Potential Strike - multi-state
Submit Request
California RN - Home Health and Hospice
Requirements
:
BLS
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active Washington or Compact RN license?
*
No
Yes
What is your active RN license number?
*
What is your RN license Expiration Date?
*
Do you have BLS certification?
*
No
Yes
Do you have a Wound Care (WOCN) 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 much recent Home Health 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
Have you worked Home Health in the past year?
*
No
Yes
At which Facility have you worked Home Health most recently?
*
Have you worked at least 6 months at a Medicare Certified Agency in the past year?
Yes
No
If no, when did you last work and how long did you work at a Medicare Certified Agency?
How much Hospice 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 much recent experience do you have with Oasis documentation?
*
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
Can you assess and change PICC line dressings?
Yes
No
Can you admit patients to home care?
*
No
Yes
Can you insert Foley?
*
No
Yes
How much recent experience do you have with home care coding?
*
None
Minimal
Regularly
Daily
How much recent experience do you have with trachs?
*
None
Minimal
Regularly
Daily
How much recent experience do you have setting up a wound care vac or change container?
*
None
Minimal
Regularly
Daily
Are you certified for Wound Care?
*
No
Yes
Are you able to change the dressing on a wound care vac?
*
No
Yes
Do you perform bladder irrigation?
*
No
Yes
Do you have ostomy experience?
*
No
Yes
Do you draw labs?
*
No
Yes
Can you start an IV?
*
No
Yes
Have you had death and dying training?
Yes
No
Are you comfortable with end of life care?
Yes
No
Are you comfortable driving to home visits on your own?*
*
No
Yes
Are you comfortable using ride-share services (Uber, Lyft) for transportation to and from visits?
*
No
Yes
Please supply an Emergency Contact name and phone number:
*
address1
