New York - Potential Strike

Submit Request

Radiation Oncology

Requirements:

BLS

-- please complete this submission form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have an active New York license?*

What is your New York RN license #?*

License Expiration Date?*

Do you have BLS certification? *

No

Yes

Do you have ACLS 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 Radiation Oncology experience do you have?*

Have you worked Radiation Oncology in the past year?*

No

Yes

Can you educate patients on Radiation?*

No

Yes

What scheduling systems have you used?*

What type of skin treatments do you have experience with?*

How much phone triage experience do you have?

Can you assist in positioning?*

No

Yes

Can you assist with mold making?*

No

Yes

Can you start an IV?*

No

Yes

Please supply an Emergency Contact name and phone number:*