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                                                                EXHIBIT 10.19

                          CREDIT PARTY PLEDGE AGREEMENT

      THIS CREDIT PARTY PLEDGE AGREEMENT, dated as of October 26, 2001 (this
"PLEDGE AGREEMENT") is made by Medical Staffing Network, Inc., a Delaware
corporation (the "BORROWER"), Medical Staffing Holdings, LLC, a Delaware limited
liability company (the "PARENT"), the Domestic Subsidiaries of the Borrower
(together with the Parent, individually a "GUARANTOR" and collectively the
"GUARANTORS"; the Guarantors, together with the Borrower, individually a
"PLEDGOR" and collectively the "PLEDGORS") and Bank of America, N.A., in its
capacity as collateral agent (in such capacity, the "COLLATERAL AGENT") for the
lenders from time to time party to the Credit Agreement described below (the
"LENDERS").

                                    RECITALS

      WHEREAS, pursuant to that certain Credit Agreement, dated as of the date
hereof (as amended, modified, extended, renewed or replaced from time to time,
the "CREDIT AGREEMENT"), among the Borrower, the Guarantors, the Lenders and
Bank of America, N.A., in its capacity as administrative agent (the
"ADMINISTRATIVE AGENT"), the Lenders have agreed to make Loans and issue Letters
of Credit upon the terms and subject to the conditions set forth therein; and

      WHEREAS, it is a condition precedent to the effectiveness of the Credit
Agreement and the obligations of the Lenders to make their respective Loans and
to issue Letters of Credit under the Credit Agreement that the Pledgors shall
have executed and delivered this Pledge Agreement to the Collateral Agent for
the ratable benefit of the Lenders.

      NOW, THEREFORE, in consideration of these premises and other good and
valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties hereto agree as follows:

      1. DEFINITIONS. Capitalized terms used herein but not otherwise defined
shall have the meanings ascribed to such terms in the Credit Agreement and the
following terms which are defined in the Uniform Commercial Code (the "UCC") in
effect in the State of New York on the date hereof are used herein as so
defined: Control, Entitlement Order, Securities Account, Securities Entitlement,
and Securities Intermediary. For purposes of this Pledge Agreement, the term
"Lender" shall include any Affiliate of any Lender which has entered into a
Hedging Agreement with any Credit Party (to the extent the obligations of such
Credit Party thereunder constitute Credit Party Obligations).

      2. PLEDGE AND GRANT OF SECURITY INTEREST. To secure the prompt payment and
performance in full when due, whether by lapse of time or otherwise, of the
Pledgor Obligations (as defined in Section 3 hereof), each Pledgor hereby
pledges and assigns to the Collateral Agent, for the benefit of the Lenders, and
grants to the Collateral Agent, for the benefit of the Lenders, a continuing
security interest in, and a right to set off against, any and all right, title
and interest of such Pledgor in and to the following, whether now owned or
existing or owned, acquired, or arising hereafter (collectively, the "PLEDGED
COLLATERAL"):

            (a) PLEDGED CAPITAL STOCK. (i) 100% (or, if less, the full amount
      owned by such Pledgor) of the issued and outstanding Capital Stock owned
      by such Pledgor of each Domestic Subsidiary set forth on SCHEDULE 2(a)
      attached hereto and (ii) 65% (or such greater percentage that, due to a
      change in an applicable Requirement of Law after the date hereof, (i)
      could not reasonably be expected to cause the undistributed earnings of
      such Foreign Subsidiary as determined for United States federal income tax
      purposes to be treated as a deemed dividend to such Foreign Subsidiary's
      United States parent and (ii) could not reasonably be expected to cause
      any material adverse tax consequences) of the issued and outstanding
      shares of each class of Capital Stock or other ownership interests
      entitled to vote (within the meaning of Treas. Reg.

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      Section 1.956-2(c)(2)) ("Voting Equity") and 100% (or, if less, the full
      amount owned by such Pledgor) of the issued and outstanding Capital Stock
      not entitled to vote (within the meaning of Treas. Reg. Section
      1.956-2(c)(2)) ("Non-Voting Equity") owned by such Pledgor of each Foreign
      Subsidiary set forth on SCHEDULE 2(a) attached hereto, in each case
      together with the certificates (or other agreements or instruments), if
      any, representing such Capital Stock and all options and other rights,
      contractual or otherwise, with respect thereto (collectively, together
      with the Capital Stock described in Sections 2(b) and 2(c) below, the
      "PLEDGED CAPITAL STOCK"), including, but not limited to, the following:

                  (A) all shares, securities, membership interests or other
            equity interests representing a dividend on any of the Pledged
            Capital Stock, or representing a distribution or return of capital
            upon or in respect of the Pledged Capital Stock, or resulting from a
            stock split, revision, reclassification or other exchange therefor,
            and any subscriptions, warrants, rights or options issued to the
            holder of, or otherwise in respect of, the Pledged Capital Stock;
            provided, however, such Pledgor shall not be required to deliver
            more than 65% of the Voting Equity of any Person that is a Foreign
            Subsidiary of such Pledgor; and

                  (B) without affecting the obligations of the Pledgors under
            any provision prohibiting such action hereunder or under the Credit
            Agreement, in the event of any consolidation or merger involving the
            issuer of any Pledged Capital Stock and in which such issuer is not
            the surviving entity, the Capital Stock (in the applicable
            percentage specified in Section 2(a) above) of the successor entity
            formed by or resulting from such consolidation or merger.

            (b) ADDITIONAL SHARES. (i) 100% (or, if less, the full amount owned
      by such Pledgor) of the issued and outstanding Capital Stock of any Person
      which hereafter becomes a Domestic Subsidiary and (ii) 65% (or such
      greater percentage that, due to a change in an applicable Requirement of
      Law after the date hereof, (i) could not reasonably be expected to cause
      the undistributed earnings of such Foreign Subsidiary as determined for
      United States federal income tax purposes to be treated as a deemed
      dividend to such Foreign Subsidiary's United States parent and (ii) could
      not reasonably be expected to cause any material adverse tax consequences)
      of the Voting Equity and 100% (or, if less, the full amount owned by such
      Pledgor) of the Non-Voting Equity owned by such Pledgor of any Person
      which hereafter becomes a first-tier Foreign Subsidiary, in each case
      together with the certificates (or other agreements or instruments), if
      any, representing such Capital Stock.

