Potential Strike

Multistate

submit request

Interventional Radiology Tech

Requirements:

BLS
ARRT
California Radiologic Tech certification (required for California)
California Fluoroscopy certification (preferred)

-- please complete this form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have BLS certification? *

Yes

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 IR Tech experience do you have?*

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

Yes

What Facility, city and state, have you worked as a IR Tech most recently?*

Which hospital units are you most comfortable working?*

What age patients are you comfortable caring for?*

Are you disciplined with sterile technique?*

Yes

Do you have pressure monitoring experience?*

Yes

Can you scrub Interventional Radiology and Cath/EP surgical cases?*

Yes

Are you proficient with diagnostic Cath/PCI procedures?*

Yes

Can you procure all equipment and circulate in the procedure room?*

Yes

Can you assist with care for patients experiencing cardiac arrythmia?*

Yes

Are you proficient with Structural Heat procedures?*

Yes

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

Yes

Can you manage fluoroscopy and the injector?*

Yes

Can you perform an EKG?*

Yes

Describe your proficiency with devices such as Rotors, Blades, ECOS, Impella, etc:*

Please supply an Emergency Contact name and phone number:*