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Weekly Q&A: Coaching 09.22.23

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Hosted by Krishna Floisand, Community Manager
Check out this week's Q&A session hosted by Krishna Floisand, Community Manager. Addressing questions and concerns from users in regard to the scope of practice for RNs and LPNs, hospital shift opportunities, drug screen requirements, payment processing, shift availability, and the use of the community platform for user interaction and support.
Browse through the questions and transcript below.
Have feedback on this session? Want to suggest future group coaching topics? Let us know!

Questions Answered

Q1: Can I pick up LPN shifts as an RN?

Q2: How can I pick up hospital shifts? 

Q3: Why don't I get shifts when trying to pick up?

Q4: Does Nursa Upload my Background Check?

Q5: Can I use my patient care technician certificate certification to work as a nursing assistant?
Q6: Will I get a paper check for my first check or will it be sent to my direct deposit information submitted?

Q7: When and how often will I get paid for my shifts?

Q8: Why can I only see certain shifts by friends see more, am I blacklisted?

Q9: What is in the Community?


Welcome back to this week's weekly Q&A. We got some good questions here, but before we jump into it, my name is Krishna. I work here at our Nursa HQ as our Community Manager. I manage our community platform at communitynurse.com. And I also am working to, as our community efforts are relatively new, I'm looking to kind of how we can best engage with our clinicians to learn to help each other learn like what resources are needed, how can we facilitate, you guys connect with each other and learning from each other there, especially as we grow to now more than 20 states. So getting big, and who better to share their knowledge than you guys? So I'm gonna be going through and answering a few of the questions we got here. If you have any comments or questions or further questions or if I didn't specify enough, please feel free to comment below. I'll post this replay in the community later and I'll send it out.


Alright, so I've got a few questions here, and I'll, I'll just go ahead and get started. One question I've seen is "Why has Nursa stopped RNs from picking up LPN shifts yet it's in our scope of practice, unlike vice versa, it's rare to find RN shifts posted here in Arizona. Very rare. I wish you could revisit that policy. Whoever picks first and is given a shift takes it as long as everyone remains in their scope of practice." So this is a lot to kind of unpack here because it does vary state by state, right? Scope of practice. But generally speaking, an LPN license is gonna be, that scope of practice is within the larger RN scope of practice. This not wrong in saying this is common knowledge and in the app there's been an update because there was issues with people being able to request shifts that they weren't qualified for. So there's been further restrictions on who can request certain shifts. So like you have to request the shift that your license is uploaded for. So if you have an LPN license feel free to upload it and now you will be able to request RN and LPN shifts in there. So you're only able to request what you have a license uploaded for RN. You still may be able to see it within the app and this is a recent change that now you can't request those shifts that you're seeing there. And so if you want to work these shifts, you're definitely able to contact the facility and let them know that you're available for that shift.


Okay, the next question I have, we actually have quite a few questions about hospital shifts. So we have more and more coming, especially across a few different states, but primarily right now in Utah and Colorado. So right now in Utah, it looks like we have PICU and pediatrics specialties in there, and in Colorado, we have ICU Med Surg ER, although I believe ICU has been filled. But some are in more need of Med Surg and ER needs in Colorado. And these are open to RNs and CNAs there. The only thing with the hospital shifts is you do need a lot of recent experience and is kind of more of an onboarding experience than for the regular long-term shift. For long-term care shifts you can just upload your license and a few credentials and you're good to go to pick up a shift, I mean that evening. Whereas when it comes to the hospital shifts, there's a little bit more, some more requirements that we do require a view and some more extensive experience there. I know someone was asking about OR circulator per diem shifts currently we do not have them right now, but we are looking to expand what we offer when it comes to hospital shifts.


If you are interested in those like let us know. I can, I'll probably drop the hospital information below if you're interested in learning about those hospital shifts in Colorado or Utah right now. And Utah I believe it's just RNs and Colorado is CNAs and RNs who are able to pick up hospital shifts. 


Pick Up Hospital Shifts


Another question, "Why don't I get shifts when I pick up?" I always get answers like sorry this shift was picked up by someone else or answers like that. It really comes down to the fact that we have a lot of people that really want to work on apps like this, which is great, that's great for us, that's great news. But then it comes down to we have the clinicians but the facility sometimes and in the climate right now. So we need to grow our facility base now that we have our clinician base.


When it comes to facilities, a lot of times depending on the market, some of the new places haven't even heard of us. So them understanding what our product is and how it works, that is a task in of itself there. So that's when we kind of rely on some of our clinicians on the ground to kind of get our name out there to recommend us. There are also some other markets where people are trying to move away from using contractors or per diem.


They're trying to hire on to be fully staffed with W2 right there. So they could be worried about getting fully staffed maybe they haven't heard of us or it can also come down to clinician quality. Maybe they have like a really poor experience with a clinician from an agency or a platform like ours and are turned off by the idea or leadership is telling them to get the agency PRN worker contractors out of their building. So we're really working hard in these communities to kind of build up a positive, you know, awareness of our brand of what we offer, you know like those last term shifts or those last-minute shifts and kind of building a good brand, you know, building up the clinician quality, building up the reliability of clinicians and also building up the reliability of the facilities, right?


Making sure that they're communicating what's expected on a shift. Making sure they're posting shifts, they know how to work through the app, they know how to complete shift reports on time, and they know how to do certain things. So it's also a matter of training the staff to use the app and to use the app in the best way so that it creates a better experience for everyone, right?


