Potential Strike - multi-state

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California RN - Endoscopy / Procedural Sedation

Requirements:

BLS
ACLS

-- please complete this submission form honestly and accurately --

First Name*

Last Name*

Email*

Phone*

Do you have an active California RN license?*

What is your RN license #?*

License Expiration Date?*

Do you have BLS 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 ENDO experience do you have?*

Have you worked ENDO in the past year?*

No

Yes

What Facility have you worked ENDO at most recently?*

Can you assist with manometry?*

No

Yes

How much recent experience do you have assisting in E.R.C.P.'s?*

How much experience do you have with bronchs?*

How much recent experience do you have with EBUS (Endobronchial Ultrasound)?*

Can you perform Pre/Post-op?*

No

Yes

Can you clean/reprocess scopes?*

No

Yes

Can you fully function as the tech in all cases?*

No

Yes

Can you start an IV?*

No

Yes

Do you have experience assisting with conscious sedation?*

Yes

No

What ages can you administer moderate sedation to?*

Please supply an Emergency Contact name and phone number:*