Official SealDepartment of Budget and Management


#24-002586-0053
Supplemental Questionnaire

Last Name
First Name

 

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

 


1

Describe your knowledge of and/or experience with general acceptable standards of health care procedures and policies including Advanced Practice Nursing, Midwifery and Electrology practices, procedures, and policies.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

 

2

Describe your experience conducting nursing and medical research to inquire about standards of practice for multiple specializations.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

3

Describe your experience exercising independent judgement and discretion regarding investigations.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

4

Describe your experience assessing accurate documentation and record keeping.

This experience should be included on your application. If you do not possess this type of experience, please put N/A in the text box.

5

Describe your experience reviewing and interpreting medical record documentation.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.


Powered by JobAps