Attachment E - Scrub Tech Profile Checklist.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
NPSC - Scrub Techs for the Woman's Health Unit (WHU) & Perioperative (OR) Departments at the Gallup Indian Medical Center
Solicitation number
75H71022Q00001
Issued by

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Other files

File Type Posted
75H71022Q00001.pdf PDF
Attachment C - Wage Determination.pdf PDF
Attachment B - Statement of Duties - Perioperative (OR) Scrub Tech.pdf PDF
Attachment D - Pricing Schedule.pdf PDF
Attachment B - Statement of Duties - WHU OR NA.pdf PDF
Attachment A - Performance Work Statement.pdf PDF

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Sheet1

SCRUB TECH 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 .