New England Area - Potential Strike
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PICC Line - Vascular Access - RN
Requirements
:
Active RN Compact License
BLS
ACLS
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 ACLS certification?
*
No
Yes
Do you have PICC 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 PICC Vascular Access 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 PICC Vascular Access in the past year?
*
No
Yes
What Facility have you worked PICC Vascular Access at most recently?
*
Can you insert PICC lines in adults?
*
No
Yes
Can you insert PICC lines in children ?
*
No
Yes
Can you insert PICC lines in neonates?
*
No
Yes
Which brands are you experienced with?
*
Are you comfortable inserting a PICC lines solo?
*
No
Yes
Do you use X-ray confirm placement?
*
No
Yes
Do you use Ultrasound confirm placement?
*
No
Yes
Do you use EKG confirm placement?
*
No
Yes
