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I can on here to say that after working for Nursa for a year things have gone downhill with them. I get “accepted” for a NOC shift and don’t look at other options because I’ve been “accepted “ yet, hours before my shift I am cancelled! This is happening 100% of the time! These facilities are making me a back up plan obviously and Nursa needs to step up and put an end to this game! After being cancelled so many times from a facility I decided to cancel my shifts with them and then Nursa dings me for it and put a hold on my account. This isn’t right. I’ll be looking at other companies where the facility is held accountable and not hitting me with being “irresponsible.”

I'm having a difficult time trying to pick up shifts and I just joined nursa

Hi there… I’m new to Nursa. Just wondering how long it normally takes for a facility to accept and/or deny your request for shifts. I put in a week ago for 3 shifts and have done my profile work and messaged the facility with no response. What other steps do I need to take to make sure I get the shifts I requested to be accepted?

Hello all I am new to NURSA. How do I pick up shifts?

One thing that this app is terrible for is the response time. I never know when I’ll get a response. Even when the job is posted within less than an hour of me offering to pick up. I’ve had to end up picking up with another agency that has better protocols for picking up shifts. They have people I can call and confirm with as well. On Nursa any messages I’ve sent never get responses back. So my suggestion is that Nursa provides on call numbers with people that actually pick up the phone so I can get a response back on whether a shift is available so or not.

The app has been working fine but sometimes like today the jobs I’m seeking here in my state and area are not shown but what’s shown are jobs away from my state and area. Does anyone else have these issues?

I am new to Nursa, quick question, How will I know if the shift I requested is approved or not?

Hello. I am living in Nebraska but frequently travel to places such as Colorado, Arizona, Nevada, California, Washington DC, New Jersey. Am I able to pick up shifts in different states even though I am based in Nebraska? If so, would I need to complete different credentials for each state? I am working on getting my Nevada License right now as I realize it is not a compact state. Also, how long after I request a shift will I be able to work that shift? I see that after I request my first shift it says they run a background check, wasn't sure how long that takes. Any info would be appreciated. Thanks!

Has anyone been able to work shifts in Seattle and Tacoma? I picked up a shift but never got approved feels like those shifts are just there for show, never available whenever I called the facility for approval. I need help, How do you get to work shifts?

Have you ever noticed any prn shifts in wyoming?

Lately this past week or so, every time I get on to look for shifts, there are only 3-6 shifts available for a 200+ mile radius? I live in a big city, but even outside of my city it doesn’t show anything. Is anyone else having this problem? Are the facilities just not posting shifts? It seems weird that there isn’t anything even 200 miles away.

There was a brief thread in July regarding facilities that post shifts but do not respond to clinicians who request them. In my previous post, I mentioned that there are certain facilities that post shifts that are not actually available, and it is misleading to clinicians and ultimately a waste of time. On Tuesday, I requested a posted shift for Friday, 12/08. I informed the scheduler about the shift this morning and included a snippet of her response. As far as I know, the facility is not known for doing this, and I hope it does not become a long-term problem. What measures has NURSA taken to discourage facilities from posting shifts 'just in case'?

What's going on in Arizona NURSA?? All am seeing lately are shifts in Tucson . What about the Phoenix area?

Hi, am I able to pick up shifts in different states if my license is not from that state.

Hi everyone, is this a norm here or is it just me? I’ve signed up for 4-5 jobs this weekend and I either hear absolutely nothing-no one responds or I get assigned to it and then they cancel on me. Is there any tricks to get a shift and actually work it? any help would be appreciated. I’m about to give up. thanks!

If a facility cancels you last minute, its ok for them to do, but if we do it we get a 2 week ban? Thats ridiculous. I had a facility cancel my shifts today for a few hours from now, stating they filled it in house. Ok, but if I had done that to them, I'd be on a 2 week ban. Of course they can get away with it and no consequences for them, meanwhile I'm missing an entire nights work because I don't have anything open last minute to pick up. It's as inconvenient for me to plan to work over night and now I'm short an entire shift for the week and either have to take the pay cut or make it up. This has happened to others I know, one drove over an hour from where we live to be cancelled when she got there. This isn't acceptable at all and there should be some recourse for us. We spend our time and fuel to go to these places and fill their deficiencies, and they wonder why they can't keep appropriately staffed? I go to this place frequently, they call me at all hours to come cover shifts for them and I do. I told them today not to bother calling me to come cover down if they can't have the decency to not cancel a scheduled shift on me last minute.