            (c) PROCEEDS. All proceeds and products of the foregoing, however
      and whenever acquired and in whatever form.

      Without limiting the generality of the foregoing, it is hereby
specifically understood and agreed that each Pledgor may from time to time
hereafter deliver additional shares of Capital Stock to the Collateral Agent as
collateral security for the Pledgor Obligations. Upon delivery to the Collateral
Agent, such additional Capital Stock shall be deemed to be part of the Pledged
Collateral and shall be subject to the terms of this Pledge Agreement whether or
not SCHEDULE 2(a) is amended to refer to such additional Capital Stock.

      3. SECURITY FOR PLEDGOR OBLIGATIONS. The security interest created hereby
in the Pledged Collateral constitutes continuing collateral security for all of
the following, whether now existing or hereafter incurred (the "PLEDGOR
OBLIGATIONS"):


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            (a) In the case of the Borrower, the prompt performance and
      observance by the Borrower of all obligations of the Borrower under the
      Credit Agreement, the Notes, this Pledge Agreement and the other Credit
      Documents to which the Borrower is a party;

            (b) Subject to clause (c) of SECTION 26 hereof, in the case of the
      Guarantors, the prompt performance and observance by each Guarantor of all
      obligations of such Guarantor under the Credit Agreement, this Pledge
      Agreement and the other Credit Documents to which such Guarantor is a
      party, including, without limitation, its guaranty obligations arising
      under SECTION 4 of the Credit Agreement; and

            (c) All other indebtedness, liabilities, obligations and expenses of
      any kind or nature owing from any Credit Party to any Lender, the
      Administrative Agent or the Collateral Agent in connection with (i) this
      Pledge Agreement or any other Credit Document, whether now existing or
      hereafter arising, due or to become due, direct or indirect, absolute or
      contingent, and howsoever evidenced, held or acquired, together with any
      and all modifications, extensions, renewals and/or substitutions of any of
      the foregoing, (ii) collecting and enforcing the Credit Party Obligations
      and (iii) if and to the extent agreed to by such Credit Party in the
      documentation evidencing the same, all liabilities and obligations owing
      from such Credit Party to any Lender or any Affiliate of any Lender
      arising under any Hedging Agreements relating to the Loans.

      4. DELIVERY OF THE PLEDGED COLLATERAL; PERFECTION OF SECURITY INTEREST.
Each Pledgor hereby agrees that:

            (a) DELIVERY OF CERTIFICATES. Each Pledgor shall deliver to the
      Collateral Agent (i) simultaneously with or prior to the execution and
      delivery of this Pledge Agreement, all certificates representing the
      Pledged Capital Stock of such Pledgor and (ii) promptly upon the receipt
      thereof by or on behalf of a Pledgor, all other certificates and
      instruments constituting Pledged Collateral of a Pledgor. Prior to
      delivery to the Collateral Agent, all such certificates and instruments
      constituting Pledged Collateral of a Pledgor shall be held in trust by
      such Pledgor for the benefit of the Collateral Agent pursuant hereto. All
      such certificates shall be delivered in suitable form for transfer by
      delivery or shall be accompanied by duly executed instruments of transfer
      or assignment in blank, substantially in the form provided in EXHIBIT 4(A)
      attached hereto.

            (b) ADDITIONAL SECURITIES. If such Pledgor shall receive by virtue
      of its being, becoming or having been the owner of any Pledged Collateral,
      any (i) certificate, including without limitation, any certificate
      representing a dividend or distribution in connection with any increase or
      reduction of capital, reclassification, merger, consolidation, sale of
      assets, combination of shares or membership or equity interests, stock
      splits, spin-off or split-off, promissory notes or other instrument; (ii)
      option or right, whether as an addition to, substitution for, or an
      exchange for, any Pledged Collateral or otherwise; (iii) dividends payable
      in securities; or (iv) distributions of securities or other equity
      interests in connection with a partial or total liquidation, dissolution
      or reduction of capital, capital surplus or paid-in surplus, then, subject
      to the percentage limitations set forth in Section 2(a) above, such
      Pledgor shall receive such certificate, instrument, option, right or
      distribution in trust for the benefit of the Collateral Agent, shall
      segregate it from such Pledgor's other property and shall deliver it
      forthwith to the Collateral Agent in the exact form received together with
      any necessary endorsement and/or appropriate stock power duly executed in
      blank, substantially in the form provided in EXHIBIT 4(a), to be held by
      the Collateral Agent as Pledged Collateral and as further collateral
      security for the Pledgor Obligations.


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            (c) FINANCING STATEMENTS. Each Pledgor shall execute and deliver to
      the Collateral Agent such UCC or other applicable financing statements as
      may be reasonably requested by the Collateral Agent in order to perfect
      and protect the security interest created hereby in the Pledged Collateral
      of such Pledgor.

