NW - Potential Strike
Submit Request
RAD Tech - Radiology Technologist
Requirements
:
BLS
ARRT
Oregon or Washington Radiology Technologist Certification
-- please complete this form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
Do you have BLS certification?
*
No
Yes
Do you have ACLS certification?
*
No
Yes
Do you have ARRT certification?
*
No
Yes
Do you have a CRT certification?
*
No
Yes
Do you have a Fluoroscopy certification?
*
No
Yes
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 a Cath Lab Tech?
*
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 as a Cath Lab Tech in the past year?
*
No
Yes
At what facility have you worked as a Cath Lab Tech most recently?
*
Have you worked as a Rad Tech in the past year?
*
No
Yes
Can you work EP?
*
No
Yes
How much recent experience do you have in an EP lab?
*
None
Minimal
Regularly
Daily
How many years Rad Tech experience do you have?
*
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 many years of Interventional Cardiovascular experience do you have?
*
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
What other settings or modalities have you worked as a Rad Tech?
*
Do you have experience operating EKG machines?
*
No
Yes
Can you Scrub?
*
No
Yes
Can you deploy closure devices?
*
No
Yes
What ages are you comfortable caring for?
*
How much recent experience do you have with IVUS?
*
None
Minimal
Regularly
Daily
How much recent experience do you have in extremity cases?
*
None
Minimal
Regularly
Daily
Can you pull arterial sheaths?
*
No
Yes
Can you perform a medicated stress test?
*
No
Yes
How much recent experience do you have assisting with T.E.E.?
*
None
Minimal
Regularly
Daily
How much recent experience do you have with TAVRs?
*
None
Minimal
Regularly
Daily
Please supply an Emergency Contact name and phone number:
*