New England Area - Potential Strike

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PICU - Pediatric ICU - RN

Requirements:

Active RN Compact License
BLS
PALS

First Name*

Last Name*

Email*

Phone*

What is your RN Compact License State?*

What is your RN Compact license #?*

RN Compact License Expiration Date?*

Do you have BLS certification? *

No

Yes

Do you have PALS 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 PICU experience do you have?*

Have you worked PICU in the past year?*

No

Yes

What Facility have you worked PICU at most recently?*

Have you taken care of peds after heart surgery?*

No

Yes

Have you taken care of peds after a transplant? *

No

Yes

If yes, what organs?

Have you taken care of peds after a heart cath?*

No

Yes

Have you transported NICU / PICU patients outside the hospital?*

No

Yes

Which age of patients are you most comfortable caring for?*

Can you take care of patients on CRRT (continuous renal replacement therapy)?*

No

Yes

(also can be called CVVH, CVVHD, CVVHDF)

If yes to CRRT, can you set up and take down and change the circuit?

No

Yes

If yes to CRRT, which machines do you have experience with?

Can you take care of patients with a LVAD?*

No

Yes

Can you take care of patients with an ICP?*

No

Yes

Can you take care of patients on ECMO?*

No

Yes

Can you take care of patients on Oscillators?*

No

Yes

Can you take care of patients on Jets?*

No

Yes

Do you have Oncology experience? *

No

Yes

If yes, can you infuse Chemo?*

No

Yes

Can you start an IV?*

No

Yes