Oregon - Potential Strike
Submit Request
I.V. Team RN
Requirements
:
BLS
I.V. certification (preferred)
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active Oregon state RN license?
*
No
Yes
What is your RN license number?
*
RN license expiration date?
*
Do you have BLS certification?
*
No
Yes
Do you have an IV certification?
*
No
Yes
List any other certification you have:
*
What specialties do you float to?
*
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?
*
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
Can you insert, maintain and remove an IV?
*
No
Yes
Can you perform an ultrasound IV?
*
No
Yes
Can you address issues with IV insertions?
*
No
Yes
Can you recognize S/S of infiltration?
*
No
Yes
Are you comfortable with "hard sticks"?
*
No
Yes
What ages can you insert and maintain an IV?
*
Please supply an emergency contact name and phone number:
*