Flexibility

One aspect of being an amazing Locum CRNA is being flexible.  Yes, I mean being able to reach your toes and bend over backwards.  OK OK not so much.  Flexibility in this case refers to your time and ability.  Your ability to manage just about any case you need to do and be happy doing it.  Your ability to stay late ... again.  Can you come in early?  Are you able to take call?  Can you set-up the Heart?  Will you go do the epidural?  Will you take the student and teach them?  

These are definitely all questions I've had.  Flexibility is being able to answer the call.  The more you can say yes and be able to do so with a smile.  The more likely you will be seen as an asset the facility needs despite your being a rental.  I find that it leads to returning multiple times to facilities.  I think it leads to satisfaction of the overall group and interpersonal dynamics when everyone from the janitor, anesthesia tech, other CRNAs, and management can see that you are both knowledgable and have a can-do attitude.  Do I think you should do something that makes you uncomfortable?  No, but do you say "No, I won't do that"  ... I'd say that's a poor way to communicate.  I'd say, "Hmmm, I haven't done a retrobulbar block before would someone be able to do those with me or is there a room with Interscalene Blocks as I've dont hundreds of those?" This gives the group an opportunity to use you to the extent of your skills but also tells them that eyeballs just aren't blocks your comfortable doing.  So, flexibility with skills can be very important. 

Case flexibility is very important and is a play on skills.  The more comfortable you are in a variety of cases and practice types, the more marketable you become.  The better you market yourself or the agency is able to market you, the more likelihood you can ask for higher pay, more hours or keep yourself in demand.  

Hours flexibility.  Many times I hear someone say I just want to work 8 hour shifts.  Sometimes, locum providers are scheduled just 8 hour shifts.  Totally true.  I don't know what to do with myself only doing 8 hours.  Many places have gaps in their schedule because most employees want that cushy 8 hour schedule.  If you are flexible in your hours you might get to work overtime, get mid-week days off, or even have time to get some errands done before or after work on certain days.  Many times it's all in how you contract with a facility.  For example 8 hour per day guarantee versus a 40 hour per week guarantee.  

Flexibility leads to hospital and group satisfaction.  Consider this as you continue to grow as a locum provider.  

Topics to come will be skills, attitude, and presence. 

Time to wake up

Good morning!!! You can do this!  Today is a whole new day.  Are we going to talk about doing, think about doing, or are we finally going to act?  Ok, maybe I'm the only procrastinator in the group as I sit and write to you instead of driving 9 hours home from a rapid fire 4 day vacation. 

i did an impromptu Facebook live session with you all and found out I need to at least develop an outline for what to say when doing that.  This is just like what I do with a contract.  I develop a plan or list of action points.  Then I do this when talking to recruiters.  Just like in anesthesia we have plans ABC&D... let's hope we don't get to C.  I also have that planning for what happens if.  That doesn't mean I call three agencies and accept three positions expecting two to back out.  When accepting a deal it's imperative to keep my word on the deal.  It's the first bit of trust between the group, the recruiter, & you.   

Did you know you are not the client? This means that despite the fact that in the OR we tend to reign... in the locum world we are once again just a rental.  Being a rental can be great or terrible but your thinking and attitude will be what defines you.   

I am a darn Good rental.  Next time we'll talk about what that means.

 

The things I do

You won't believe it's vacation time, the baby is with grandma and grandpa.  I'm awake :(

& it's 4AM. 

Yesterday, I set up internet/cable for Philadelphia while on the road to see Mount Rushmore!   

This morning I discussed with a fellow CRNA some contract terms that were not bad.  I mentioned that references are required for CRNAs but I think a new agency or one we haven't heard of ... should give a reference or two as well.  Very important that pay is correct and on- time.  Credentialing goes pretty smoothly with few hiccups on the agency or hospital side.  Then that the interpersonal dynamics are good and you feel comfortable working with the recruiter. 

Today we'll go see Mount Rushmore, the Dinosaur Museum, and Crazy Horse. We'll stay the night again then take off for Denver?!? 

5 Bucks

Since I'm not driving at the moment I'll say my hello.  I'll also make my case for stopping the nurse mentality of taking an across the board pay.  

How much is five dollars worth to you?  It's s Starbucks coffe... or maybe not even...so is it really important to try to get that locum contract at 110 instead of 105/hour?  They said it's as good as they can do and no one would ever say what they could do first.  You negotiate your house purchase price, haggle for that $1000 on the car, take coupons to the store to save 5 bucks at the store. Why is it we have a problem asking for a raise?  

Lets talk about that $5 you aren't worried about because you like the area or are kind of comfortable.  5 dollars multiplied by an less than full time 2000 hours in a year.  That's 10,000 dollars.  So, is it worth it?  I've been locums for 7 years.  That's $70,000 dollars... is it worth $5?  

