The Ultimate First-Timer’s Guide to Locum Tenens Success: Preparation, Packing, and Professionalism
Starting your first locum tenens assignment is a milestone. Whether you are a CRNA, Nurse Practitioner (NP), or Physician Assistant (PA), moving from a permanent staff position to a travel-based role is more than just a job change- it’s a lifestyle shift.
At RSA Locums, we know that the difference between a stressful first week and a seamless transition lies in the details. We’ve polled our veteran travelers to compile this comprehensive guide on how to prepare, what to pack, and how to master the “boots-on-the-ground” logistics of your first assignment.
Phase 1: The “Digital Suitcase” (Documents & Credentialing)
Before you even think about packing a real bag, ensure your “digital suitcase” is in order.
- The RSA Document Vault: Keep a folder on your phone (and a physical backup in your bag) containing your State License, DEA, Board Certifications, and ACLS/PALS/BLS cards.
- The “Yellow Folder” Hack: Many of our travelers recommend a physical folder. If a facility’s IT system is lagging on your first morning, having your primary source verifications ready can prevent onboarding delays.
- Emergency Contacts: Keep a digital list of your RSA recruiter, your facility’s credentialing coordinator, and your housing contact.
Phase 2: Logistics & The “Dry Run”
The biggest source of Day 1 anxiety isn’t the clinical work-it’s the “Where do I go?” factor. Veteran locums know that scouting is the secret to success.
The “Recon Rule”
Always arrive in your assignment city 24-48 hours before your first shift. Use this time for Reconnaissance (Recon):
- Test the Commute: Drive from your housing to the facility at the exact time you’ll be leaving for your shift. A 10-minute drive on a Sunday afternoon can turn into a 30-minute crawl at 6:30 AM on a Monday.
- Locate Provider Parking: Hospital parking is a maze. Don’t assume you can park in the main deck. Ask your recruiter specifically: “Where do the locum APPs/CRNAs park, and do I need a physical hangtag or a transponder?”
- The Hospital “Vibe Check”: If security allows, walk into the main lobby. Locate the cafeteria (and check their hours), the locker rooms, and the path to your specific unit.
Transportation & Backup Plans
- Flight Issues: If you are flying, make sure your flight arrives early enough (ideally 24-48 hours before your first shift) so that if there are any delays or cancellations, you can catch the next flight out. Be prepared to fly standby, if you have to!
- Getting Around: The decision to rent a car or use rideshare to get around the new city is one you should think about in advance. Plan to stay local? Rideshare is likely fine. If you plan to explore the area or take weekend trips, renting a car (or driving your own) may be the better option for you on the assignment.
- Rideshare Apps: Have Uber or Lyft downloaded and set up. If your rental has a flat tire or the parking garage is full, you need a way to get to your shift on time.
Phase 3: Packing Like a Pro
Packing for a locum assignment is a balance of clinical necessity and personal comfort.
The Clinical Essentials
- Unbranded Scrub Layers: Hospitals are notoriously cold. Bring a high-quality, solid-colored vest or jacket that fits over your scrubs. Avoid wearing gear with another hospital’s logo.
- The “Comfort” Shoes: You’ll be on your feet in a new environment. Bring two pairs of clinical shoes and rotate them to prevent fatigue. If you have a brand you love- rock ’em. If you don’t, our travelers love the Hoka Bondi for maximum cushioning, Brooks Ghost Max for a stable, lightweight feel, and Dansko Professional Clogs if you prefer that style.
- Personal Gear: Your own stethoscope, trauma shears, and a high-quality pen light.
The Lifestyle Essentials
- The “Home” Kit: If you’re staying in a hotel or corporate housing, bring your own pillow or a specific coffee press. These small comforts significantly improve your sleep quality. If you work the night shift, a good sleep mask can be a lifesaver.
- The Tech Stack: An extra-long (10ft) phone charger and a portable power bank. Outlets in call rooms or break areas are rarely convenient.
- Find Your “Local”: On Day 1, identify one non-work spot: a coffee shop, a nearby park, or a local library. Having a familiar place to go grounds you in the new community.
- The Gym Guest Pass: Don’t rely on a tiny hotel treadmill. Use national gym chains or local guest passes to maintain your fitness routine and clear your head after a long shift.
The “Kitchen in a Suitcase”
Takeout burnout is real. To keep your energy high and your gut healthy, treat your hotel room like a mini-apartment.
- The Grocery Strategy: Use a delivery app the night you arrive to stock your mini-fridge with some healthy snack options like Greek yogurt, fresh fruit, and easy proteins.
- The “Portable Pantry”: Pack a small kit with real silverware (in your checked bag), a collapsible bowl, and your favorite spices. It makes a hotel meal feel less like “travel” and more like a real dinner. Amazon sells “mini” hot sauces that are clutch in a pinch.
- Time your Deliveries: Working day shift? Schedule your Starbucks delivery to arrive in the lobby at 6:30am so you can conveniently grab it on the way out the door. Working nights? Schedule your breakfast to be delivered before you give morning report so it’s waiting on you when you get home.
Phase 4: Navigating the First 48 Hours
Every unit has its own “unwritten rules.” Your goal is to integrate quickly and safely.
Identify the “Gatekeepers”
On your first shift, introduce yourself immediately to the Unit Secretary and the Lead Tech. They know where everything is-from the extra blankets to the secret code for the breakroom. Bonus points if you can meet the scheduler in-person. Block scheduling for the win.
Master the EMR
If you aren’t familiar with the facility’s Electronic Medical Record (Epic, Cerner, Meditech), ask for a “Sandbox” login or a “cheat sheet” for common order sets. Don’t wait until you’re in the middle of a busy caseload to realize you can’t find the discharge tab.
The “Visitor” Mindset with “Expert” Skill
You are there to help. Be the provider who says, “How can I best support the flow today?” Stay humble regarding the facility’s culture, but stay confident in your clinical decision-making.
FAQ: Frequently Asked Questions for New Locum Travelers
Q: Does RSA handle my travel and housing?
A: Yes. Our team team can assist you with your flights, rental cars, and housing options. We prioritize safety and proximity to the facility.
Q: Should I bring my own scrubs?
A: Always check with your RSA recruiter first. Some facilities (especially in the OR) require hospital-laundered scrubs, while others allow you to wear your own in specific colors.
Q: How do I handle meals on assignment?
A: Assume the cafeteria will be closed during your break. Pack high-protein, easy-to-eat snacks. Many travelers use their first “Recon” day to find the local grocery store and meal-prep for the week.
Conclusion: You Aren’t Temp Staff – You are a Solution
Transitioning to locum tenens is an incredible way to expand your clinical skills and see the country. By taking the time to scout your location, organize your documents, and pack strategically, you ensure that your focus remains where it belongs: on the patient.
Ready to book your first assignment for 2026? RSA is currently staffing for CRNA & APPs for premium assignments across the U.S.
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