And if this is for a specific area, I'd love to know what specific areas, but "how do I put my drug screen on my profile and do you order it for us?" So yes and no, this is kind of a two-part question because I wasn't sure on the state or type of shifts. So if you're going through the process of becoming of working shifts at a hospital, so those Intermountain the Colorado hospital shifts, yes we process it and upload it. In Illinois, we do the PPN drug screen for you and upload it because we can verify it and we can upload it to your profile. So if you're doing hospital or PPN shifts, then yes, if you're going through that process we do put your screen on your drug screen on your profile and upload it for you. However, if you're in those other areas of long-term care, so not in Illinois, not hospital, we do not, there's not currently a process that we are able to upload outside drug screen to your profile because we currently don't have a third party that will run and do these drug screens. 


If a facility does request it, because it does happen sometimes you would have to complete it independently and be in charge of making sure that emailing it to that facility and saying like yes I do have my drug screen, I can just email it to you, here are my results. 


So there's a lot of things around drug screens as they're becoming a little more, they're becoming a bigger part of the conversation now so and more to come on like different kind of credentials and things like that. So this is a good question. So if you work hospital or PPN, yes we order it and put it on your profile. So if you have any questions about that, please contact our support team or your contacts there if you are working with someone from the hospital staff or someone from Chicago.


Another question is "Can I use my patient care technician certificate certification to work as a nursing assistant?" And so this is kind of going off the LPN/RN question as well. Currently, the app does not support the PCT certifications right now there is some talk of potentially having that right now.

But currently, we have RN, LPN, CNA, Caregivers in certain states, and QMAPs in certain states and I know there's also talk of med techs in a bunch of certain states being moved up from credentials to a license on the healthcare license section. So currently those are the ones that are kinda mainly in the conversation right now. We were curious we had someone who was curious if the individual who asked this question was interested in dialysis patient care technician shifts. One of our area managers has the experience and he'd like to talk about that a little bit more, especially in his area. So if you're the person who asked this question we'd love to chat a little bit more about that and learn about what your experience has been and potentially what it could be.




So for example, let's say you worked a shift Saturday, okay? And then both shift reports were done by Sunday night before midnight at 2359. Nursa would process that payment on Monday and you'd get paid and it would be processed to your bank however long it takes you to get processed to your bank. So probably by Wednesday, it would get processed to your bank if, your shift reports are done before Monday at 2359. So Monday at midnight the process. So then that shifts down to now the nurse will process those payments Wednesday and then you'd get 'em to your bank Friday and the same thing is done if it's verified by Tuesday at midnight and then it will change when it goes to Wednesday.


We only process payments Monday and Wednesday so you miss the Wednesday one. So it's gonna be processed the following Monday and it will get posted to your bank Wednesday. So Thursday, same thing Thursday, Friday, Saturday, same thing. As long as the shift reports were done by Saturday at midnight it would get processed that next Monday and then posted to your bank Wednesday. It's kind of confusing. I know and you know we've had a lot of different kinds of feedback on the twice versus the once weekly pay but hopefully, we can have some good faster options that are coming to you soon there and if, and see the link below if you do have any more questions on that. Okay, let's see.



Yours and Facility’s Shift Reports Completed by Nursa Processes Payment Posted to Your Bank by 
Sunday by 23:59 Monday Wednesday
Monday by 23:59 Wednesday Friday
Tuesday by 23:59 Wednesday Friday
Wednesday by 23:59 Monday (following) Wednesday (following)
Thursday by 23:59 Monday  Wednesday 
Friday by 23:59 Monday  Wednesday 
Saturday by 23:59 Monday  Wednesday 

Once someone's asked why can I only see certain shifts by friends see more, am I blacklisted? For this question I'd love to know more about maybe the location or the person I, it would be would have to be look into their account specifically. But it also is how the algorithm works. Maybe you've worked different shifts than your friends have worked, so maybe they're not, they're not able, you guys, the algorithm's just feeding you different kinds of shifts too. Maybe it's, depending on where you're at, there's a lot of factors that the algorithm takes into account that may change, right? What's shown to you versus not.


You can also do try the shift share button option. If you go to the shift and scroll down, there's like the shift share option and seeing if you're able to pull it up. I mean because there is the possibility that they can remove, they can block the clinician from seeing shifts from their facility. So if you feel like this is the case potentially, but it usually is only happening in super dire cases. And then also you know, unfortunately is the importance of having a good experience or leaving of being a good experience. Having a good experience at a facility. So that would be the only really way that they would you, they would not be able to see that shift is if they did remove you from being able to see shifts from their facility or request or remove that. But that's really more a case by case basis there. If you're concerned about that, like please call in and we can maybe give you some more information there.


Alright, let's check if there are any more questions. I think we've covered most of them for this week. But I really wanted to take a moment to walk you through our community platform and show you what's inside, what it's all about, and how we plan to use it moving forward. So, let's see if I can share my screen here. There we go! Now you should be able to see the community platform. It's a pretty neat place. You can do quite a few things here. If you're part of the community, don't hesitate to ask questions, interact with your fellow clinicians, and make connections. I'll be here every week to respond to your queries. You can also explore different topics, search for specific ones, and find community members to connect with. Feel free to send messages to other members if you want to discuss shifts or have questions about the app. This community is all about bringing you together, helping you learn from each other, and growing together. There are loads of topics with valuable information, and I'll be diving in more and more to engage with you all. We're planning some exciting things for the community as it continues to evolve, so stay tuned! If you have more questions or if there's anything specific you'd like to know, just drop it here, and I'll do my best to provide you with the answers you need.


Portland Facebook Group (expanding to Pacific Northwest Clinicians)

Illinois Facebook Group


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