Request Ophthalmic Nursing Staff

Please complete this form to request specialized ophthalmic nursing staff for your facility.

Facility Information

Healthcare Facility Name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Contact Person First Name

Contact Person Last Name

Position/Title

Email Address

Phone Number

Type of Ophthalmic Nursing Staff Needed

Scrub Nurse/ Scout Nurse

Anaesthetic Nurse

Recovery Nurse

Eye Clinic / Eye Ward Nurse

Number of Staff Members Needed

Start Date Needed

Duration of Assignment

Single Shift

1-7 days ( Short-term cover)

1-4 weeks ( temporary placement)

Ongoing/Long-term support

Minimum Years of Ophthalmic Experience Required

Additional Requirements or Special Considerations

Please describe any specific requirements, preferred qualifications, or special considerations for this position

Urgency Level

Immediate (within 24HOURS)

Urgent (within 2 DAYS)

Standard (within 2WEEKS )

Flexible timing

Budget Range (per hour)

A$

Please indicate your hourly budget range for this position