TERMS OF USE

We currently have only RN Travel positions available.

Before submitting your application, you must agree to the following terms and conditions.

YOUR DETAILS

Current Address

Permanent Address

EDUCATION

College

Graduate School

Other

LICENSE DETAILS

License 1

License 2

License 3

CERTIFICATIONS

Certification (example: CPR, ACLS, etc.)

Certification (example: CPR, ACLS, etc.)

Certification (example: CPR, ACLS, etc.)

BACKGROUND

NEXT OF KIN

WORK HISTORY

Current Employer

WORK HISTORY

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Previous Employer 1

Previous Employer 2

Previous Employer 3

AGE SPECIFIC CRITERIA

Please Indicate your Proficiency with the following skills for each age group:

A - Newborn/Neonate(birth to 30 days)

B - Infants(30 days to 1 year)

C - Toddler(1 to 3 years)

D - Preschooler(3 to 5 year)

E - School Age(5 to 10 year)

F - Adolescents(12 to 18 years)

G - Young Adults(18 to 39 years)

H - Middle Aged Adults(39 to 64 years)

I - Older Adults(64 and older)

Medical/Surgical Skills Checklist - Surgical Skills

Please indicate your proficiency with treatment/knowledge of the following.

A-Able to Perform Proficiently

B-Moderate Experience

C-Limited Knowledge

Care of Surgical Patients with:

Critical Care/Emergency Room Section

Please indicate your proficiency with treatment/knowledge of the following:

A - Able to Perform Proficiently

B - Moderate Experience

C - Limited Knowledge

Respiratory Emergency

Blood Gases

Cardiac Care

Neurological Care

Trauma

Specialty Beds

Burns

Miscellaneous

Nursery - Neonatal - Pediatrics Section

Please indicate your proficiency with treatment/knowledge of the following:

A - Able to Perform Proficiently

B - Moderate Experience

C - Limited Knowledge

Child

Nutrition

Thermoregulation

Cardiac Medications

Assessment

Obtaining Blood Gases

Respiratory

Orthopedic

Neurological

Hematalogical

Genitourinary

Endocrine

Gastrointestinal

Miscellaneous

Operating Room Section

Please indicate your proficiency with treatment/knowledge of the following:

A - Able to Perform Proficiently

B - Moderate Experience

C - Limited Knowledge

General Surgery

Vascular Surgery

Orthopedics Fields

Psychiatric Section

Please indicate your proficiency with treatment/knowledge of the following:

A - Able to Perform Proficiently

B - Moderate Experience

C - Limited Knowledge

Psychiatric

Patient Care

Treatments

Restraints

Telemetry/PCU Section

Please indicate your proficiency with treatment/knowledge of the following:

A - Able to Perform Proficiently

B - Moderate Experience

C - Limited Knowledge

Cardiovascular

Patient Care

Obtain Interpret

Renal

Ortho Trauma

Special Procedures

Obstetrical Section

Please indicate your proficiency with treatment/knowledge of the following:

A - Able to Perform Proficiently

B - Moderate Experience

C - Limited Knowledge

Medication Administration

General Ob Management

Labor Management

Interpret And Document Fetal Status