Potential Strike - multistate
Submit Request
OR Tech / CVOR Tech - First Assist
Requirements
:
BLS
NBSTSA-CST certification
First-Assist 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 OR Tech?
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Colorado
Mid-Atlantic
No Preference
Do you have BLS certification?
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No
Yes
Do you have CST certification?
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No
Yes
If yes, what is your CST number?
List any other certification you have:
*
What specialties do you float to?
*
Do you have the COVID Vaccination?
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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 OR Tech experience do you have?
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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 OR Tech in the past year?
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No
Yes
At what facility have you worked as an OR Tech most recently?
*
Can you scrub CABG?
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No
Yes
Can you scrub Valves?
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No
Yes
Can you scrub Triple A?
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No
Yes
Which types of transplant cases can you scrub, if any?
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Have you worked inpatient?
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No
Yes
Have you worked outpatient?
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No
Yes
Can you scrub NICU and peds cases?
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No
Yes
Can you scrub L&D cases?
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No
Yes
Do you have experience with Vascular?
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No
Yes
Do you have experience with Dental?
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No
Yes
Do you have experience with Eyes?
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No
Yes
Which other areas or specialties can you scrub?
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Can you First Assist?
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No
Yes
If yes, are you First Assist Certified?
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No
Yes
If you can first assist, which type of cases can you assist in?
What robotics equipment or brands are you familiar with?
*
Do you have experience with infusion pumps?
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No
Yes
Do you have experience with ultrasound machines?
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No
Yes
Do you have experience with smoke evacuators?
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No
Yes
Please supply an Emergency Contact name and phone number:
*
