Travel Nursing Orientation 101: What Awaits You in Your First Days

You did it! You secured a new travel assignment, completed your compliance, maybe even moved to a new city. All that is left is starting your new job. Any first day can be scary, but I hope to take away some of that fear by giving you an idea of what you will be doing in your first days.

Preparing Before Your First Day

Prior to start, you will receive instructions for your first day. These usually come directly from a hospital contact to your email. It will include information regarding modules, parking, uniform, and reporting time and location. I always like to show up ten to fifteen minutes early on my first day. A new hospital can feel like a maze, so give yourself some extra time to find your destination.

First Day Education and Skill Checks

You may need to complete education modules prior to start, or they may give you time for this on your first day. You will usually start in some sort of classroom or lab. This is where you will complete skills checkoffs such as handwashing, glucometer training, and safe patient handling. You will receive logins for things like your company email, intranet, and EMR.

Learning a New EMR System

An unfamiliar EMR can be one of the largest obstacles in the first days of a new job. In my experience, places that use Epic EMR may require a test out to prove competency prior to working. It is no big deal if you fail. For me, I stayed home the next day and attended a paid training course over Zoom. Other sites may provide a brief overview of the system before you are released to learn on the job.

When learning a new EMR, try not to get caught up in the nitty gritty. And whenever possible, find someone you can trust to ask questions. Your nursing skills have not changed, and you know what you need to document. You just need to find out where to do it. I find that it helps to make written notes and checklists I can refer to later. This way, you can accomplish the tasks at hand without documentation slowing you down.

Transitioning From Classroom to Unit Orientation

After you finish in the classroom, it will be time to go to your new unit. Typically, you will be brought around by the department educator. This is where they will ensure your access to the pyxis, med room, EMR, and the like. You will receive a tour and important supplies and equipment will be highlighted. Depending on scheduling, you may begin working on the floor that day.

Working With Your Preceptor

Many hospitals will offer two to three days of orientation before you work on your own. Others may only offer a few hours. You can expect to be paired with an experienced staff nurse who will show you the ropes. This will include any questions regarding charting, supply locations, and specific hospital policies or communications. Do your best to remember the things you will be using every shift. Take notes if you need to.

In my experience, the nurses who have oriented me have been continued resources throughout my contracts. Use these resources whenever possible. If it is not a staff nurse, maybe it is another traveler or a member of the ancillary staff. You do not need to stop asking questions when your orientation period is over. Ask whatever you need to ensure you are practicing at your best.

Finding Confidence in the First Weeks

Your first few days in a new hospital can be some of the hardest and most confusing. Remember, you already know how to be a nurse. Enter your first day with confidence in your ability. You just need to learn your way around the hospital’s policies and their supply room. I have always felt more confident within a week or two at a new site. Get through orientation, and you can find your own workflow to settle into. In many places, you will end up meeting some great friends along the way.

If you want more help navigating travel nursing, setting up your first assignment, or getting guidance for future contracts, make sure to check out our Travel Nurse page for more resources and support.

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Starting a New Travel Nurse Contract: A Guide to Your First Days on the Job