Attachment D - Registered Nurse Profile Checklist.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- Non-Personal Healthcare Services for the Women's Health Unit at the Gallup Indian Medical Center
- Solicitation number
- 75H71023Q00006
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Other files
| File | Type | Posted |
|---|---|---|
| Tab 3 - PWS.pdf | ||
| Attachment B - Wage Determination.pdf | ||
| Solicitation - 75H71023Q00006.pdf | ||
| FY23 Pricing Schedule Nursing WHU for 11.01.22 thru 3.31.23 for ACQ solicitation.xlsx | XLSX spreadsheet |
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Text version
Sheet1
| REGISTERED NURSE PROFILE CHECKLIST | |||
| RN NAME: __________________________________________ | RN Current Phone Number: _____________________________ | ||
| UNIT APPLYING FOR: __________________________________ | RN Email Address: ____________________________________ | ||
| COMPANY: __________________________________________ | |||
| COMPANY POC & PH #: ________________________________ | Nurse Availability Date: _________________________________ | ||
| ___________________________________________________ | |||
| ADMINISTRATIVE DOCUMENTS: | Date Rec'd: | Attached: | Comments: |
| Current/Updated resume |
| OIG Clearance |
| RN Active License |
| RN Inactive License |
| 2 current References |
| RN Skills Inventory Checklist |
| Scrub Tech Skills Inventory Checklist |
| CERTIFICATIONS DOCUMENTS (based on Specialty) |
| BCLS (Mandatory) Expire Date: |
| ACLS |
| TNCC Or Advance Trauma Care Nurse or Trauma Nurse Spec. |
| PALS |
| WCON |
| NRP |
| Fetal Monitoring Course Certificate |
| ENPC |
revised: SLA 10.18.21
Sheet2
Sheet3
File details come from the government source that posted it. Updated .