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Travel nursing in Pennsylvania: The heart of Dutch Country


Healthcare Traveler
Volume 16, Issue 2

Key iconKey Points

  • The staff at her travel nursing assignment facility welcomed her with open arms.
  • She worked in an acute dialysis setting alongside other RNs, one LPN, and a unit technician.
  • While on assignment, she took daytrips to nearby New York and New Jersey.


Photo: Getty Images/Tim Laman/National Geographic
Who would have thought that the town of Lancaster, Pennsylvania, with a population of nearly 500,000, would be the home of my next assignment? After passing through the Keystone State numerous times to get to New York, I finally decided to stop for a while and work in Lancaster County, "The Heart of Pennsylvania Dutch Country."

Getting there is half the fun

En route to my assignment, which had been arranged through Boca Raton, Florida-based Cross Country TravCorps, I took time to explore my surroundings in greater detail, learning more about the history of Amish, Mennonite, and Brethren communities and appreciating distinctive styles of dress, food, horse-drawn carriages, and deeply religious lifestyles.

In my travels, I discovered that Lancaster County was one of many main arteries of the Underground Railroad. With the use of the Susquehanna River in 1804, escaped slaves took refuge in the Bethel AME Baptist Church located in downtown Lancaster. I also explored the outskirts of the city, taking time to visit towns with such quaint and unusual names as Bird-in Hand, Lititz, and Intercourse Village.

Three days and many highways later, I located the apartment that my company had reserved for me. The following morning, I surveyed the area, finding the local gas station, supermarket, Wal-Mart, and post office.




Later that day, I went to Lancaster General Hospital to introduce myself and look at the work area before my contract began. Staff literally welcomed me with open arms. As I entered the clinic, the charge nurse, Chris, asked if she could help me. Once I stated that I was the new traveler, all eyes turned in my direction. Marie, a nurse on the unit, ran toward me, arms outstretched, and with the biggest hug said, "Thank God." The staff began to laugh while I smiled and returned the gesture.

Settling in

When I started work the next day, a sign on the bulletin board read, "Welcome to our Dialysis Unit, Lila." It currently resides in my scrapbook.

I was assigned to the nine-station, acute dialysis setting, working alongside other RNs, one LPN, and a unit technician. We also provided care in the ICU, as well as peritoneal dialysis treatments. Occasionally, outpatient clients were admitted for blood transfusions. A nurse practitioner was available for first rounds on our patients. Afterward, the nephrologists conducted a follow-up review of the clients and signed off on all care performed.

My schedule consisted of 8-hour days, with every other weekend off, so I had plenty of time for extracurricular activities. Lancaster's city limits gave me opportunities to expand myself—and not just in the waistline. I joined a supportive writers group that challenged my skills and provided an introduction to different writing styles.

Not far from my job, I also discovered the train station that became the setting of my stories. Dark wood, high backbenches, and an empty hallway—that held a lone stranger standing in front of a window—triggered a new way to develop characters, scenes, and storytelling. I learned the beauty of detail in old radiators and carved handrails. Sitting in the draft of an empty station, I was covered with an appreciation of silence. This old building became my refuge and a stimulus for creativity.


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