Required Documents
Below are USN's standard file requirements. Please note - these may be adjusted based on a facility’s specific requirements. Clinicians who arrive on-site with all documents completed will finish the induction process quicker than those who do not complete their paperwork ahead of time.
These documents must also be hand-carried to the job action.
Skills Checklists
Skills checklists are completed through Healthcare Staffing Hire – Ingenovis Health. Contact a strike team member at 800-726-8773 and they will send you an email with login instructions.
Certifications
BLS, ACLS, PALS, NRP, FHM, ENPC, TNCC, ONC, MAB, NIH (as required by specialty).
State Nursing License
Copy of current nursing license in the state where the job action is occurring.
If the striking state is compact, then you must provide a copy of your compact nursing license and proof of residency in the compact state.
Physical
Physical within one year of year of completion. If a physician’s statement was done on 20-Feb 2023, it is good until 20-Feb 2024. If a strike falls within that year, the physician’s statement is good. If the strike extends beyond the year of completion, it needs to be redone. Download Physical form.
Tuberculosis
One tuberculosis skin test (TB) within one year of completion. If a TB was done on 20-Feb 2023, it is good until 20-Feb 2024. If a strike falls within that year, the TB is good. If the strike extends beyond the year of completion, it needs to be redone. A CXR is good for 5 years, so in the same circumstance it would be valid from 20-Feb 2023 to 20-Feb 2027 Quantiferon within one year is also accepted. If TB is positive or if you have a history of a positive TB, you must provide a chest x-ray within five years and TB Questionnaire within one year. Download TB Questionnaire form.
Evaluation
One evaluation within specialty from a RN or higher within last two years. Download Reference Evaluation form.
Vaccinations
Proof of positive titer, completed vaccination series, or declination.
Measles, Mumps, Rubella (MMR) | Download MMR Declination
Varicella | Download Varicella Declination
Hepatitis B | Download Hepatitis B Declination form
Additional Documents
I-9 Form
Fill out Section 1, but leave Section 2 blank. A USN representative will fill out Section 2 during Induction. A credentialing specialist will instruct you further on how to complete this requirement, closer to the time of the strike.
Background Check Form
This will be sent out to anyone who has not previously signed a form. This form gives USN permission to run a background check as required for employment. The following background checks are conducted: SSN Verification, Enhanced Nationwide Criminal Search (7 years), FACIS Level 3 Search (includes OIG and SAM) and National Sex Offender Database Search.
Drug Screen
Take a 10-panel drug screen through USN, unless you have a current drug screen on file within the last year with another Ingenovis Health brand. A credentialing specialist will instruct you further on how to complete this requirement, closer to the time of the strike.