            (d) PROVISIONS RELATING TO SECURITIES ENTITLEMENTS AND SECURITIES
      ACCOUNTS. With respect to any Pledged Collateral consisting of a
      Securities Entitlement or held in a Securities Account, (a) the applicable
      Pledgor shall (i) promptly give written notice to the Collateral Agent
      thereof and (ii) upon request of the Collateral Agent, the applicable
      Pledgor and the applicable Securities Intermediary shall, within thirty
      (30) days after such request, enter into an agreement with the Collateral
      Agent granting Control to the Collateral Agent over such Pledged
      Collateral, such agreement to be in form and substance satisfactory to the
      Collateral Agent and (b) the Collateral Agent shall be entitled, upon the
      occurrence and during the continuance of a Default or an Event of Default,
      to notify the applicable Securities Intermediary that it should follow the
      Entitlement Orders of the Collateral Agent and no longer follow the
      Entitlement Orders of the applicable Pledgor. Upon receipt by a Pledgor of
      notice from a Securities Intermediary of its intent to terminate the
      Securities Account of such Pledgor held by such Securities Intermediary,
      prior to the termination of such Securities Account the Pledged Collateral
      in such Securities Account shall be (i) transferred to a new Securities
      Account which is subject to a control agreement as provided above or (ii)
      transferred to an account held by the Collateral Agent (in which it will
      be held until a new Securities Account is established).

      5. REPRESENTATIONS AND WARRANTIES. Each Pledgor hereby represents and
warrants to the Collateral Agent, for the benefit of the Lenders, that so long
as any of the Pledgor Obligations remain outstanding (other than any such
obligations which by the terms thereof are stated to survive termination of the
Credit Documents) or any Credit Document or Hedging Agreement between any Credit
Party and any Lender (to the extent the obligations of such Credit Party
thereunder constitute Credit Party Obligations) is in effect, and until all of
the Commitments shall have been terminated:

            (a) AUTHORIZATION OF PLEDGED CAPITAL STOCK. The Pledged Capital
      Stock is duly authorized and validly issued, is fully paid and, with
      respect any Pledged Capital Stock consisting of stock of a corporation,
      nonassessable and is not subject to the preemptive rights of any Person.
      All other shares of Capital Stock constituting Pledged Collateral will be
      duly authorized and validly issued, fully paid and, with respect any
      Pledged Capital Stock consisting of stock of a corporation, nonassessable
      and not subject to the preemptive rights of any Person.

            (b) TITLE. Each Pledgor has good and indefeasible title to the
      Pledged Collateral of such Pledgor and will at all times be the legal and
      beneficial owner of such Pledged Collateral free and clear of any Lien,
      other than Permitted Liens. There exists no "adverse claim" within the
      meaning of Section 8-102 of the Uniform Commercial Code as in effect in
      the State of New York (the "UCC") with respect to the Pledged Capital
      Stock of such Pledgor.

            (c) EXERCISING OF RIGHTS. The exercise by the Collateral Agent of
      its rights and remedies hereunder will not violate any law or governmental
      regulation or any material contractual restriction binding on or affecting
      a Pledgor or any of its property.

            (d) PLEDGOR'S AUTHORITY. No authorization, approval or action by,
      and no notice or filing with any Governmental Authority or with the issuer
      of any Pledged Capital Stock is required either (i) for the pledge made by
      a Pledgor or for the granting of the security interest by a Pledgor
      pursuant to this Pledge Agreement or (ii) for the exercise by the
      Collateral Agent or the


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      Lenders of their rights and remedies hereunder (except as may be required
      by laws affecting the offering and sale of securities).

            (e) SECURITY INTEREST/PRIORITY. This Pledge Agreement creates a
      valid security interest in favor of the Collateral Agent, for the benefit
      of the Lenders, in the Pledged Collateral. The taking possession by the
      Collateral Agent of the certificates, if any, representing the Pledged
      Capital Stock and all other certificates and instruments constituting
      Pledged Collateral will perfect and establish the first priority of the
      Collateral Agent's security interest in all certificated Pledged Capital
      Stock and such certificates and instruments and, upon the filing of UCC
      financing statements in the appropriate filing office in the location of
      each Pledgor's state of formation, the Collateral Agent shall have a first
      priority perfected security interest in all uncertificated Pledged Capital
      Stock consisting of partnership or limited liability company interests
      that do not constitute a security pursuant to Section 8-103(c) of the UCC.
      With respect to any Pledged Collateral consisting of a Securities
      Entitlement or held in a Securities Account, upon execution and delivery
      by the applicable Pledgor, the applicable Securities Intermediary and the
      Collateral Agent of an agreement granting Control to the Collateral Agent
      over such Pledged Collateral, the Collateral Agent shall have a first
      priority perfected security interest in such Pledged Collateral. Except as
      set forth in this Section 5(e), no action is necessary to perfect or
      otherwise protect such security interest.

            (f) NO OTHER CAPITAL STOCK. No Pledgor owns any Capital Stock other
      than as set forth on SCHEDULE 2(a) attached hereto.

            (g) PARTNERSHIP AND LIMITED LIABILITY COMPANY INTERESTS. Except as
      previously disclosed to the Collateral Agent, none of the Pledged Capital
      Stock consisting of partnership or limited liability company interests (i)
      is dealt in or traded on a securities exchange or in a securities market,
      (ii) by its terms expressly provides that it is a security governed by
      Article 8 of the UCC, (iii) is an investment company security, (iv) is
      held in a securities account or (v) constitutes a "security" or a
      "financial asset" as such terms are defined in Article 8 of the UCC.

      6. COVENANTS. Each Pledgor hereby covenants, that so long as any of the
Pledgor Obligations remain outstanding (other than any such obligations which by
the terms thereof are stated to survive termination of the Credit Documents) or
any Credit Document or Hedging Agreement between any Credit Party and any Lender
(to the extent the obligations of such Credit Party thereunder constitute Credit
Party Obligations) is in effect, and until all of the Commitments shall have
been terminated, such Pledgor shall:

            (a) BOOKS AND RECORDS. Mark its books and records (and shall cause
      the issuer of the Pledged Capital Stock of such Pledgor to mark its books
      and records) to reflect the security interest granted to the Collateral
      Agent, for the benefit of the Lenders, pursuant to this Pledge Agreement.

            (b) DEFENSE OF TITLE. Warrant and defend title to and ownership of
      the Pledged Collateral of such Pledgor at its own expense against the
      claims and demands of all other parties claiming an interest therein, keep
      the Pledged Collateral free from all Liens, except for Permitted Liens,
      and not sell, exchange, transfer, assign, lease or otherwise dispose of
      Pledged Collateral of such Pledgor or any interest therein, except as
      permitted under the Credit Agreement and the other Credit Documents.

