Potential Strike

Multi-State

submit request

Computed Tomography Tech - ALLIED

Requirements:

BLS
ARRT
California CRT certification

-- please complete this form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have BLS certification? *

No

Yes

Do you have ARRT certification?*

No

Yes

What is your ARRT certification #?

Do you have a California CRT License?*

No

Yes

What is your CA CRT License #?

Are you certified for Fluoroscopy?*

No

Yes

Are you certified for venipuncture?*

No

Yes

List any other certification you have:*

What specialties do you float to?*

Do you have the COVID Vaccination?*

No - Requesting Exemption

Yes - Vaccinated

Yes - Vaccinated with Booster

Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?*

No

Yes

Can you work a Day shift?*

No

Yes

Can you work a Mid shift?*

No

Yes

Can you work a Night shift?*

No

Yes

What is your Primary Shift preference?*

Day

Mid

Night

100% Flexible

How many years CT Tech experience do you have?*

Have you worked as a CT Tech in the past year?*

No

Yes

What Facility and City, state have you worked as a CT Tech most recently?*

Which equipment do you have experience with? *

Have you used a portable CT? (Body TOM)*

No

Yes

Can you start an IV?*

No

Yes

Can you work in CT angio?*

No

Yes

Do you have trauma experience?*

No

Yes

How much experience do you have with 3D reconstruction?*

Do you do contrast injections?*

No

Yes

Can you perform sedation?*

No

Yes

Do you work with Pediatrics?*

No

Yes

Please supply an Emergency Contact name and phone number:*