   I always try to tell people they have options and need to negotiate.  Think about ways that both can be happy.  Then, go to work and kick butt.  You can't be a slacker, be lazy, be a poor clinician and ask for more $$.  Be strong, and with each assignment try to be happy, confident and ready to go each day.  These places will be more willing to negotiate, want you back, and keep having you over and over again.   

Well that's my 2 cents... back to vacation.  

On Vacation

After quite the busy week, we should be "on vacation" tomorrow.  Technically, we have been in ks for about a week.  I have been put to work doing lots of manual labor and honestly it's soooo busy.  

If Francisco and Elizabeth were not here... I would find myself all consumed in working the next week too.  So, I would say it's good that I am going on vacation with Francisco and Elizabeth will be full time with the Grandparents.  I wonder if we'll be called home early?    

Working locum work has provided an amazing opportunity for us to have baby Elizabeth, take a risk on rental homes, take time to be with family, and opportunity to see many places in the states that we wouldn't otherwise go to with short vacations.  I have enjoyed many opportunities to be able to come home and see family.  We have been securing our financial future outside of using the traditional stock market for the majority of our investing.  I have been able to consider options for the future for Francisco as an aspiring chef/restauranteur.  

Today, I went into a bank to talk about financing future rentals. They didn't laugh me out of the bank which may have been the case just a few years ago.  As this is a line of credit mortgage on a home that is paid for, they stated no problems on my 1099 income after 7 years of doing this and calculated my overall asset base which is better than I have done.  It did show me that I need to get even better at managing my numbers just so I have a true set of spreadsheets and can make future loans easier.  

It is a very interesting world and the more I get into understanding the business side of life... I'm all the more intrigued.  For now though... it's time for a little vacation ;).  Have an AMAZING week!

Getting things done.

OK, here is the deal.  I'm on vacation in between contracts in Massachusetts and Pennsylvania.  I am getting alot done on the rental houses to be.  My husband is tired of obliging my desire to do these but always loves just how well my dad gets the homes ready to go.  It is pretty darn impressive.  All I do when I get into town is have a ton of meetings, write the checks, and manual labor of paint, haul, and yard stuff.  Thankfully, Dad was released from the hospital yesterday but I am hopeful this gives him the minimal fortitude to take it a little easier and not stress so much.  However, that means I have to pick up more.  

I was asked, by the client hospital to start a week earlier so now we are trying to arrange this through the agency.  I don't know what the problem could be with doing that.  However, it is a week and while it sounds awesome to my wallet there are a few things to consider. This means no great move-in time or quick vacation to DC/NYC before starting.  It means very few options of dry run to drive to the facility.  It means the first few days will be a mad dash to purchase a few critical furniture pieces as we got rid of in Massachusetts and Kansas as our apartment just shrank a few hundred more square feet.  

All of this said, I still have no PA license and I'm pretty sure that due to the critical need and nature of the contract.  Credentialing should be done and even if not.  Orientation can still be completed.  Locum work is not for the faint of heart as each time it seems to truly come down to the wire for things.  

I am assured on the side of the client group, agency and state that things will all come together but I bring a bit of a pessimists perspective and tend to over analyze.  It's just the opposite with the Rental Homes. The scarier the project and all that needs to be done, the more intriqued I am.  

It's almost 7:30AM. I hope they don't get to mad I'm mowing the yard. Today is going to be a very busy day as we have three homes to get ready.  Tuck U Inn B&B, my AirBNB and then my parents guest cottage all in Aitchison, KS.  Atchison is the birth place of Amelia Earhart and has a large private college (Benedictine College).  I am already looking forward to about 5pm when all has to be done :).  

Best of luck to you in your locum journey.  Let me know what you are doing! 

Time is Good

Sometimes locums can be scary but it can also end up a blessing.  We are in between contracts and came for Elizabeth to see the grandparents.   

Today, my dad started to have chest pain and because we have no obligations for a while we are able to help out and make sure all continues to go as smoothly as possible.  

There are definitely plenty of concerns as my Pennsylvania license is now taking longer.  We applied for a temporary now because the state board is now saying they lied about the 6 week processing time and it'll be ten or more weeks.   

We have been hard at work on rentals and preparation for the coming college season.  I have been able to set-up workers and get things going in order to be super set and hopefully not stress things.   

Sooo, here we sit making sure things are ok and we are holding for now.   

My last day!

Another day in the life of a locum CRNA.  You get kind of used to last days.  It's been over a year at this facility and these people are like family.  I truly have been blessed to have known them and worked with them.  Many things happened in my life with these CRNAs and MDAs.  I lost my Grandfather after a long life.  We suffered a miscarriage at 5 months pregnancy and we had our biggest blessing of Elizabeth coming 6 weeks early and my getting stuck in Mexico for nearly 2 months because of law changes and inability to get a birth certificate.  These guys stuck by Francisco and I and poured out support for us.  Tomorrow, is a business day.  It's the day where I say the contract had an end and for reasons of business, I'll be moving on.  I have grown as a CRNA as I do in every environment.  I hopefully have also broadened their expectation and anticipation for Locums in the future.  

