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Our primary goal is to ensure your satisfaction. We at StaffBlue know that a strong and reliable workforce is essential in today's ever changing industry. Our mission is to help you maintain the highest quality of patient care by filling all your staffing requests, most promptly and efficiently.

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Facility Information
Facility Name
Address
City State, Zip
Phone
email Address

Profile:
Facility Type Shifts Times
Hours Paid Total # of Beds
Beds Per Unit Specialty Area

Needs (highlighted): SN RNS RN LPN CNA

Application Current Nursing License
Resume OP
Refference letter release Chauncey Verification
Skills Check List Malpracticle Insurance
Background Check CPR
1-9 ACLS
Phisical (within 1 year) BCLS
PPD (within 1 year) if negative PALS
CXR (within 2 year) if positive Birth Certificate
Proof of MMR (titer levels) Picture ID
Infection Control Social Security Card
Fire Safty Basics INS documentation if not US citizen
Professional Policy Basic In-Service Package


Orientation

Total # of Days:
Days of the Week:
Time:
Contact (List all main contacts)
 
 

Additional Conmments:


Toll Free 1866-ONLYBLUE (665 9258) • 718-232-BLUE (2583)
Fax: 718-234-BLUE (2583) • 
1418 65th Street,Brooklyn N.Y.11219
209 East 11th Ave, Roselle N.J.0723