Travel Certified Surgical Technologist
Jackson, Mississippi
Saint Dominic Hospital

ACLS

License/Certificate Verification

FMOLHS Skills Checklist

FMOLHS Competency Exam

FMOLHS Core Competencies

FMOLHS MS Fingerprinting

MMR

Fit Test

Hepatitis B

Influenza Vaccine

TB Test

Health Statement

Varicella

Tdap

Annual TB Questionnaire

FMOLHS Criminal Background Check Results

FMOLHS OIG Search

FMOLHS National Sex Offender

FMOLHS Employment Verification

FMOLHS Driving Record

FMOLHS Drug Screen

FMOLHS Badge Photo

FMOLHS Contract Annual Education

FMOLHS Eye Exam & Color Vision

Call is required- every third day and every other weekend

5 years experience requested

5 years of experience requested.

Primary Source Verification of professional license and/or certification, as required for the position ran within 30 days of start updated upon expiration.

Included in background or 3rd party verification required.

Unit specific to the contractor’s scope of practice within one year prior to start date; renewed annually

Copies of exams needed, within year of start with passing score of 80% or higher. Please check document library to ensure compliance with testing. Document labeled Franciscan Competencies Requirement.

HIPAA, Patient Bill of Rights, Safety Orientation, Blood borne Pathogens, Fire Safety, Infection Control, Elder Abuse and Neglect, Age Specific Care, Cultural Diversity, Advance Directives; renewed annually Please check document library to ensure compliance with testing. Document labeled Franciscan Competencies Requirement.

Proof of 2 immunizations, positive titer or Declination accepted.

Must be one of the 3 mask fit types. N95- 3M 1860, 1860s or 1870+. Must be completed within 1 year prior to start. Updated annually.

Proof of 3 immunizations, positive titer or Declination accepted.

Proof of vaccination required from October - March. Only Medical/Religious exemptions will be accepted with a physician’s signature(Medical) or written signed statement from traveler(Religious). Medical exemption request must be completed on the FMOLHS Medical Exemption Flu Form, please see Document Library.

Proof of negative Blood test or Skin test as described below. - QuantiFERON Blood Test within one year prior to start OR 2-Step TB Skin Test 1 within 30 days and the other within 1 year - If positive TB record; Must provide MD note stating traveler is free of active TB or provide proof of treatment for LTBI within 30 days of start.

Statement signed and dated within 1 year of start stating traveler is able to work without restrictions.

Proof of 2 immunizations, positive titer or Declination accepted.

Proof of vaccination within past 10 years or Declination accepted.

See document library. Required within 6 months of start. If POSITIVE documentation of evaluation from the Department of Health required. If treatment was prescribed, proof of completion required.

2 references required; 1 Charge or Higher; 1 must be supervisor reference.

Background checks must be within 30 days prior to start.