Potential Strike - Washington
Submit Request
Wound Care - RN
Requirements
:
Washington RN license
BLS
WOCN wound care certification (preferred)
-- please complete this submission form honestly and accurately --
First Name
*
Last Name
*
Email
*
Phone
*
Do you have an active Washington state RN license?
*
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
Do you have ACLS certification?
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No
Yes
Do you have WOCN wound care 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?
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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 Wound Care 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 in Wound Care in the past year?
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No
Yes
What Facility and City, state have you worked Wound Care most recently?
*
Which ages are you comfortable to provide wound care?
*
How much recent experience do you have with wound debridement?
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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 experience do you have with hyperbaric oxygen treatments?
*
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
If any, what was your role in the treatment?
How much recent experience do you have with biological grafting?
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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
Can you perform wound wrapping?
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No
Yes
Are you able to set up a wound care vac and change the drainage container?
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No
Yes
Do you typically work Inpatient or Outpatient?
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Inpatient
Outpatient
Both
Do you have experience assisting with conscious sedation?
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Yes
No
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 supply an Emergency Contact name and phone number:
*