Potential Strike - multi-state
Submit Request
Unit Coordinator
Requirements
:
BLS
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
Do you have BLS 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?
*
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 experience do you have as a Unit Coordinator or scheduler?
*
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 Unit Coordinator in the past year?
*
No
Yes
At what facility have you worked as a Unit Coordinator most recently?
*
What functionalities do you have experience with?
*
Are you comfortable using computers and technology?
*
No
Yes
Do you have experience with EMR systems and entering orders?
*
No
Yes
What EMR or Charting software systems are you familiar with?
*
Do you have experience in an acute care or inpatient setting?
*
No
Yes
Are you comfortable using a paging system to communicate with providers and other staff?
*
No
Yes
Please supply an Emergency Contact name and phone number:
*
