California - Potential Strike
Submit Request
Home Health - LVN - LPN Allied
Requirements
:
BLS
Recent Home Health Experience
You must have recent Home Health experience to be eligible for this assignment
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active California LVN or LPN License?
*
No
Yes
What is your California LVN or LPN license #?
California License Expiration Date?
If you are not licensed in California:
What state are you licensed as an LPN?
What is that license #?
What is that license expiration date?
Do you have BLS certification?
*
No
Yes
List any other certification you have:
*
What are all the areas you can 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 experience Home Health 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 in Home Health in the past year?
*
No
Yes
What Company have you worked Home Health with most recently?
*
Have you worked at least 6 months at a Medicare Certified Agency in the past year?
*
No
Yes
If no, when did you last work and how long did you work at a Medicare Certified Agency?
Do you have experience with OASIS documentation?
*
No
Yes
Which specialty do you typically work?
*
Can you start IV's?
*
No
Yes
Are you trained to hang IV meds or IV pushes?
*
No
Yes
How much experience do you have working in the hospital?
*
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
How much experience do you have outside the hospital?
*
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
In which settings have you worked outside of a hospital?
*
Can you interpret tele strips?
*
No
Yes
How comfortable are you with peds?
*
Not Comfortable
Somewhat Comfortable
Comfortable
Very Comfortable
How much recent experience do you have working in home health?
*
None
Past Month
Past 3 Months
Past 6 Months
Past Year
Over a year ago
Can you admit patients to home care?
*
No
Yes
Can you assess and change PICC line dressings?
*
No
Yes
How much recent experience do you have with home care coding?
*
None
Minimal
Lots
Daily
How much recent experience do you have with trachs?
*
None
Minimal
Lots
Daily
How much recent experience do you have with wound care?
*
None
Minimal
Lots
Daily
Are you comfortable with end of life care?
*
No
Yes
Have you worked hospice in the home?
*
No
Yes
Have you had death and dying training?
*
No
Yes
address1