Registered Nurse Profile Checklist 1.pdf

This is a Registered Nurse Profile Checklist form used for tracking required documentation for nursing positions at the Northern Navajo Medical Center. The checklist is divided into two main sections: Administrative Documents and Certifications Documents.

The Administrative Documents section includes requirements for current resume, OIG clearance, active and inactive RN licenses, references, RN Skills Inventory Checklist, and Scrub Tech Skills Inventory Checklist. The Certifications Documents section lists required credentials including BCLS (mandatory), ACLS, TNCC or Advanced Trauma Care Nurse certification, PALS, WCON, NRP, and Fetal Monitoring Course Certificate. The form includes fields for tracking receipt dates, attachment status, and comments for each document. The checklist also captures basic candidate information including RN name, unit applying for, company details, contact information, and nurse availability date. This document appears to be a screening tool for the ambulatory care nurse positions being solicited under contract opportunity 75H71025Q00056.