Oregon - Potential Strike

Submit Request

Pre/Post-Op - RN

Requirements:

BLS
ACLS
PALS (preferred)

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

First Name*

Last Name*

Email*

Phone*

Do you have an active Oregon state RN license?*

What is your active RN license number?*

What is your RN license Expiration Date?*

Do you have BLS certification? *

No

Yes

Do you have ACLS certification?*

No

Yes

Do you have PALS 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 Pre Op experience do you have?*

Have you worked Pre Op in the past year?*

No

Yes

What Facility have you worked Pre Op at most recently?*

Which phase of recovery are you comfortable caring for?*

Which ages can you recover?

Can you work Pre Op?*

No

Yes

Can you work Post Op?*

No

Yes

Can you assist with central lines procedures? *

No

Yes

Can you perform and interpret a 12 lead EKG?

No

Yes

Can you assist with nerve blocks procedures?*

No

Yes

Can you perform moderate sedation?*

No

Yes

Can you assist with central or A-line placement?*

No

Yes

Do you have a critical care background and can you recover ICU patients?*

No

Yes

Do you primarily work inpatient or outpatient?*

Inpaitent

Outpatient

Both

Do you have experience with massive transfusions?*

No

Yes

Are you comfortable with drug titration?*

No

Yes

Are you able to implement malignant hyperthermia protocols?*

No

Yes

Can you start an IV?*

No

Yes

Please supply an Emergency Contact name and phone number?*