Float Policy__________________________________________________________________

Type of Nursing Unit____________________________________________________________

_____________________________________________________________________________

Type of Patients________________________________________________________________

_____________________________________________________________________________

Avg. Pt. Age___________________# of travelers on floor____ Ratio Staff to Travelers_________

Nurse/Patient Ratio: Days________________________ Nights___________________________

Support Staff______________ Charge Nurse________________ Nurse Aides______________

Unit Sec__________________ Lab Tech___________ PT _____________RT______________

Charting Method________________________________________________________________

Night Shift Duties_______________________________________________________________

Day Shift Duties________________________________________________________________

Medication Sys._______________________________ Supply Sys.______________________

Pharmacy Open Nights____________________________

Who does Scheduling ___________________ Schedule Length ________________________

On Call Requirements ______________________ Holiday Scheduling_______________________

Request Days Off________________________ Work Certain Days_______________________

Any specific time I need off during the contract _________________________________________

Uniforms___________________________________ Parking Charges_____________________

Travel Nurse friendly?_____________________________________________________________

Breaks___________________________________________ Lockers available________________

Hours Cafeteria Open________________ Discount_____________ Food Good?__________________

What Orientation do you give travelers _______________________________________________

In-house CEU's ______ Can Travelers attend_____ At what cost________

Information about the town:

Name ___________________________Website_____________________________

What is the City Like?___________________________________________________________

Shopping Malls____________________________ Major attractions in area ________________

Local Entertainment_____________________________________________________________

Town Population___________________% Locals_________________% Tourist_________________

Temperatures:  Spring ________Summer ________ Fall__________ Winter_________ 

Rain ____________________ Snow ___________________ Pollution____________________

Nearby Lakes ________________ Beaches ____________________ Parks_____________________

What is City Famous for? ________________________________________________________

Housing Information:

Provided by Travel Co ______________________

or Hospital recommendations: ____________________________

 Housing Choices?___________________________ Apt. Location_______________________

Apt. Name_________________________________ Contact Person_______________________

What floor is the apartment on:______________________________________

Phone _____________________________ Website ___________________________________

When Built ?__________________Remodeled? _______________________________________

No. of Apt.’s _______________________ Buildings ______________ Floors_______________

Cost _____________Deposit s___________________ Bedrooms____________ Bath_________

W/D ________Dishwasher ________ Refrig._________ Microwave ________ Stove __________

Furniture______________________________________________________________________

Ceiling Fans______________ Carpet____________ Tile__________

Balcony or Yard ________ Trash Service_________________

Pool _______________Spa ___________ Gym____________ Pets_____________ Dep.________

Construction nearby?____________ Lawn Care Days_____________ Busy Hwy____________

Covered Parking__________ Garage _____________ Opener _________Gates______________

What part of town ___________________________________Safe area____________________

Noise, hear neighbors, cars_________________________ View__________________________

Time drive to hospital_______________________      Miles to hospital ____________________

What's the Traffic like during shift change hours _____________________________________

Cable Company telephone number__________________________________________________

Phone Company Phone number_____________________________________________________

DSL or Cable Internet capabilities from complex_________________________________________

Follow Up:

Emailed thanks to Interviewer_____________________________________________________

When they will decide __________________________________________________________

Anything special  they told me ____________________________________________________

Recruiter notified of interview and results _____________________________________________

Accepted or Refused Assignment ___________________________________________________

Date agreed on to start___________________________________________________________

Phone company called (Phone or DSL service arranged) ___________________________________

Appointment date for them to visit the apartment ________________________________________

Cable Company called___________ Date cable TV to be started___________  Cable internet______

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