Working with E4 Recruitment
Travel Nursing Handbook
Welcome to the team! We’re excited to have you onboard. Your role is important as you provide care to those in need. Please take a moment to review this digital handbook—it has everything you need to get started.
Welcome to E4!
We’re so excited to have you on board.
Your role is crucial in providing care and support to those who need it most, and we’re proud to welcome you to a team that values professionalism, empathy, and courtesy.
Since 2012, E4 has been connecting skilled healthcare professionals with facilities across Australia, earning a reputation for strong relationships, honest communication, and a commitment to doing things the right way.
To get you started, we’ve prepared this digital handbook with essential information about your employment. Please take some time to review it.
With plenty of contracts, shifts, and a dedicated consultant to support you, we’re confident you’ll find opportunities that suit your goals.
Welcome again to E4—we can’t wait to see the difference you’ll make!
Aged Care & Nursing Experts
Two Divisions, One Trusted Partner
Let’s break it down….
Aged Care
Covering permanent recruitment, contract nurses, and agency staffing for aged care facilities nationwide.
Nursing & Midwifery
Specialising in placing travel nurses into regional, rural and remote healthcare services, including public hospitals, Aboriginal health services, and multi-purpose health facilities.
What does 'E4' stand for?
Our co-founders believed there were four E’s that were strong traits forming the foundations of creating a staffing agency. These are the values that we stand by every single day, and also expect from our staff:
Excellence
We have high standards and want to ensure positive outcomes.
Ethical
We would rather do things
right than easy.
Enthusiastic
A team that works hard out
of a genuine desire to do so,
to make things happen.
Engaging
We love to build and nurture
relationships.
Aged Care Quality Standards
At E4, understanding and working closely within the Aged Care Quality Standards is of utmost importance. We want to ensure the best care to all residents and to provide the best quality service to our clients. Please ensure you are familiar with the Aged Care Quality Standards and how they relate to your day to-day work.
Ageing and Disability Commission Training
The Ageing and Disability Commission have training resources designed to improve the detection and response to abuse, neglect and exploitation.
We recommend that you complete Module one training, read the case studies and re- sources to better equip yourself with the skills to confidently and competently identify and respond to concerns of abuse,
neglect and exploitation.
The Serious Incident Response Scheme (SIRS)
The Serious Incident Response Scheme (SIRS) aims to reduce abuse and neglect among people
receiving aged care. The SIRS gives providers guidance about managing and reporting incidents.
Managing Incidents
All aged care providers must have an effective incident management system
(IMS) in place.
An IMS helps to:
- manage risks
- achieve continuous improvement
- deliver quality care.
Reporting incidents
The 8 types of reportable incidents are:
- Unreasonable use of force
- Unlawful sexual contact or inappropriate sexual conduct
- Psychological or emotional abuse
- Unexpected death
- Stealing or financial coercion by a staff member
- Neglect
- Inappropriate use of restrictive practices
- Unexplained absence.
What happens if I am reported to SIRS?
If you are the subject of a report, here’s what typically happens:
- Investigation by the Host Employer: The aged care provider must take immediate action to ensure safety. They will conduct an internal investigation into the incident.
- Notification to the Commission: The provider is legally required to report certain incidents to the Aged Care Quality and Safety Commission within 24 hours (for Priority 1 incidents) or within 30 days (for Priority 2 incidents).
E4 Standards
We have high standards at E4 on behaviour, hygiene, appearance and attendance.
It’s very important that our employees attend every shift with the following:
- A clean and tidy E4 uniform (E4 polo or scrubs)
- Appropriate dark coloured trousers (No skirts, jeans, tights, gym pants etc.)
- E4 ID Badge to be worn at all times (with E4 lanyard)
- Minimal or no jewellery
- Hair well-groomed/tied back if longer than shoulder length
- Fingernails to be a suitable length for nursing work (no long nails or nail polish)
- Fully enclosed shoes, non-slip sole.
When you’re working a shift or contract and you find yourself without any tasks assigned, please ensure that you are:
- Seeking extra tasks or duties to do from the RN or Senior Management in charge
- Spending time with residents or patients, getting to know them, speaking with them or providing emotional care.
Our Policies and Procedures
Workplace Behaviours Policy
Complying with federal or state laws relating to discrimination, sexual harassment, bullying and victimisation.
Ongoing compliance
Guidelines around current flu vaccinations, up-to-date records and vaccinations.
Drugs & Alcohol Policy
Ensuring a zero tolerance to being under the influence, and reporting concerns to management.
Social media policy
Exercising good judgement and respecting confidentiality when communicating on social media.
Confidentiality Policy
Maintaining confidentiality when dealing with valuable information which belongs to E4 clients or E4.
Work Health & Safety
Promoting a safety culture to effectively provide a safe and healthy work environment.
Modern Slavery Act Policy
Committed to combating modern slavery by ensuring ethical practices and compliance within our operations, supply chains and by our staff.
Sick leave & terminating a contract early
Sick leave
If you are sick and cannot attend your shift you must CALL your consultant and the facility you are working at to advise that you can't attend work. Text messages and
emails are not accepted. Please note as casual staff you are not entitled to sick leave remuneration. You are not required to submit a timesheet for hours missed due to illness.
Terminating a contract early
Contracts are arranged to meet the demands of staffing shortfalls and as such we ask that you attend to any person matters prior to attending your contract. Leaving contracts early means facilities may be forced to operate short staffed and may
affect whether we can represent you in future contracts. Although, we do understand that life happens and if there is any reason you need to leave your contract, please contact your consultant or after hours. Please note, return travel will not be covered by E4 if the contract is broken or terminated.


