Ratio honesty determines retention
Posting 1:5 and staffing 1:7 ends assignments early and costs more than the ratio saved. We ask what you actually staff, not what the policy says.
Home / Specialties / Med-surg & telemetry
Your largest specialty is also your most fixable
Med-surg and telemetry carry the most beds, the most vacancies, and the most agency spend — which also makes them the specialties where an internal pool pays back fastest. We staff the gap today and will tell you honestly when you should be buying less of it from us.
RatiosScreened to what you staff
TelemetryRhythm competency confirmed
FloatExpectations set before start
Same dayUrgent requests answered
Why this one is different
The volume specialty, and the rate-sensitive one
Med-surg fills faster than any specialty on this site, which means the rate matters more here than anywhere else. When a med-surg requisition sits open, pricing is usually the reason rather than scarcity.
Float expectations are the usual surprise
If the role floats to tele, oncology, or overflow, that belongs in the intake. Clinicians who know accept it. Clinicians who discover it do not stay.
This is where a pool pays back
Because the volume is high and the competency is broad, med-surg and telemetry are the strongest candidates for an internal resource pool. We will model that with you even though it reduces our own revenue.
Verification
What we confirm before submittal
Lighter than critical care, and still specific enough to matter.
- Recent acute-care experience — with unit type and bed count of previous assignments stated.
- Telemetry competency — rhythm interpretation confirmed where the unit carries tele, not assumed.
- Certifications — BLS and ACLS current, with certification noted where held.
- Ratio experience — the ratios the clinician has actually worked, so expectations match.
- Float history — which units they have floated to and whether they are willing to again.
- Licensure — active state or compact, with status shown if an application is pending.
- Intake
Bed count, real ratios, tele coverage, and float expectation stated plainly.
- Screen
Clinical interview including rhythm competency where the unit requires it.
- Submittal
Profiles showing ratio and float history so the fit is visible up front.
- Start
Credential file before day one, with expiry tracking active.
Commercials
Where we will argue against our own revenue
If you are covering baseline med-surg demand with contract labor every week, you are paying a surge price for a predictable need. We will show you the arithmetic, and if an internal pool is the cheaper answer we will say so — then help you build it for a fixed fee rather than a share of the spend we are reducing.
- Baseline versus peak, separated, because they should not be bought the same way.
- Rate card held for the term, by specialty and market, exceptions in writing.
- If the rate is why nobody is taking it, we tell you — in med-surg this is the most common cause by a distance.
- Conversion priced up front as a declining fee based on hours worked.
Client FAQ
Before you post the med-surg requisition
Ratios, floating, and when to stop buying contract labor for this.
In this specialty it is usually the rate, because supply is wider than anywhere else on the site. If your posting is below what the market is paying, clinicians take the assignment across town instead. We will show you the number rather than telling you it is a tough market.
Quite possibly. Med-surg and telemetry are the strongest candidates because the volume is predictable and the competency is broad. We price float pool work as a fixed monthly fee, not a share of agency spend, so the incentive to keep your spend high does not exist.
Yes, and it is in your interest. Clinicians who accept a float expectation knowingly complete assignments. Clinicians who discover it in week two leave, and you pay the replacement cost.
Faster than any other specialty here, assuming the rate is competitive and the ratio is honest. When those two are right, this is typically the shortest timeline we quote.
Yes. Seasonal surge is a legitimate use of contract labor and one we would not argue you out of — the argument is only about covering baseline demand at surge prices every week of the year.
Send us the ratio you actually staff
Bed count, real ratios, tele coverage, and float expectation. If the answer is a pool rather than a contract, we will tell you that too.