Attachment E - Registered Nurse Profile Checklist.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Non-Personal Healthcare Services of various Registered Nurses for Emergency Department, ICU, Perioperative, among others
Solicitation number
75H71022Q00003
Issued by

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This document contains a registered nurse profile checklist template and a related federal contract opportunity solicitation. The solicitation is for non-personal healthcare services of various registered nurses for emergency department, ICU, perioperative, and other units at the Gallup Indian Medical Center in Gallup, New Mexico. Required positions include RNs with qualifications for emergency department, ICU, perioperative, and other specialties. Submissions will be accepted until November 9, 2021 and November 23, 2021 at 1:00pm EST. The soliciting agency is the Department of Health and Human Services Indian Health Service. The opportunity type is a solicitation and the solicitation number is 75H71022Q00003.

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Other files

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75H71022Q00003.pdf PDF
75H71022Q00003.pdf PDF
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Attachment B - Statement of Duties Perioperative OR RN.pdf PDF
Attachment A - Performance Work Statement.pdf PDF
Attachment B - Statement of Duties Outpt Walk-In Primary Care Clinic RN.pdf PDF
Attachment B - Statement of Duties Nurse Educator.pdf PDF
Attachment B - Statement of Duties Med Surg RN.pdf PDF
Attachment B - Statement of Duties Outpt Internal Med. Clinic RN.pdf PDF
Attachment B - Statement of Duties Perioperative Scrub Tech.pdf PDF
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Attachment B - Statement of Duties Womens Health Unit RN.pdf PDF
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Attachment C - Wage Determination.pdf PDF
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Attachment B - Statement of Duties Wound Care RN.pdf PDF
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Attachment B - Statement of Duties QM-Occupational Health RN.pdf PDF
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Attachment B - Statement of Duties Womens Health Unit Scrub Tech.pdf PDF
Attachment B - Statement of Duties ED RN.pdf PDF
Attachment B - Statement of Duties Peds Clinic RN.pdf PDF
Attachment B - Statement of Duties Outpt Family Med. Clinic RN.pdf PDF
Attachment B - Statement of Duties Perioperative PACU RN.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 .