Travel Nurse
Employee Handbook
August 2015
Travel Nurse Handbook
Table of Contents
Introduction.......................................................................................................................................2
Equal Opportunities Letters.........................................................................................................3
Business Hours and Contact Information...............................................................................5
Key Definitions..................................................................................................................................6
Employment Practices...................................................................................................................7
Benefits...............................................................................................................................................9
Conduct..............................................................................................................................................9
Drug & Alcohol Testing..............................................................................................................11
Wage Policies..................................................................................................................................12
Assignment Cancellation...........................................................................................................13
Travel and Housing.......................................................................................................................13
Rental Cars......................................................................................................................................14
Reimbursement Expenses.........................................................................................................15
Safety Practices and Procedures.............................................................................................15
Grievance Policy............................................................................................................................17
Sexual Harassment Policy..........................................................................................................17
Appendix One
National Patient Safety Guidelines..........................................19
Appendix Two
Patient’s Bill of Rights...................................................................20
Appendix Three
Cultural Diversity in Nursing Practice....................................21
Appendix Four
CDC Hand Hygiene Recommendations................................22
Appendix Five
Job Descriptions for General and Specialty RNs................25
Appendix Six
Signature Pages and Standards Forms
Table of Contents..........................................................................43
• Handbook Acknowledgement Form..................................................................44
• HIPAA Acknowledgement Form...........................................................................45
• Authority to Release Health Information Form...............................................46
• Physical Form...............................................................................................................47
• Flu Vaccination Declination....................................................................................48
• Written Disclosure Statement................................................................................49
• Applicant Background Information.....................................................................50
• Substance Abuse Testing Consent Form............................................................51
• Housing Agreement Acknowledgement...........................................................52
• Reference Release Form...........................................................................................53
• Incident Report...........................................................................................................54
• Grievance Report........................................................................................................55
• Grievance Response Report...................................................................................56
• Sexual Harassment Report......................................................................................57
• Weekly Timesheet........................................................................................................58
• Minimum Credential and Testing Requirements.............................................59
• Placement Standards................................................................................................62
1
INTRODUCTION
Welcome to the Advantage RN team! This Traveler Employee Handbook was designed to acquaint you
with Advantage RN and the policies and procedures unique to our company.
Who Is Advantage RN?
Advantage RN is a Joint Commission certified, specialty staffing company employing RNs and other
healthcare professionals for travel assignments at hospitals and other medical facilities across the country.
Managed by an industry-experienced, hands-on team of professionals, we are focused on delivering winwin solutions to the providers and medical facilities we serve. We are currently ranked as the 8th largest
travel nurse staffing company in the country.
“Being Excellent” is the cornerstone of our Mission and has been since our inception in 2003. The Mission
has resulted in a solid bottom line and trusting relationships with our clients and nurses. It has also
contributed to our repeated recognition as one of the fastest growing staffing companies in the industry
by Staffing Industry Analysts and multiple appearances on Inavero and CareerBuilders’ Best of Staffing
Client and Talent lists (2011, 2012, 2013, 2014, 2015) acknowledging exceptional service to our travelers and
the facilities we serve. Our objective to develop long-lasting partnerships with our nurses and client facilities means taking the
time to listen and understand your needs and delivering solutions to meet or exceed your expectations.
With more than three dozen caring recruiters and hospital contracts encompassing hundreds of topnotch facilities around the country, we are ideally positioned to deliver well-suited placement matches
to our travelers while guiding you each step of the way on your travel nursing experience. Learn more
about us at www.advantagern.com.
Advantage RN is an equal opportunity employer, and does not and will not discriminate
on the basis of race, color, sex, sexual orientation, marital status, age, physical or mental disability,
military status, genetic information, religion, ancestry or national origin.
Thank you for joining our team!
The Advantage RN Mission Statement:
Be Excellent to Each Other: Our Clients,
Our Communities, Our Employees, Our Families, Ourselves
2
Equal Employment Opportunity Policy, January, 2015
This is to reaffirm the policy of Advantage RN (ARN) to extend equal employment opportunity to all
employees and qualified applicants. Our policy is in accordance with applicable federal, state and local
government equal employment opportunity/affirmative action laws, directives and regulations. All
employees, including supervisors and managers across the organization, are expected to perform their
job responsibilities in a manner that supports these concepts.
Advantage RN does not discriminate against, or permit harassment of, any employee or applicant
because of their race, color, creed, religion, national origin, gender, gender identity, age, ancestry, generic
characteristics, sexual orientation, marital or domestic partnership, membership or activity in a local
human rights commission, status with regard to public assistance or any other area protected by law. It is our policy to take affirmative action to employ, advance in employment, and otherwise treat
protected veterans and individuals with disabilities without discrimination on the basis of their status,
including any physical or mental impairment.
Further, affirmative action will be taken to ensure all employment activities and practices are free from
any form of discrimination. Areas covered include, but are not necessarily limited to, the following:
recruitment, selection and placement; promotions, demotions, transfers, layoffs, disciplinary actions, and
terminations; benefits, rates of pay or other forms of compensation; performance evaluations and
selection for training. We provide reasonable accommodation, as appropriate, for applicants and
employees with known disabilities in an effort to enhance their ability to perform essential functions of
a position.
In order to accomplish these goals, I have appointed Marianne Heatherly, Sr. Vice President, and her staff,
to manage our equal employment opportunity and affirmative action efforts. Responsibilities include
monitoring all related activities, providing feedback regarding the overall effectiveness of our Plan efforts
and taking appropriate actions in event of any non-compliance.
Employees and applicants who file a complaint, assist in a compliance review, or otherwise
pursue their legal rights under the Plan are protected from any form of harassment, intimidation, threats, coercion
and/or discrimination. Any individual who believes he or she has been treated in a manner that violates
our EEO policy should immediately notify Marianne or any other representative of management. She can
be reached at 866-301-4045 ext. 145, or via email at marianne@advantagern.com. Upon notification,
responsible individuals will investigate allegations as promptly and confidentially as possible and take
any required corrective actions, as appropriate.
Matthew R. Price
President/CEO Advantage RN
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
3
January 1, 2015
To All Applicants and Employees:
Advantage RN is a Federal Government contractor subject to the rules and regulations in Section 503
of the Rehabilitation of Act of 1973, as amended, the Vietnam Era Veterans’ Readjustment Assistance
Act of 1974 (“VEVRAA”), as amended, and their implementing regulations. These Acts require Federal
Government contractors and subcontractors to take affirmative action to employ, and advance in
employment, protected veterans and individuals with disabilities who are qualified for respective
positions.
To this end, we have developed a written Affirmative Action Plan (“Plan”) for applicants and employees
who meet the definitions outlined in these regulations. If you believe you are a covered individual,
and would like to review the Plan, you may do so by contacting Marianne Heatherly, Sr. Vice President.
Marianne can be reached at (866) 301-4045, Ext. 145 or via e-mail at Marianne@advantagern.com. Upon
request, arrangements can be made for you to access the Plan.
Best regards,
Matthew R. Price
President/CEO Advantage RN
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
4
BUSINESS HOURS & CONTACT INFORMATION
Business Hours
Frequently-Requested
Department Email Addresses
Ohio Office (Cincinnati)*
M-F 8:30 a.m. - 5:30 p.m. EST
1-866-301-4045
1-513-603-3822
1-866-850-4048 (fax)
1-513-860-0763 (fax)
Recruiting Team
recruiters@advantagern.com
Human Resources
hr@advantagern.com
S. Florida Office (Delray Beach)
M-F 8:30 a.m. - 5:30 p.m. EST
1-866-301-4045
1-866-344-2932 (fax)
Quality Assurance
QA@advantagern.com
Payroll
payroll@advantagern.com
W. Florida Office (Clearwater)
M-F 8:30 a.m. – 5:30 p.m. EST
1-866-301-4045
1-866-374-7527 (fax)
Travel and Housing
travel@advantagern.com
Benefits
benefits@advantagern.com
North Carolina Office (Charlotte)
M-F 8:30 a.m. – 5:30 p.m. EST
1-866-301-4045
1-877-242-5707 (fax)
Workers Comp
injuryatwork@advantagern.com
San Diego Travel Nurse Office
M-F 8:30 a.m. – 5:30 p.m. PST
1-877-801-8988
1-866-498-0601 (fax)
*also Corporate Headquarters
Emergency Contact Information
Work-related Injury or Illness
In case of a work-related injury or illness, immediately call 866-301-4045 and notify your Recruiter as soon as
possible. (See page 15 for the web addresses/phone numbers to call if you are injured.)
After-Hours Travel Emergencies
If you have an after-hours emergency situation, contact 866-301-4045 and follow the prompts to be connected with
the appropriate after-hours personnel. A travel emergency is defined as a situation that needs to be handled prior
to your scheduled travel the next business day. All other situations should be handled with your Recruiter during
regular business hours.
5
KEY DEFINITIONS
Here are some terms that you may need to know when reviewing this manual and working at Advantage RN:
Company: Advantage RN
Nurse Confirmation: An Agreement outlining the details
of your assignment (start date, end date, pay rate, floating
requirements, housing requirements). Your Recruiter will
send you a Nurse Confirmation after you have agreed
to work an assignment. You will then read the details,
sign it, and send it back to your Recruiter within 24 hours
of your acceptance of the position. Travel or housing
arrangements can NOT be made on your behalf until we
have received your signed Nurse Confirmation.
Employee / Traveler: You, the healthcare professional
employed by Advantage RN.
Client: The hospital facility where you are working. Also,
Advantage RN’s customer.
Recruiter: Your main contact at Advantage RN. This
person works with other Advantage RN staff members to
locate compatible assignments for you.
Take Home Pay: The amount of money a Traveler brings
home each week. This amount is the after tax amount
and does not include any elected housing and/or health
insurance deductions.
Compliance Coordinator: Your Recruiter’s Quality
Assurance partner. This person helps you and your
Recruiter complete your file to meet TJC (The Joint
Commission) and Advantage RN standards.
Referrals: Names and contact information of other nurses
you provide to your Recruiter who you feel would work
well with Advantage RN. Referrals are rewarded with
bonuses of $500-$1000 after your referred Traveler has
completed a 13-week assignment with us.
Housing Coordinator: The Advantage RN employees
dedicated to accommodating the housing and
transportation requirements for your assignment.
Lock: When a traveler and hospital have agreed to work
together for a specified assignment.
Contracted Hours: The number of hours you are
scheduled to work each week. This number varies from
24 – 48+. Depending on the day of the week you start and
your Orientation schedule, your first week may not include
your contracted-hours total.
Start Date/End Date: The first (start) and last (end) dates
of the Traveler’s hospital assignment.
Consecutive Assignments: Continuous assignments, one
after another, without interruption.
First Day Report: A report that contains information
about the first day of your new assignment – directions to
the facility, parking information, what to wear, where to
meet, Orientation details, etc.
Per Diem Non Taxable Travel Reimbursement Benefit:
One of the pay options for the Advantage RN nurse who
owns or rents a home in one location while working and
paying rent in another city (normally 75+ miles away). Travelers need to qualify for this benefit which may result
in a higher weekly take home pay amount. Another pay
option is all-inclusive pay.
Sentinel Event: Any unanticipated event in a healthcare
setting resulting in death or serious physical or
psychological injury to a person, not related to the natural
course of the patient’s wellness. Sentinel events require a
written response/incident report per the facility’s policy.
Private Housing: Housing that the nurse does not share
with other nurses – such as apartments or extended stay
facilities -- is called private housing.
The Joint Commission: The national accreditation body
for evaluating quality standards within the healthcare
industry; also known as TJC.
Housing Deductions: The amount of money deducted
from your weekly pre-tax pay rate to pay for your travel
and housing expenses. A housing deduction will only be
made if you have elected to have Advantage RN make
your housing arrangements.
Nursetesting.com: A third party administrator of
competency testing for TJC, OSHA and competency
assessments.
6
ensure these documents are current and valid, and received
by our QA Department by the date noted on your Nurse
Confirmation. It is also your responsibility to maintain current
documents while you are actively working for Advantage RN.
Failure to do so may result in immediate termination from an
assignment, or may make you ineligible for future placement. Further, being non-compliant may interrupt the timing of your pay. EMPLOYMENT PRACTICES
Site Specific Details of Your Assignment
Before you actually start working, you will attend an
Orientation at the hospital where you are doing your
assignment. Each hospital has its own set of rules and
regulations and these will be clarified at Orientation. The
Orientation is also designed to help you feel comfortable
with your new work assignment as well, so we encourage
our Travelers to ask plenty of questions to be sure you are
comfortable with what is expected of you.
To assist you in keeping your professional documents current,
Advantage RN utilizes a Joint Commission-approved online third party resource called www.nursetesting.com for administering competency tests and Joint Commission and
OSHA assessments.
The following original documents should be kept with you at
all assignments for re-verification purposes:
• RN license valid for the state of your assignment
• Verification of TB test within the past 12 months, or more recent depending on client specifications
• Certifications: CPR, BLS, ACLS, PALS, NALS
• Physician Statement of Health within the past 12 months
• Immunization records
• Personal Health Information Release
If, for some reason, the assignment is not at all what you were
expecting based on your conversations with your Recruiter,
please call your Recruiter as soon as possible to discuss the
situation.
Site specific training should be provided at Orientation or as
soon as you start work. At a minimum, this needs to include
Emergency Procedures, Fire Prevention, and Injury and Illness
Prevention (in California only). It may include Bloodborne
Pathogen/TB Exposure if you are in direct proximity to patients,
or Hazard Communication if you are dispensing medication.
OSHA and other Joint Commission training, as discussed later
in this section, may also be provided at Orientation. If you
are not offered this training, discuss it with your supervisor. If
necessary, contact your Recruiter.
Please note that you must present a photo ID upon your
arrival to the hospital.
Advising Advantage RN of Changes
To help us keep your records up-to-date in our systems,
please inform Advantage RN immediately of any changes to
the following:
• Name
• Address
• Telephone Number and/or Email
• Job Status
• Beneficiary Designation
• Emergency Contacts
• Change in Licensure or Certification – receiving additional licenses or certifications may increase your eligibility for future assignments.
Ethical Standards
While you are on an assignment you are a professional
representative of Advantage RN. As such, Advantage RN
expects you to adhere to the moral and ethical standards
consistent with your occupation while you are employed. You
are expected to avoid situations or activities, on and off the
job, which might compromise the integrity or reputation of
Advantage RN and your profession.
