Official SealSan Joaquin County Human Resources Division


#0219-RH1104-01
Supplemental Questionnaire

Last Name
First Name

 

Copies of all licenses and certifications must be submitted with the completed employment application. Failing to provide the required documents may result in a failure to move forward in the selection and hiring process. Copies of the licenses and certifications may be submitted when prompted to upload a resume, emailed to alhandelman@sjgov.org or faxed to (209) 468-0508. All relevant RN experience should be included in the application.


1

Please provide your California RN license number.

2

To qualify requires the possession of all of the following: Current Advance Cardiac Life Support (ACLS), BLS certification, certificate of completion of Trauma Nurse Core Curriculum (TNCC) and Pediatric Life Support (PALS) or Emergency Nurse Pediatric Course (ENPC). Check all certification(s) you possess below:

(Note: Copies of all certifications must be submitted with employment application in order to be considered.)

I possess a current ACLS certification.
I possess a curent BLS certification.
I possess TNCC certification.
I possess a current PALS certification.
I possess ENPC certification.
I do not possess any of these certifications.
2a

Do you currently possess the following? (Check all that apply)

I currently possess SJEMSA certification.
I currently possess MICN certification.
I currently possess TCAR certification.
I currently possess TNATC certification.
I do not currently possess these certifications.
3

Please indicate if you possess a Bachelor's degree in one of the following fields/disciplines:

Nursing (BSN)
Health Science
Closely related field (please clearly identify the field in the Education section of the application)
I do not possess a Bachelor's degree
2b

Special Requirement: This position requires you to successfully complete the Emergency Medical Services Agency (SJEMSA), Mobile Intensive Care Nurse (MICN) and Trauma Care after Resuscitation Course (TCAR) or Transport Nurse Advanced Trauma Course (TNATC) within one year from date of employment with San Joaquin General Hospital.

Do you acknowledge and accept this as a condition of employment with San Joaquin General Hospital?

Yes No
4

Please indicate if you possess progressively responsible advanced critical care registered nursing experience in a high volume (a minimum of 2500 ER visits per month) acute care hospital in one or more of the following departments:

Emergency Department
Intensive Care Unit
Post Anesthesia Care Unit (Recovery Room)
Other
None of the above
4a

Please indicate if you possess progressively responsible critical care registered nursing experience in one of the following positions:

Flight Nurse
Trauma Nurse Clinician
None of the above
4b

Describe your advanced critical care registered nursing duties. Include in your answer:

  1. Job title
  2. Employer,
  3. Dates of employment (mm/dd/yyyy to mm/dd/yyyy)
  4. Number of hours worked per week
  5. Specific unit(s) in which you worked
  6. Brief description of the advanced registered nursing duties performed

If you were employed as a traveler/registry, each hospital to which you were assigned must be listed individually.

 

This recruitment will be utilized to fill full-time, part-time, and per diem positions. Indicate your employment interest below:

Please ensure to mark the first page of your employment application with your desired employment status interest (select all that are applicable). If this changes at any time, you can contact Human Resources at (209) 468-6918 to update your interest.

Full-time only
Part-Time Premium (benefits) only
Per Diem (no benefits) only
Full-time and part-time (either per diem or part-time premium)