I have never had this problem before and have no idea the exact solution. I requested an RN shift and was cancelled shortly after I was scheduled for the shift. I was in the middle of driving there so I may have missed the alert. Not sure exactly when the cancellation occurred. The message states "Facility has removed you from their shifts. You are no longer scheduled for this shift." In the Nursa terms it states a facility has to pay $75 if they simply cancel you before the shift starts and within 12 hours of the shift starting. I am not seeing any $75 payment. It also states in the terms that they must pay you 50% of the remainder of the shift if you are cancelled after the start time. I cannot see a time stamp, but I was able to tap "I'm Here" in the app on the shift, but found out that I was cancelled possibly after I arrived. How do I make sure I am receiving payment for this cancellation and getting the proper cancellation payment. At a minimum I believe I am owed $75, but I did arrive at the facility. The only thing that is not clear is when they actually removed me from the shift. I am unclear since there is no time stamp. I believe what happened is they double booked the same shift and picked the cheaper LPN worker. In my opinion just playing games. I called support and reported it, but I feel like support ignored the issue and gave me no assurance that I would receive anything. Has anyone else experienced a similar issue? How did it turn out?

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So I had a shift recently at a facility that had about 5 COVID residents. Myself and another girl also from NURSA were assigned to those rooms. Not a big deal I’ve been caring for COVID patients/residents since it started. One of those residents had pressed their call light. So I asked the girl if she could come help me. She said yes and we proceeded to get all the PPE on. She however did not put the n95 or face shield on. We entered the room the resident stated that she wants everybody to be wearing the n95 and face shield. Which shouldn’t be an issue. This girl began stating well it’s fine than almost started to argue with the resident stating well I think it’s should be my choice. Me being anti conflict tried to offer going out to get her the necessary items. A which point she said well I will just leave than and proceeded to rip of the gown and leave meanwhile the resident began crying out of frustration. Now isn’t it protocol we follow what the facility rules are for a COVID outbreak? This has really been bothering me that someone could act like that and be a CNA caring for residents.

Facilities just aren't posting like they once were. What gives? I've noticed various facilities switching agencies/apps, but not to Nursa. Hope things get better.

I drove two hours to a shift tonight only to find out that the facility had “forgotten” to cancel me. I contacted Nursa and the only compensation they offer is $75?! I know it’s not Nursa’s fault but they should offer more protection for their nurses in these situations. $75 is nothing compared to what I thought I would be making tonight. Not only that but now the other jobs I could have requested have been filled. I know that if we no show or late cancel a shift there are repercussions but what about the facility? What happens to them for completely wasting my time?