Advantage RN is committed to treating all of our employees
with this same level of integrity and professionalism.
Electronic Signatures
Advantage RN requires its travelers to complete and
electronically submit employment applications and Nurse
Confirmations online. As explained in each document’s
affirmation statement, signing and submitting these
documents in this manner is legally equivalent to providing
a handwritten signature affirming the contents of the
document are true.
OSHA / Joint Commission Requirements
Ongoing OSHA /Joint Commission Training is required in
the subjects listed below. The material presented must meet
OSHA regulations and the standards set by Joint Commission
for Healthcare Staffing Agencies. Training must be completed
before you start your first assignment and periodically
afterward. In addition, you must receive training from the
client facility on topics such as those listed below before you
begin your assignment:
1. HIPAA Privacy Awareness
2. Infection Control
3. Bloodborne Pathogens
4. Environmental Safety
5. Hazardous Materials
MAINTAINING CURRENT CERTIFICATIONS
AND DOCUMENTS
Your Recruiter or Compliance Coordinator has discussed the
qualifications, competencies, licensure, and certifications
needed for your assignment. It is your responsibility to
7
The following information is provided in the Appendix of this
Handbook for your immediate review:
• National Patient Safety Guidelines
• Patient Bill of Rights
• Cultural Diversity in Nursing
• CDC Hand Hygiene Recommendations Advantage RN Placement Standards
in caring for the patient to whom the event occurred.
A sentinel event is an unexpected occurrence involving death
or serious physical or psychological injury, or the risk thereof.
Serious injury specifically includes loss of limb or function.
The phrase, “or the risk thereof” includes any process variation
for which a recurrence would carry a significant chance of a
serious adverse outcome.
• Such events are called “sentinel” because they signal the need for immediate investigation and response.
• Some events such as transfusion of improper blood products are automatically classed as sentinel
events because of the high potential for adverse effect even if no actual adverse effect occurs.
WORKERS COMPENSATION POLICY
Advantage RN complies with federal and state Workers
Compensation laws. You are entitled to file a Workers Compensation claim for any work-related injury or illness.
Your claim may be either accepted or denied by the
Company’s insurance carrier. If denied, there are various
appeals processes which vary from state-to- state. The
insurance adjuster assigned to your case will explain these
processes to you.
It is important that sentinel events and any quality of care
issues be reported to your Recruiter as soon as you become
aware of them. These situations may also be reported directly
to The Joint Commission (TJC). Information on this can be
found on their website, www.jointcommission.org.
WORKPLACE INCIDENTS
Neither Advantage RN nor the client organization will take
disciplinary or retaliatory action against any employee
reporting such events in this manner.
If you are involved in a workplace incident, please take the
following steps:
Medical Emergency
• Assess any injuries and get emergency medical assistance,
if required. All bloodborne pathogen exposures from an unknown source are considered to be an emergency. In case you have such an exposure, refer to the Post- Exposure Prophylaxis Procedures. Time is critical.
• Notify your supervisor and Recruiter.
• Notify the Workers Compensation Coordinator at 800-301-4045 or injuryatwork@advantagern.com to self-report. Please seek medical treatment at the local ER or Urgent Care as soon as necessary. Our WC coordinator will ensure your claim is properly filed and will be available
to assist you throughout the process and recovery. A drug screen may be required.
• Fill out an Incident Report (found in Appendix Six of this manual.)
See the section on Safety Practices & Procedures later in
this guide for more information.
AMERICANS WITH DISABILITIES ACT (ADA)
Advantage RN does not discriminate against any qualified
applicant because of a disability or perceived disability.
However, every employee must be able to perform the
essential functions of his/her assignment with reasonable
accommodations. All selection decisions including
employment, promotion, demotion, transfer, layoff and
termination are consistent with these ADA requirements.
Advantage RN will provide reasonable accommodations
to a qualified individual with a disability, as defined by the
ADA, who has made Advantage RN aware of the disability,
provided that such accommodation does not constitute an
undue hardship.
Failure to promptly report injuries could affect your eligibility
for certain benefits. All injuries must be reported within
24 hours, even if medical attention is not immediately
determined to be necessary.
Requesting Accommodations
We encourage individuals with disabilities to request
reasonable accommodations. Please contact your Advantage
RN Recruiter about your exact accommodation needs.
Prior to returning to work following an injury, you must
provide the Workers Compensation Coordinator with a
physician’s statement certifying your ability to return to work.
The physician’s statement must specify a return-to-work date
as well as any applicable restrictions.
Upon receipt of an accommodation request, your Recruiter
will discuss and identify your precise limitations and the
potential accommodation options that Advantage RN
and our Client facility might make to help overcome those
limitations. Factors considered in accommodating such a
request include, but are not limited to, the nature and cost of
the request, the availability of tax credits and deductions, any
outside funding, and the ability to find assignments within
the scope of the disability.
Sentinel Events and Quality of Care Issues
You must immediately notify your Recruiter of involvement in
any sentinel events. This includes events where you may not
be directly implicated in the event, but were directly involved
8
Referral Bonuses
Advantage RN provides our Travelers with monetary rewards
when you recruit other nurses to work for us. Earn $500 for
your first referral, $750 for your second referral and $1,000
for your third and subsequent referrals. You will recive your
Referral Bonus after your referred nurse has completed a
13-week assignment with us. Contact your Recruiter for
complete details.
Advantage RN will inform you of the decision on your
accommodation request. If the accommodation request
is denied, you will be advised of the right to appeal the
decision. This is accomplished by submitting a written
statement to the Human Resources Manager explaining the
reasons for the request. Should the request on appeal be
denied, that decision is final.
Travelers who have questions regarding this policy, or believe
they have been discriminated against based on a disability,
should notify their Advantage RN Recruiter, contact the
corporate Human Resource Department at 866-301-4045, or
refer to the Grievance Policy and procedures outlined in this
Handbook (Appendix 6). All such inquiries or complaints will
be treated as confidential to the extent permissible by law.
Loyalty Bonuses
As another way of saying thank you for working with us,
Advantage RN offers its Travelers a $500 Loyalty Bonus
for 13-week extensions; extensions less than 13 weeks
are prorated at $38/week. Ask your Recruiter for further
details.
License Reimbursements
If you are traveling out of state and need to apply for another
license, Advantage RN will pay the license fee for you. Once
you are accepted and confirmed at your new assignment
requiring the new license, simply send in an expense report
along with your receipt; at the end of your assignment you
will be reimbursed. (Visit www.advantagern.com/resources in
the Payroll-related section to download an expense report.)
BENEFITS
Weekly Pay
As a Traveler, you receive competitive wages and are paid
weekly by direct deposit. You’ll have access to your payroll
information 24/7 through ADP’s on-line payroll service.
Whenever possible, Advantage RN will be consistent with
the pay periods and polices of the facility where you are
placed (i.e., Sun-Sat; Mon-Sun, etc.). Paydays are on Friday,
assuming your timesheet is received no later than the prior
Sunday evening by midnight Eastern Standard Time. If your
timesheet is incomplete or not received, your paycheck may
be delayed until possibly the next pay period. (See our Wage
Policies section on page 12 for specifics on submitting your
weekly timesheets.) FREE CEU Hours
Advantage RN also offers FREE CEU hours for our Travelers, so
you can easily keep up with your continuing education hours.
Over 500 on-line classes are available in a variety of subject
areas. Ask your Recruiter for more information.
Continuing Insurance Benefits
For all Travelers participating in insurance programs, the
premium for the remainder of the month in which an
assignment terminates will be deducted from your final
paycheck. You will have the option to continue to purchase
benefits for 30 days following termination. If you do not have
another assignment after 30 days, COBRA benefits will be offered.
401(k) Retirement Plan
Advantage RN travelers are eligible to participate in our
generous 401(k) retirement plan. Eligibility begins after a
total of 26 weeks have been worked. This program includes
matching employer contributions of up to 4% (or up to $18k
if under 50 and $24k if over 50). You will be fully vested after
one year of service. To learn more about our 401(k) benefits,
please email benefits@advantagern.com.
CONDUCT
Health Insurance
The Advantage RN Benefits Package covers first day doctor,
specialist, emergency room, hospital, and urgent care visits
as well as prescription drug purchases. There’s also optional
insurance for dental and vision coverage. Enrollment in our
optional AFLAC insurance ensures coverage of accidents,
sickness, cancer and other conditions. Advantage RN makes
a monthly contribution toward your health insurance
premium.
Dependability
Your services and dependability are critically needed by our
client facilities. Travelers who are unreliable put additional
stress on the client and staff and can damage the relationship
Advantage RN has with its clients.
Advantage RN reserves the right to terminate any employee
on the grounds of unreliability, including no-call, no-show
when scheduled to work, unexcused absences, excessive
absences, excess requests for schedule changes, an
unprofessional attitude and/or similar activities that result in
substantiated complaints from our client facilities.
Life Insurance
While employed with Advantage RN, our healthcare
professionals are provided with $15,000 of Life Insurance
coverage at no cost. You must sign up to be eligible for this benefit.
Dependability is a top priority – being easily accessible to meet
the needs of our facilities is always expected from our Travelers.
9
Work Rules
Please arrive on time and complete all assigned work hours
within your contracted assignment. You are subject to the
direction and supervision of the Client facility and must abide
by the rules and regulations of the facility where you are
working (i.e., lengths of breaks and lunches, smoking, dress
code, personal phone calls, cell phones usage, etc.).
while registering patients.
• Remember to escort hearing-impaired patients to a private area prior to asking sensitive questions.
• Never use the speakerphone to listen to messages or to speak with colleagues about confidential information.
• Whenever you leave a computer terminal, make sure you have logged off or that it has a locked screen saver.
Floating
• Refrain from viewing data not pertaining to your patients.
Almost every client facility requires their Travelers to float,
• Do not leave confidential information on fax machines, where competent. Advantage RN expects every Traveler to
printers, copiers, or tables.
conform to the Client’s float policy.
• When printing confidential information on a shared printer, retrieve your documents as quickly as possible.
Dress Code
• Make sure sensitive patient information is properly
Dress codes will vary from facility to facility; Advantage RN
disposed of, such as shredded instead of thrown in the Travelers should always adhere to the dress code policies of
trash.
the client facility.
• Be careful when voicing comments or writing notes In addition, the following guidelines must be followed:
that may include patient identifiable information.
• Uniforms must be neat and clean.
• Never include sensitive patient information on voicemail or emails.
• Shoes must be clean and in good repair.
• Always keep your computer password confidential. • Simple rings, earrings, and neck chains are appropriate. You are responsible for everything done under your However, facial piercing, ornamental earrings, necklaces, and bracelets are generally not appropriate. Always keep computer login and password.
in mind that ornate or excessive jewelry can make • Make sure that you receive orientation on the facility’s infection control more difficult.
HIPAA program.
• Hair must be clean, neat, and in a professional style.
• Make sure you have enough information about the Client facility to know who is authorized to receive Protected • A nametag must be worn and visible at all times.
Health Information.
• Basic personal hygiene is expected. Perfume and cologne must be worn in moderation.
Use of Technology
• Artificial nails are forbidden.
While on assignment you will likely have access to the
• Licensed personnel should have their licenses and facility’s fax, email, computers, internet access, and telephone
certifications with them while on duty.
and voicemail systems which are all in place to assist you
in doing your job efficiently and productively. Always keep
Confidentiality
in mind that these systems are to be used exclusively for
Travelers must maintain patient confidentiality, including
work purposes and the facility retains the right to intercept,
confidentiality pursuant to the Health Insurance Portability
monitor, copy, review, and download any communications or
and Accountability Act of 1996 (HIPAA). Travelers must
files created or maintained by its Travelers while using such
also maintain confidentiality of Advantage RN and the
property.
Client’s proprietary business practices and information. Any
Advantage RN employee who violates this policy is subject to
All of the Traveler’s electronic communication will be held
disciplinary action – up to and including removal from the
to the same standard as all other business communication
assignment and termination of employment with Advantage RN. including compliance with anti-discrimination and sexual
harassment policies. Advantage RN and/or the facility
General Confidentiality Tips
management should be notified of any unsolicited and
The following tips are helpful reminders of the importance of offensive materials received by the Traveler through use of
maintaining confidentiality:
these technologies. Compliance with this policy is a condition
• When discussing patient information, make sure you are of employment. Please refer to the Harassment Policy for
additional information.
in a private place where others cannot overhear the conversation.
Falsification of Records
• Patient information must be discussed only with others Advantage RN is responsible for screening candidates and
who have a need or a right to know.
assigning qualified people to the facilities of its Clients. Maintaining
• Never discuss patient information in elevators, this trust and confidence requires a commitment to protect
hallways, cafeterias, restrooms, other public places, and verify the credentials and records of potential travelers.
near patient rooms, in exam rooms with open doors, or 10
Altering or falsifying any timekeeping record, intentionally
documenting another Traveler’s timecard, permitting
someone else to sign your timecard, removing any
timekeeping record from the designated area without proper
authorization or destroying such records will not be tolerated.
Additionally, falsifying or making a material omission on an
employment application or knowingly making erroneous
entries or material omissions on any Advantage RN or Client
facility record is forbidden.
• Bringing in or onto Client facility’s property dangerous or unauthorized materials, such as explosives, firearms or other similar items.
• Unsatisfactory job performance following reasonable efforts to train, evaluate and communicate areas of needed improvements.
Hospital Complaints
Hospital complaints about an Advantage RN Traveler will be
requested in writing. Our Clinical Educator and/or Human
Resources Department will research the complaint and
discuss it with all involved parties. Depending on the severity
of the incident, one of the following outcomes may occur:
• The Traveler will be terminated from Advantage RN, or
• The Traveler will be terminated from the Client facility, or
• Mediation between the Traveler and Client Hospital will occur to resolve the misunderstanding between the two parties.
Any individual who violates this policy will be subject
to disciplinary action, up to and including immediate
termination.
If you have knowledge that any misrepresentation,
falsification, or other irregularity has occurred, you are
required to report this violation immediately to your
Advantage RN Recruiter. Any person who retaliates, directly
or indirectly, against any Traveler who reports such a policy
violation will also be subject to disciplinary action, up to and
including immediate termination.
