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    URMC Template Pre-Screen Questionnaire

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    FRANCHESCA DEL MUNDO
    The document contains an interview questionnaire for RN candidates applying for travel assignments at URMC. It includes questions about licensure, vaccination status, availability, experience, certifications, EMR systems knowledge, previous assignments, attendance, and future employment preferences. The interviewer seeks to evaluate candidates and schedule follow up interviews to fill RN roles with travelers at URMC facilities.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    URMC Template Pre-Screen Questionnaire

    Uploaded by

    FRANCHESCA DEL MUNDO
    15 views2 pages
    The document contains an interview questionnaire for RN candidates applying for travel assignments at URMC. It includes questions about licensure, vaccination status, availability, experience, certifications, EMR systems knowledge, previous assignments, attendance, and future employment preferences. The interviewer seeks to evaluate candidates and schedule follow up interviews to fill RN roles with travelers at URMC facilities.

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    URMC_Template_Pre-Screen_Questionnaire__

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    The document contains an interview questionnaire for RN candidates applying for travel assignments at URMC. It includes questions about licensure, vaccination status, availability, experience, certifications, EMR systems knowledge, previous assignments, attendance, and future employment preferences. The interviewer seeks to evaluate candidates and schedule follow up interviews to fill RN roles with travelers at URMC facilities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views2 pages

    URMC Template Pre-Screen Questionnaire

    Uploaded by

    FRANCHESCA DEL MUNDO
    The document contains an interview questionnaire for RN candidates applying for travel assignments at URMC. It includes questions about licensure, vaccination status, availability, experience, certifications, EMR systems knowledge, previous assignments, attendance, and future employment preferences. The interviewer seeks to evaluate candidates and schedule follow up interviews to fill RN roles with travelers at URMC facilities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    URMC Clinical RN Interview Questions

    Date: Name:
    Phone: Location:
    *Email: Available Start Date:
    Unit: Manager:

    1. Travelers full legal name (as it appears on their RN license) AND middle initial:
    2. Are you fully vaccinated with the COVID Vaccine? If not, are you willing to get it?
    3. Can you provide a vaccination card?
    4. Do you have a current and unencumbered RN State License?
    5. When could you start an assignment at URMC? Would there be any issue with your starting on-time?
    6. When can the HCP interview for the position at URMC (please provide SPECIFIC dates and times the HCP is
    available)?:

    7. Are you requesting any time off? If Yes, what are the dates?
    8. Is the candidate aware AND accepting the 12 hours, D/E/N ROTATING SHIFT SCHEDULES, Every Other
    Weekend (EOW), Holidays/On-Call/Callback/Charge per Unit Needs schedules?

    9. Does the HCP live 30 miles or greater from the facility?


    10. How many years have you been an RN?
    11. Do you have at least 2 years of experience in the area that you are applying for?
    12. Do you have Telemetry experience?
    13. What Current Certifications do you hold? Are the certifications obtained from the AHA?
    14.Do you have EPIC- EHR experience?
    15. What EMR Systems do you have experience using?
    16.Have you ever worked at any of the University of Rochester System locations as a traveler or as an employee?
    17.Are you eligible to return?
    Select all that apply
    _____ Strong Memorial Hospital
    _____ Highland Hospital
    _____ Highlands at Brighton
    _____ St James Hospital
    _____ Noyes
    _____ MCH
    _____Jones Memorial Hospital
    _____ FF Thompson Hospital

    18. How many years have you been traveling?


    19. Are you currently working another job or travel assignment? If not, how many years has it been since you
    worked a travel assignment?

    20. Tell me about your last travel assignment?

    21. What would last employer say about your attendance?


    22. Have you ever been terminated from an assignment (attitude or attendance)? If so, why?
    23. Upon completion of your assignment here – would you consider a full-time placement with the hospital or are
    you just looking at travel assignments right now? No – Travel only

    Interviewer Contact:

    Comments:

    Interview Time for the next 2 days (please provide SPECIFIC dates and times the HCP is available):

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