Overcoming Challenges in Per Diem Nursing

Navigating the ever-shifting nursing landscape demands skill and adaptability. Per diem, or local nursing, known for flexibility, presents unique challenges—requiring resilience, vigilance, and understanding of healthcare dynamics. Per diem nurses play a crucial role in healthcare institutions, offering vital support where needed. Despite its significance, this role comes with hurdles specific to per diem, or “gig”, work. 

This article provides insights on how to succeed in this role. From managing unpredictable schedules to establishing professionalism in diverse teams, the per diem nurse's journey can be both rewarding and uncertain. Explore the nuances of per diem nursing and how to overcome them. 

Understanding the unique challenges of per diem nursing 

Variability in Work Schedules and Hours 

For a per diem nurse, each upcoming shift is a little bit of a mystery. It reveals the work hours, tasks, workplace, and team involved. The unpredictable nature of their duties can be exciting for some and unsettling for others. Per diem nurses must anticipate and plan for shifts in advance. This includes preparing essential items such as scrubs, stethoscope, and planner. They should also communicate effectively, keeping in touch with supervisors to stay updated on any changes.  

Adapting to Different Healthcare Settings

A per diem nurse is a chameleon, expected to seamlessly blend in with each new healthcare environment. Each hospital or clinic has its own culture, protocols, and rhythms, which can be a daunting landscape to survey for a newcomer every shift. Collect as much information as possible before beginning a new assignment. Reviewing materials provided by your staffing agency, contacting the unit manager for a brief overview, and arriving early to acclimate to the surroundings are effective practices.  

Building Relationships with Different Teams 

In the world of nursing, teamwork is key. Per diem nurses often must quickly build connections with new teams. Trust and mutual understanding are crucial with each new team, but time can be limited for per diem nurses. Actively engaging with your colleagues, expressing your willingness to assist, and showing appreciation for their support fosters positive relationships.  

Managing work-life balance as a per diem nurse 

Creating a Flexible Schedule 

The flexibility of per diem work has its pros and cons. While the ability to mold your work hours to your life's needs is liberating, it can also lead to uncertainty in planning personal time. Establishing a weekly routine with designated work and personal time can create stability. This routine should be fluid enough to accommodate schedule changes. It's also important to be assertive about your time—saying "no" to shifts when necessary is not only acceptable but crucial for your well-being. 

Prioritizing Self-Care and Stress Management 

The nature of per diem nursing, with its frequent change and high-demand environments, can be taxing on one's mental and physical health. Prioritizing self-care is a necessity. Incorporating regular exercise, a balanced diet, and adequate sleep into your routine should be non-negotiable. Engaging in stress-reducing activities such as meditation, journaling, or hobbies can also provide a reset. Read more ideas for self-care in “Top 8 Self-Care Tips from Nurses.” 

Maintaining a Healthy Work-Life Integration 

The boundary between work and personal life can blur for per diem nurses—especially for those with a strong sense of dedication to their patients. It's important to uphold this boundary to prevent burnout. Carve out dedicated personal time. Establish a pre-shift and post-shift routine that signifies the start and end of your workday. Engage in activities that bring you joy and fulfillment outside of your nursing duties. 

Navigating per diem nursing contracts and compensation 

Understanding Contract Terms and Conditions 

Per diem contracts can be intricate, outlining details of not just compensation, but also expectations, benefits (if any), and specific unit needs. Carefully review every contract detail, asking for clarifications if anything is unclear, and seeking legal advice, when necessary, can ensure that you enter each new assignment fully prepared. Keeping a personal record of contracts and communications can prove valuable as well. 

Negotiating Fair Compensation Rates 

Per diem work often has higher pay rates compared to permanent positions, but these rates can vary significantly. Negotiating for fair compensation for your expertise and the varying demands of assignments is important. Researching standard pay rates for your specialty in different regions is a good starting point. You should be prepared to articulate your value and the unique contributions you bring to each assignment. Negotiate clear parameters for shift differentials and overtime to ensure your expectations align with your compensation. 

Ensuring Accurate Documentation for Payment 

The administrative aspect of per diem nursing—properly documenting and ensuring payment for your services—is as crucial as the clinical side. Develop a system for documenting your work that is both efficient and compliant with healthcare regulations. Always double-check the accuracy of hours worked, procedures performed, and any additional duties. Track payments diligently and follow up promptly on any discrepancies. 

Companies like Nursefinders, an AMN Healthcare company, provide financial support resources. Find out how staffing firms can help nurses overcome challenges in “Top Travel Nursing Challenges and How Staffing Firms Can Help.” 

Enhancing professional development in per diem nursing 

The variety of healthcare settings can offer great opportunities for learning and career development for per diem nurses. Keep an open mind and be ready to soak up knowledge. Chatting with other pros can also give you great tips and maybe even help you find some mentors along the way! The more skills you acquire, the better prepared you are for the challenges of new assignments. Cross-training in different departments within a healthcare facility can also broaden your expertise. 

Networking and Collaborating with Other Nurses 

Isolation is a common concern for per diem nurses, but it doesn't have to be the norm. Building a network of peers can provide a sense of community and support. Participate in nursing forums, attend professional events, and connect with colleagues on social media. Create and maintain professional relationships that can offer advice, share experiences, and serve as a sounding board for the challenges you face.  

AMN Healthcare will be hosting Schwartz Rounds® this year, so stay tuned for notifications about these upcoming events. 

Conclusion: thriving in per diem nursing 

The life of a per diem nurse is one that demands resilience, adaptability, and a commitment to constant growth. By implementing the strategies outlined in this post, you can transform the challenges into opportunities for personal and professional advancement. 

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I agree to receive emails, automated text messages and phone calls (including calls that contain prerecorded content) from and on behalf of AMN Healthcare, and affiliates. I understand these messages will be to the email or phone number provided, and will be about employment opportunities, positions in which I’ve been placed, and my employment with AMN companies. See privacy policy or cookie policy for more details.