Travel Nurse Contract Red Flags Checklist
Review your assignment contract clause by clause. Identify red flags, negotiate better terms, and protect your position.
Guaranteed Hours
Counter-Offer Script:
"Can we add a clause guaranteeing [X] hours/week? If census is low, I'd like a pay guarantee for [X]% of those hours, or the right to pick up additional shifts with clear premium pay."
Cancellation Policy (Facility-Initiated)
Counter-Offer Script:
"I need at least [3-4] weeks' notice for cancellation, and compensation of [2 weeks] pay if the facility cancels. I'm relocating for this role and need to plan accordingly."
Housing Stipend
Counter-Offer Script:
"I'd like to negotiate the housing stipend to $[X]/week, which reflects current market rates in [city]. I also want the option to find my own housing and receive the full stipend rather than using agency housing."
Travel Reimbursement
Counter-Offer Script:
"I need the agency to pre-pay my travel costs. If that's not possible, I need reimbursement within 2 weeks of submitting receipts, with a per-night hotel limit of at least $[X] and full mileage reimbursement."
Overtime Rate
Counter-Offer Script:
"I want to clarify that OT is paid at 1.5x my base rate after [8] hours in a shift or [40] hours in a week, whichever is more favorable. This should include any shift differentials I'm earning."
Holiday Pay
Counter-Offer Script:
"I'd like the contract to specify which holidays are paid at premium rates and confirm the rate (1.5x or 2x). I should receive holiday pay regardless of whether I'm scheduled to work, and I want [X] paid holidays per year included."
Floating Policy
Counter-Offer Script:
"I'm comfortable floating within [unit/specialty], but I want to limit floating to no more than [1-2] times per month. Floating to other facilities or out-of-specialty areas requires additional compensation and my approval."
Call-Off Penalties
Counter-Offer Script:
"I want the contract to allow [2-3] emergency call-offs without penalty. Penalties for additional call-offs should be reasonable—not loss of pay or termination—and medical call-offs should be treated as separate from voluntary call-offs."
Extension Terms
Counter-Offer Script:
"Extensions must be optional, and I need at least [2-3] weeks' notice with the extension terms before I'm expected to commit. Extension rates should match or exceed my current rate, with any changes clearly negotiated."
Licensure & Compliance Costs
Counter-Offer Script:
"The agency must cover all costs for licensure, drug screens, background checks, and certifications required for the assignment. I should not have to pay out-of-pocket for any compliance-related expenses."
Insurance Coverage
Counter-Offer Script:
"I need health, dental, and vision insurance to be effective from my first day of work. Please provide details on plan options, premiums, deductibles, and confirm that malpractice insurance is included."
Non-Compete Clause
Counter-Offer Script:
"I want to negotiate the non-compete. A reasonable non-compete would be [6 months], [25-50 mile radius], specific to [facility name] only. I should also be allowed to convert to a permanent staff position without violating the clause."
Rapid Response / Crisis Rates
Counter-Offer Script:
"For a crisis assignment with short notice, I expect a locked-in premium rate of $[X]/hour. This rate remains in effect for the full assignment length, regardless of whether the crisis is declared over or the assignment extends."
Do Not Return (DNR) Clause
Counter-Offer Script:
"DNRs should only apply for serious violations like theft, violence, or patient harm—not minor policy disagreements. I want the right to dispute a DNR and a clear process for appeal. A DNR should be facility-specific and shouldn't blacklist me agency-wide."
Stipend Clawback Clause
Counter-Offer Script:
"I'll accept a prorated clawback if I break the contract, but not a full refund of stipends. There should be no clawback if the facility terminates me or if I leave due to medical emergency, safety concerns, or breach of contract by the facility."
The Most Dangerous Travel Nurse Contract Red Flags — and Why They Cost You
After reviewing hundreds of travel nursing contracts across major agencies, the same five clauses keep showing up in the most costly disputes. These aren't just inconveniences — they can wipe out weeks of pay or strand you without housing mid-assignment.
Vague guaranteed hours. The most common red flag. A contract that says "36 hours per week guaranteed" sounds solid until the facility cancels your assignment after week one. Without explicit language defining what happens when the facility cancels — whether you're owed the remaining weeks at full pay, a kill fee, or nothing — you have no legal recourse. Look for specific language like "guaranteed regardless of census fluctuation" or a written kill-fee clause (typically 2–4 weeks' pay).
Housing stipend below your actual costs. Agencies quote stipend amounts that may look good on paper but fall short in high-cost markets. In cities like San Francisco, Seattle, or Boston, a $2,000/month housing stipend won't cover a one-bedroom near the hospital. Before you sign, verify actual rental costs in the assignment city for furnished 30-day rentals — not long-term leases, which don't apply — then compare to the contract stipend. If it's short, negotiate or walk.
Non-compete provisions. Some agencies bury a clause that prevents you from working at the same facility through a different agency for 12–24 months. This is especially common in high-demand ICU and ER markets where facilities regularly source from multiple agencies. A non-compete you don't catch before signing can cut off a lucrative extension or block you from returning to a facility you loved.
Stipend clawback clauses. If a facility terminates your assignment early for any reason, some contracts require you to repay housing and meal stipends that you've already received. In a canceled 13-week assignment, that can mean repaying $8,000–$12,000. The clawback should apply only if you terminate early without cause — not if the facility cancels due to census, budget, or contract disputes.
How to Negotiate Travel Nurse Contract Terms Before You Sign
Recruiters will tell you "the rate is set" and "this is a standard contract." Neither statement is fully true. In a 10-year travel nursing career, I've negotiated or walked away from contracts on every major agency platform. Here's what actually moves:
Housing stipend and travel reimbursement are the easiest to bump. Most agencies have discretionary pools for housing bumps of $50–$200/month. Ask explicitly: "Is there any flexibility on the housing stipend given the cost of rentals in this market?" Then provide a link to a Furnished Finder listing that shows the gap. It works more often than you'd think.
Guaranteed hours language is negotiable before signing, not after. Once you're on assignment, you lose nearly all leverage. Before signing, email your recruiter and ask them to add "guaranteed regardless of census" to the contract addendum. Many will push back — but if the facility legitimately doesn't cancel travelers, they have nothing to lose by adding it. If they refuse, that reluctance is itself a red flag.
Know your worth in the current market. Agency rates compress when travelers are abundant and spike when there's a shortage. Before negotiating, check what other travelers are reporting in that specialty on Glassdoor, Vivian, and r/TravelNursing for that facility and market. If you have CCRN certification and ICU experience in a competitive market, you have leverage — use it. An agency that won't negotiate when you have rare credentials is an agency that doesn't value retention.
Finally: always get the final contract as a PDF before you give your start date. Verbal agreements with recruiters mean nothing. The signed PDF is what matters in a dispute.