New York - Potential Strike
Submit Request
OR Dental / Ophthalmology
Requirements
:
BLS
ACLS
-- please complete this submission form honestly and accurately --
First Name
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Last Name
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Email Address
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Phone
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Do you have an active NY RN license?
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No
Yes
What is your NY license #?
*
License expiration date?
*
Do you have BLS certification?
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No
Yes
List any other certification you have:
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What other specialties do you float to?
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Do you have the COVID Vaccination?
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No
Yes - Vaccinated
Yes - Vaccinated with Booster
Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?
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No
Yes
Can you work a Day shift?
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No
Yes
Can you work a Mid shift?
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No
Yes
Can you work a Night shift?
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No
Yes
What is your Primary Shift preference?
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Day
Mid
Night
100% Flexible
Do you have charge nurse experience?
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No
Yes
Have you worked in an Inpatient setting?
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No
Yes
Have you worked in an Outpatient setting?
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No
Yes
What specialty/cases do you circulate most?
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Can you scrub?
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No
Yes
If so, which cases?
Can you circulate and/or scrub in the open heart room?
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No
Yes
Do you have experience with PEDS OR?
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No
Yes
Which eye cases can you circulate?
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How much robotic experience do you have?
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None
Minimal
Regularly
Daily
If so, which model? Davinici? Mazur?
Do you have Neuro/Crani experience?
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No
Yes
Can you circulate organ transplants?
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No
Yes
If so, which ones?
How much experience do you have with organ or tissue harvest?
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None
Minimal
Regularly
Daily
Are you able to implement malignant hyperthermia protocols?
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No
Yes
How much Endo experience do you have?
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None
Minimal
Regularly
Daily
Do you have current Trauma OR experience?
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No
Yes
What experience do you have in oral and maxillofacial surgery?
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What experience do you have with facial, jaw or mouth trauma experience?
*
What experience do you have with cleft lip or cleft palate surgery?
*