How to Navigate a Difficult Travel Nursing Assignment

By:
JoAnne Salreno
January 29, 2026
Reading time:
3 min

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Every travel nurse eventually hits that one assignment that tests their resolve, whether it’s a disorganized unit or just a severe case of culture shock.

At Nomad, we believe in the power of the journey, but we also understand that not every mile is paved with gold. Sometimes, navigating travel nursing assignments feels less like a scenic road trip and more like an endurance test.

According to the Beyond the Bedside State of Nursing 2025 report from Cross Country, approximately 65% of nurses report experiencing high levels of stress and burnout related to their role.

65% of nurses report experiencing high levels of stress and burnout related to their role.

When you're a traveler, that stress is often magnified by being the "new person" in an unfamiliar environment.

We hope this article will provide tangible tips to survive, thrive, and make the best of the situation, whether you’re a seasoned traveler or a first-timer.

4 Tips to Navigating Difficult Travel Nursing Assignments

Spot the "red flags" early

The best way to navigate a difficult assignment is to try to see it coming. Real-talk from Reddit r/TravelNursing suggests that certain "vibes" are actually structural warnings. ⁠ ⁠The "honeymoon" phase: Many travelers on Reddit note that things often feel fine for the first two weeks before the "honeymoon" wears off and the true unit culture is revealed.

Vague orientation: A minimal or confusing orientation process can signal that the unit lacks a clear structure for integrating new staff.Protect your license 

💡Pro-Tip:  Remind yourself that although the facility may have different policies or processes, we are expected to adapt to the new environment and comply with their protocols. Should you run into an unsafe situation, escalating to the unit manager and/or Nomad team should be your first line of defense.

Protect your license

In a difficult assignment, you may be pressured to take unsafe loads or perform tasks without proper resources and training.  ⁠ ⁠Document everything: If a situation feels unsafe, follow the facility's chain of command and document your concerns in writing. ⁠ ⁠Standardized communication: Use structured tools like SBAR or the CUS method to escalate issues professionally. Communication breakdowns contribute to over 70% of sentinel events in hospitals. ⁠Again, you should always communicate with your unit manager should you ever feel like you or your patients are at risk. The ARCC tool is a powerful communication strategy used in high-reliability organizations to respectfully and effectively escalate safety concerns. The Nomad clinical team is also available to discuss clinical concerns, patient safety concerns, or other escalations related to your assignment. ⁠ ⁠Read, ‘From Risk to Reliability: Evidence-Based Communication Saves Lives.’

Master the Mental "Countdown"

When the shift is hard, the mental game is everything. One of the most effective travel nursing tips shared by veteran travelers is the "Double-Digit" strategy. ⁠ Shift counting: Don’t look at the months; look at the shifts. 33 shifts sounds much more manageable than 11 weeks.

Limit coping vices: Be self-aware of unsafe coping strategies and avoid indulging too much when you’re already feeling heavy stress. Opt for a bike ride, journaling, a hike, or exploring a new city instead.

Know when (and how) to walk away

While the goal is always to finish the contract, you have options.

Talk to your Nomad navigator: Your navigator is always available to assist you, especially when you’re on assignment.  They can get you in touch with a member of the Clinical team to help mediate your concerns with the facility, talk through communication techniques, send education and training related to your concerns, or help you transition out safely.

Financial readiness: Stashing away one or two weeks of pay can give you the financial cushion you need just in case you have to end a contract early. 

The light at the end of the tunnel

Every difficult assignment is a masterclass in adaptability. You are gaining skills, resilience, and a higher paycheck than your permanent staff-nurse self would have dreamed of. Each assignment strengthens your experience as a nurse, making you a highly sought-after professional with a diverse skill set. If a facility is offering to train you in new skills or processes, take this as a learning opportunity to grow within your nursing practice.

Remember, you are never truly alone. The travel nurse community is vast and supportive, and your Nomad team is always on standby to help you navigate even the most difficult journeys.

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Author profile

JoAnne Salreno
JoAnne Salreno, RN is a Registered Nurse with experience in Surgical Intensive Care (SICU), Pre-Op, Operating Room, and Post-Anesthesia Care (PACU) settings. Since becoming an RN, she has been dedicated to providing high-quality, compassionate care across the clinical continuum and now brings that same energy towards her role at Nomad. JoAnne brings a clinical eye and real-world insight to her clinical coaching, while offering support and guidance to Nomad clinicians each day. As a manager on the Clinical Excellence team, JoAnne brings the same focus, precision, and compassion that defined her bedside nursing into her role. She is committed to improving patient outcomes through education, evidence-based practice, and interdisciplinary collaboration, while also providing education, guidance and coaching to support clinicians while on assignment. JoAnne believes that high-quality care is a team effort, one that depends on recognizing and valuing the expertise of every healthcare professional involved. She is committed to amplifying the contributions of travel healthcare professional roles and fostering a more collaborative, inclusive approach to care delivery.

https://www.linkedin.com/in/joanne-salreno

Published: Jan. 29, 2026
Modified: Jan. 29, 2026