How to Be a Travel Nurse: Requirements and Steps

The career path of a travel nurse offers a blend of professional growth and personal adventure. Nurses seek the flexibility to explore different regions while utilizing their specialized skills in diverse healthcare environments. This role helps combat staffing shortages across the country, making it a highly valued position. Pursuing this career requires a structured approach, beginning with establishing a strong clinical and educational foundation.

Essential Educational and Licensing Requirements

Becoming a travel nurse requires securing a Registered Nurse (RN) license. This licensure is achieved through either an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). While both qualify candidates for the NCLEX-RN, many healthcare systems prefer the BSN credential. Obtaining a BSN may also lead to a wider range of job opportunities and higher-paying assignments.

Candidates must hold current basic life support (BLS) certification. Advanced cardiac life support (ACLS) is often required for higher-acuity specialties. These certifications demonstrate competency in managing medical emergencies and are required by staffing agencies and hospitals. Specialty-specific certifications, such as Certified Emergency Nurse (CEN) or Certified Critical Care Nurse (CCRN), can increase a nurse’s marketability.

Gaining Critical Clinical Experience

Developing significant clinical experience is mandatory before pursuing travel contracts. Most reputable travel nursing agencies and hospitals require a minimum of one to two years of continuous experience in an acute care setting. This duration ensures the nurse has honed clinical judgment and can function effectively in high-pressure, unfamiliar environments without extensive orientation.

Travel nursing is not suitable for new graduates, as the expectation is that the nurse will function as an immediate, competent resource. Experience in high-demand specialties significantly increases marketability for travel positions. These specialties include the Intensive Care Unit (ICU), Emergency Room (ER), Operating Room (OR), and Labor and Delivery (L&D).

Navigating Nurse Licensure Compacts and State Requirements

Practicing across state lines requires understanding the Nurse Licensure Compact (NLC), which simplifies multi-state licensure for eligible nurses. The NLC allows a nurse to hold one multi-state license issued by their primary state of residence (PSOR) and practice in compact states. The PSOR is the state where the nurse declares legal residency, evidenced by documents like a driver’s license or voter registration.

Accurate declaration of the PSOR is necessary for NLC participation, as a nurse can only hold one multi-state license at a time. Nurses residing in a non-compact state must apply for licensure by endorsement in each specific state where they plan to accept an assignment. This endorsement process requires submitting an application, verifying the original license, and sometimes passing a state-specific jurisprudence exam to obtain a single-state license.

Selecting and Working with Travel Nursing Agencies

The transition into travel nursing requires forming alliances with specialized staffing agencies that serve as the primary link to healthcare facilities. New travel nurses should register with two or three different agencies to compare contract offerings and maximize job exposure. Vetting an agency involves researching its reputation, financial stability, and the transparency of its pay packages.

A good recruiter acts as a career partner, providing clear answers about benefit start dates, health insurance options, and assignment cancellation policies. Nurses should inquire about the volume of assignment submissions and the confirmation timeline for application status. Asking about the agency’s policy on travel reimbursement and clinical support gauges the level of assistance provided.

Understanding Travel Nurse Compensation

Travel nurse compensation separates total pay into a lower hourly taxable wage and non-taxable stipends. The hourly rate is fully taxable, while stipends cover duplicated expenses for housing, meals, and incidentals incurred away from the nurse’s permanent residence. This non-taxable portion is a significant advantage, often comprising a large part of the total take-home pay.

To legally receive tax-free stipends, the nurse must maintain a “tax home.” This is the location of their primary residence where they incur significant, continuous living expenses. The nurse must meet specific criteria proving they have duplicated expenses, such as paying rent or a mortgage at home, and have not abandoned their permanent residence. Failing to maintain a valid tax home can result in stipends being reclassified as fully taxable income. Nurses choose between agency-provided housing or receiving a housing stipend.

Preparing for Your First Assignment

Once a contract is signed, preparation involves logistical tasks to ensure a smooth transition. Securing housing is a priority, especially if the nurse opted for a stipend, requiring a quick search for short-term, furnished rentals. The nurse must organize all necessary documentation, including licenses, certifications, and immunization records.

Communication with the onboarding team is necessary to understand orientation schedules and required pre-employment paperwork. Practical preparations include setting up mail forwarding, arranging for pet care if needed, and packing essentials for the typical 13-week duration. Nurses must also keep meticulous records of all expenses related to their tax home status and licensing for future audits.

The Day-to-Day Reality of Travel Nursing

The day-to-day existence of a travel nurse requires rapid adaptation and geographical relocation. Assignments typically last 13 weeks, requiring the nurse to quickly assimilate into a new unit’s culture, electronic health record (EHR) system, and procedural flow. The expectation is to function as an immediate, competent resource, demanding clinical independence from the first shift.

A challenge is the lack of seniority, meaning travelers often receive less desirable shifts or patient assignments initially. While compensation and travel opportunities are motivators, the lifestyle requires proactive effort to establish local resources and a social network in each new city.