Hosted by Krishna Floisand, Community Manager Check out this week's Q&A session, Krishna and Mornique discussed topics ranging from how to submit documents, challenges in-home care, facility response to shift requests, the upcoming Nursa Direct feature, shift availability, future improvements, a shift duration reporting issue, and challenges faced by clinicians, emphasizing the need for local clinician groups and mentorship programs. 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: How do I submit my documents? Q2: Is Nursa going to start doing home health care? Q3: What happens if a facility doesn't respond to a shift request even right before the shift? Q4: How can we reduce the need for constant checking of the app? Q5: Have you had any experience with Nursa Direct? Q6: Mornique, what challenges do you encounter as a CNA? Q7: How can I connect with clinicians in my area? Q8: How do I prefer to connect with other clinicians? Transcript Krishna: Hi there, everyone! Today we have Mornique with us for our weekly Q&A session. We've received some questions in advance, so we'll address those and have a discussion. Mornique, would you like to introduce yourself? Mornique: Sure! I'm Mornique, part of the Nursa community. I've been a CNA for three years, and I recently moved to Colorado. Krishna: Mornique is great. She was with us in Texas and recently moved to Colorado. She's starting her QMAP journey and just got her CNA license transferred over to Colorado. So now we'll start getting shifts there too, right? Mornique: Yes, absolutely! 1️⃣ [00:01:37] [Krishna] Great! Let's dive into the questions that were submitted in advance. Someone asked, "How do I submit my documents?" Mornique, you had experience with this, right? [Mornique] Yes, indeed. To submit your documents, you'll want to click the blue plus button at the top of the app. Then, select "add healthcare license" if you're adding another healthcare license, or go to "credentials" and upload your documents there. It's pretty straightforward. [Krishna] Excellent! The blue plus button is the key. 2️⃣ [00:03:03] [Krishna] Now, Mornique, have you ever done home care before? [Mornique] Yes, I recently started my journey into home care here in Colorado. [Krishna] Someone asked if Nursa could offer home care services. What's your take on that? [Mornique] Yeah, I'm curious 'cause I mean I don't know home care is, there's a lot of need for it, but I think from a standpoint like, I mean agencies usually never, usually it's like a company that has on-call. I think we've tried on-call shifts before but they've been a little bit difficult. Yeah, I think that it would be more contract, I would use that word. Contracts. Just those, you know, if you're doing private home care, they want someone familiar, especially if they're opening up their home. [Krishna]A good idea though. Good suggestion. [Mornique] I know it's a good idea, especially since a lot of facilities also maybe have a home care division or, or whatever it may be there too. [Krishna] Home care can be challenging due to the need for reliable caregivers. It might be a good idea to explore this further and gather input from the community. [Mornique] That makes sense. Home care comes with its own set of challenges. 3️⃣ [00:03:53] [Krishna] Now, another question: "What happens if a facility doesn't respond to a shift request even right before the shift?" [Mornique] If the facility doesn't respond, you can remove the request from your schedule. Last-minute cancellations and lack of responses can be common, but it's part of the PRN world. [Krishna] That's good advice. Now, how long do you usually wait before removing a request if it hasn't been responded to? [Mornique] Generally, I remove a request about two hours before the shift unless it's a last-minute shift. You don't want to risk double-booking or missing out on other opportunities. [Krishna] Got it! It's essential to manage your requests effectively. 4️⃣ [00:10:00] [Krishna] Now, Mornique, we're curious about your thoughts on improving the app. How can we reduce the need for constant checking of the app? [Mornique] Notifications could help, but we also need to be mindful not to overload users with notifications. Keeping profiles up-to-date is crucial. People have different preferences for how they use the app, so it's a balancing act. [Krishna] True, everyone has their own approach. 5️⃣ [00:11:30] [Krishna] I know, today we're asking everyone about Nursa Direct. Our team is working on it, and it's coming soon to more markets. However, it's still in the testing phase. To qualify for Nursa Direct, there are a few requirements. Monique, you've looked into this, right? [Mornique] To qualify for Nursa Direct, you typically need to work your first three shifts consecutively, complete check-ins, and submit shift reports promptly. It's an exciting development! [Krishna] Right, and you also need to check in when you arrive and complete the shift report within a specific time after your shift ends. These are good habits to develop so you can qualify for Nursa Direct when it launches. There might be a few other things, but it's coming soon. Once it's fully launched, we'll make sure everyone knows because people have been requesting it. [Krishna] Exactly, it's funny because other players in this field have done something similar. They started with weekly pay, then moved to twice a week, and eventually daily or instant pay. We're a bit behind, but we're getting