Michigan - Potential Strike
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PICC Line - Vascular Access - RN
Requirements
:
Active Michigan RN License
BLS
First Name
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Last Name
*
Email
*
Phone
*
Do you have an active Michigan RN license?
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No
Yes
If NO, which state issued your current RN license?
RN license number:
*
RN license expiration date:
*
Do you have BLS certification?
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No
Yes
Are you fully vaccinated against Covid-19?
*
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?
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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
How many years PICC 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 PICC in the past year?
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No
Yes
At what hospital or facility have you worked PICC most recently? (include city and state)
*
Can you insert PICC lines in adults?
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No
Yes
Can you insert PICC lines in children / neonates?
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No
Yes
Which brands are you experienced with?
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Do you use x-ray, ultrasound or EKG to confirm placement?
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No
Yes
Are you comfortable inserting a PICC lines solo?
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No
Yes