We value our reputation for holding a highly moral and
ethical standard toward our employees and our clients. We
ask that our employees avoid activities or situation that
would compromise the reputation each of us has worked
hard to achieve.
Other Standards of Conduct
Our goal is not to restrict your individual rights in any manner,
but to provide you with a safe, healthy, productive, and
secure work environment.
AUTHORIZED DRUG & ALCOHOL TESTING
Corrective or disciplinary action will be administered based
on the seriousness of the infraction, up to and including
immediate termination of employment. In addition to the
standards listed above, the following are other examples of
impermissible standards. Advantage RN reserves the right to
revise these standards, as necessary.
As a placement condition, some of our client facilities require
receipt of a negative drug result within 30 days of the start
of employment. All prospective travelers will be given notice
that a screening may be required when the details of an
assignment are discussed.
Reasonable Suspicion Testing
In addition to our clients’ request, we may also require
a Traveler to submit to a screening if Advantage RN has
reasonable suspicion that the employee:
• Is under the influence of alcohol or a controlled substance;
• Has violated our policy prohibiting the use, possession, sale or transfer of drugs or alcohol while working on assignment or on the premises of our client’s facility or operating a vehicle leased to Advantage RN;
• Has sustained a personal injury or caused another associate or client to sustain a personal injury; or
• Has caused a work-related accident or is operating machinery, equipment or vehicles involved in a work- related accident whether helping or solely operating said equipment.
Examples include:
• Insubordination, including improper conduct toward a supervisor or co-worker or refusal to perform any lawful and reasonable tasks assigned by a supervisor, or refusal to adhere to any policy listed elsewhere in this Handbook.
• Possession, distribution, sale, use, or being under the influence of alcoholic beverages or illegal drugs while on
the Client facility’s or Advantage RN property, while on duty, while operating your personal vehicle while on assignment or while operating a vehicle rented, leased or owned by Advantage RN.
• Theft or unauthorized removal of property belonging to the Client facility, co-workers, or anyone else related to work assignments.
• Acting in any manner that is discriminating, or which would constitute unlawful harassment.
• Misusing, destroying or damaging property of the Client facility, a co-worker, a patient, or a visitor.
• Fighting, using profane language, displaying abusive behavior, or provoking a fight at any time on the
Client facility’s property, including, but not limited to, intimidating, menacing and/or provoking another employee to respond or retaliate.
Notice of Results
Once the report has been received from the testing lab,
Advantage RN will inform the Traveler of the negative results
by telephone or, if necessary, instruct the Traveler that he/
she tested positive in a confirmatory test and inform him/
her of the right to request, at his/her own expense, a second
confirmatory retest of the original sample. If the retest does
11
not confirm the original result, no adverse personal action
may be taken against the Traveler based on the initial testing.
two consecutive 13- week assignments at that facility. Please
contact your Recruiter immediately when such an offer is made.
Withdrawal of Job Offer
When a potential Traveler has received a job offer that was
made contingent on the applicant passing drug and alcohol
testing, and the applicant has elected to pay for a secondary
confirmatory retest which results in the same positive result,
offers for placement will be withdrawn.
Confidentiality
The terms of your assignment through Advantage RN
are strictly confidential and just as important as patient
confidentiality and client business practices. At no time
during your assignment should you discuss your rate of pay,
bonuses, or any other form of compensation. Any employee
who violates this policy will be subject to disciplinary action,
including possible termination with Advantage RN.
Confidentiality of Results
All information acquired in the drug and alcohol testing
process constitute private and confidential information
that will not be disclosed to any third party individual, other
employer, government agency, or private organization
without the expressed written consent of the Traveler who
was tested.
Contracted Hours
In order to receive the contracted hours as described in your
Nurse Confirmation, you must arrive to
the assignment by Tuesday of the first week of the
assignment. Occasionally, the facility’s Orientation schedule
may prohibit you from receiving your contracted hours the
first week. During subsequent weeks, you will not receive
your contracted hours if you call in sick or leave early
voluntarily. If you are asked to leave early or your shift is
cancelled, please call your Recruiter as soon as possible.
WAGE POLICIES
Paydays and Direct Deposits
Employees are paid weekly via direct deposit into your
checking or savings account. The official pay date on your
paystub is always a Friday. Pay details can be viewed 24/7 via
the ADP website. Your Recruiter will provide details on how
to log on to ADP. To make a change to your Direct Deposit
designation, please use the form found at https://www.
advantagern.com/resources/ in the Payroll-related section. If you notice you are not on the schedule to receive your
contracted hours, it is your responsibility to talk to the
Nurse Manager and/or Scheduling Manager immediately
to let them know you are missing shift/s. A quick reminder
may be all it takes to get your contracted hours scheduled. If your contracted hours are not scheduled after your
conversation, notify your Recruiter immediately.
Timesheets
Travelers will be paid for the hours worked according to
the authorized weekly timesheet(s). Some facilities use an
automated timekeeping system; others do not. Regardless
of the timekeeping system used at the facility, all Travelers
must submit an Advantage RN timesheet to our Payroll
Department each week. The timesheet assists with hours
worked verification. An authorized manager must sign the
Advantage RN timesheet ONLY if there is NOT a timekeeping
system at your facility. You can download an Advantage RN
timesheet at www.advantagern.com/forms/timesheet and
email it to payroll@advantagern.com or fax it to 866-4009352 or 866-850-4048. You can also fill out and submit a
timesheet online through our website: www.advantagern.
com/ets.php. You’ll find a direct link at the bottom of the
Advantage RN website’s Home page or under the Resources
menu. Your recruiter will provide facility-specific timekeeping
instructions prior to the start of your assignment. We must
receive your timesheet no later than Sunday at midnight
following the end of the work week. If your timesheet is
incomplete, illegible, or late, your paycheck may be delayed
until the next pay period. Falsification of timesheets is
grounds for immediate dismissal and potential legal prosecution.
Assignment Extensions
We require immediate notification of assignment extensions
to ensure adequate time to arrange for housing, review
credential expirations, and other similar issues. Notify your
Advantage RN Recruiter as soon as the healthcare facility
communicates the intention of extending your assignment
and you intend to accept the extension. Your Advantage RN
Recruiter will then prepare, and forward for your signature, a
new Nurse Confirmation. Also notify your Recruiter if you are
offered an extension but intend to decline.
If any of your credentials are due to expire within the
extension period, notify your Recruiter and secure renewal
immediately. You must provide a copy of your updated
certification, credential or license prior to their expiration
date/s. Failure to do so may jeopardize your current
assignment and/or future assignments.
Time Off Notification
Any absence should be reported to the appropriate
supervisor at your assigned facility at least two
hours in advance of the absence. This should also be
recorded on your timecard. Should you need to take personal
time off without pay, (due to illness, etc.), please contact your
immediate Supervisor and your Advantage RN Recruiter as
soon as possible. Calling off for an illness or for other personal
reasons may result in your inability to be available for your
Temp-To-Hire
If you have received an offer of permanent employment from
an Advantage RN hospital and you wish to accept, there is
no fee to the client as long as you have completed at least
12
Performance Evaluations
Performance appraisals and evaluations will be completed
at the end of each assignment and will be retained in the
Traveler’s personnel file. A Reference form which can be used
to keep your references current can be found in Appendix
Six of this manual.
contracted hours. If this is the case, you will be paid only
for hours worked. If you plan to make up hours, it must be
within that pay period or at the end of your contract. This
ensures the client is not being overbilled for your time and
appropriate arrangements have been made with regard to
the cost of paying for the additional days spent in housing,
making travel and rental car changes, etc. Refer to the Travel
and Housing section of this manual for more details.
Problems While Working
If you have a problem while working on an Advantage RN
assignment, please discuss the situation with your Advantage
RN Recruiter. DO NOT WALK OFF THE ASSIGNMENT.
Advantage RN intends to address complaints in a fair and
responsive manner.
ASSIGNMENT CANCELLATION
Cancellation by Traveler
If you have accepted an assignment and do not complete the
assignment by your own choice, for any reason, you will be
responsible for all housing, ground and air travel expenses
from the date of such voluntary termination or dismissal.
As permissible by law, you may be paid for hours worked
and the outstanding expenses may be deducted from your
paycheck.
If you have a concern or a problem resulting from a
misunderstanding or complaint, we encourage you to
contact us and discuss the nature of the situation before
going to facility personnel. In the event an Advantage RN
representative cannot resolve the situation, contact our
Human Resources department or refer to the Grievance
Policy outlined in this Handbook.
Cancellation by Client - for Cause
If you are dismissed by the facility for cause, you will be
responsible for all housing, ground and air travel expenses
from the date of such voluntary termination or dismissal.
As permissible by law, you may be paid for hours worked
and the outstanding expenses may be deducted from your
paycheck. TRAVEL & HOUSING
Acceptance of travel and housing arrangements made by
Advantage RN constitutes acceptance of the terms of these
policies without exception. If you have any outstanding travel
and housing expenses or obligations owed to Advantage RN,
we may elect to refuse to assign you to another position until
these expenses are paid in full.
Cancellation by Client - Not for Cause
Assignments are temporary and can be cancelled or
terminated by the Client facility for any or no reason. Should
this occur, Advantage RN would make reasonable efforts
to secure alternative employment. Advantage RN has no
obligation to provide beyond hours worked as documented
on an authorized/approved Advantage RN timesheet or as
authorized through the client’s automated timekeeping
system.
Travel and Housing Request
Advantage RN strives to make cost-friendly travel
arrangements on your behalf. Requests to travel on a specific
schedule, a specific airline, or to stay at a specific hotel will
only be accommodated if it is the least expensive option
meeting the requirements of the assignment.
Air Travel
If your assignment includes air travel, Advantage RN will
search flight options on your behalf and you will incur any
and all air travel costs. Please talk with your Advantage RN
Housing Coordinator for more details.
You may be responsible for housing, ground and air travel
expenses from the date of such termination or dismissal
if you do not follow specific instructions provided by your
Recruiter immediately following the event.
Cancellation by Advantage RN - for Cause
Advantage RN may terminate your employment for cause
including, but not limited to, dependability, failure to comply
with Advantage RN or Client facility policies or unsatisfactory
performance. Advantage RN has no responsibility to pay
any further salary or expenses should the term of your
assignment be ended in this manner. We may choose to assign
you elsewhere; however, we have no obligation to do so.
When traveling, please be aware that due to enhanced
security screening, airlines request that you be at the airport
at least two hours prior to scheduled departure time. At
certain times -- such as during holiday travel periods -additional time may be needed.
Also be aware that you must carry a government- issued
photo ID with you when traveling by plane. This is usually
in the form of a valid driver’s license or passport. Your photo
identification and boarding pass details must match and will
be checked at the security checkpoint. Your identification
may also be checked at the ticket counter and when
boarding the plane.
You may be responsible for housing, ground and air travel
expenses from the date of such termination or dismissal. You
will be paid for hours worked, however, as permissible by law,
these expenses may be payroll deducted. Please refer to the
Travel and Housing section for more information.
13
Housing
There are standard types of accommodations that Advantage
RN provides its Travelers. Most Travelers will generally stay in
either extended stay accommodations or in an apartment if
their assignment is 13 weeks or longer. If the assignment is
13 weeks or shorter, our Travelers will most likely be housed
in an extended stay facility. All of Advantage RN’s housing is
private housing. Should you choose to travel with another
Advantage RN traveler, Advantage RN can accommodate
shared housing. Please inform your Recruiter or Housing
Coordinator if this is your preference.
RENTAL CARS
Pick-Up
If a rental car is set up for your assignment, upgrades are not
authorized and will not be paid by Advantage RN. It is your
responsibility to inspect the vehicle, note any damages, and
immediately advise the rental car agency of these damages
before driving the car out of the rental car lot. If damages
are noted when the vehicle is returned, you will be the
responsible party and charged for the repairs.
When you arrive at your housing location, be sure to inspect
it for any prior damages and immediately document this
information with the Housing department. If damages are
found after your departure, you will be responsible for the
cost to repair those damages. Additionally, if traveling with
pets, you will be responsible for any pet-related charges. Be
sure advise your Recruiter and Housing Coordinator if you are
bringing a pet with you to your assignment.
When you are provided a rental car you will need to provide
proof of insurance to Advantage RN, or you must purchase
coverage through the rental car agency at your own expense.
You will be responsible for the insurance deductible as well as
any incidentals such as lost keys or excessive wear while the
vehicle is in your possession.
Authorized Drivers
Only authorized personnel are permitted to operate
cars provided by Advantage RN while on an assignment. Allowing other persons to drive violates the rental car
agreement and makes the insurance coverage null and
void. Should this occur, the Traveler named on the rental
agreement is 100% responsible for any damage or loss to the
vehicle and any other subsequent charges or expenses.
When in an extended stay accommodation you will be
responsible for all costs incurred. You may need to provide
a means for paying for any incidentals (such as movies,
telephone charges, Internet charges, meals, etc.). You will
pay for these charges prior to your departure from the hotel.
If Advantage RN has to pay any of these charges, where
permissible by law, they will be deducted from your paycheck
or other legal proceedings may be initiated. If there are
any issues regarding your hotel room, please contact your
Housing Coordinator for resolution.
Motor vehicle records (MVRs) may be obtained and evaluated
before anyone is authorized to operate a company-supplied
vehicle.
When placed in a standard one-bedroom apartment,
Advantage RN will set up furniture, rent, and basic utilities on
your behalf. Items such as cable, Internet access, DVD players,
meals, parking charges, upgraded furniture packages/
additional furniture items, long distance phone charges, payper-view cable charges, dry cleaning, etc., are not included.
All incidental charges and monthly overages received on
your behalf will be deducted from your paycheck.
Accidents and Vehicle Damage
If an accident or damage occurs to a rental car while it is in
your possession, regardless of fault, it is your responsibility
to immediately obtain a police report, complete an accident
report with the rental car agency and notify your Recruiter
and Human Resources within 24 hours of the incident at
866-301-4045. You must also notify your Advantage RN Travel
Coordinator in a timely manner. If the rental car damage was
your fault, you will be responsible for all costs related to the repair.
To ensure a prompt reimbursement on any paid security
deposits, please be sure your room or apartment is cleaned
prior to your departure from the assignment. If you fail to do
so, you may be responsible for a cleaning charge. You will be
notified if this occurs.