            (c) FURTHER ASSURANCES. Promptly execute and deliver at its expense
      all further instruments and documents and take all further action that may
      be necessary and desirable or that the Collateral Agent may reasonably
      request in order to (i) perfect and protect the security interest


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      created hereby in the Pledged Collateral of such Pledgor (including,
      without limitation, the execution and filing of UCC financing statements
      and any and all action necessary to satisfy the Collateral Agent that the
      Collateral Agent has obtained a first priority perfected security interest
      in all Pledged Capital Stock); (ii) enable the Collateral Agent to
      exercise and enforce its rights and remedies hereunder in respect of the
      Pledged Collateral of such Pledgor; and (iii) otherwise effect the
      purposes of this Pledge Agreement, including, without limitation and if
      requested by the Collateral Agent, delivering to the Collateral Agent
      irrevocable proxies in respect of the Pledged Collateral of such Pledgor.

            (d) AMENDMENTS. Not make or consent to any amendment or other
      modification or waiver with respect to any of the Pledged Collateral of
      such Pledgor or enter into any agreement or allow to exist any restriction
      with respect to any of the Pledged Collateral of such Pledgor other than
      pursuant hereto or as may be permitted under the Credit Agreement.

            (e) COMPLIANCE WITH SECURITIES LAWS. File all reports and other
      information now or hereafter required to be filed by such Pledgor with the
      United States Securities and Exchange Commission and any other state,
      federal or foreign agency in connection with the ownership of the Pledged
      Collateral of such Pledgor.

            (f) ISSUANCE OR ACQUISITION OF CAPITAL STOCK. Not, without providing
      30 days prior written notice to the Collateral Agent and without executing
      and delivering, or causing to be executed and delivered, to the Collateral
      Agent such agreements, documents and instruments as the Collateral Agent
      may require, issue or acquire any Capital Stock consisting of an interest
      in a partnership or a limited liability company that (i) is dealt in or
      traded on a securities exchange or in a securities market, (ii) by its
      terms expressly provides that it is a security governed by Article 8 of
      the UCC, (iii) is an investment company security, (iv) is held in a
      securities account or (v) constitutes a "security" or a "financial asset"
      as such terms are defined in Article 8 of the UCC.

      7. PERFORMANCE OF OBLIGATIONS AND ADVANCES BY COLLATERAL AGENT OR LENDERS.
On failure of any Pledgor to perform any of the covenants and agreements
contained herein, the Collateral Agent or any of the Lenders may, at its sole
option and in its reasonable discretion, perform or cause to be performed the
same and in so doing may expend such sums as the Collateral Agent or such Lender
may reasonably deem advisable in the performance thereof, including, without
limitation, the payment of any insurance premiums, the payment of any taxes, a
payment to obtain a release of a Lien or potential Lien, expenditures made in
defending against any adverse claim and all other expenditures which the
Collateral Agent or such Lender may make for the protection of the security
hereof or which may be compelled to make by operation of law. All such sums and
amounts so expended shall be repayable by the Pledgors on a joint and several
basis promptly upon timely notice thereof and demand therefor, shall constitute
additional Pledgor Obligations and shall bear interest from the date said
amounts are expended at the default rate specified in SECTION 3.1 of the Credit
Agreement for Revolving Loans that are Base Rate Loans. No such performance of
any covenant or agreement by the Collateral Agent or the Lenders on behalf of
any Pledgor, and no such advance or expenditure therefor, shall relieve the
Pledgors of any default under the terms of this Pledge Agreement, the other
Credit Documents or any Hedging Agreement between any Credit Party and any
Lender (to the extent the obligations of such Credit Party thereunder constitute
Credit Party Obligations). The Collateral Agent or any Lender may make any
payment hereby authorized in accordance with any bill, statement or estimate
procured from the appropriate public office or holder of the claim to be
discharged without inquiry into the accuracy of such bill, statement or estimate
or into the validity of any tax assessment, sale, forfeiture, tax lien, title or
claim except to the extent such payment is being contested in good faith by a
Pledgor in appropriate proceedings and against which adequate reserves are being
maintained in accordance with GAAP.


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      8.    EVENTS OF DEFAULT. The occurrence of an event which under the Credit
Agreement would constitute an Event of Default shall be an event of default
hereunder (an "EVENT OF DEFAULT").

      9.    REMEDIES.

            (a) GENERAL REMEDIES. Upon the occurrence of an Event of Default and
      during the continuation thereof, the Collateral Agent and the Lenders
      shall have, in respect of the Pledged Collateral of any Pledgor, in
      addition to the rights and remedies provided herein, in the Credit
      Documents, in any Hedging Agreement between any Credit Party and any
      Lender (to the extent the obligations of such Credit Party thereunder
      constitute Credit Party Obligations) or by law, the rights and remedies of
      a secured party under the UCC or any other applicable law.

            (b) SALE OF PLEDGED COLLATERAL. Upon the occurrence of an Event of
      Default and during the continuation thereof, without limiting the
      generality of this Section and without notice, the Collateral Agent may,
      in its sole discretion, sell or otherwise dispose of or realize upon the
      Pledged Collateral, or any part thereof, in one or more parcels, at public
      or private sale, at any exchange or broker's board or elsewhere, at such
      price or prices and on such other terms as the Collateral Agent may deem
      commercially reasonable, for cash, credit or for future delivery or
      otherwise in accordance with applicable law. To the extent permitted by
      law, any Lender may in such event bid for the purchase of such securities.
      Each Pledgor agrees that, to the extent notice of sale shall be required
      by law and has not been waived by such Pledgor, any requirement of
      reasonable notice shall be met if notice, specifying the place of any
      public sale or the time after which any private sale is to be made, is
      personally served on or mailed postage prepaid to such Pledgor in
      accordance with the notice provisions of SECTION 11.1 of the Credit
      Agreement at least 10 days before the time of such sale. The Collateral
      Agent shall not be obligated to make any sale of Pledged Collateral of
      such Pledgor regardless of notice of sale having been given. The
      Collateral Agent may adjourn any public or private sale from time to time
      by announcement at the time and place fixed therefor, and such sale may,
      without further notice, be made at the time and place to which it was so
      adjourned.

