Potential Strike - Washington
Submit Request
G.I. Lab / Endoscopy - RN
Requirements
:
Washington state RN license or multistate compact
BLS
ACLS
-- please complete this submission form honestly and accurately --
First Name
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Last Name
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Email
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Phone
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Do you have an active Washington state RN license?
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If Yes, list your Washington state RN license number:
If No, list your compact state and RN license number:
RN license expiration date:
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Do you have BLS certification?
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No
Yes
Do you have ACLS certification?
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No
Yes
List any other certification you have:
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What specialties do you float to?
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Do you have the COVID Vaccination?
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No - Requesting Exemption
Yes - Vaccinated
Yes - Vaccinated with Booster
Typically for strike assignments: 5x12/hr shifts (60/hrs week) Are you ok with this?
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No
Yes
Do you have Charge Nurse Experience?
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No
Yes
Can you work a Day shift?
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No
Yes
Can you work a Mid shift?
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No
Yes
Can you work a Night shift?
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No
Yes
What is your Primary Shift preference?
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Day
Mid
Night
100% Flexible
How many years ENDO experience do you have?
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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 ENDO in the past year?
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No
Yes
What Facility have you worked ENDO at most recently?
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Can you assist with manometry?
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No
Yes
How much recent experience do you have assisting in E.R.C.P.'s?
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None
Minimal
Regularly
Daily
How much recent experience do you have with EBUS (Endobronchial Ultrasound)?
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None
Minimal
Regularly
Daily
Can you work in pre & post endo care?
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No
Yes
Can you clean/reprocess scopes?
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No
Yes
Can you fully function as the tech in all cases?
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No
Yes
Can you start an IV?
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No
Yes
Do you have experience assisting with conscious sedation?
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Yes
No
What ages can you administer moderate sedation to?
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How much recent Epic experience do you have?
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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
Please supply an Emergency Contact name and phone number:
*