Returning the Vehicle
It is your responsibility to return your rental car to the proper
rental location after the completion of your assignment. It is
also your responsibility to return the vehicle with a full tank
of gas; otherwise, the rental car company will charge you twice
the normal price for each gallon of gas required for a full tank.
Personal Belongings Insurance
As when you are at home, your personal belongings should
be covered under your own personal insurance-either
homeowners’ or renters’ when you are on a travel assignment.
This type of coverage generally encompasses your
belongings, regardless of where they are located. Advantage
RN is not responsible for loss, theft, damage or similar events
affecting your personal property. Any damages, missing
items, etc., to your personal belongings need to be processed
and resolved through your insurance company. It is advisable
to contact your insurance company before you travel to
ensure you have necessary coverage.
The typical car rental period is three months which helps
prevent the hassle of returning to the rental car company to
secure a new rental agreement. Occasionally, however, a
rental car company will request that their car be brought into
the rental company for routine maintenance.
14
• Any injury or illness suffered by our associates, even a slight one, must be reported to an Advantage RN representative.
In the case of work-related injuries or illness, immediately call
one of the numbers below:
REIMBURSEMENT EXPENSES
When you incur a previously approved, reimbursable
expense, you’ll need to complete an Advantage RN expense
report and forward the original report and original receipts to:
State of
Occurence
Advantage RN
Attn: YOUR RECRUITER
9021 Meridian Way
West Chester, OH 45069
Ohio
Carrier
Policy #
Contact Info.
State of OH 1412052 1-800-644-6292
www.ohiobwc.com
North Dakota www.workforcesafety.com
Examples of reimbursable expenses include out- of-pocket
charges paid on pre-approved housing expenses (i.e.,
deposits) and fees related to obtaining a nurse license in a
new state where you’ll be on assignment.
Washington www.inj.wa.gov
Wyoming wyomingworforce.com
All Other States The Hartford 33WBRS223 01 1-800-327-3636
332US22300
Expense Reports can be found on our website at www.
advantagern.com/resources/ in the payroll-related section.
Contacting your proper insurance carrier will initiate your
follow-up medical care and ensure your claim is properly
filed. Failure to promptly report injuries could affect your
eligibility for certain benefits. All injuries must be reported
within 24 hours even if medical attention is not immediately
determined to be necessary.
SAFETY PRACTICES & PROCEDURES
Advantage RN Travelers have a duty to:
• Know the Codes of Safe Practices for the general work area and for your job.
• Comply with working conditions, safe work practices and personal protective equipment requirements for your job.
• Report all unsafe conditions or observations of neglect and/or abuse to your supervisor immediately.
If injured on the job, you may be required to submit to a
drug and alcohol test. If you refuse to take the test, you will
automatically forfeit any Worker’s Compensation benefits
and may be released from employment.
All employees are also required to have their supervisors
complete and fax a First Report of Injury form (the one the
In addition, each employee needs to be aware and
facility uses) to your Advantage RN Recruiter as soon as
understand the following:
possible after the injury. Your Recruiter also needs to know
• When on assignment, comply with all safety policies and if you will be losing any work due to the injury. FAILURE
procedures for that client facility.
TO REPORT AN INJURY WITHIN 24 HOURS COULD
• Upon arrival at your assignment, ask for a safety guide JE0PARIDZE YOUR CLAIM.
for that facility, including safety equipment and evacuation procedures.
• No associate is to undertake a job that appears to be unsafe or, use chemicals without understanding their toxic properties.
• No associate is expected to undertake a job until they have received instructions explaining the requirements for that position.
• Associates are expected to report all unsafe conditions encountered during their work.
• Use gait belts appropriately for ambulation and transfers.
• When applicable, keep bed in lowest position and use side rails.
• Use proper body mechanics.
• Be sure that all medical equipment in use is in good working order.
• Lock wheels on hospital beds and wheelchairs prior to transfer.
• Always explain to the patient what it is you intend to do.
15
Official “Do Not Use” List
Do Not Use Potential Problem
U (unit) Mistaken for “0” (zero), the number “4” (four) or “cc”
Use Instead
Write “unit”
IU (International Unit)
Mistaken for IV (intravenous) or the
number 10 (ten)
Write “International Unit”
Q.D., QD, q.d. qd (daily)
Mistaken for each other Write “daily”
Q.O.D., QOD, q.o.d, qod (every other day)
Period after the Q mistaken for “I” and the “O” mistaken for “I”
Write “every other day” Trailing zero (X.0 mg)*
Decimal point is missed
Write X mg
Lack of leading zero (.X mg)
Write 0.X mg
MS
Can mean morphine sulfate or
Write “morphine sulfate” magnesium sulfateWrite “magnesium sulfate”
MSO4 and MgSO4
Confused for one another
1
Applies to all orders and all medication-related documentation that is handwritten (including free-text computer entry) or on pre-printed forms.
*Exception: A “trailing zero” may be used only where required to demonstrate the level of precision of the value being reported, such as for
laboratory results, imaging studies that report size of lesions, or catheter/tube sizes. It may not be used in medication orders or other
medication-related documentation.
Additional Abbreviations, Acronyms and Symbols that Should Not Be Used
Do Not Use Potential ProblemUse Instead
> (greater than) Misinterpreted as the number 7 Write “greater than”
< (less than)(seven) or the letter “L”Write “less than”
Confused for one another
Abbreviations for drug names
Misinterpreted due to similar
Write drug names in full
abbreviations for multiple drugs
Apothecary units
Unfamiliar to many practitioners Use metric units
Confused with metric units
@
Mistaken for the number 2 (two) Write “at”
cc
Mistaken for U (units) when poorly written Write “ml” or “millileters”
μg
Mistaken for mg (milligrams) resulting
Write “mcg” or “micrograms”
in one thousand-fold overdose
16
Our policy against harassment applies to all our employees –
both internal and our Travelers. The policy also applies when
our Travelers are on assignment. The policy applies whether
or not the person who is engaged in improper conduct is
one of our employees or not. If you are being subjected to
illegal harassment, we want to know about it so we can act
to investigate and address the situation.
GRIEVANCE POLICY
Advantage RN encourages and supports open
communication between staff and management.
Accordingly, the Company has established procedures by
which an employee can recommend changes or make
a complaint without fear of discipline or discrimination.
This policy is called our Grievance Policy. Whereas Clients
communicate their dissatisfaction through a Customer
Complaint, the internal method of communicating
dissatisfaction with issues the Traveler feels are unjustified or
unfair is accomplished by submitting a Grievance Report.
It is your responsibility, however, to report the problem to
us, and we encourage you to use the Sexual Harassment
Complaint Form found in Appendix Six of this Handbook
to do so.
Advantage RN is committed to providing a work
environment that is free of discrimination. In accordance
with state and federal law, harassment on the basis of sex,
race, color, national origin, ancestry, citizenship, religion,
age, physical or mental disability, medical condition, sexual
orientation, or marital status is unlawful. Advantage RN does
not tolerate harassment of employees in the workplace or in
a work related situation, and harassment is a violation of the
Company’s rules of conduct.
The following is the procedure that should be followed when
an employee would like to report a grievance:
The issue must first be communicated directly to your
Recruiter. You can do this verbally, or in writing, using the
Employee Grievance Report form found in Appendix Six of
this Nurse Handbook.
Unlawful harassment in employment may take many
different forms. Some examples are:
• Verbal conduct such as: epithets, derogatory comments, slurs, or unwanted comments and jokes;
• Visual conduct such as: derogatory posters, cartoons, drawings, or gestures;
• Physical conduct such as: blocking normal movement, restraining, touching or otherwise physically interfering with work of another individual;
• Threatening or demanding that an individual submit to certain conduct or to perform certain actions in order to keep or get a job, to avoid some other loss, or as a condition of job benefits, security, or promotion;
• Retaliation by any of the above means for having
reported harassment or discrimination, or having assisted another employee to report harassment or discrimination.
Your Recruiter will respond to the complaint within 72 hours
of receiving it. In most instances, the Recruiter will talk with
the Traveler personally in an attempt to resolve the issue.
The Recruiter is responsible for documenting the complaint
and summarizing any meeting about the issue using the
Standard Grievance Report form and submitting it to the
Human Resource Manager.
If, after following these procedures you feel the resolution is
not an acceptable one, then you may submit a formal written
grievance to Human Resources for review. The Employee
Grievance Response Form (found in Appendix Six) should
be used to communicate the situation with Advantage RN
management.
Your Recruiter and a member of Human Resources or senior
management will meet within seven days of receiving the
grievance to discuss the issue. You will receive written results
of that meeting within 48 hours of the meeting unless an
otherwise agreed- upon timeframe is acknowledged by you
and a member of management.
Sexual harassment includes, but is not limited to, making
unwelcome sexual advances, requests for sexual favors
and/or other verbal or physical conduct of a sexual nature
when submission to such conduct is made an explicit or
implicit term or conditions of individual’s employment. Such
conduct has the purpose or effect of substantially interfering
with an individual’s work performance or creating an
intimidating, hostile or offensive working environment.
When necessary, the President of the Company will make a
final decision after reviewing the details of the grievance and
proposed resolution.
Grievance involving sexual harassment issues are addressed
by the Company’s Sexual Harassment Policy.
Complaint Procedure for Sexual Harassment Claims
Employees who violate this policy will be subject to
discipline, up to and including termination. Further, if you
as an employee, are found guilty of sexual harassment, you
may be personally liable.
SEXUAL HARASSMENT POLICY
Sexual harassment or any other harassment based on a
protected characteristic (e.g. age, race, religion, sex, sexual
preference, etc.) is against the law and will not be tolerated at
Advantage RN.
Any employee who believes he or she has been unlawfully
harassed or who has observed harassment or discrimination
involving any other employee must notify his or her
17
Advantage RN Recruiter or the Company’s Human
Resource Department as soon as possible. Although
verbal complaints are accepted, we strongly encourage
the use of the form Complaint form found in Appendix
Six of this Handbook. The Company will investigate the
matter and take such action as is warranted under the
circumstances.
You have the right to complain without fear of retaliation.
Advantage RN and the law forbid retaliation against
any employee who complains about harassment to
Advantage RN, files a complaint, testifies, assists or
participates in an investigation, proceeding or hearing
conducted by Advantage RN, or any government agency.
Both the state and federal governments have agencies
charged with addressing unlawful discrimination in
the workplace For the Equal Employment Opportunity
agency in your state please consult your telephone
directory.
18
APPENDIX ONE
2015
Hospital
National Patient Safety Goals
The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems
in health care safety and how to solve them.
Identify patients correctly
NPSG.01.01.01
NPSG.01.03.01
Use at least two ways to identify patients. For example, use the patient’s name and date of
birth. This is done to make sure that each patient gets the correct medicine and treatment.
Make sure that the correct patient gets the correct blood when they get a blood
transfusion.
Improve staff communication
Get important test results to the right staff person on time.
NPSG.02.03.01
Use medicines safely
NPSG.03.04.01
Before a procedure, label medicines that are not labeled. For example, medicines in syringes,
cups and basins. Do this in the area where medicines and supplies are set up.
NPSG.03.05.01
Take extra care with patients who take medicines to thin their blood.
NPSG.03.06.01
Record and pass along correct information about a patient’s medicines. Find out what
medicines the patient is taking. Compare those medicines to new medicines given to the
patient. Make sure the patient knows which medicines to take when they are at home. Tell the
patient it is important to bring their up-to-date list of medicines every time they visit a doctor.
Use alarms safely
NPSG.06.01.01
Prevent infection
NPSG.07.01.01
Make improvements to ensure that alarms on medical equipment are heard and responded to
on time.
Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the
World Health Organization. Set goals for improving hand cleaning. Use the goals to improve
hand cleaning.
NPSG.07.03.01
Use proven guidelines to prevent infections that are difficult to treat.
NPSG.07.04.01
Use proven guidelines to prevent infection of the blood from central lines.
NPSG.07.05.01
Use proven guidelines to prevent infection after surgery.
NPSG.07.06.01
Use proven guidelines to prevent infections of the urinary tract that are caused by catheters.
Identify patient safety risks
NPSG.15.01.01
Find out which patients are most likely to try to commit suicide.
Prevent mistakes in surgery
UP.01.01.01
Make sure that the correct surgery is done on the correct patient and at the correct place
on the patient’s body.
UP.01.02.01
Mark the correct place on the patient’s body where the surgery is to be done.
UP.01.03.01
Pause before the surgery to make sure that a mistake is not being made.
This is an easy-to-read document. It has been created for the public. The exact language of the goals can
be found at www.jointcommission.org.
19
APPENDIX TWO
Patient’s Bill of Rights
As a healthcare provider, never lose track of the fact that every patient is an individual, with individual wants, needs and desires.
Information Disclosure
You have the right to receive accurate and easily understood information about your health plan, healthcare professionals, and health
care facilities. If you speak another language, have a physical or mental disability, or just don’t understand something, assistance will
be provided so you can make informed healthcare decisions.
Choice of Providers and Plans
You have the right to choose a healthcare provider that is sufficient to provide you with access to appropriate high quality healthcare.
Access to Emergency Services
If you have a severe pain, an injury, or sudden illness that convinces you that your health is in serious jeopardy, you have the right
to receive screening and stabilization emergency services whenever and wherever needed, without prior authorization or financial
penalty.
Participation in Treatment Decisions
You have the right to know all your treatment options and to participate in decisions about your care. Parents, guardians, family
members, or other individuals that you designate can represent you if you cannot make your own decisions.
Respect and Non-Discrimination
You have the right to considerate, respectful and non-discriminatory care from your doctors, health plan representatives, and other
healthcare providers.
Confidentiality of Health Information
You have the right to talk in confidence with healthcare providers and to have your healthcare information protected. You also have
the right to review and copy your own medical record and request that your physician amend your record if it is not accurate, relevant,
or complete.
Complaints and Appeals
You have the right to a fair, fast and objective review of any complaint you have against your health plan, doctors, hospital or other
healthcare personnel. This includes complaints about waiting times, operating times, the conduct of health personnel, and the
adequacy of healthcare facilities.
20
APPENDIX THREE
Cultural Diversity in Nursing Practice
Definitions
Cultural diversity refers to the differences between people based on shared ideas and values, customs, and meanings, as present in
their way of life.
Culture consists of patterns of behavior acquired and transmitted through human groups. The impact of cultural perceptions,
interpretations and behaviors of persons in specific cultural groups is important. Issues such as cultural differences in defining health
and in designing treatments are also important. As knowledge of specific cultures is gained, cross-cultural comparison can lead to
recognition of possible universal aspects as well.