Timesheets and Payroll
We pay weekly, every Friday!
List of Services
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Add your timesheets to Entire OnHire or Astute OnlineList Item 1
Depending on your contract, you will either need to upload timesheets to Astute Online , or Entire OnHire app, after every shift. This will be made clear to you when you commence working with us,
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Fill them accuratelyList Item 3
Have the timesheet filled in full for every shift you have worked with the correct date, time and breaks taken.
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Timesheets need to be signedList Item 4
Have every shift approved by an authorised supervisor on the Entire OnHire app.
Employee information for Astute Online can be found here: Astute Online for Employees.
Please note as casual staff you are not entitled to sick leave pay. You are not required to submit a timesheet for hours missed due to illness.
Tips to help you perform your best on shift
Be prepared and stay ready
Preparation is key. Make sure you have everything you need before starting your shift—ID badges, pens, PIN numbers, or any other essential equipment. Being organised not only creates a great first impression but also prevents you from feeling unprepared or wasting time searching for basic items as the "new nurse or midwife."
If you're unsure about what you'll need, don't hesitate to ask for guidance. Starting off on the right foot includes seeking a thorough handover and orientation.
Get a proper handover
You have every right to be shown around the unit, briefed on special procedures, and informed about policies specific to your workplace. If no one offers an induction, take the initiative and ask for one.
Use the handover time wisely—ask questions and engage with the staff finishing their shift. This is your opportunity to understand your patients' conditions and needs, ensuring you can provide professional and effective care. Remember, a proper handover is essential for delivering safe and high-quality care.
Stay active and professional
If you find yourself with downtime during a shift, avoid the temptation to scroll through your phone. Instead, look for ways to contribute—there’s always something to do in a healthcare setting. Your phone should remain out of sight, and your focus should be on adding value to the team and the facility.
Stay safe, stay sensible, communicate
Keep things simple and professional. Don’t take things too personally, but always speak up if you need help or clarification. Use your assessment skills and never take on tasks you’re unfamiliar with.
If you’re not trained or confident in administering certain medications or performing specialised procedures, it’s important to acknowledge this. It’s unfair to both you and your patients to take on tasks beyond your scope of practice. Often, the most appreciated care is the simplest—providing comfort, respect, and the human touch that healthcare is built on.
Trust your training
Remember, you are a trained professional with a solid foundation in nursing. Trust your instincts and skills. Assess your patients, monitor their vital signs, and use your observational skills to identify any changes in their condition.
Communication is key
Strong communication is essential, especially when working in a new environment. Ask questions, document everything thoroughly, and voice any concerns you may have. Consultants and senior staff are there to support you, so don’t hesitate to reach out for help when needed.
Modest dress in communities
Agency staff in Aboriginal and Torres Strait Islander communities should dress modestly at all times, including off duty, to respect local cultural values. Members have raised concerns about inappropriate clothing, such as low-cut tops or very short skirts/shorts, in these conservative settings.
Be respectful and understanding
Expect to be treated with courtesy and respect, but also understand that permanent staff may be under different pressures than you. They may not always have time to get to know you personally—don’t take this to heart. Focus on building professional relationships and doing your best in the role.
We’re here to support you
If you need assistance or have concerns, don’t hesitate to contact us. We’re here to help and support you as much as we can.
By staying prepared, proactive, and professional, you’ll set yourself up for success in any new setting.
Tips for visiting Aboriginal and Torres Strait Islander communities
1. Understand the Diversity
Australia is home to over 260 different Aboriginal and Torres Strait Islander groups, each with distinct languages and cultures. Treat each group as unique, just like visiting different countries.
2. Follow Local Rules
Communities may have specific rules about areas you can or can't enter, including places of cultural significance.
Restrictions may apply to fishing, swimming, or areas limited to male or female visitors. Check before you go.
3. Dress Modestly
Wear loose-fitting, long clothing (below the knee), such as shorts, skirts, pants, or dresses. Wear shirts or T-shirts with sleeves. If swimming, cover swimwear with a T-shirt and shorts. Choose clothing that won’t cause discomfort if you sit on the ground.
4. Photography Etiquette
Photography may not be permitted in some communities. Always ask before taking photos. Photographing children requires permission from parents or guardians. Never take photos of sacred sites without permission.
5. Travel Permits
Some communities require entry permits, similar to visiting National Parks.
Permits help ensure visitors respect the community’s property, privacy, and cultural beliefs.
6. Respect and Behaviour
Observe others and follow their lead regarding customs like handshakes and eye contact. Direct questioning is uncommon and may be seen as impolite. Keep questions simple if necessary.
7. Protect Cultural Sites
Don’t remove rocks or objects from Aboriginal land or waters without permission. Disturbing cultural sites is disrespectful and prohibited by law.
8. Stay Open-Minded
Listen to your guide and follow their instructions. Be aware that customs and conversational styles differ between groups.
By following these tips, you can ensure a respectful and enriching experience while visiting Aboriginal and Torres Strait Islander communities.
Feedback
Your thoughts and suggestions play a crucial role in shaping our team and ensuring the best experience for all staff members and clients. Whether it's insights on overall impressions, specific to a facility, a consultant or suggestions for improvement, your input is highly appreciated. We encourage you to share any thoughts you may have that will assist us in our goal to be the most valued healthcare recruitment agency.