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