            (c) PRIVATE SALE. Upon the occurrence of an Event of Default and
      during the continuation thereof, the Pledgors recognize that the
      Collateral Agent may deem it impracticable to effect a public sale of all
      or any part of the Pledged Collateral and that the Collateral Agent may,
      therefore, determine to make one or more private sales of any such Pledged
      Collateral to a restricted group of purchasers who will be obligated to
      agree, among other things, to acquire such Pledged Collateral for their
      own account, for investment and not with a view to the distribution or
      resale thereof. Each Pledgor acknowledges that any such private sale may
      be at prices and on terms less favorable to the seller than the prices and
      other terms which might have been obtained at a public sale and,
      notwithstanding the foregoing, agrees that such private sale shall be
      deemed to have been made in a commercially reasonable manner and that the
      Collateral Agent shall have no obligation to delay sale of any such
      Pledged Collateral for the period of time necessary to permit the issuer
      of such Pledged Collateral to register such Pledged Collateral for public
      sale under the Securities Act of 1933. Each Pledgor further acknowledges
      and agrees that any offer to sell such Pledged Collateral which has been
      (i) publicly advertised on a bona fide basis in a newspaper or other
      publication of general circulation in the financial community of New York,
      New York (to the extent that such offer may be advertised without prior
      registration under the Securities Act of 1933), or (ii) made privately in
      the manner described above shall be deemed to involve a "public sale"
      under the UCC, notwithstanding that such sale may not constitute a "public
      offering" under the Securities Act of 1933, and the Collateral Agent may,
      in such event, bid for the purchase of such Pledged Collateral.


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            (d) RETENTION OF PLEDGED COLLATERAL. In addition to the rights and
      remedies hereunder, upon the occurrence of an Event of Default, the
      Collateral Agent may, after providing the notices required by Section
      9-505(2) of the UCC (or any successor sections of the UCC) or otherwise
      complying with the requirements of applicable law of the relevant
      jurisdiction, retain all or any portion of the Pledged Collateral in
      satisfaction of the Pledgor Obligations. Unless and until the Collateral
      Agent shall have provided such notices, however, the Collateral Agent
      shall not be deemed to have retained any Pledged Collateral in
      satisfaction of any Pledgor Obligations for any reason.

            (e) DEFICIENCY. In the event that the proceeds of any sale,
      collection or realization are insufficient to pay all amounts to which the
      Collateral Agent or the Lenders are legally entitled, the Pledgors shall
      be jointly and severally liable for the deficiency, together with interest
      thereon at the default rate specified in SECTION 3.1 of the Credit
      Agreement for Revolving Loans that are Base Rate Loans and together with
      the costs of collection and the reasonable fees of any attorneys employed
      by the Collateral Agent to collect such deficiency. Any surplus remaining
      after the full payment and satisfaction of the Pledgor Obligations shall
      be returned to the Pledgors or to whomsoever a court of competent
      jurisdiction shall determine to be entitled thereto.

      10.   RIGHTS OF THE COLLATERAL AGENT.

            (a) POWER OF ATTORNEY. In addition to other powers of attorney
      contained herein, each Pledgor hereby designates and appoints the
      Collateral Agent, on behalf of the Lenders, and each of its designees or
      agents as attorney-in-fact of such Pledgor, irrevocably and with power of
      substitution, with authority to take any or all of the following actions
      upon the occurrence and during the continuance of an Event of Default:

                        (i) to demand, collect, settle, compromise, adjust and
            give discharges and releases concerning the Pledged Collateral of
            such Pledgor, all as the Collateral Agent may reasonably determine;

                        (ii) to commence and prosecute any actions at any court
            for the purposes of collecting any of the Pledged Collateral of such
            Pledgor and enforcing any other right in respect thereof;

                        (iii) to defend, settle, adjust or compromise any
            action, suit or proceeding brought and, in connection therewith,
            give such discharge or release as the Collateral Agent may deem
            reasonably appropriate;

                        (iv) to pay or discharge taxes, liens, security
            interests, or other encumbrances levied or placed on or threatened
            against the Pledged Collateral of such Pledgor;

                        (v) to direct any parties liable for any payment under
            any of the Pledged Collateral to make payment of any and all monies
            due and to become due thereunder directly to the Collateral Agent or
            as the Collateral Agent shall direct;

                        (vi) to receive payment of and receipt for any and all
            monies, claims, and other amounts due and to become due at any time
            in respect of or arising out of any Pledged Collateral of such
            Pledgor;


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<Page>

                        (vii) to sign and endorse any drafts, assignments,
            proxies, stock powers, verifications, notices and other documents
            relating to the Pledged Collateral of such Pledgor;

                        (viii) to execute and deliver all assignments,
            conveyances, statements, financing statements, renewal financing
            statements, pledge agreements, affidavits, notices and other
            agreements, instruments and documents that the Collateral Agent may
            determine necessary in order to perfect and maintain the security
            interests and liens granted in this Pledge Agreement and in order to
            fully consummate all of the transactions contemplated herein;

                        (ix) to exchange any of the Pledged Collateral of such
            Pledgor or other property upon any merger, consolidation,
            reorganization, recapitalization or other readjustment of the issuer
            thereof and, in connection therewith, deposit any of the Pledged
            Collateral of such Pledgor with any committee, depository, transfer
            agent, registrar or other designated agency upon such terms as the
            Collateral Agent may determine;

                        (x) to vote for a shareholder or member resolution, or
            to sign an instrument in writing, sanctioning the transfer of any or
            all of the Pledged Capital Stock of such Pledgor into the name of
            the Collateral Agent or one or more of the Lenders or into the name
            of any transferee to whom the Pledged Capital Stock of such Pledgor
            or any part thereof may be sold pursuant to Section 9 hereof; and

                        (xi) to do and perform all such other acts and things as
            the Collateral Agent may reasonably deem to be necessary, proper or
            convenient in connection with the Pledged Collateral of such
            Pledgor.

