Pennsylvania - Potential Strike

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NICU

Requirements:

Active Pennsylvania RN License
BLS
NRP

First Name*

Last Name*

Email*

Phone*

Do you have an active Pennsylvania RN license?*

No

Yes

What is your PA license #?*

PA License Expiration Date:*

Do you have BLS certification? *

No

Yes

Do you have NRP certification?*

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 NICU experience do you have?*

Have you worked NICU in the past year?*

No

Yes

What Facility and City, state have you worked NICU most recently?*

What level NICU do you typically work in?*

None

Level 1

Level 2

Level 3

Level 4

What is the earliest gestation you can care for?*

How much recent experience do you have with Jets?*

How much recent experience do you have with oscillators?*

How much experience do you have caring for a neonate on ECMO?

Are you comfortable with applying and caring for total body cooling and/or head cooling?*

No

Yes

Do you attend deliveries?*

No

Yes

Can you transported neonates outside the hospital? *

No

Yes

If yes, what mode of transport?

Do you have experience with Nitric Oxide?*

No

Yes

Can you recover open heart neonates?*

No

Yes

Do you care for post surgical NICU patients? *

No

Yes

If yes, what post surgical cases?

Can you start an IV?*

No

Yes

Do you have any experience inserting PICC Lines? *

No

Yes

If yes, what ages do you have PICC line experience with?