Attachment D - Registered Nurse Profile Checklist.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Non-Personal Healthcare Services of Registered Nurses for Women’s Health Unit Department
Solicitation number
75H71023Q00026
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Tab 12 - Solicitation - 75H71023Q00026.pdf PDF
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Tab 3 - Performance Work Statement.pdf PDF

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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 .