Michigan Submit Request

First Name*

Last Name*

Email*

Phone*

Do you have BLS certification? *

No

Yes

Do you have RCIS certification?*

No

Yes

What is your RCIS number?*

Are you Flouro certified?*

No

Yes

If yes, what is your Flouro cert number?

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

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 Cath Lab Tech experience do you have?*

Have you worked as a Cath Lab Tech in the past year?*

No

Yes

What Facility have you worked as a Cath Lab Tech most recently?*

Do you have experience with neonatal patients?*

No

Yes

Do you have experience with pediatric patients?*

No

Yes

Do you have experience with adult patients?*

No

Yes

Do you have experience with operating EKG machines?*

No

Yes

Do you have experience with conducting Stress Tests?*

No

Yes

Do you have experience in the EP Lab?*

No

Yes

Do you Scrub?*

No

Yes

Can you deploy closure devices?*

No

Yes

Can you inject contrast?*

No

Yes

Do you use IVUS?*

No

Yes

List any equipment you have experience with not listed above:

Michigan - Potential Strike

Submit Request