Potential Strike - Illinois

Submit Request

OR - Transplant Coordinator - RN

Requirements:

Illinois RN license
BLS

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

First Name*

Last Name*

Email*

Phone*

Do you have an active Illinois RN license?*

No

Yes

RN license number:*

RN license expiration date:*

Do you have BLS certification? *

No

Yes

Do you have CNOR certification?*

No

Yes

Are you certified to First-Assist (RNFA)?*

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

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 experience do you have as a Transplant Coordinator?*

Have you worked Transplant Coordinator in the past year?*

No

Yes

What Facility and City, state have you worked as a Transplant Coordinator most recently?*

Which phase of recovery are you comfortable caring for?*

Which ages can you recover?*

How much recent experience do you have with organ or tissue harvest?*

Do you have a critical care background, and can you recover ICU patients?*

No

Yes

Can you work in Preop?*

No

Yes

Can you work in Postop?*

No

Yes

Can you perform and interpret a 12 lead EKG?*

No

Yes

Can you assist with central or A-line placement?*

No

Yes

Can you assist with nerve blocks?*

No

Yes

Can you perform moderate sedation?*

No

Yes

Are you able to implement malignant hyperthermia protocols?*

No

Yes

Do you have experience with mass transfusions?*

No

Yes

Can you start an IV?*

No

Yes

Please supply an Emergency Contact name and phone number:*