Value(s) refer to the especially favorable way of regarding the ideas, behaviors, customs, and institutions of a group as desirable,
useful, estimable, important, or truthful.
Ethnocentrism is the belief that one’s own culture is superior to all others. This belief is common to all cultural groups. All groups
regard their own culture as not only the best but also the correct, moral and only way of life. This belief is instilled, often unconsciously
and is imposed on every aspect of day to day interaction and practices including health care. It is this attitude, which creates problems
between nurses and clients of diverse cultural groups.
Summary
This statement describes an overview of cultural diversity as it is described in nursing practice.
Knowledge of cultural diversity is vital at all levels of nursing practice. Ethnocentric approaches to nursing practice are ineffective in
meeting health and nursing needs of diverse cultural groups or Clients. Knowledge about cultures and their impact on interactions
with healthcare is essential for nurses, whether they are practicing in a clinical setting, education, research or administration. Cultural
diversity addresses racial and ethnic differences. The changing demographics and what has previously been called minority groups,
has shifted into the majority.
Knowledge and skills related to cultural diversity can strengthen and broaden healthcare delivery systems. Other cultures can provide
examples of a range of alternatives in services and delivery systems. Cultural groups often utilize traditional healthcare providers,
identified by and respected within the group. Concepts of illness, wellness, and treatment modes evolve from a cultural perspective
or worldview. Concepts of illness, health, and wellness are part of the total cultural belief system. Culture is one of the organizing
concepts upon which nursing is based and defined. Nurses need to understand:
• How cultural groups understand life processes;
• How cultural groups define health and illness;
• What cultural groups do to maintain wellness;
• What cultural groups believe to be the causes of illness;
• How healers cure and care for members of cultural groups; and
• How the cultural background of the nurse influences the way in which care is delivered.
It is important that the nurse consider specific cultural factors impacting an individual and recognizes that cultural variations mean
that each client must be assessed for individual cultural differences.
21
APPENDIX FOUR
Recommendations
1. Indications for hand washing and hand antisepsis
A. When hands are visibly dirty or contaminated with
proteinaceous material or are visibly soiled with blood
or other body fluids, wash hands with either a nonantimicrobial soap and water or an antimicrobial soap
and water (IA) (66).
CDC Hand Hygiene Recommendations
These recommendations are reprinted from the
Centers for Disease Control and Prevention’s MMWR
Recommendations & Reports, published October 25,
2002. The full report is available at
http:///www.cdc. gov/mmwr/PDF/rr/rr5116.pdf.
B. If hands are not visibly soiled, use an alcohol-based
hand rub for routinely decontaminating hands in all
other clinical situations described in items 1 C-J (IA) (74
,93,166,169,283,294,312,398). Alternatively, wash hands
with an antimicrobial soap and water in all clinical
situations described in items 1C-J (IB) (69-71,74).
Categories
These recommendations are designed to improve handhygiene practices of HCWs and to reduce transmission
of pathogenic microorganisms to patients and
personnel in healthcare settings.
This guideline and its recommendations are not
intended for use in food processing or food-service
establishments, and are not meant to replace guidance
provided by FDA’s Model Food Code.
C. Decontaminate hands before having direct contact
with patients (IB) (68,400).
D. Decontaminate hands before donning sterile gloves
when inserting a central intra-vascular catheter (IB)
(401,402).
As in previous CDC/HICPAC guidelines, each
recommendation is categorized on the basis of existing
scientific data, theoretical rationale, applicability, and
economic impact.
E. Decontaminate hands before inserting in dwelling
urinary catheters, peripheral vascular catheters,
or other invasive devices that do not require a surgical
procedure (IB) (25,403).
The CDC/HICPAC system for categorizing
recommendations is as follows:
F. Decontaminate hands after contact with a patient’s
intact skin (e.g., when taking a pulse or blood pressure,
and lifting patient) (IB) (25,45,48,68).
Category IA. Strongly recommended for
implementation and strongly supported by welldesigned experimental, clinical, or epidemiologic
studies.
G. Decontaminate hands after contact with body fluids
or excretions, mucous membranes, non- intact skin, and
Category IB. Strongly recommended for
implementation and supported by certain experimental, wound dressings if hands are not visibly soiled (IA) (400).
clinical, or epidemiologic studies and a strong
H. Decontaminate hands if moving from a
theoretical rationale.
contaminated-body site to a clean body site during
patient care (II) (25,53).
Category IC. Required for implementation, as
mandated by federal or state regulation or standard.
I. Decontaminate hands after contact with inanimate
objects (including medical equipment) in the immediate
vicinity of the patient (II) (46,53,54).
Category II. Suggested for implementation and
supported by suggestive clinical or epidemiologic
studies or a theoretical rationale.
J. Decontaminate hands after removing gloves (IB)
(50,58,321).
No recommendation. Unresolved issue. Practices for
which insufficient evidence or no consensus regarding
efficacy exist.
K. Before eating and after using a restroom, wash hands
with a non-antimicrobial soap and water or with an
22
antimicrobial soap and water (18) (404- 409).
D. Multiple use cloth towels of the hanging or roll type
are not recommended for use in healthcare settings (II)
(137,3).
L. Antimicrobial impregnated wipes (i.e., towelettes)
may be considered as an alternative to washing hands
with non-antimicrobial soap and water. Because they
are not as effective as alcohol-based hand rubs or
washing hands with an anti-microbial soap and water
for reducing bacterial counts on the hands of HCWs,
they are not a substitute for using alcohol-based hand
rub or anti-microbial soap (IB) (160,161).
3. Surgical hand antisepsis
A. Remove rings, watches, and bracelets before
beginning the surgical hand scrub (II) (375,378,416).
B. Remove debris from underneath fingernails using a
nail cleaner under running water (II) (14,417).
M. Wash hands with non-antimicrobial soap and water
or with antimicrobial soap and water if exposure
to Bacillus anthracis is suspected or proven. The
physical action of washing and rinsing hands under
such circumstances is rec mended because alcohols,
chlorhexidine, iodophors, and
other antiseptic agents have poor activity against spores
(II) (120,172, 224,225).
C. Surgical hand antisepsis using either an antimicrobial
soap or an alcohol-based hand rub with persistent
activity is recommended before donning sterile
gloves when performing surgical procedures (IB)
(115,159,232,234,237,418).
D. When performing surgical hand antisepsis using an
antimicrobial soap, scrub hands and forearms for the
length of time recommended by the manufacturer,
usually 2-6 minutes. Long scrub times (e.g., 10 minutes)
are not necessary (IB) (117,156,205, 207,238-241).
N. No recommendation can be made regarding the
routine use of non alcohol based hand rubs hand
hygiene in healthcare settings. Unresolved issue.
2. Hand-hygiene technique
A. When decontaminating hands with an alcohol based
hand rub, apply product to palm of one hand and rub
hands together, covering all surfaces of hands and
fingers, until hands are dry (18) (288,410). Follow the
manufacturer’s recommendations regarding the volume
of product to use.
E. When using an alcohol based surgical handscrub product with persistent activity, follow the
manufacturer’s instructions. Before applying the
alcohol solution, pre-wash hands and forearms with a
non-antimicrobial soap and dry hands and forearms
completely. After application of the alcohol-based
product as recommended, allow hands and forearms
to dry thoroughly before donning sterile gloves (IB)
(159,237).
B. When washing hands with soap and water, wet
hands first with water, apply an amount of product
recommended by manufacturer to hands, and rub
hands together vigorously for at least 15 seconds,
covering all surfaces of the hands and fingers. Rinse
hands with water and dry thoroughly with a disposable
towel. Use towel to turn off the faucet (IB) (90-92,94,411).
Avoid using hot water, because repeated exposure
to hot water may increase the risk of dermatitis (I )
(254,255).
4. Selection of hand hygiene agents
A. Provide personnel with efficacious hand hygiene
products that have low irritancy potential, particularly
when these products are used multiple times per shift
(IB) (90,92,98,166,249). This recommendation applies
to products used for hand antisepsis before and after
patient care in clinical areas and to products used for
surgical hand antisepsis by surgical personnel.
C. Liquid, bar, leaflet or powdered forms of plain
soap are acceptable when washing hands with a non
antimicrobial soap and water. When bar soap is used,
soap racks that facilitate drainage and small bars of soap
should be used (ll) (412-41).
B. To maximize acceptance of hand hygiene products
by HCWs, solicit input from these employees regarding
the feel, fragrance, and skin tolerance of any products
under consideration. The cost of hand hygiene products
should not be the primary factor influencing product
selection (IB) (92,93,166,274,276-278).
23
C. When selecting non-antimicrobial soaps,
antimicrobial soaps, or alcohol based hand rubs, solicit
information from manufacturers regarding any known
interactions between products used to clean hands,
skin care products, and the types of gloves used in the
institution (II) (174,372).
F. No recommendation can be made regarding wearing
rings in healthcare settings. Unresolved issue.
7. Healthcare worker educational and motivational
programs
A. As part of an overall program to improve hand
hygiene practices of HCWs, educate personnel
regarding the types of patient-care activities that can
result in hand contamination and the advantages and
disadvantages of various methods used to clean their
hands (II) (74,292,295,299).
D. Before making purchasing decisions, evaluate the
dispenser systems of various product manufacturers
or distributors to ensure that dispensers function
adequately and deliver an appropriate volume of
product (II) (286).
B. Monitor HCWs’ adherence with recommended
hand hygiene practices and provide personnel
with information regarding their performance (IA)
(74,276,292,295,299,306,310).
E. Do not add soap to a partially empty soap dispenser.
This practice of “topping off” dispensers can lead to
bacterial contamination of soap (IA) (187,419).
5. Skin care
A. Provide HCWs with hand lotions or creams to
minimize the occurrence of irritant contact dermatitis
associated with hand antisepsis or hand washing (IA)
(272,273).
C. Encourage patients and their families to remind HCWs
to decontaminate their hands (II) (394,422).
8. Administrative measures
A. Make improved hand hygiene adherence an
institutional priority and provide appropriate
administrative support and financial resources (IB)
(74,75).
B. Solicit information from manufacturers regarding
any effects that hand lotions, creams, or alcohol- based
hand antiseptics may have on the persistent effects of
antimicrobial soaps being used in the institution (IB)
(174,420,421).
B. Implement a multidisciplinary program designed
to improve adherence of health personnel to
recommended hand hygiene practices (IB) (74,75).
6. Other Aspects of Hand Hygiene
A. Do not wear artificial fingernails or extenders when
having direct contact with patients at high risk (e.g.,
those in intensive care units or operating rooms) (IA)
(350-353).
B. Keep natural nail tips less than 1/4-inch long (II) (350).
C. As part of a multidisciplinary program to improve
hand hygiene adherence, provide HCWs with a readily
accessible alcohol-based hand rub product (IA)
(74,166,283,294,312).
D. To improve hand hygiene adherence
among personnel who work in areas in which high
workloads and high intensity of patient care are
anticipated, make an alcohol based hand rub available
at the entrance to the patient’s room or at the bedside,
in other convenient locations, and in individual pocket
sized containers to be carried by HCWs (IA) (11,74,166,
283,284,312,318,423).
C. Wear gloves when in contact with blood or other
potentially infectious materials, mucous
membranes, and non-intact could occur (IC) (356).
D. Remove gloves after caring for a patient. Do not wear
the same pair of gloves for the care of more than one
patient, and do not wash gloves between uses with
different patients (IB) (50,58,321,373).
E. Store supplies of alcohol based hand rubs in cabinets
or areas approved for flammable materials (IC).
E. Change gloves during patient care if moving from
a contaminated body site to a clean body site (II)
(50,51,58).
24
APPENDIX FIVE
Registered Nurse Job Descriptions
Page #s
General RN Essential Duties and Responsibilities..................................................................................................................26
Specialty Descriptions
• Critical Care...............................................................................................................................................................................27
• Dialysis/Hemodialysis..........................................................................................................................................................28
• Emergency Room..................................................................................................................................................................29
• Labor & Delivery......................................................................................................................................................................30
• Medical/Surgical.....................................................................................................................................................................31
• Mother/Baby-Post Partum.................................................................................................................................................32
• NICU..............................................................................................................................................................................................33
• Oncology....................................................................................................................................................................................34
• Operating Room.....................................................................................................................................................................35
• PACU.............................................................................................................................................................................................36
• Pediatrics....................................................................................................................................................................................37
• Psych............................................................................................................................................................................................38
• Telemetry...................................................................................................................................................................................39
Other Medical Staff Essential Duties and Responsibilities
• LPN................................................................................................................................................................................................40
• Respiratory Therapist............................................................................................................................................................41
• Surgical Technician................................................................................................................................................................42
25
Registered Nurse Job Description
Name:
Date: Summary
The Registered Nurse provides general nursing care to patients in hospital or similar healthcare facility by performing the following
duties, in compliance with Advantage RN and hospital standards of maintaining confidentiality, integrity, quality care and
professionalism.
Essential Duties and Responsibilities
1. Explains procedures and treatments to patient to gain cooperation, understanding, and alleviate apprehension.
2. Administers prescribed medications and treatments in accordance with approved nursing techniques.
3. Prepares equipment and aids physician during treatment and examination of patient.
4. Maintains awareness of comfort and safety needs of patient.
5. Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient’s condition and reaction to drugs, treatments, and significant incidents.
6. Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal, assess condition of patient and
responds appropriately.
7. Makes beds, bathes and feeds patients.
8. Responds to life saving situations based upon nursing standards, policies, procedures and protocol.
9. Documents nursing history and physical assessment for assigned patients.
10. Initiates a patient education plan according to the individualized needs of the patient, as prescribed by physician and/or hospital policy including patient and family instruction.
11. Completes required hospital orientation at assigned hospital.
12. Floats among various clinical services (where qualified and competent).
13. Participates in department or unit quality improvement activities.
14. Performs duties under the direct clinical supervision of the assigned client.
15. Safeguards confidentiality of patients and client.
16. Follows hospital safety rules and procedures while Advantage RN.
17. Reports unsafe work conditions to the attention of your immediate supervisor.
18. Follows facility’s Exposure Control Plan based on OSHA’s Bloodborne pathogen Standard and CDC guidelines for healthcare
personnel (Standard Precautions means treating blood, all body fluids, excretions and secretions, plus non-intact skin and mucous
membranes as though infected with bloodborne or other pathogens. Standard Precautions incorporates features of both Universal
Precautions and Body Substance Isolation practices to protect you against the risk of bloodborne pathogens as well as pathogens
from moist body substances. Remember that all body fluids pose a potential risk of infection.).
