Form test - Coastal Moms IV Hydration & Wellness

Basic Information

Full name

Email

Phone

Street address

City

State

ZIP

We save your progress as you go, so you can come back and finish later.

Your resume file itself is never kept until you send the application — browsers do not allow that — so it is the one thing you would attach again.

Best method of contact

Call Text Email

Professional Background

RN License Number

State(s) Licensed

Years as an RN

Current Employer

Department?

Certifications (BLS, ACLS, etc)

IV Experience

How comfortable are you starting IVs?

Not comfortable 1 2 3 4 5 Very comfortable

Approximately how many IVs do you start each week?

0-5 5-10 10-20 20+

Availability

What days are you generally available?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Preferred shift availability:

Weekdays Evenings Weekends Events Flexible

Culture & Personality

We're intentionally building a small team of nurses who share our values. Because we're a startup, every person we hire will help shape our culture and become the face of Coastal Moms in our community. We can teach our processes and protocols, but kindness, professionalism, teamwork, and integrity are what truly make a great fit. We'd love to learn a little more about who you are!

Why are you interested in Coastal Moms?

Describe what exceptional patient care means to you.

Tell us about a time you made a patient feel especially cared for.

If a patient was nervous about receiving an IV, how would you help them feel comfortable?

What type of work environment helps you do your best work?

Tell us about a healthcare professional you've worked with whom you truly admired. What made them stand out?

Clinical Judgment

A patient tells you they feel lightheaded halfway through an infusion. What do you do?

Professionalism

Have you ever received disciplinary action on your nursing license?

Yes No

Have you ever been terminated from a nursing position?

Yes No

If you answered 'yes' to either of the above questions, please explain below.

The Fun Stuff

What are three words your coworkers would use to describe you?

Favorite local restaurant?

Favorite thing to do on your day off?

Your resume

Last step — then you are done.

Cover letter optional

Your resume

PDF, DOC, DOCX, RTF, ODT, TXT — up to 25 MB.

Registered Nurse (Contract)

Basic Information

Professional Background

IV Experience

Availability

Culture & Personality

Clinical Judgment

Professionalism

The Fun Stuff

Your resume

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