Potential Strike

New Jersey

submit request

PACU / Same-Day Surgery - RN

Requirements:

BLS
ACLS
PALS (preferred)

-- please complete this form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have an active New Jersey or Multistate Compact RN license?*

No

Yes

List your State and RN license number:*

RN license expiration date:*

Do you have BLS certification? *

No

Yes

Do you have ACLS 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

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 PACU experience do you have?*

Have you worked in PACU in the past year?*

No

Yes

What Facility and City, state have you worked PACU most recently?*

Which ages can you recover?*

Can you assist with A-lines procedures?*

No

Yes

Can you assist with central lines procedures?*

No

Yes

Can you assist with nerve blocks procedures?*

No

Yes

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

No

Yes

Can you work Inpatient?*

No

Yes

Can you work Outpatient*

No

Yes

Do you typically work Inpatient or Outpatient?*

Inpatient

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

Do you have experience assisting with conscious sedation?*

Yes

No

Can you start an IV?*

No

Yes

Please supply an Emergency Contact name and phone number:*

If the strike extends indefinitely, until what date can you work? (include any time off you require)*