Hoag Recruiting Prescreening Form

Profile
Interview Date*

MonthDayYear
Date
Legal Name*

First NameMiddle NameLast Name
Email*

Confirmation EmailPrimary email address.
Phone*
Please enter a valid phone number.
Job Title*
Title of the job you are interviewing for.
Resumé Upload

Max file size 10MB. Only PDF, DOC, and DOCX file types allowed.
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Insights
What's motivating you to leave your current role and seek out a career at Hoag, now?*
If you're a student or unemployed, tell us what made you want to include Hoag in your job search.
What goals, including career goals, have you set for the next few years?*
If you have not set any goals, tell us what you hope your first 12 months at Hoag might look like.
Describe your ideal work environment. One that makes you most productive and/or happy.*
Share details about the physical environment, your team, the culture, and even the management style you like.

Qualifications
Resumé Review
WORK HISTORY Job Title Employer Name (mm/yyyy - Present) - - Job Title Employer Name (mm/yyyy - Present) - - EDUCATION - Notes LICENSES & OTHER CREDENTIALS - NotesReview of all recent and relevant work history including the candidate's educational attainment.
Primary Source Verification

For all roles requiring board licensure or certification. Max file size 10 MB. Multiple files allowed (including .zip).
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Assessment
Skills & Competencies

Assessment Notes
Adaptability
Format using the STAR method (Situation, Task, Action and Result)
Change Management
Format using the STAR method (Situation, Task, Action and Result)
Compassion
Format using the STAR method (Situation, Task, Action and Result)
Conflict Resolution
Format using the STAR method (Situation, Task, Action and Result)
Critical Thinking
Format using the STAR method (Situation, Task, Action and Result)
Customer Satisfaction
Format using the STAR method (Situation, Task, Action and Result)
Data Analysis
Format using the STAR method (Situation, Task, Action and Result)
Decision Making
Format using the STAR method (Situation, Task, Action and Result)
Diversity
Format using the STAR method (Situation, Task, Action and Result)
Health Education
Format using the STAR method (Situation, Task, Action and Result)
Infection Control
Format using the STAR method (Situation, Task, Action and Result)
Initiative
Format using the STAR method (Situation, Task, Action and Result)
Interpersonal Skills
Format using the STAR method (Situation, Task, Action and Result)
Medication Management
Format using the STAR method (Situation, Task, Action and Result)
Operational Management
Format using the STAR method (Situation, Task, Action and Result)
Oral/Written Communication
Format using the STAR method (Situation, Task, Action and Result)
Patient/Family Sensitivity
Format using the STAR method (Situation, Task, Action and Result)
Patient Counseling
Format using the STAR method (Situation, Task, Action and Result)
Patient Documentation
Format using the STAR method (Situation, Task, Action and Result)
Process Improvement
Format using the STAR method (Situation, Task, Action and Result)
Project Management
Format using the STAR method (Situation, Task, Action and Result)
Technology & Equipment Skills
Format using the STAR method (Situation, Task, Action and Result)
Treatment Planning
Format using the STAR method (Situation, Task, Action and Result)
Work Organization
Format using the STAR method (Situation, Task, Action and Result)
Emergency Department Nursing
You're faced with caring for two patients concurrently. The first is presenting for an adverse cardiac event, although they appear stable. The other patient recently suffered an acute stroke. The original patient now states they are short of breath although pulse oximetry is OK and you don't observe any labored breathing. Tell us how you would handle this situation so that both patients receive high quality care.Format using the STAR method (Situation, Task, Action and Result)
Labor & Delivery Nursing
Outline for me the questions you would ask a patient presenting for labor evaluation?Format using the STAR method (Situation, Task, Action and Result)
Critical Care Nursing
Please provide an example when a patient you were caring for began to decompensate. How did you recognize it, and address the situation? What resources or information did you use to assist in preventing further decompensation and ensure your patient’s safety?Format using the STAR method (Situation, Task, Action and Result)
Mother Baby Nursing
Tell me about a time you had an emergency situation and how you handled it.Format using the STAR method (Situation, Task, Action and Result)
Stroke Nursing
Your patient was admitted to Hoag yesterday after suffering an acute ischemic CVA. After receiving a dose of TPA, the patient spent a night in the ICU for close observation, then transferred to 3 East (Brain and Spine). When you received the patient at shift change you assessed them to have an NIH score of 3 for Right facial droop, slurred speech, and a mild expressive aphasia. When you enter your patient’s room 2 hours later to treat their BP, you note that they seem less alert, their slurred speech and expressive aphasia are worse, and the patient reports a sudden and severe headache. What are your primary concerns for this patient? What would you do in response?Format using the STAR method (Situation, Task, Action and Result)
Telemetry Nursing
You have a patient from the Catheterization Lab post PTCA, and they start to develop chest pain. What is your course of action? Format using the STAR method (Situation, Task, Action and Result)

Availability
How soon is the candidate available to start?*

MonthDayYear
Please refer to the new-hire orientation calendar.
Does the candidate live within a reasonable commuting distance?

YesNoRemote
Commuting notes:
Does the candidate have reliable transportation?
Have they considered fuel costs and commute time?
Do they intend to relocate?
Do they understand that location preferences cannot be guaranteed?
Remote worker notes:
Is the candidate prepared to be on-site for up to 2 weeks for training and orientation? Does the candidate have a dedicated work space at home?
Location preference:

Street Address

Street Address Line 2

CityState

Zip Code
Is the candidate able to work the total hours and shift time required?

YesNo
Desired Schedule
Desired Shift
Does the candidate have any scheduling restrictions that may impact their availability?

YesNo
Scheduling notes:
What are the restrictions? Are they temporary, and if so for how long? Does the candidate require any other accommodations?

Profile

Insights

Qualifications

Assessment

Availability

Summary