Potential Strike - multi-state
Submit Request
EKG Tech / Stress Testing
Requirements
:
BLS
EKG certification
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
In which region(s) would you prefer to be placed as an EKG Tech?
*
California - Northern
California - Southern
Colorado
Mid-Atlantic
Oregon
Washington
No Preference
Do you have BLS certification?
*
No
Yes
Do you have a current EKG tech certification?
*
No
Yes
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?
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No
Yes
Can you work a Mid shift?
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No
Yes
Can you work a Night shift?
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No
Yes
What is your Primary Shift preference?
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Day
Mid
Night
100% Flexible
How many years experience do you have as an EKG Tech?
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None
6 Months or less
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
More than 10 Years
Have you worked as an EKG Tech in the past year?
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No
Yes
At what facility have you worked as an EKG Tech most recently?
*
Can you perform a 12-lead EKG?
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No
Yes
Can you perform a right heart EKG?
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No
Yes
Can you assist with cardiac stress testing?
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No
Yes
Are there any other departments or units you work in?
*
Do you have experience with temporary pacemakers?
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No
Yes
Do you have experience with permanent pacemakers?
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No
Yes
Do you have experience with Defibrillators?
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No
Yes
Do you have experience with event monitors?
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No
Yes
Can you interpret EKGs?
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No
Yes
Can you identify lethal rhythms?
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No
Yes
How much experience do you have applying and managing Holter Monitors?
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None
6 Months or less
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
More than 10 Years
Are you proficient to perform Holter Monitor tests?
*
No
Yes
Please supply an Emergency Contact name and phone number:
*