Pennsylvania - Potential Strike
Submit Request
LDRP
Requirements
:
Active Pennsylvania RN License
BLS
ACLS
NRP
FHM Preferred
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active Pennsylvania RN license?
*
No
Yes
PA license #?
*
PA License Expiration Date:
*
Do you have BLS certification?
*
No
Yes
Do you have ACLS certification?
*
No
Yes
Do you have Intermediate FHM certification?
*
No
Yes
Do you have Advanced FHM 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 LDRP 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 LDRP in the past year?
*
No
Yes
What Facility and City, state have you worked LDRP most recently?
*
Can you work Labor?
*
No
Yes
Can you work Delivery?
*
No
Yes
Can you work in Postpartum?
*
No
Yes
Can you catch the baby and do the initial assessments?
*
No
Yes
Do you care for high risk?
*
No
Yes
Do you circulate C-Sections?
*
No
Yes
Do you scrub C-sections?
*
No
Yes
Are you a lactation nurse?
*
No
Yes
If yes, are you lactation certified?
No
Yes
How much NICU experience do you have if any?
*
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
If you have NICU experience, what level?
None
Level 1
Level 2
Level 3
Level 4
Can you work independently in well baby nursery?
*
No
Yes
Can you care for a patient on moderate sedation?
*
No
Yes
Can you work in OB Triage?
*
No
Yes
Can you start an IV?
*
No
Yes
