REGISTERED NURSE IV (CORRECTIONAL FACILITY) – MAUI Full Time

Please do not submit a resume in lieu of completing the Supplemental Questions.

You must submit verification (e.g., copies of OFFICIAL TRANSCRIPTS or DIPLOMA as directed below) in order to receive credit for education. In general, proof of education downloaded from and/or submitted through the internet will not be accepted. Education obtained outside the United States must be comparable to education earned at an accredited school in the United States. We also reserve the right to request further information about your academic program, evidence of comparability, or an original transcript.

To receive credit for substitute, temporary assignment, or volunteer experience, applicants must submit an official letter of verification. The letter should include the job title, employment dates, number of hours worked, a description of the duties performed, and a contact name and phone number.

Any information you submit may be verified.

Supporting documents must be either electronically attached to your application or submitted to our office at: State of Hawaii Department of Human Resources Development, 235 South Beretania Street–11th Floor, Honolulu, Hawaii 96813.

If you previously submitted supporting documents (e.g., official transcripts, diploma, current driver’s license, etc.) to our office, you will not be required to re-submit them.

• I acknowledge that I have read, understand, and agree to all of the above.

In general, concurrent experiences and/or education will not be double credited unless otherwise specified. Your possession of the required amount of experience will not in and of itself be accepted as proof of qualification for the position. The overall paid or unpaid experience must be of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of the position.

Our calculation of experience will be based upon a full-time, 40-hour work week. Part-time experience will be prorated.

Example: Twelve months of experience at 20 hours/week will be prorated to six months of experience. Also, hours worked in excess of 40 hours/week will not be extra credited.
Example: Twelve months of experience at 60 hours/week will be credited as one year of experience, not one and a half years.

• I acknowledge that I have read, understand, and agree to all of the above.

This question consists of 4 parts, (A) through (D) inclusive, as shown in the boxes below.
All four parts must be answered.

Have you engaged in sexual abuse as described in (A) above?

• Yes
• No

In accordance with Federal law, the State of Hawaii shall not hire nor promote anyone who may have contact with inmates who:
(B) Has been convicted of engaging or attempting to engage in sexual activity in the community facilitated by force, overt or implied threats of force, or coercion, or if the victim did not consent or was unable to consent or refuse.

In accordance with Federal law, the State of Hawaii shall not hire nor promote anyone who may have contact with inmates who:
(C) Has been civilly or administratively adjudicated to have engaged in the activity described in (B) above.

Have you been civilly or administratively adjudicated to have engaged in the activity described in (B) above?

• Yes
• No

In accordance with Federal law, the State of Hawaii shall not hire nor promote anyone who may have contact with inmates who:

(D) Has been the subject of substantiated allegations of sexual abuse or sexual harassment or resigned during a pending investigation of alleged sexual abuse or sexual harassment.

Do you possess a valid State of Hawaii Registered Nurse license?

In order to meet this requirement, please provide verification of your State of Hawaii RN license at the time of application.

You may access the following address for information regarding application for State of Hawaii RN licensure: http://cca.hawaii.gov/pvl/boards/nursing/

• Yes
• No

If you answered ‘Yes’ to the question above, please provide the following information regarding your State of Hawaii Registered Nurse License:
A. License Number
B. Date Issued
C. Date Expires
If you do not possess a State of Hawaii Registered Nurse License, indicate ‘N/A’.

Applicants MUST POSSESS a current Cardio-Pulmonary Resuscitation (CPR) certification at the time of application.

Are you currently CPR certified?

If you answer ‘YES’, please attach a copy of your CPR certificate to your online application, as verification.

• Yes, I am currently CPR certified.
• No, I am not currently CPR certified.

If you stated that you possess Professional Nursing Experience, identify each experience you would like us to consider and provide the information. If you do not possess this experience, please state ‘None’ or ‘N/A.’

All employers listed here must also be included on your application. Any information you submit may be verified. Treat each change in employer or positions with the same employer separately. The information for EACH employer should include:

A. Employer’s name, official job title, employment dates (month/year to month/year) and average number of hours worked per week.

B. Describe this employer (e.g. hospital, clinic, private practice, nursing facility, agency, nursing home, etc.). What department or section did you work in? What kind of services did this employer provide and to whom (describe clientele/patients you worked with)?

C. What were your major duties and responsibilities? In your description, avoid the use of vague terms such as “patient care,” “nursing,” etc. and instead be very specific and complete.

D. Describe your specific duties and responsibilities if any with this employer, as they addressed each of the following areas. Treat each area separately. If no experience, so state. If yes, include relevant examples:

1. Determining the priorities of patient care needs;
2. Planning, assigning, reviewing and evaluating the work of subordinate nursing personnel;
3. