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What is your Radiologic Tech certification?*

ARRT

ARRT-CI (cardiac intervention)

ARRT-VI (vascular intervention)

RCES (cardiovascular electrophysiology specialist)

RCIS (cardiovascular invasive specialist)

not certified

Do you have a Radiologic Tech certification issued by the state of California?*

Yes

Do you have a Fluoroscopy certification issued by the state of California?*

Yes

Do you have a Venipuncture certification issued by the state of California?*

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?*

Yes

Can you work a Day shift?*

Yes

Can you work a Mid shift?*

Yes

Can you work a Night shift?*

Yes

What is your Primary Shift preference?*

Day

Mid

Night

100% Flexible

How many years Cath/EP Lab experience do you have?*

Have you worked as a Cath/EP Lab Tech in the past year?*

Yes

What Facility, city and state, have you worked as a Cath/EP Lab Tech most recently?*

How much hospital experience do you have?*

Which hospital units are you most comfortable working?*

How much outpatient experience do you have?*

In which other modalities have you worked, if any, and for how long?

Can you scrub Cath and EP cases?*

Yes

What age patients are you comfortable caring for?*

Do you have experience with neonatal patients?*

Yes

Can you run fluoroscopy?*

Yes

If yes, in which department did you run fluoroscopy?

Can you conduct cardiac stress tests?*

Yes

Have you worked in trauma?*

Yes

Do you have experience with CABG?*

Yes

How many open hearts have you assisted with this past year?*

Do you have experience with PEDS open heart?

Yes

Do you have experience with heart and lung transplant?*

Yes

Can you deploy closure devices?*

Yes

Do you use IVUs?*

Yes

Can you operate radiologic, fluoroscopic, and laser equipment for patient imaging?*

Yes

Can you inject contrast?*

Yes

Can you operate EKG equipment?*

Yes

Which equipment brands do you have experience with?*

Please supply an Emergency Contact name and phone number:*

Cath Lab/EP Tech - ALLIED