Tomorrow, will be another fun day.  I love fun days.  I get to see everyone, smile and give them a happy good morning / afternoon / or evening.  I thank them for the opportunity and say that they never know, our paths could cross in the future.  I try to leave them with a great lasting impression of not only me but all locums so they know we are here when they are in need.  

Today, I called to verify the UHaul.  I verified our stops along the way to Kansas in order to take those things we over-packed and maybe purchased or replaced in the past year.  Hotels were booked.  The truck had it's maintenance.  I verified the bank accounts and deposits for the Massachusetts apartment we will be leaving, the amount for the Philadelphia apartment we will be going to, and then the incidentals we will come into as we go across the US.  

Tomorrow, I will also ensure to take out a minimal sum in cash just in case anything crazy happened and the credit cards caused a problem or there was any number of oh crud moments.  We will return our modem for the internet.  Don't worry ... almost everything works on these smart phones... albeit a tad more challenging.  

Finally, Saturday will come and I will get the UHaul, the movers will show up to help for 2 hours in packing our trailer, and finally we will set out for Buffalo.  

We have a pretty tight schedule to adhere to but one of these days we really want to enjoy some of our extra time off.  :)  

As the plaque on the wall says... Life is in the journey

Two days until I leave Massachusetts

Hello again CRNAs!  

Francisco, Elizabeth, Bentley and Rosie are all getting excited for our move... incidentally, I am too.  We have just about everything possible packed for the move to Kansas.  We are doing a divided move as we figured out we brought way to much with us to Massachusetts. 

We have verified our reservation at doggie play place for Bentley and Rosie.  They will have suite together and that alone will blow the agency provided travel allowance.  

We verified the U-Haul Trailer and the movers through movinghelp on the UHaul site.  

Today, we get the Truck's Oil Changed, download audio-books and podcasts.

We try to use up things in the fridge, pantry, and freezer.  

Things that won't be affected by heat or cold will be packed in the bed of the truck and locked in today.  

I have two more days of work.  I must warn you guys ... no matter where I go I am unable to take phone chargers or speakers.  I love to take music or a phone charger with me but inevitably I forget them.  Once they are forgotten, consider them gone.  I have "lost" two bluetooth speakers of moderate quality, and three IPhone chargers.  I also have no idea how or who would want them but I am now missing two calendar books.   So buyer beware in going to new facilities and taking things with you to make OR life kind of fun :).  

Today will be reviewing the finances and ensuring all the deposits for the apartments in the leaving city and the arrival city are ready.  Credit cards for travel to and from Kansas and Massachusetts then to Pennsylvania are reviewed and ready.  

Finally today I will review the routes and ensure I know where we need to get in order to be at our destinations on time.  We have quite the active schedule in the coming days and no minute is truly free.  

If you happen to be in Kansas City or in Philly... Kansas City will have some days of possible time off if you want to meet up for a drink or appetizer?  Philly, we will be there starting in July. We can definitely meet up in Center City!  Send me an E-mail at locumCRNAs@gmail.com

One week until assignment completion.

One week to go.  I’m working a solid week next week and we are done as of Friday… won’t be able to go until Saturday.  Saturday morning I will go get the trailer from UHaul. 

This past week Francisco and I said our thank you to the department as they have showed us extreme generosity while I have worked with them over the years.  When my grandfather passed they understood and allowed me time out despite the contract.  When our baby girl came early I jetted off for two months despite many problems in Mexico and finally on return they had thrown us an amazing baby shower.  We wanted to say Thank you for all they have done.  We brought in 80 Enchiladas, veggie, bean, and beefy.  Just a huge display of Tex-Mex gluttony that CRNAs, pre-op nurses, OR Nurses and techs all enjoyed.   

Francisco and I have been packing and learning just how much we don’t need with us in Philadelphia.  We will have to get a thing or two but after this experience …. I’m betting it won’t be nearly as much J. 

Francisco is still practicing his Macarons and someday he hopes to sell them. One of these days I’ll start Francisco a website for his recipes, food pictures, and who knows J.  He wants to do either a food truck, stand, catering, or ?? restaurant at some point.

I have finally hired an assistant (1099) to help out in taking care of some of my paperwork, accounting, licenses, research and all those things I remember in the OR and can’t actually get done when working 60 hours a week.

This coming month we will drive to KS.  Do a whole bunch of rental house stuff. Legal paperwork mumbo jumbo.  Go see Mt Rushmore in a rush.  Visit with Grandparents of Elizabeth and then Fly back to Massachusetts pack and head to Philly.  July 1 all things change again J.  We’ll keep you up to date!

Check out the new Opportunities page titled WORK at the top of the webpage www.locumCRNA.com  If you have an opportunity for your small group and want it added please E-mail us at LocumCRNAs@gmail.com