      This power of attorney is a power coupled with an interest and shall be
      irrevocable (i) for so long as any of the Pledgor Obligations remain
      outstanding (other than any such obligations which by the terms thereof
      are stated to survive termination of the Credit Documents) or any Credit
      Document or any Hedging Agreement between any Credit Party and any Lender
      (to the extent the obligations of such Credit Party thereunder constitute
      Credit Party Obligations) is in effect and (ii) until all of the
      Commitments shall have been terminated. The Collateral Agent shall be
      under no duty to exercise or withhold the exercise of any of the rights,
      powers, privileges and options expressly or implicitly granted to the
      Collateral Agent in this Pledge Agreement and shall not be liable for any
      failure to do so or any delay in doing so. The Collateral Agent shall not
      be liable for any act or omission or for any error of judgment or any
      mistake of fact or law in its individual capacity or its capacity as
      attorney-in-fact except acts or omissions resulting from its gross
      negligence or willful misconduct. This power of attorney is conferred on
      the Collateral Agent solely to protect, preserve and realize upon its
      security interest in the Pledged Collateral.

            (b) ASSIGNMENT BY THE COLLATERAL AGENT. The Collateral Agent may
      from time to time assign the Pledgor Obligations and any portion thereof
      and/or the Pledged Collateral and any portion thereof, and the assignee
      shall be entitled to all of the rights and remedies of the Collateral
      Agent under this Pledge Agreement in relation thereto.

            (c) THE COLLATERAL AGENT'S DUTY OF CARE. Other than the exercise of
      reasonable care to ensure the safe custody of the Pledged Collateral while
      being held by the Collateral Agent hereunder, the Collateral Agent shall
      have no duty or liability to preserve rights pertaining thereto, it being
      understood and agreed that each of the Pledgors shall be responsible for


                                       9
<Page>

      preservation of all rights in the Pledged Collateral of such Pledgor, and
      the Collateral Agent shall be relieved of all responsibility for such
      Pledged Collateral upon surrendering it or tendering the surrender of it
      to such Pledgor. The Collateral Agent shall be deemed to have exercised
      reasonable care in the custody and preservation of the Pledged Collateral
      in its possession if such Pledged Collateral is accorded treatment
      substantially equal to that which the Collateral Agent accords its own
      property, which shall be no less than the treatment employed by a
      reasonable and prudent agent in the industry, it being understood that the
      Collateral Agent shall not have responsibility for (i) ascertaining or
      taking action with respect to calls, conversions, exchanges, maturities,
      tenders or other matters relating to any Pledged Collateral, whether or
      not the Collateral Agent has or is deemed to have knowledge of such
      matters; or (ii) taking any necessary steps to preserve rights against any
      parties with respect to any Pledged Collateral.

            (d)   VOTING RIGHTS IN RESPECT OF THE PLEDGED COLLATERAL.

                        (i) So long as no Event of Default shall have occurred
            and be continuing, to the extent permitted by law, each Pledgor may
            exercise any and all voting and other consensual rights pertaining
            to the Pledged Collateral of such Pledgor or any part thereof for
            any purpose not inconsistent with the terms of this Pledge Agreement
            or the Credit Agreement; and

                        (ii) Upon the occurrence and during the continuance of
            an Event of Default, all rights of a Pledgor to exercise the voting
            and other consensual rights which it would otherwise be entitled to
            exercise pursuant to paragraph (i) of this Section shall cease and
            all such rights shall thereupon become vested in the Collateral
            Agent which shall then have the sole right to exercise such voting
            and other consensual rights.

            (f)   DIVIDEND AND DISTRIBUTION RIGHTS IN RESPECT OF THE PLEDGED
                  COLLATERAL.

                        (i) So long as no Event of Default shall have occurred
            and be continuing and subject to Section 4(b) hereof, each Pledgor
            may receive and retain any and all dividends (other than stock
            dividends and other dividends constituting Pledged Collateral which
            are addressed hereinabove), distributions or interest paid in
            respect of the Pledged Collateral to the extent they are allowed
            under the Credit Agreement.

                        (ii) Upon the occurrence and during the continuance of
            an Event of Default:

                        (A) all rights of a Pledgor to receive the dividends,
                  distributions and interest payments which it would otherwise
                  be authorized to receive and retain pursuant to subsection (i)
                  of this Section shall cease and all such rights shall
                  thereupon be vested in the Collateral Agent which shall then
                  have the sole right to receive and hold as Pledged Collateral
                  such dividends, distributions and interest payments; and

                        (B) all dividends, distributions and interest payments
                  which are received by a Pledgor contrary to the provisions of
                  subsection (A) of this Section shall be received in trust for
                  the benefit of the Collateral Agent, shall be segregated from
                  other property or funds of such Pledgor, and shall be
                  forthwith paid over to the Collateral Agent as Pledged
                  Collateral in the exact form received, to be held by the
                  Collateral Agent as Pledged Collateral and as further
                  collateral security for the Pledgor Obligations.


                                       10
<Page>

            (g) RELEASE OF PLEDGED COLLATERAL. The Collateral Agent may release
      any of the Pledged Collateral from this Pledge Agreement or may substitute
      any of the Pledged Collateral for other Pledged Collateral without
      altering, varying or diminishing in any way the force, effect, lien,
      pledge or security interest of this Pledge Agreement as to any Pledged
      Collateral not expressly released or substituted, and this Pledge
      Agreement shall continue as a first priority lien on all Pledged
      Collateral not expressly released or substituted.

