NW - Potential Strike

Submit Request

Nuclear Medicine Tech - ALLIED

Requirements:

Oregon Nuclear Med Tech license (OBMI CMNT)

-- please complete this form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have an Oregon state Nuclear Med Tech license?*

No

Yes

What is your Oregon state Nuclear Med Tech license number?

List any other certification you have:*

What specialties do you float to?*

Do you have the COVID Vaccination?*

No - Requesting Exemption

Yes - Vaccinated

Yes - Vaccinated with Booster

Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?*

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 experience do you have as Nuclear Med Tech?*

Have you worked as a Nuclear Med Tech in the past year?*

No

Yes

What Facility have you worked as a Nuclear Med Tech most recently?*

What are your areas of specialization?*

Do you have experience in a Blood bank?*

No

Yes

Do you do PET scans?*

No

Yes

Can you perform patient imaging procedures?*

No

Yes

Can you analyze biologic specimens?*

No

Yes

Can you administer radioactive chemical compounds?*

No

Yes

Can you start PIVs?*

No

Yes

Please supply an Emergency Contact name and phone number:*