Potential Strike - California
Submit Request
Interventional Radiology - RN
Requirements
:
California RN license
BLS
ACLS
NIHSS
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active California RN license?
*
No
Yes
List your State and RN license number:
*
RN license expiration date:
*
Do you have BLS certification?
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No
Yes
Do you have ACLS certification?
*
No
Yes
Do you have NIHSS certification?
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No
Yes
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
Do you have Charge RN experience within the last two years?
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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 IR 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 IR in the past year?
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No
Yes
What Facility and City, state have you worked IR most recently?
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Can you scrub in and assist the radiologist?
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No
Yes
Can you run the injector?
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No
Yes
Can you monitor End title CO2?
Yes
No
How much recent neuro experience do you have?
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None
Minimal
Regularly
Daily
How much recent vascular 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
How much recent experience do you have with procedures using EKOS? (Ekosonic Endovascular System)
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None
Minimal
Regularly
Daily
Can you initiate Angio Vac ?
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No
Yes
If yes, how much recent experience do you have with Angio Vac procedures?
None
Minimal
Regularly
Daily
How much recent experience do you have assisting with chemo administration?
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None
Minimal
Regularly
Daily
How much recent experience do you have in ablation cases?
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None
Minimal
Regularly
Daily
How much recent experience do you have with embolization procedures?
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None
Minimal
Regularly
Daily
Can you start an IV?
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No
Yes
Do you have experience assisting with conscious sedation?
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Yes
No
What ages can you administer moderate sedation to?
*
Can you scrub in/assist during procedures?
Yes
No
Do you have any experience inserting PICC Lines?
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Yes
No
If yes, what ages?
Please supply an Emergency Contact name and phone number:
*