      11. RIGHTS OF REQUIRED LENDERS. All rights of the Collateral Agent
hereunder, if not exercised by the Collateral Agent, may be exercised by the
Required Lenders.

      12. APPLICATION OF PROCEEDS. Upon the occurrence and during the
continuance of an Event of Default, any payments in respect of the Pledgor
Obligations and any proceeds of any Pledged Collateral, when received by the
Collateral Agent or any of the Lenders in cash or its equivalent, will be
applied in reduction of the Pledgor Obligations in the order set forth in
SECTION 9.3 of the Credit Agreement, and each Pledgor irrevocably waives the
right to direct the application of such payments and proceeds and acknowledges
and agrees that the Collateral Agent shall have the continuing and exclusive
right to apply and reapply any and all such payments and proceeds in the
Collateral Agent's sole discretion, notwithstanding any entry to the contrary
upon any of its books and records.

      13. COSTS AND EXPENSES. At all times hereafter, the Pledgors agree to
promptly pay upon demand any and all reasonable costs and expenses of the
Collateral Agent or the Lenders, (a) as required under SECTION 11.5 of the
Credit Agreement and (b) as necessary to protect the Pledged Collateral or to
exercise any rights or remedies under this Pledge Agreement or with respect to
any Pledged Collateral. All of the foregoing costs and expenses shall constitute
Pledgor Obligations hereunder.

      14.   CONTINUING AGREEMENT.

            (a) This Pledge Agreement shall be a continuing agreement in every
      respect and shall remain in full force and effect so long as any of the
      Pledgor Obligations remain outstanding (other than any such obligations
      which by the terms thereof are stated to survive termination of the Credit
      Documents) or any Credit Document or Hedging Agreement between any Credit
      Party and any Lender (to the extent the obligations of such Credit Party
      thereunder constitute Credit Party Obligations) is in effect, and until
      all of the Commitments thereunder shall have terminated. Upon such payment
      and termination, this Pledge Agreement shall be automatically terminated
      and the Collateral Agent and the Lenders shall, upon the request and at
      the expense of the Pledgors, (i) return all certificates representing the
      Pledged Capital Stock, all other certificates and instruments constituting
      Pledged Collateral and all instruments of transfer or assignment which
      have been delivered to the Collateral Agent pursuant to this Pledge
      Agreement and (ii) forthwith release all of its liens and security
      interests hereunder and shall execute and deliver all UCC termination
      statements and/or other documents reasonably requested by the Pledgors
      evidencing such termination. Notwithstanding the foregoing, all releases
      and indemnities provided hereunder shall survive termination of this
      Pledge Agreement.

            (b) This Pledge Agreement shall continue to be effective or be
      automatically reinstated, as the case may be, if at any time payment, in
      whole or in part, of any of the Pledgor Obligations is rescinded or must
      otherwise be restored or returned by the Collateral Agent or any Lender as
      a preference, fraudulent conveyance or otherwise under any bankruptcy,
      insolvency or similar law, all as though such payment had not been made;
      provided that in the event payment of all or any part of the Pledgor
      Obligations is rescinded or must be restored or returned, all reasonable
      costs and expenses (including without limitation any reasonable legal fees
      and


                                       11
<Page>

      disbursements) incurred by the Collateral Agent or any Lender in defending
      and enforcing such reinstatement shall be deemed to be included as a part
      of the Pledgor Obligations.

      15. AMENDMENTS; WAIVERS; MODIFICATIONS. This Pledge Agreement and the
provisions hereof may not be amended, waived, modified, changed, discharged or
terminated except as set forth in SECTION 11.6 of the Credit Agreement.

      16. SUCCESSORS IN INTEREST. This Pledge Agreement shall create a
continuing security interest in the Pledged Collateral and shall be binding upon
each Pledgor, its successors and assigns and shall inure, together with the
rights and remedies of the Collateral Agent and the Lenders hereunder, to the
benefit of the Collateral Agent and the Lenders and their successors and
permitted assigns; PROVIDED, HOWEVER, that none of the Pledgors may assign its
rights or delegate its duties hereunder without the prior written consent of
each Lender or the Required Lenders, as required by the Credit Agreement. To the
fullest extent permitted by law, each Pledgor hereby releases the Collateral
Agent and each Lender, and its successors and assigns, from any liability for
any act or omission relating to this Pledge Agreement or the Pledged Collateral,
except for any liability arising from the gross negligence or willful misconduct
of the Collateral Agent, or such Lender, or its officers, employees or agents.

      17. NOTICES. All notices required or permitted to be given under this
Pledge Agreement shall be in conformance with SECTION 11.1 of the Credit
Agreement.

      18. COUNTERPARTS. This Pledge Agreement may be executed in any number of
counterparts, each of which where so executed and delivered shall be an
original, but all of which shall constitute one and the same instrument. It
shall not be necessary in making proof of this Pledge Agreement to produce or
account for more than one such counterpart.

      19. HEADINGS. The headings of the sections and subsections hereof are
provided for convenience only and shall not in any way affect the meaning,
construction or interpretation of any provision of this Pledge Agreement.

      20.   GOVERNING LAW; SUBMISSION TO JURISDICTION; VENUE.

            (a) THIS PLEDGE AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE
      PARTIES HEREUNDER SHALL BE GOVERNED BY AND CONSTRUED AND INTERPRETED IN
      ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK. Any legal action or
      proceeding with respect to this Pledge Agreement may be brought in the
      courts of the State of New York, or of the United States for the Southern
      District of New York, and, by execution and delivery of this Pledge
      Agreement, each Pledgor hereby irrevocably accepts for itself and in
      respect of its property, generally and unconditionally, the jurisdiction
      of such courts. Each Pledgor further irrevocably consents to the service
      of process out of any of the aforementioned courts in any such action or
      proceeding by the mailing of copies thereof by registered or certified
      mail, postage prepaid, to it at the address for notices pursuant to
      SECTION 11.1 of the Credit Agreement, such service to become effective 30
      days after such mailing. Nothing herein shall affect the right of the
      Collateral Agent to serve process in any other manner permitted by law or
      to commence legal proceedings or to otherwise proceed against any Pledgor
      in any other jurisdiction.

