Name: Supplemental Nurse Description: A 'supplemental' nurse is employed by an agency to provide specific nursing skills to a hospital or other type of healthcare facility. Travel nursing or home care could fall into this category as well Practice roles: A supplemental nurse can practice in any clinical specialty in virtually any healthcare arena, including hospitals, nursing homes, rehab facilities, extended care centers, free-standing clinics, ambulatory surgery centers, even home care and private practice Characteristics: A supplemental nurse gains flexibility and freedom in scheduling, shift preference, autonomy and independence. Pay rates are generally better than per diem or staff rates, without the scheduling requirements Drawbacks: Supplemental staffing is somewhat census driven, although it is steadily increasing; requires a high level of flexibility Desirable skills: A strong clinical background is imperative. Self-confidence and flexibility are also important. The supplemental nurse should be easily adaptable to new environments. He or she should be inquisitive and possess good 'people' skills Education: Varies Employers: The employer is the agency who places the nurse. A comprehensive agency provides health benefits, 401-K and vacation plans