19. Uses PPE where appropriate.
20. Follows Advantage RN Workplace Accident/Incident Protocol as outlined in Safety Manual.
Education and Experience
• 1 year recent hospital experience
• Current BLS certification
• Graduation from an accredited school of nursing
• 2 references current within the last year
Essential Requirements and Responsibilities
1. One year general experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS
4. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D.,
if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of the acute and chronically ill patients.
6. Knowledge of hemodynamics
7. Basic IV
8. Phlebotomy skills
9. Identifying and managing life sustaining physiologic functions in unstable patients
Signature:
Date: 26
Registered Nurse Job Description
Critical Care ICU/MICU/SICU/CVICU/CCU
Name:
Date: Essential duties and responsibilities include:
1. One year critcal care experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS, ACLS
4. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of the acute and chronically ill patients.
6. Knowledge of hemodynamics
7. Basic IV and central line skills
8. Phlebotomy skills
9. Identifying and managing life sustaining physiologic functions in unstable patients
10. Basic understanding of cardiac monitoring equipment
11. Able to care for patient on IV drips
12. Care of cardiac cath patient (diagnostic and interventional)
13. Care of post acute MI
14. Care of general acute and sub-acute patients
15. Other duties, as assigned
Signature:
Date: 27
Registered Nurse Job Description
Dialysis/Hemodialysis
Name:
Date: Essential duties and responsibilities include:
1. One year general recent psychiatric experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS
4. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
5. Critical thinking to intervene with urgent/emergent care.
6. Set up/initiate dialysis
7. Assess patient and equipment during dialysis
8. Knowledge of hemodynamics
9. Basic IV and central line skills
10 .Phlebotomy skills
11. Identifying and managing life-sustaining physiologic functions in unstable patients
12. Other duties, as assigned
Signature:
Date: 28
Registered Nurse Job Description
Emergency Room
Name:
Date: Essential duties and responsibilities include:
1. One year Emergency Room experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS, ACLS
4. TNCC certification (preferred, but not required)
5. PALS certification (preferred, but not required)
6. Advanced cardiac monitoring
7. Care of emergent and non-emergent patients
8. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
9. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of the acute and chronically ill patients
10. Knowledge of hemodynamics
11. Basic IV and central line skills
12. Phlebotomy skills
13. Identifying and managing life-sustaining physiologic functions in unstable patients
14. Other duties, as assigned
Signature:
Date: 29
Registered Nurse Job Description
Labor & Delivery
Name:
Date: Essential duties and responsibilities include:
1. One year general Labor and Delivery experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BCLS, NRP certification
4. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care
6. Knowledge of hemodynamics
7. Basic IV and central line skills
8. Phlebotomy skills
9. Basic understanding of fetal monitoring equipment and tracings
10. Able to care for patients on necessary obstetric pharmaceuticals
11. Able to circulate as qualified and per assignment requirements
12. Able to identify and manage life-sustaining physiologic functions in unstable patients
14. Other duties, as assigned
Signature:
Date: 30
Registered Nurse Job Description
Medical/Surgical
Name:
Date: Essential duties and responsibilities include:
1. One year general Medical/Surgical experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BCLS
4. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of the acute and chronically ill patients
6. Knowledge of hemodynamics
7. Basic IV and central line skills
8. Phlebotomy skills
9. Able to identify and manage life-sustaining physiologic functions in unstable patients
10. Care of the medical/surgical patient, to include orthopedic and neuro skills
11. Other duties, as assigned
Signature:
Date: 31
Registered Nurse Job Description
Mother/Baby-Post Partum
Name:
Date: Essential duties and responsibilities include:
1. One year general Mother/Baby experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS and NRP certification
4. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of the acute and chronically ill patients
6. Knowledge of hemodynamics
7. Knowledge of care for an at risk newborn or mother ante and post partum
8. Basic IV and central line skills
9. Phlebotomy skills
10. Able to identify and manage life-sustaining physiologic functions in unstable patients
11. Other duties, as assigned
Signature:
Date: 32
Registered Nurse Job Description
Neonatal Intensive Care Unit
Name:
Date: Essential duties and responsibilities include:
1. One year Neonatal ICU experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BCLS, NRP certification
4. Newborn head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care of the newborn.
6. Knowledge of hemodynamics
7. Basic IV and central line skills for the newborn
8. Phlebotomy skills for the newborn
9. Basic understanding of cardiac and respiratory monitoring equipment
10. Able to identify and manage life-sustaining physiologic functions in unstable newborns
11. Other duties, as assigned
Signature:
Date: 33
Registered Nurse Job Description
Oncology
Name:
Date: Essential duties and responsibilities include:
1. One year general oncology experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS
4. Knowledge and skill of caring for the terminally ill patient
5. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if
warranted
6. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of acute and chronically ill patients
7. Knowledge of hemodynamics
8. Basic IV and central line skills
9. Phlebotomy skills
10. The ability to identify and manage life-sustaining physiologic functions in unstable patients
11. The ability to care for medical/surgical patient, to include orthopedic and neuro skills
12. Knowledge and care of patients undergoing chemotherapy and/or radiation therapy
13. Other duties, as assigned
Signature:
Date: 34
Registered Nurse Job Description
Operating Room
Name:
Date: Essential duties and responsibilities include:
1. One year general OR experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BCLS
4. Ability to take call
5. Able to circulate as qualified and per job assignment requirements
6. Able to work in and maintain sterile environment
7. Able to care for acute and chronically ill patients
8. Knowledge of surgical procedures and appropriate consent forms
9. Basic lV and central line skills
10. Basic understanding of pre-op preps
11. Ability to function in team setting
12. Care of patients of all ages, including adult and pediatric, if applicable
13. Other duties, as assigned
Signature:
Date: 35
Registered Nurse Job Description
Post Anesthesia Care Unit
Name:
Date: Essential duties and responsibilities include:
1. One year general PACU experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BCLS, ACLS
4. Ability to take call
5. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
6. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of the acute and chronically ill patients
7. Knowledge of hemodynamics
8. Basic IV and central line skills
9. Basic understanding of cardiac and respiratory monitoring equipment
10. The ability to identify and manage life-sustaining physiologic functions in unstable patients
11. The ability to care for medical/surgical patient, to include orthopedic and neuro skills
12. Other duties, as assigned
Signature:
Date: 36
Registered Nurse Job Description
Pediatrics
Name:
Date: Essential duties and responsibilities include:
1. One year general Pediatric experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS, PAL preferred, but not required
4. Pediatric head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge
Nurse, M.D., if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care of pediatric patients
6. Knowledge of hemodynamics
7. Basic IV and central line skills
8. Phlebotomy skills
9. The ability to identify and manage life-sustaining physiologic functions in unstable patients
10. Experience in respiratory skills
11. Other duties, as assigned
Signature:
Date: 37
Registered Nurse Job Description
Psych – Peds, Adolescent and Adult
Name:
Date: Essential duties and responsibilities include:
1. One year general recent psychiatric experience in a hospital setting
2. Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS
4. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of acute and chronically ill psych patients as well as pediatric, adolescent and geriatric population as related to psychiatric disorders
6. Knowledge of basic medical emergency situations and procedures for care
7. The ability to identify and manage life-sustaining physiologic and psychiatric functions in unstable patients
8. Knowledge of psych emergencies and procedures for managing care
9. Knowledge of group/behavior mod and other interventions for assisting patients. Working with other staff toward the best
outcome for all patients
10. Knowledge and care of patients with eating disorders
11. Knowledge of behavioristic charting-treatment/goal oriented
12. Knowledge of multi-disciplinary staffing and treatment team
13. Knowledge of therapeutic communication skills
14. Knowledge and management of drug/ETOH detox and symptoms
15. Knowledge and participation in psych emergency response team including rapid tranquilization
16. Knowledge and application of restraints, including 4-point, wrist and posey net full body
17. Knowledge and management of seclusion procedures
18. Knowledge and care of manic depressive, hallucination-delusions, suicidal, organic and seizure disorders
19. Other duties, as assigned
Signature:
Date: 38
Registered Nurse Job Description
Telemetry
Step Down/PCU/IMC
Name:
Date: Essential duties and responsibilities include:
1. One year general Telemetry experience in a hospital setting
2.Current RN License (in good standing, without disciplinary investigation or actions)
3. Current BLS/BCLS, ACLS
4. Head-to-toe assessments - knowledge of normal vs. abnormal findings and reporting of abnormal findings to Charge Nurse, M.D., if warranted
5. Critical thinking to intervene with appropriate intervention for urgent/emergent care. Care of the acute and chronically ill patients.
6. Basic understanding of cardiac monitoring equipment
7. The ability to care for patients on IV drips
8. The ability to identify and manage life-sustaining physiologic functions in unstable patients
9. Care of post cardiac cath patient (diagnostic and interventional)
10. Care of post acute MI patient
11. Care of general medical/surgical patient
12. Knowledge of hemodynamics
13. Basic IV and central line skills
14. Phlebotomy skills
15. Other duties, as assigned
Signature:
Date: 39
Licensed Practical Nurse (LPN) Traveler Job Description
Definition
A Licensed Practical Nurse Traveler is a highly competent, valuable member of the professional health care team, who through
clinical experience and education, performs with a high level of sophistication. The Licensed Practical Nurse Traveler functions
independently of supervision in making observation and nursing judgments by use of the therapy process.
Qualifications
1. Current license to practice as Licensed Practical Nurse in the state of placement.
2. Graduate of a Nursing Degree from an accredited college or be a graduate of an approved Licensed Practical Nursing Program.
3. Has at least one (1) year of professional clinical practice as Licensed Practical Nurses on the floor in the United States.
Functions
1. Provides physical care and carries out therapeutic and medical regimens.
2. Accepts doctor’s orders for residents and notifies administrative supervisor of any significant change in resident’s condition
3. Obtains patient histories and medical information.
4. Assists with medical and minor surgical procedures.
5. Assesses, reports, and records vital signs and measurements. Collects specimens.
6. Observes patients for physical or emotional changes. Reports observations.
7. Prepares examining rooms. Selects, sets up and maintains medical supplies and equipment.
8. Maintains a comfortable, orderly, safe and clean environment for patients.
9. Responds to medical emergencies.
10. Records patient information.
11. Prepares patients for continuing care after treatment. May instruct other LPNs. May serve as a source of information on nursing matters pertaining to section.
12. Schedules and coordinates patient and test appointments.
13. May administer medications under direction and authority of professional medical staff person.
14. Performs additional functions incidental to nursing activities.
15. Observes and records signs and symptoms of changes in resident’s condition or behavior; inspects rooms
16. Assists with general health care of residents
Physical Demands & Work Conditions
• Work is on medium physical demand; walking and standing most of the time on duty
• Frequent lifting of patients
• Frequent reaching, bending, handling and fingering of instruments and caring for patient’s needs
• Hearing to distinguish differences in heartbeat and breathing of patients
• Near-visual activity to read gauges
• Color vision for perceiving changes in patient’s skin color and colors of medications and solutions
• Motor coordination and manual dexterity to coordinate hands, eyes and fingers
Signature:
Date: 40
Respiratory Therapist Traveler Job Description
Definition
A Respiratory Therapist Traveler is a highly competent, valuable member of the professional health care team, who through clinical
experience and education, performs with a high level of sophistication. The Respiratory Therapist Traveler functions independently
of supervision in making observation and nursing judgments by use of the therapy process.
Qualifications
1. Current license to practice as Respiratory Therapists in the state of placement.
2. Graduate of an accredited school of therapy.
3. Has as least one (1) year of professional clinical practice as a Respiratory Therapists on the floor in the United States.
Functions
1. Set up and operate devices such as mechanical ventilators, therapeutic gas administration apparatus, environmental control systems, and aerosol generators, following specified parameters of treatment.
2. Provide emergency care, including artificial respiration, external cardiac massage and assistance with cardiopulmonary resuscitation.
3. Determine requirements for treatment, such as type, method and duration of therapy, precautions to be taken, and medication and dosages, compatible with physicians’ orders.
4. Monitor patient’s physiological responses to therapy, such as vital signs, arterial blood gases, and blood chemistry changes, and consult with physician if adverse reactions occur.
5. Read prescription, measure arterial blood gases, and review patient information to assess patient condition.
6. Work as part of a team of physicians, nurses and other health care professionals to manage patient care.
7. Enforce safety rules and ensure careful adherence to physicians’ orders.
8. Maintain charts that contain patients’ pertinent identification and therapy information.
9. Inspect, clean, test and maintain respiratory therapy equipment to ensure equipment is functioning safely and efficiently, ordering repairs when necessary.
10. Educate patients and their families about their conditions and teach appropriate disease management techniques, such as
breathing exercises and the use of medications and respiratory equipment.
11. Explain treatment procedures to patients to gain cooperation and allay fears.
12. Relay blood analysis results to a physician.
13. Perform pulmonary function and adjust equipment to obtain optimum results in therapy.
14. Perform bronchopulmonary drainage and assist or instruct patients in performance of breathing exercises.
15. Demonstrate respiratory care procedures to trainees and other health care personnel.
16. Use a variety of testing techniques to assist doctors in cardiac and pulmonary research and to diagnose disorders.
17. Conduct tests, such as electrocardiograms, stress testing, and lung capacity tests, to evaluate patients’ cardiopulmonary functions.
Physical Demands & Work Conditions
• Active Listening – Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Reading Comprehension – Understanding written sentences and paragraphs in work related documents.
• Monitoring – Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
• Critical Thinking – Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Time Management – Managing one’s own time and the time of others.
• Operation Monitoring – Watching gauges, dials, or other indicators to make sure a machine is working properly.
• Active Learning – Understanding the implications of new information for both current and future problem-solving and decision-making.
• Troubleshooting – Determining causes of operating errors and deciding what to do about it.
Signature:
Date: 41
Surgical Technician Traveler Job Description
Definition
A Surgical Tech Traveler is a highly competent, valuable member of the professional health care team, who through clinical
experience and education, performs with a high level of sophistication. The Surgical Tech Traveler functions independently of
supervision in making observation and nursing judgments by use of the therapy process.
