RN LTAC

NEXTAFF | Travel RN – LTAC Interview ScreeningPosition: Registered Nurse (RN) – Long-Term Acute Care (LTAC)
 Location: Florida | Contract Length: 13 Weeks | Schedule: 3×12-Hour Shifts (36 Hours/Week)Candidate Name: __________________________________
 Phone/Email: ______________________________________
 Screening Date: ______________ Recruiter: ______________1. Experience & Qualifications Screening Question Candidate Response Do you hold an active, unrestricted Florida RN or multistate compact license? ☐ Yes ☐ No How many years of RN experience do you have? __________ Years How many years of LTAC experience do you have or related? __________ Years Have you completed a travel nursing contract before? ☐ Yes ☐ No Do you have experience with ventilators, tracheostomies, and complex wound care? ☐ Yes ☐ No Are you comfortable managing high-acuity patients and multiple drips? ☐ Yes ☐ No Do you hold current BLS and ACLS certifications? ☐ BLS ☐ ACLS ☐Neither Have you used Epic, Cerner, or another EMR system? __________________ 2. Availability & Contract Commitment Screening Question Candidate Response What is your earliest available start date? __________________ Can you commit to the full 13-week contract? ☐ Yes ☐ No Preferred shift? ☐ Days ☐ Nights ☐Either Are you comfortable working weekends and holidays as scheduled? ☐ Yes ☐ No Do you have any planned time off during the contract? ☐ No ☐ Yes: __________ Are you currently interviewing for or submitted to other contracts? ☐ Yes ☐ No Have you previously worked at or been submitted to this facility? ☐ Yes ☐ No 3. Travel & Compensation Screening Question Candidate Response Current city/state of residence? __________________ Will you be traveling or commuting from your permanent residence? ☐ Traveling ☐Commuting Are you able to secure housing and reliable transportation? ☐ Yes ☐ No What is your expected weekly compensation? $____________ /week Are you comfortable with the proposed taxable hourly rate and stipend breakdown, if eligible? ☐ Yes ☐ No Do you have any questions about overtime, cancellations, or guaranteed hours? __________________ Recruiter note: Travel stipend eligibility must be verified based on applicable tax-home and assignment requirements.4. Compliance & Readiness Screening Question Candidate Response Can you provide an updated resume and professional references? ☐ Yes ☐ No Can you complete required background screening and drug testing? ☐ Yes ☐ No Are you able to complete required health screenings and facility onboarding? ☐ Yes ☐ No Do you have any license restrictions or disciplinary actions requiring review? ☐ Yes ☐ No 5. Recruiter EvaluationLTAC Clinical Fit: ☐ Strong ☐ Moderate ☐ Does Not Meet Requirements
 Availability: ☐ Immediate ☐ 1–2 Weeks ☐ 3+ Weeks
 Compensation Alignment: ☐ Within Range ☐ Negotiation Needed
 Candidate Interest: ☐ High ☐ Moderate ☐ LowRecruiter Notes:


Disposition: ☐ Submit to Client ☐ Follow Up ☐ Hold ☐ Not Qualified ☐ Candidate Declined