California - Potential Strike
Submit Request
Pharmacist
Requirements
:
California Pharmacist License
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active California Pharmcaist license?
*
No
Yes
What is your California Pharmacy License number?
*
What is your Pharmacy license expiration date?
*
Do you have BLS certification?
*
No
Yes
Do you have any related certification- BCACP, BCCCP, CCGP, BCNP, BCNSP, BCPPS, BCPS?
*
No
Yes
Are you HIV Certified?
*
No
Yes
Do you Have Point of Care Cert?
*
No
Yes
List any other certification you have:
*
What specialties do you float to?
*
Do you have the COVID Vaccination?
*
No
Yes - Vaccinated
Yes - Vaccinated with Booster
Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?
*
No
Yes
Do you have Charge Nurse Experience?
*
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 Pharmacist 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 Pharmacist in the past year?
*
No
Yes
What Facility and City, state have you worked as a Pharmacist most recently?
*
Do you have experience with IV room?
*
No
Yes
Do you have experience with Dosing?
*
No
Yes
Do you have experience mixing Chemo?
First
Second
Third
Do you have experience with SRS?
*
No
Yes
Do you Do anticoagulation Therapy dosing?
*
No
Yes
Do you Compound Specialty?
*
No
Yes
Do you give vaccinations?
First
Second
Third
Do you admin Covid tests?
*
No
Yes
Do you do pediatric dosing?
*
No
Yes
