Submit Request

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 Rad Tech experience do you have?*

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

Yes

What Facility, city and state, have you worked as a Rad 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?

What age patients are you comfortable caring for?*

Do you have experience with pediatric patients?*

Yes

What age group do you have the most experience?*

Yes

Do you have experience operating EKG machines?*

Yes

Do you have experience with conducting Stress Tests?*

Yes

Can you scrub Cath and EP cases?*

Yes

Can you run fluoroscopy?*

Yes

If yes, in which department did you run fluoroscopy?

Can you deploy closure devices?*

Yes

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

Yes

Can you inject contrast?*

Yes

Do you use IVUs?*

Yes

Do you have experience with CABGs?*

Yes

How many open hearts do you assist with per year?*

Do you have experience with PEDS open hearts?*

Yes

Do you have experience with heart/lung transplants?*

Yes

Can you scrub outside of CVOR?*

Yes

Which equipment brands do you have experience with?*

Please supply an Emergency Contact name and phone number:*

Rad Tech - Fluoroscopy/OR - Allied