            (b) Each Pledgor hereby irrevocably waives any objection which it
      may now or hereafter have to the laying of venue of any of the aforesaid
      actions or proceedings arising out of or in connection with this Pledge
      Agreement brought in the courts referred to in subsection (a) hereof and
      hereby further irrevocably waives and agrees not to plead or claim in any
      such court


                                       12
<Page>

      that any such action or proceeding brought in any such court has been
      brought in an inconvenient forum.

      21. WAIVER OF JURY TRIAL. TO THE EXTENT PERMITTED BY APPLICABLE LAW, EACH
OF THE PARTIES TO THIS PLEDGE AGREEMENT HEREBY IRREVOCABLY WAIVES ALL RIGHT TO
TRIAL BY JURY IN ANY ACTION, PROCEEDING OR COUNTERCLAIM ARISING OUT OF OR
RELATING TO THIS PLEDGE AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY.

      22. SEVERABILITY. If any provision of this Pledge Agreement is determined
to be illegal, invalid or unenforceable, such provision shall be fully severable
and the remaining provisions shall remain in full force and effect and shall be
construed without giving effect to the illegal, invalid or unenforceable
provisions.

      23. ENTIRETY. This Pledge Agreement, the other Credit Documents and the
Hedging Agreements between any Credit Party and any Lender (to the extent the
obligations of such Credit Party thereunder constitute Credit Party Obligations)
represent the entire agreement of the parties hereto and thereto, and supersede
all prior agreements and understandings, oral or written, if any, including any
commitment letters or correspondence relating to the Credit Documents, such
Hedging Agreements or the transactions contemplated herein and therein.

      24. SURVIVAL. All representations and warranties of the Pledgors hereunder
shall survive the execution and delivery of this Pledge Agreement, the other
Credit Documents and the Hedging Agreements between any Credit Party and any
Lender (to the extent the obligations of such Credit Party thereunder constitute
Credit Party Obligations), the delivery of the Notes, the making of the Loans
and the issuance of the Letters of Credit.

      25. OTHER SECURITY. To the extent that any of the Pledgor Obligations are
now or hereafter secured by property other than the Pledged Collateral
(including, without limitation, real and other personal property owned by a
Pledgor), or by a guarantee, endorsement or property of any other Person, then
the Collateral Agent and the Lenders shall have the right to proceed against
such other property, guarantee or endorsement upon the occurrence of any Event
of Default, and the Collateral Agent and the Lenders have the right, in their
sole discretion, to determine which rights, security, liens, security interests
or remedies the Collateral Agent and the Lenders shall at any time pursue,
relinquish, subordinate, modify or take with respect thereto, without in any way
modifying or affecting any of them or any of the Collateral Agent's and the
Lenders' rights or the Pledgor Obligations under this Pledge Agreement, under
any other of the Credit Documents or under any Hedging Agreement between any
Credit Party and any Lender (to the extent the obligations of such Credit Party
thereunder constitute Credit Party Obligations).

      26.   JOINT AND SEVERAL OBLIGATIONS OF PLEDGORS.

            (a) Each of the Pledgors is accepting joint and several liability
      hereunder in consideration of the financial accommodation to be provided
      by the Lenders under the Credit Agreement, for the mutual benefit,
      directly and indirectly, of each of the Pledgors and in consideration of
      the undertakings of each of the Pledgors to accept joint and several
      liability for the obligations of each of them.

            (b) Each of the Pledgors jointly and severally hereby irrevocably
      and unconditionally accepts, not merely as a surety but also as a
      co-debtor, joint and several liability with the other Pledgors with
      respect to the payment and performance of all of the Pledgor Obligations
      arising under this Pledge Agreement, the other Credit Documents and the
      Hedging Agreements between


                                       13
<Page>

      any Credit Party and any Lender (to the extent the obligations of such
      Credit Party thereunder constitute Credit Party Obligations), it being the
      intention of the parties hereto that all the Pledgor Obligations shall be
      the joint and several obligations of each of the Pledgors without
      preferences or distinction among them.

            (c) Notwithstanding any provision to the contrary contained herein
      or in any other of the Credit Documents, or in any Hedging Agreement
      between any Credit Party and any Lender (to the extent the obligations of
      such Credit Party thereunder constitute Credit Party Obligations), the
      obligations of each Pledgor hereunder shall be limited to an aggregate
      amount equal to the largest amount that would render such obligations
      subject to avoidance under SECTION 548 of the Bankruptcy Code or any
      comparable provisions of any applicable state law.

                  [remainder of page intentionally left blank]




                                       14
<Page>


      Each of the parties hereto has caused a counterpart of this Pledge
Agreement to be duly executed and delivered as of the date first above written.

PLEDGORS:                           MEDICAL STAFFING NETWORK, INC.,
                                    a Delaware corporation

                                    By:     /s/ Scott Hilinski
                                       ---------------------------------------
                                    Title:  Scott Hilinski
                                          ------------------------------------
                                    Name:   Director
                                         -------------------------------------


                                    MEDICAL STAFFING HOLDINGS, LLC,
                                    a Delaware limited liability company


                                    By:     /s/ Scott Hilinski
                                       ---------------------------------------
                                    Name:   Scott Hilinski
                                         -------------------------------------
                                    Title:  Director
                                          ------------------------------------


      Accepted and agreed as of the date first above written.

                                    BANK OF AMERICA, N.A., as Collateral Agent


                                    By:     /s/ James Ford
                                       ---------------------------------------
                                    Name:   James Ford
                                         -------------------------------------
                                    Title:  Managing Director
                                          ------------------------------------