Michigan - Potential Strike
Submit Request
ER and PEDS ER - Emergency Room - RN
Requirements
:
Active Michigan RN License
BLS
ACLS
NIHSS
PALS or ENPC Preferred
TNCC Preferred
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active Michigan RN license?
*
No
Yes
If NO, what state issued your current RN license?
RN license number:
*
RN license expiration date:
*
Do you have BLS certification?
*
No
Yes
Do you have ACLS certification?
*
No
Yes
Do you have PALS or ENPC certification?
*
No
Yes
Do you have NIHSS certification?
*
No
Yes
Do you have TNCC certification?
*
No
Yes
List any other certification you have:
*
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?
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No
Yes
Can you work a Day shift?
*
No
Yes
Can you work a Mid shift?
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No
Yes
Can you work a Night shift?
*
No
Yes
What is your Primary Shift preference?
*
Day
Mid
Night
100% Flexible
How many years ER experience do you have?
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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, if any, PEDS ER experience do you have?
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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 the ER in the past year?
*
No
Yes
What Facility and City, State have you worked ER at most recently?
*
What specialties do you float to?
*
What level ER are you the most comfortable in? (Level 1 is the highest)
*
Level 1
Level 2
Level 3
Have you worked in an ER trauma room?
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No
Yes
Do you have experience in a small or rural ER?
No
Yes
Do you have experience with VAD patients?
No
Yes
Do you have burn experience?
No
Yes
Can you work in Triage or Fast track?
No
Yes
Can you start an IV?
No
Yes
Can you transport via ambulance?
*
No
Yes
Can you transport via helicopter?
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No
Yes
Can you transport NICU/PICU patients?
No
Yes
Can you transport patients on ECMO?
No
Yes
Can you transport patients on VAD?
No
Yes
Can you transport patients on Vents?
No
Yes
Can you transport patients on Balloon Pumps?
No
Yes
