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A nursing agency provides qualified staff for health care institutions or private patients, for example sending nurses to a hospital during an unusually busy time or providing round-the-clock care to chronic patients at home. In some countries, nursing agencies are in high demand and many successful agencies with at least 10 employees have a revenue of over $1 million in their second year of operations. If you have a nurse's license or an interest in providing private nursing services and are looking for a way to run your own business, read the steps below to find out how to start a nursing agency.

  1. [1] Though as the owner of a nursing agency you don't have to be a licensed nurse, it will give you a better understanding of customers' and employees' situations. Some places will require qualifications as part of registration requirements (see fit person tests) [2] .
  2. Research the health and safety code in your jurisdiction that pertains to nursing agencies to find out what the legal requirements and obligations of a nursing agency are. [3] Often this will be available from the registration authority.
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  3. Include your start-up costs, initial payroll costs, market, operating strategy, taxes, and advertisement campaign. It's advisable to have an accountant review your business plan for any omissions or mistakes. [4]
  4. Starting a nursing agency requires a relatively small start-up sum, but you will need to have sufficient money in reserve to pay your nurses in case clients pay their invoices late. [5]
  5. [6] You will also need to apply for a separate license from your state to supply skilled nursing or CNA staff. [7]
  6. In today's digital world, you can have a virtual office. Google apps for instance makes it very easy to work from anywhere. Of much more importance is the ability to contact people easily so ensure good telecommunications is more important than physical proximity. [8]
  7. The best way to do this is by having a local lawyer draw them up in compliance with all local and national laws. As a new agency, you might need to use local healthcare facilities for new clients and advertise in local magazines for new nurses and CNAs. Most hospitals and nursing homes consume a lot of CNAs than agency nurses which is a good way to start. You can utilize staff engagement services to help you engage your new nurses once you receive work requests. This cuts down on costs of hiring a scheduler. Hospitals and nursing homes love fast turnaround. Make sure you understand every clause to avoid problems later.
  8. [9] Ensure that you understand your reporting duties and in particular whether your liability is on a 'claims arising' or 'claims notified' basis.
  9. You can also utilize online Software as Service companies (Saas). You pay a small monthly fee. If you do use an external payroll provider be sure that they are tied into your complaints and quality checking for care - people complain quicker about paying for poor care than they do about the care itself.
  10. Make sure their nursing licenses are current and their records are clean. Pay attention to sudden recent changes in employment - staff may leave a place hoping to avoid disciplinary and/or criminal pursuit.
  11. Meet with clients who are interested in your services to determine what their needs are, which nurses would be a good match, and what the nurse's duties are in accordance with each patient's treatment plan. Once all of the details have been agreed upon, sign the contracts and send out your nurses to the appropriate clients.
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      Tips

      • Join a trade organization to network with other nursing agencies, attract more nurses, and find out about new opportunities.
      • Stay abreast of changes to health and safety legislation that might affect your business.
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      Things You'll Need

      • Nurse's license
      • Business plan
      • Investment capital
      • Office space
      • Client and employee contracts

      About This Article

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      • Angela Smith

        Aug 6, 2017

        "This article helped me tremendously. I am interested in starting a nursing agency and needed a head start on where ..." more
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