Potential Strike - Washington
Submit Request
Radiation Oncology - RN
Requirements
:
Washington state RN license or multistate compact
BLS
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
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Do you have an active Washington state RN license?
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No
Yes
If Yes, list your Washington state RN license number:
*
If No, list your compact state and RN license number:
RN license expiration date:
*
Do you have BLS 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
What age patients are you comfortable caring for?
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At which Clinic or facility have you worked Radiation Oncology most recently, and when?
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How much recent Radiation Oncology 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
How much recent phone triage 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
What scheduling systems have you used?
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Can you educate patients on radiation?
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No
Yes
Can you assist with positioning?
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No
Yes
Can you assist with mould-making?
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No
Yes
Can you start an IV?
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No
Yes
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 highlight any additional skills or unique experience you may have:
Please supply an emergency contact name and phone number:
*