Qualifications
1. Current certification practice if applicable for placement.
2. Graduate of an accredited Surgical Technologist program.
3. Has as least one (1) year of professional clinical practice as a Surgical Tech on the floor in the United States.
Functions
1. Perform all responsibilities in a manner that demonstrates Service Excellence towards patients, physicians, peers and other departments.
2. Maintain technical skills to serve a patient population comprised of infancy to geriatric clients.
3. Prepare Operating Room with appropriate instrumentation, equipment and supplies.
4. Demonstrate and practice a good understanding of sterile technique.
5. Perform sponge, needle and instrument counts in an accurate manner.
6. Take calls and rotate shifts as required under the direction of a registered nurse.
7. Assume responsibility for upholding the policies and procedures of the department and organization.
8. Assist with the teaching of newly hired technologists and student Operating Room technologists.
9. Communicate effectively with patients, staff members and physicians.
10. Assume responsibility for self and ensures that the policies, procedures and safety practices of the Operating Room are reinforced.
11. Anticipate the needs of the surgical team.
12. Perform other duties and responsibilities as required.
Physical Demands & Work Conditions
• Ability to work effectively and efficiently under pressure in a stressful environment, and often without relief.
• Ability to demonstrate knowledge of anatomy relating to the surgical procedure and the instrumentation required in order to effectively anticipate the needs of the surgeon.
• Ability to set priorities and respond appropriately to actual and/or potential life threatening situations.
Signature:
Date: 42
APPENDIX SIX
Signature Pages and Standard Forms
Page #s
*Handbook Acknowledgement..........................................................................................................44
*HIPAA Acknowledgement..................................................................................................................................................45
*Authority to Release Health Information Form...........................................................................................................46
Physical Form............................................................................................................................................................................47
*Flu Vaccination Declination..............................................................................................................................................48
*Written Disclosure Statement...........................................................................................................................................49
Applicant Background Information..................................................................................................................................50
Substance Abuse Testing Consent Form.........................................................................................................................51
Housing Agreement Acknowledgement........................................................................................................................52
Reference Release Form........................................................................................................................................................53
Incident Report Form.............................................................................................................................................................54
Grievance Report Form.........................................................................................................................................................55
Grievance Response Report Form.....................................................................................................................................56
Sexual Harassment Report Form.......................................................................................................................................57
Weekly Timesheet...................................................................................................................................................................58
Minimum Credential and Testing Requirements..........................................................................................................59
Placement Standards.............................................................................................................................................................62
* These forms need to be updated/renewed annually
43
Handbook Acknowledgement
I have received the Advantage RN Travel Nurse Handbook and agree to adhere to the standards, terms and conditions, policies and procedures as a condition of my employment. I understand that it is my responsibility to request clarification for any questions regarding the
information I have been provided and that at any time the information in this handbook is subject to change without notice.
I understand that my employment is conditional and may be terminated with or without cause at any time with or without notice either by
Advantage RN or myself. I agree that if I terminate my employment while on assignment that I will be responsible for my own transportation
and housing while I am no longer on assignment.
I understand that I will be compensated on an hourly basis by completing and faxing client- approved timesheets each week that I am on assignment. I understand that all payments shall be subject to withholding and other taxes and deductions and that my hourly compensation
rate is subject to change based on market conditions.
Signature: Date: Safety Practices
I have read and understand my responsibility to maintain safety in the workplace, as outlined in this Manual.
Signature: Date: Code of Conduct
In the event of my employment, I will not discuss any element of my compensation with other employees of Advantage RN or any staff members employed by the facility in which I am placed. I agree that while placed within any Advantage RN contracted facility, I will not recruit
nurses employed by the facility and I will communicate with all employees, patients, and staff in a professional, respective manner at all times.
Signature: Date: Sexual Harassment Policy Acknowledgement
I have read and agree to adhere to the sexual harassment policies outlined in this manual.
Signature: Date: Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
44
HIPAA (Health Insurance Portability and Accountability Act) *
Agreement Acknowledgement
I acknowledge the confidentiality of patient health care information (“Confidential Patient Information”) that I may receive or
have access to in the course of providing patient care services at participating hospitals through Advantage RN. I shall maintain
the confidentiality of Confidential Patient Information and in doing so shall comply with all applicable state and federal laws
and regulations including and without limitation to the privacy provisions under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA)” as well as the policies and procedures of each participating hospital. My agreement to maintain the
confidentiality of Confidential Patient Information shall survive the termination of my employment with Advantage RN and the
conclusion of any assignment at a participating hospital under contract with Advantage RN.
Advantage RN Employee SignatureDate
Advantage RN Employee Printed Name
Advantage RN Representative SignatureDate
Advantage RN Representative Printed Name
Copy to Recruiter
Copy to Employee
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
45
Authority to Release Health Information
I authorize the use or disclosure of my health information as described below.
1. The information will be used or disclosed for the following purposes:
For use by Advantage RN and its clients in evaluating my qualifications for employment opportunities
and related activities.
2. I understand that if the person or entity that receives the information is not a healthcare provider or health plan covered by
federal privacy regulations, the information described above may be re-disclosed and no longer protected by these regulations.
3. I understand that I may revoke this authorization at any time by sending a written request to the party identified in paragraph
1, except to the extent that action has been taken in reliance on this authorization.
4. This authorization expires 1 year from date of signature below. (This date relates to the termination of the right for the provider
to disclose the information and to Advantage RN’s right to use this information which, once the information is disclosed, does
not terminate.)
Signature of Patient or RepresentativeDate
Patient Name
Name of Personal Representative (if applicable)
Relationship to Patient
(A copy of this signed form will be provided to the patient.)
Copy to Recruiter
Copy to Employee
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
46
8892 Beckett Road 9021
Meridian
Way
Cincinnati, OH 45069 West
OH
45069
PH Chester,
866-­‐301-­‐
4045 866-850-4048
FAX 866-­‐850-­‐(fax)
4048 www.advantagern.com www.advantagern.com
PHYSICAL FORM*
MEDICAL RELEASE AUTHORIZATION
I, , do hereby authorize Dr. to release to Advantage RN and any of its client hospitals or institutions any information acquired in my recent medical examination which is relevant to my employment. Employee Signature Date PHYSICIAN’S STATEMENT
I have examined the above named individual, and to the best of my knowledge, he/she is in good physical and mental health, free of communicable diseases and is able to function in his/her profession in full capacity. Physician Signature Date Printed Name of Physician Date of Physical Address Please
include the following:
�
�
�
�
�
�
�
�
�
�
�
TB Skin Test CXR (if TB test positive) Td Tdap Rubella Titer History of disease Immunization Rubeolla Titer History of disease Immunization Mumps Titer History of disease Immunization Varicella Titer History of disease Immunization Hep B Titer Series # Color Blindness Test Fit Testing City Date Placed: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: 1: Date: Date: Date Read: Results: Results: Results: State Results: Results: Results: Results: Date 2: Results: Results: Zip Results: (Note: Must have copy of chest x-­‐ray report.) Date 3: I. Hepatitis B Vaccination Declination – Please complete Bloodborne Training before signing I, , understand that, due to my occupational exposure to blood or other potentially infectious materials, I may be at risk of acquiring Hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with Hepatitis B vaccine. However, I decline Hepatitis B vaccination at this time. I understand that, by declining this vaccination, I continue to be at risk of acquiring Hepatitis B, a serious disease. If, in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with Hepatitis B vaccine and am employed by Advantage RN, I can receive the vaccination series. Employee Signature Date This is a regulatory requirement under 29 CFR 1910 1030. If you decline the vaccination and refuse to sign the Declination paragraph, your offer will be withdrawn or your assignment will be terminated. II. Hepatitis B Vaccination Acceptance – Please complete Bloodborne Training before signing I, , choose to receive the Hepatitis B vaccine offered by Advantage RN in accordance with the OSHA Bloodborne Pathogen Standard 25CFR 1910 1030 (f)(2)(l). I understand that administration of the vaccine may cause side effects, and under certain conditions is not medically advised. I have consulted with a physician and have determined that it is appropriate for me to receive the vaccine based on my potential exposure. I release Advantage RN and its employees from any liability in connection with the administration of the vaccine. I understand that this procedure is a series of three shots. The second dose is to be administered 30 days after the initial dose, and the third does is to be administered six months after the initial dose. All three shots are required to complete the vaccination process. If I am not employed by Advantage RN when the other shots are due, it will be my responsibility to see that they are completed. I also understand that the vaccine may lose its effectiveness over time and may required booster shots. These are also my responsibility if I am not employed by Advantage RN. Employee Signature Date 47
Flu Vaccination Declination
I _______________________________________________________________, understand that, due to my occupational exposure,
I may be at risk of acquiring and /or spreading the flu virus. I have been given the opportunity to be vaccinated. However, I decline
the flu vaccination at this time. In understand that, by declining this vaccination, I continue to be at risk of acquiring and /or
spreading this virus. If, in the future I continue to have occupational exposure, I can choose to receive the vaccination.
Employee SignatureDate
Copy to Recruiter
Copy to Employee
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
48
Written Disclosure Statement*
Please fill in this form and fax it back to Advantage RN at 866-850-4048.
INTENT TO OBTAIN CONSUMER REPORT AND/OR INVESTIGATIVE CONSUMER REPORT In compliance with the Fair Credit Reporting Act, this document is being provided to notify you that the Employer or prospective
Employer may obtain consumer reports and/or investigative consumer reports (i.e. background checks) on you in considering
your employment application, or if you are hired or are already employed by the Employer, for any permitted employment related
purpose during your employment with the Employer. I understand that a photocopy of this authorization would be accepted
with the same authority as the original.
The “investigative consumer report” that the Employer may obtain from a consumer reporting agency contains information which
may be used to establish eligibility for employment, promotion, reassignment, or continued employment with the Employer and
includes verification on your education, former employers, motor vehicle check, and felony and related misdemeanor record. It can
also include information related to credit- worthiness, credit standing, credit capacity, general reputation, personal characteristics,
or mode of living. This information may be obtained through personal interviews with former employers, acquaintances, coworkers, or others with whom you may be acquainted, which makes the report an“investigative”consumer report. This does not
include information that the Employer obtains on its own without the aid of a third party.
AUTHORIZATION FOR OBTAINING CONSUMER AND INVESTIGATIVE CONSUMER REPORTS By signing below, I authorize the Employer and any consumer reporting agency acting on behalf of the Employer to investigate
my employment history, educational history, criminal history, credit, and other records necessary to aid in employment-related
decisions. I understand that this is considered either a consumer report or an investigative consumer report as described above. I
acknowledge that the Employer has provided me a copy of the written disclosure (this document), and I have read this document
before signing it.
Employee/Applicant NameDate
Employee/Applicant Signature
Copy to Recruiter
Copy to Employee
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
49
Applicant Background Information
Please fill in this form and fax it back to Advantage RN at 866-850-4048.
BACKGROUND INFORMATION Please note that the information below will be used only for identification purposes in the background check process. This form will be kept
separate from the employment application and will not be reviewed or relied upon in the hiring decision.
Full Name (Printed)
Other or Prior Names Used
Date of Birth
Social Security Number
Driver’s License Number
State of Licensure
ADDRESSES - Please provide seven years of previous addresses
1. Present Address
How long?
City/State
Zip Code
2. Previous Address
How long?
City/State
Zip Code
3. Previous Address
How long?
City/State
Zip Code
4. Previous Address
How long?
City/State
Zip Code
5. Previous Address
How long?
City/State
Zip Code
Copy to Recruiter
Copy to Employee
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
50
Substance Abuse Testing Consent
I understand that I may be offered a position with Advantage RN that requires pre-employment and periodic substance abuse
testing due to the nature of the duties performed, and to specific requirements of Advantage RN’s clients. Periodic testing could
include – but is not limited to – random, post-accident, scheduled, or for- cause testing. Blood, breath, or urine samples may
be collected to perform the appropriate tests which may take place at a clinic, hospital, laboratory or other agency designated
by Advantage RN. I further understand that I may not begin/continue employment with Advantage RN unless I pass (receive
negative results on) a test for the use of illegal drugs and/or alcohol when such a test is required.
I agree to provide an appropriate sample as determined by Advantage RN and/or its Clients in accordance with the requirements
of Advantage RN policies, and to have such samples tested for evidence of drug and/or alcohol use. If the creatinine, specific
gravity, nitrates, temperature, or other parameters typically used to determine if a sample is representative of normal are outside
the normal range, I may be required to return to the collection point for a witnessed collection. I understand that results of the
Test may be disclosed to clients of Advantage RN to whom I may be assigned as required by Advantage RN to do business with
the Client. I understand that a full copy of the Drug and Alcohol policy is available through my Advantage RN Recruiter.
I have received and understand this statement and agree to abide by the Company’s Drug and Alcohol policy.
Employee/Applicant NameDate
Employee/Applicant Signature
Copy to Recruiter
Copy to Employee
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
51
Housing Agreement Acknowledgement
I ___________________________________________________________, agree to allow Advantage RN, LLC or its representatives
to act as an agent on my behalf to acquire housing and travel accommodations. I understand that any accommodations related
to lodging will be secured in my name by Advantage RN. Advantage RN will make payments on my behalf to the Creditors for the
services provided. I agree to reimburse Advantage RN for any payment obligations made on my behalf.
SignatureDate
I ____________________________________________________________, decline Advantage RN, LLC or its representatives’ offer
to set up housing on my behalf.
