Potential Strike
Multi-State
submit request
Sterile Processing Tech
Requirements
:
CR-CST or CSPDT Sterile Proc. Tech Certification
BLS (preferred)
-- please complete this form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
In which region(s) would you prefer to be placed as a Sterile Processing Tech?
*
California - Northern
California - Southern
Colorado
Mid-Atlantic
Oregon
Washington
No Preference
Do you have CR-CST or CSPDT Sterile Processing certification?
*
No
Yes
What is your Sterile Processing certification number?
*
Do you have BLS certification?
*
No
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?
*
No
Yes
Can you work a Day shift?
*
No
Yes
Can you work a Mid shift?
*
No
Yes
Can you work a Night shift?
*
No
Yes
What is your Primary Shift preference?
*
Day
Mid
Night
100% Flexible
How many years Sterile Processing Tech experience do you have?
*
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 a Sterile Processing Tech in the past year?
*
No
Yes
What Facility and City, state have you worked as a Sterile Processing Tech most recently?
*
Which hospital units are you most comfortable working?
*
Can you process anesthesia trays?
*
No
Yes
Can you process endoscopy scopes?
*
No
Yes
Please supply an Emergency Contact name and phone number:
*
