Potential Strike - Illinois

Submit Request

Clinic - Rheumatology - RN

Requirements:

Illinois RN license
BLS
Spirometry (preferred)
IV medication certification (preferred)

-- please complete this submission form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have an active Illinois RN license?*

Yes

List your RN license number:*

RN license expiration date:*

Do you have BLS certification? *

Yes

Do you have a Spirometry certification?*

Yes

Do you have an IV medication certification?*

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

Do you have Charge Nurse Experience?*

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

What age patients are you comfortable caring for?*

At which Clinic or facility have you worked Rheumatology most recently, and when?*

How much recent Rheumatology experience do you have?*

How much Spirometry experience do you have?*

How much recent Allergy Scratch testing experience do you have?*

How much recent experience do you have in D.O.T. physicals?*

How much recent experience do you have drawing blood?*

How much recent experience do you have with Administering shots?*

How much recent experience do you have with Completing 12 lead EKGs?*

Can you start an IV?*

Yes

What other outpatient testing can you perform, if any?*

Please highlight any additional skills or unique experience you may have:

Please supply an emergency contact name and phone number:*