Hi all, I am a fairly new ER nurse with 2.5 years experience and 2 years pediatric home health experience prior. I have the opportunity to transition to local (within a 2 hour commute) with a rate of 65-75/hr per diem, or remain staff. heeeelllllp!!

Cash is NOT everything. Do you receive benefits? (I doubt it). But if you have a spouse benis, or can get your own insurance go for it! Vacation time is usually not needed cos you can just save for it.

Per diem means you are not guaranteed hours. They have to fill up the full time nurses schedule first because they are guaranteed hours. Is your commute 2hours one way?

Will you require private health insurance if you go per diem? This can have a huge effect on your income.