SignatureDate
Copy to Recruiter
Copy to Employee
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
52
Reference Release Form
Reference Release Form Last Name First Name Middle Initial Employee SSN Position Held Employer Name of Supervisor Supervisor’s Phone Number Best Time to Call The applicant named above has mentioned you as a current reference for previous employment. Please take a moment to evaluate the performance level you feel this candidate has shown in your experience while employed under your supervision. Please check the appropriate box based on your evaluation of the following areas: Quality of Work: Quantity of Work: Attitude: Dependability: Cooperation: Attendance & Punctuality: Adaptability to Situations: Appearance: �
�
�
�
�
�
�
�
Excellent Excellent Excellent Excellent Excellent Excellent Excellent Excellent �
�
�
�
�
�
�
�
Above Average �
Yes � No Above Average Above Average Above Average Above Average Above Average Above Average Above Average �
�
�
�
�
�
�
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Satisfactory Satisfactory Satisfactory Satisfactory Satisfactory Satisfactory Satisfactory Satisfactory �
�
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Below Average Below Average Below Average Below Average Below Average Below Average Below Average Below Average �
�
�
�
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Poor Poor Poor Poor Poor Poor Poor Poor Comments: Is this candidate eligible for rehire? Reference’s Signature Date I have given Advantage RN permission to call references on my behalf. Employee’s Signature Date The information that has been provided to Advantage RN is permitted to be obtained for the sole purpose of securing future employment as a travel nurse with our agency. Copy to Recruiter Copy to Employee Copy to Employee File Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 866-­‐301-­‐4045 (phone) • 866-­‐850-­‐4048 (fax) www.advantagern.com Copy to Recruiter
Copy to Employee
85 Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
53
Traveler Incident Report Form
Name of Traveler __________________________________________________________________________
Travel Company ____________________________________________________________________________
Unit Assigned ___________________________ Shift Assigned _____________________________________
Date of Incident__________________________Time of Incident ____________________________________
Were there witnesses to the Incident?
___Yes ___ No
If so, how many? ____________
Description of Incident:
Was Advantage RN notified of the incident within a 24-hour period or occurrence? ___ Yes ___ No
Who at Advantage RN was notified? ___________________________________________________________ Date of notification _________________________ Time of notification _______________________________
Means of notification: ___ Phone___ Email
___ Fax
Requested resolution to incident:
Advantage RN’s Follow-up/Resolution:
______________________________________________________________
Signature of Employee Copy to Recruiter
Copy to Employee
________________________
Date form was submitted
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
54
Employee Grievance Report Form
Employee’s Name __________________________________________________________________________
Job Title _______________________________________ Work Location _____________________________
Date(s) grievance occurred: _________________________________________________________________
Date reported to Recruiter: __________________________________________________________________
Grievance (describe the condition needing attention):
Have you tried to discuss this with your Advantage RN representative? When? What was the result?
What do you feel should be done to correct the condition?
______________________________________________________________
Signature of Employee Copy to Recruiter
Copy to Employee
________________________
Date form was submitted
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
55
Employee Grievance Response Report
Employee’s Name __________________________________________________________________________
Job Title _______________________________________ Work Location _____________________________
Check one of the following:
______ I feel that my Advantage RN representative’s plan will satisfactorily correct the condition.
______ I agree with my Advantage RN representative that no further action should be taken.
______ I disagree with my Advantage RN representative and plan to request a hearing with the Human Resources Manager or an
appointed representative within five days after the day I receive my Advantage RN representative’s decision.
Comments, if desired:
______________________________________________________________________________________
Signature of Employee
Date form was submitted
Copy to Recruiter
Copy to Employee
Copy to Employee File
Advantage RN Corporate • 9021 Meridian Way • West Chester, OH 45069 • 886-301-4045 (phone) • 866-850-4048 (fax)
www.advantagern.com
56
Sexual Harassment Complaint Form
Your Name _______________________________________________________________________________________
Office ___________________________________________________________________________________________
Your Recruiter _______________________________________ Assignment Location ___________________________ Type of Complaint _________________________________________________________________________________
Date incident reported ________________________________ Reported to ___________________________________ Please describe the specific incidents that you feel constitute harassment:
What is/are the date/s the incident occurred? ___________________________________________________________
Please describe the incident including what occurred, when it occurred, and whether there were any witnesses other than yourself to the
event(s). If necessary, attach additional sheets of paper.
Please describe what, if anything, you have done in order to attempt to address the situation yourself. If you have not tried to address the
situation yourself, please explain why.
Are you aware of any other person who has been subjected to similar harassment? If so, please identify such person(s) and describe the
details of the harassment including when and what occurred.
Other than the individual(s) you have identified above, is/are there any other person(s) who you feel should be contacted in connection with
the investigation of this complaint. If so, please identify the individuals, how to contact them, and what information these individual(s) may
have.
1-866-850-4048
Your complaint of harassment will be promptly and thoroughly investigated. The investigation will be kept confidential to the extent as
possible with the company’s need to fully investigate and address the situation. If the investigation verifies that inappropriate behavior has
occurred, appropriate disciplinary action will be taken against the person who has harassed you. If at anytime you feel that as a result of your
complaint you are being retaliated against, please file an additional complaint using this form.
Please read the above carefully before signing. Your signature below will indicate that this form accurately and completely describes your
complaint of harassment.
Signature __________________________________________________________
Date _____________ Please print name ___________________________________________________ Please report this incident immediately.
57
Date
Unit
Time In
Time Out
Time In
Time Out
On Call Hours
Total
Time Out
Total Hrs
Approval
of of
Approval
shifts
shiftworked,
worked,
cancelled
shift,
cancelled
shift, missed
missed
time,
time,
and
and
overtime
overtime
must
be
must be
initialed
in
initialed by
appropriate
servisor
box
by
in box
supervisor.
x
Facility Signature
7/2015
Fax numbers not working? Call our Troubleshooting Hotline
at 1-800-345-9642 so we can quickly provide fax support.
weekly for hours worked verification purposes.
Time In
Call Back Hours
Recruiter:
WEEKLY
TIME SHEET
WEEKLY TIMESHEET
Fax your timesheets to 1-866-400-9352 or 1-866-850-4048
(or email them to payroll@advantagern.com) no later than
By
signing
below,
client
acknowledges
all
hours
By signing below, customer acknowledges that all hours are true and correct.SUNDAY @ MIDNIGHT. Submitting timesheets any later
are
true
and
correct.
Signature
also
acknowledges
Signature also acknolwledges that customer has read and agreed to all terms may delay your paycheck.
client has read and agreed to all terms and
and conditions set forth herein, on the client agreement.
conditions set forth in the hospital confirmation/hospital
Regardless of
policy,
all Advantage
RN employees
Regardless
ofthe
thefacility
facility’s
timekeeping
system,
all
contract.
must sendmust
in a timesheet
weekly.
Travelers
send in an
Advantage RN timesheet
Total
Hours
Facility Approval
No lunch
must be
must be
initialed by
initialed
by
supervisor
supervisor
in appropriate
in appropriate
box.
ch
Lunch
City, State:
Facility:
Week Ending:
Name:
Please fax or email your weekly timesheet to our Payroll Department by Sunday at midnight:
Fax: 1-866-400-9352 or 1-866-850-4048, or Email: payroll@advantagern.com
Employee Signature
x
I certify that the hours shown were worked by me on
I certify that the hours shown were worked by me on the
the dates designated and were verified by a
dates designated and were verified by a representative of
representative of the medical facility. I certify that no
the medical facility. I certify that no accident or injury was
accident or injury was sustained by me while working
sustained
by me while
working
the assignment
except
on
the assignment
except
as on
previously
reported
to as
previously reported
Advantage
RN. to My Agency, Advantage RN, or as noted
in the comments section. I agree to contact My Agency after
completion of any assignment to discuss another assignment.
Employee Approval
Totals
SUN
Sat
SAT
Fri
FRI
Thurs
Wed
THUR
Tues
WED
Mon
TUES
SSun
MON
Day
Advantage RN
9021 Meridian Way
West Chester, OH 45069
Phone: 1-866-301-4045 Ext 103
Fax: 1-866-400-9352 or 1-866-850-4048
1-866-850-40481
Email: payroll@advantagern.com
Call us
to report
fax line trouble: 1-800-345-9642
ADP
Home
Page: https://portal.adp.com
ADP Home Page: https://portal.adp.com
Minimum Credential and Testing Requirements
Minimum Credential and Testing Requirements NOTE: BLS, ACLS and PALS must be issued by American Heart Association ONLY. Additional certifications and testing is possible
depending NOTE: BLS, ACLS and PALS must be issued by American Heart Association ONLY. Additional on specific hospital requirements.
certifications testing is possible depending on the
specific hospital requirements. (Note: * denotes that thisand is something
requested
often by
facility;
if requested,
proof of the certificate will be required for
(Note: * denotes that this is something requested often by the facility; if requested, proof of the certificate will be submission.)required for submission.) Specialty
Registered Nurse
Case Manager
Certification
Skills Checklist
Competency Testing
BLS
Case Manager
Cath Lab
BLS, and ACLS
*PALS
Cath Lab
Critical Care
BICU, CVICU,
General ICU,
Neuro ICU
Cardio-vascular
Operating Room
(CVOR)
Dialysis
BLS and ACLS
Critical Care
BLS and ACLS
OR
BLS
* ACLS
Dialysis
Emergency
Department (ER or
ED)
Endoscopy/GI
Emergency Room
Home Health
BLS and ACLS
* PALS, TNCC,
ENPC, CPI
BLS
* ACLS
BLS
Hospice
BLS
Hospice/Palliative
Care
Labor And
Delivery (L&D)
BLS and ACLS
* NRP, FHM
(Intermediate or
Advanced),
S.T.A.B.L.E.
BLS
L&D
Case Manager, RN
Pharmacology, Core
Mandatory 1, 2, & 3
Cath Lab, RN
Pharmacology,
Dysrhythmia (Basic),
Core Mandatory 1, 2, &
3
ICU General or Specific,
Dysrhythmia (Basic), RN
Pharmacology, Core
Mandatory 1, 2, & 3
OR, Dysrhythmia, RN
Pharmacology, Core
Mandatory 1, 2, & 3
Dialysis, RN
Pharmacology, Core
Mandatory 1, 2, & 3
Emergency Room, RN
Pharmacology, Core
Mandatory 1, 2, & 3
Endoscopy, Core
Mandatory 1, 2, & 3
HHC-Clinical, HHCMedication, Core
Mandatory 1, 2, & 3
Hospice/Palliative Care,
RN Pharmacology, Core
Mandatory 1, 2, & 3
L&D, RN Pharmacology,
Core Mandatory 1, 2, &
3
Medical-Surgical
(MS)
BLS
* ACLS
Med-Surg
Neonatal Intensive
Care Unit (NICU)
BLS
* PALS, NRP,
NICU
Long Term Care
(LTC)
Endoscopy
Home Health
LTC
59
97 LTC, LTC Pharmacology,
Core Mandatory 1, 2, &
3
MS, RN Pharmacology,
Core Mandatory 1, 2, &
3
NICU, NICU
Pharmacology, Core
Oncology
S.T.A.B.L.E, ACLS
BLS
* ACLS
Operating Room
(OR)
BLS and ACLS
*PALS
OR
PACU
BLS and ACLS
*PALS
PACU
Pediatric
BLS
* PALS
Pediatric
Pediatric Intensive
Care Unit (PICU)
BLS and PALS
PICU
Post Partum or
Mother Baby
BLS and ACLS
* NRP, S.T.A.B.L.E
Post Partum
Psychiatric
BLS
* CPI
Psych
Step Down (PCU)
BLS and ACLS
Cardiac
Progressive Care
Telemetry or
MS-Tele
BLS and ACLS
Telemetry
Non-Nursing
Medical
Professionals
BLS
Cath Lab Tech
CST/ORT/
Surgical Tech
BLS
Surgical Tech
CT Tech
BLS
CT Tech
ECHO Tech
BLS
Echo Tech
Mammography
Tech
BLS
Mammography
Tech
MRI Tech
BLS
MRI Tech
Cath Lab Tech
Oncology
98 60
Mandatory 1, 2, & 3
Oncology, RN
Pharmacology, Core
Mandatory 1, 2, & 3
OR, RN Pharmacology,
Core Mandatory 1, 2, &
3
PACU, RN
Pharmacology, Core
Mandatory 1, 2, & 3
Pediatrics, PEDS
Pharmacology, Core
Mandatory 1, 2, & 3
PICU, PEDS
Pharmacology, Core
Mandatory 1, 2, & 3
Mother Baby, RN
Pharmacology, Core
Mandatory 1, 2, & 3
Psych, RN
Pharmacology, Core
Mandatory 1, 2, & 3
Cardiac Progressive
Care, Dysrhythmia
(Basic), RN
Pharmacology, Core
Mandatory 1, 2, & 3
MS, Cardiac Progressive
Care, Dysrhythmia
(Basic), RN
Pharmacology, Core
Mandatory 1, 2, & 3
Cath Lab Tech, Core
Mandatory 1, 2, & 3 for
non-nursing
Surg tech, Core
Mandatory 1, 2, & 3 for
non-nursing
CT Tech, Core
Mandatory 1, 2, & 3 for
non-nursing
ECHO Tech, Core
Mandatory 1, 2, & 3 for
non-nursing
Mammography Tech.
Core Mandatory 1, 2, &
3 for non-nursing
Core Mandatory 1, 2, &
3 for non-nursing
Nuclear Tech
BLS
Nuclear Tech
Radiation
Therapist
Radiologic Tech
BLS
Radiation
Therapist
Radiologic Tech
Respiratory
Therapist
Ultrasound Tech
BLS
BLS
Respiratory
Therapist
Ultrasound Tech
BLS
Core
3 for
Core
3 for
Core
3 for
Core
3 for
Core
3 for
Mandatory 1,
non-nursing
Mandatory 1,
non-nursing
Mandatory 1,
non-nursing
Mandatory 1,
non-nursing
Mandatory 1,
non-nursing
61
99 2, &
2, &
2, &
2, &
2, &
62
OFFICES:
Corp. Headquarters - Cincinnati
Advantage RN
9021 Meridian Way
West Chester, OH 45069
Toll Free: (866) 301-4045
Local: (513) 874-8717
Toll Free FAX: (866) 850-4048
Local FAX: (513) 874-8718
Clearwater, FL Office
Advantage RN
13770 North 58th Street,
Suite 311
Clearwater, FL 33760
Toll Free: (866) 301-4045
Toll Free FAX: (866) 374-7527
Del Ray Beach, FL Office
Advantage RN
1625 South Congress Ave.,
Suite 150
Delray Beach, FL 33445
Toll Free: (866) 301-4045
Toll Free FAX: (866) 344-2932
Charlotte Office
Advantage RN
Vanguard Center
5601 Seventy Seven Center Drive,
Suite 215
Charlotte, NC 28217
Toll Free: (866) 301-4045
Toll Free FAX: (866) 242-5707
San Diego
Rapid Response Office
2515 Camino del Rio South,
Suite 142
San Diego, CA 92108
Toll Free: (877) 801-8988
Toll Free Fax: (866) 498-0601
63