses help relieve staff nurses from burnout, as can happen when working short-staffed.
International travel nurses are also highly appreciated. They provide medical care and assistance to many patients in remote settings who otherwise would have no access to healthcare. They help with relief efforts in war zones or after disaster events, which can be both rewarding and enriching.
According to the American Nurses Association, as of 2015 fourteen states had mandatory nurse-patient ratios . Nurses are pushing for federal legislation supporting safe staffing and because of this, and if more states pass safe-staffing laws, nurses will be in even more demand. Travel nurses will help mend the current and projected nursing shortage. The Bureau of Labor Statistics projects a 16% overall growth for nurses until 2024, which is a much faster-than-average growth for all occupations.
Travel nursing has many incentives for nurses regarding pay and benefits including:
According to Indeed, the average yearly salary for a travel nurse is $75,109. However, since pay is competitive in travel nursing, some companies are offering salaries of around $100,00 annually for domestic travel nurses.
International travel nurses tend to have lower salaries than domestic, except for assignments in some middle eastern countries. This is because, for the most part, nurses tend to make less outside of the U.S.
Salary is dependent on the agency, and nurses should research each company to find the right salary and benefits that best fit their needs.
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With everything going on right now, more and more nurses are considering going into travel nursing to help in the areas that need it most, like New York. Nurses can expect to see much higher than average pay packages right now. But, there are still a number of factors you need to consider when it comes to your salary. Here's what you need to know to navigate pay as a travel nurse. Or, if you're ready - you can get started now by visiting our trusted partner, travelnursing.org.
Travel nurses are registered nurses who work in short-term roles at hospitals, clinics, and other healthcare facilities around the world. Travel nurses help fill gaps in areas where there are nursing shortages.
They are employed by an independent nursing staffing agency instead of a single hospital. This means they can travel as far as a different country, or they can work at local hospitals that are in need of temporary nurses.
Many nurses opt to go into travel nursing for the many perks, like the chance to explore new places, experience diverse practice environments, and make new friends. Competitive pay, great benefits, and free housing are also major benefits of the job.
Travel nurse pay is typically not influenced by experience level or education. In fact, a traveling registered nurse with 2 years of experience has the potential to earn the same amount as a traveling registered nurse with 15 years of experience. Which makes it an EXCELLENT opportunity for newer nurses who want to make more money and help pay off some of the cost of their nursing education.
Travel nurses do need a few requirements before being considered, including being a registered nurse with a license in good standing, and typically 2 years of nursing experience. They don't need any additional certifications or credentials other than the ones they need for their specific specialty.
Requirements during the COVID pandemic
However, right now hospitals and healthcare staffing agencies are going to great lengths to make it as easy as possible to recruit nurses to in-need areas during COVID-19, including waiving state nurse licensure requirements in states that have declared a state of emergency, asking retired RNs to come back to work, and more .
If you meet those requirements, the first step is to get connected with a travel nurse recruiter.
Because travel nurses work in their primary specialty, duties will vary a great deal between specialties. General nurse responsibilities include:
Under normal circumstances, many travel nurses have the potential to earn over $3,000 per week. Travel nurses can bring in over $50 per hour, plus company-paid housing accommodations. Making it entirely possible for travel nurses to make well over $100K per year.
But right now with COVID-19, in-demand places like New York City are offering nurses major incentives to come help. There are pay packages of over $10,000 per week or $100,000 for a 13-week assignment. But, nurses need to be prepared to enter a war zone.
In this video, Nurse Alice interviews two travel nurses who have worked the lucrative COVID crisis contracts that are paying nurses over $10,000 per week. The nurses get to the knitting gritty about the logistics of the contract and more importantly - is it worth it? If you think it's worth it, you can get started now.
Zoom ahead to 23:58 for the segment on pandemic nursing.
Travel nurses receive both taxable hourly rates and non-taxed stipends. Non-taxed stipends are used for expenses such as housing, meals, and other incidentals. In addition to non-taxed stipends travel nurses also receive hourly pay.
In addition to crisis situations like we're facing right now, there are a number of other factors that can influence how much you can expect to make as a travel nurse. These include:
While the factors listed above do influence travel nurse pay, the following types of assignments almost always pay exceptionally well. Often times, these types of assignments are not influenced by location, specialty or shift.
Everything else aside, if you’re looking to make the most money as a travel nurse, seek out these specific assignments:
These assignments boast some of the highest rates in the travel nursing industry due to their urgent requirements. As the name suggests, these assignments require nurses to arrive at work fast -- usually within 2 weeks. Nurses working in these assignments may have limited options in terms of location. They are also typically shorter than the general 13-week assignment - if you're ready to go, you can get started right away in areas that need you the most.
Generally, the hospital is not experiencing a crisis situation such as a natural or man-made disaster. However, in some cases they are. For example, one agency was able to send nurses within 48 hours to provide support to hospitals treating patients in the aftermath of Hurricane Harvey.
More often, though, facilities in need of rapid response solutions include those managing unexpected census spikes, unit openings, emergency responses, EMR upgrades, and more. However, some facilities may leverage flexible-length assignment options to manage patient care during short-term staff shortages.
This type of assignment may be appealing to hospitals because they do not require the 13-week commitment that many other travel companies require. This means that agencies offering these types of assignments have the ability to offer travelers a larger selection of shorter and higher-paying assignments. A great option especially if you’re looking for a position to better fit your lifestyle.
So, what is the catch? As mentioned, rapid response assignments require a quick turn around. Therefore, it is absolutely crucial for nurses to have their paperwork in order if they want to reap the benefits of top pay. Credentials, tests, licenses, and other documents should be submitted to the agency as quickly as possible.
We reached out to travel nursing agencies for more information about their rapid-response assignments. They said that most agencies will occasionally help nurses acquire licenses and certifications, including paying for new state licenses for nurses who complete an assignment with the company there.
Agencies also offer the option to cover housing costs if the nurse stays in one of their preferred hotels. Alternatively, many travel nursing agencies provide a housing stipend calculated to cover the cost of a nurse acquiring his or her own housing during the assignment. Lastly, they also cover the travel costs nurses incur at the start and end of an assignment.
Assignments range from 36 to 48 hours per week but are certainly more lucrative for the nurse working 48, particularly given overtime pay rates.
You’ll likely run into assignments advertising “bonuses,” it’s important to know the difference between these bonuses so you can use them to your advantage.
How do you know the difference between hospital and agency bonuses? For starters, you can ask your recruiter where the bonus comes from -- hospital or agency?
Some agencies will pay nurses bonuses once they end up working with that agency for multiple assignments. This is commonly referred to as a retention bonus and each agency will have its own requirements. These bonuses usually range from $100-$2,000 , or more.
A referral bonus is a fee the agency pays to travel nurses who refer other nurses to
https://www.registerednursing.org/specialty/travel-nurse/
https://nurse.org/articles/how-to-make-the-most-money-as-a-travel-nurse/
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Travel Nurse