there. One reason it's taken time is because we want to iron out the bugs. One issue is when you're asked to stay an extra hour or two at a facility. On the shift report, you mark the extra hours, but for instant pay, it currently disqualifies you if it doesn't match within 20 minutes of your shift time. However, 100% of the time, those extra hours are later verified by the facility. So, we're fixing that issue. [Mornique] That's frustrating. I've experienced that before. [Krishna] That's why we're testing and fixing it. It's getting resolved. [Mornique] That's great news because even before Nursa Direct, I had to stay for a full extra shift of eight hours, and the Nursa app would move that shift report to an admin report, waiting for Nursa and the facility to verify. [Krishna] It becomes a back-and-forth process. We're working on reducing the time it takes to verify so clinicians aren't penalized for helping out a facility, especially at the last minute. 6️⃣ [00:15:44] [Krishna] Mornique, what challenges do you encounter as a CNA? [Mornique]Yeah, no that's okay. A lot of the challenge is that like I personally would face is you know, the lack of supplies sometimes the miscommunication with residents schedules or meal nutrition, dietary. So it's just, I wanna hear from others as well what challenges they face because sometimes it could be, you know, as simple as I struggle with transferring someone just because of coordinating our bodies and getting our feet in the right position between theirs. I'm excited to hear and I know I think these will be great questions for the community along with the Facebook group. 7️⃣ [00:16:47] [Krishna] Yeah, that's right. We're working on something new. Right now, we have our central community at community.nursa.com, but we want to make it more localized. We'll have separate communities for different areas. In these local groups, you'll find clinicians who know your area and managers who oversee those regions. This way, you can get more specific advice. You see, different regions have different challenges. Some places have too many clinicians, so not everyone gets shifts. Others have facilities but struggle to find clinicians with their licenses uploaded, you know? [Mornique] So it depends on where you are. That's why we're creating these local groups. We might even set up mentorship programs or other support systems at the local level. A lot of folks are looking for guidance, like where to get certifications or training. They ask questions like, "Where can I renew my CPR?" or "Who can help me with this?" So having local connections will be great. Especially in states with a high demand for Nursa, where facilities post multiple shifts. If we have mentors or a database to connect with local clinicians, we can coordinate our shifts, share tips, and even introduce new folks to the team. It's a fantastic idea! Portland Facebook Group (expanding to Pacific Northwest Clinicians) Illinois Facebook Group Interested in helping create your own local group? Interest Form 8️⃣ [00:18:26] [Krishna] Mornique, how would you prefer to connect with other clinicians in your area? Would you like to have a directory on the community site, community.nursa.com, where you can find clinicians with the same license? Or would you rather be introduced to someone once you get started, like, "Hey, here's another CNA in your area, feel free to reach out." Or maybe you have another idea for connecting with local clinicians? [Mornique] This online approach is new for us. Back in Texas, we used to network in person. We'd meet at facilities and bump into each other frequently. That's how we built our connections. [Krishna] Yeah, and then you'd exchange numbers and all that, right? [Mornique] [Speaker 0] Exactly. But with the Nursa community launching, I started directing everyone there. It's not just a great place for local connections; you get insights from nurses all over, not just in our area. [Krishna] The community is fantastic. [Mornique] It sure is. I want to help it grow. We can talk about Nursa-related stuff, but also about thriving as a PRN clinician in this challenging field. There are strikes, work conditions, and professionals fighting for better environments. [Krishna] Yeah, work conditions. [Mornique] PRN offers flexibility. Many people choose it because they aren't tied down to a single facility. [Krishna] Exactly, it provides freedom and flexibility. [Mornique] Let's share this on the community and gather input and comments on various problems, whether they're related to Nursa, healthcare, or the profession. I'd love to dive deeper into these topics and hear how people are dealing with them. Thank you for your questions, and if you have more, please feel free to ask. Have a wonderful weekend, everyone! We'll be here to assist you. Goodbye!

-I am ready to start work tonight at the LandmarkSouth Nursing and Rehabilitation Center as a Clinician and would like to ensure that all pertinent documents are submitted to begin. Terry Terrell

Curious if anyone else has a strategy when working at a new facility. I have heard working a NOC shift at a facility to see if you like it and if you do, working the swing and then a day shift if you like that facility. Anyone else?

Starting August 18th, we will meet Fridays to talk through best practices in getting ready for your first couple of shifts with Nursa! We will also work to publish tips on Fridays and encourage others to post theirs as well 🙂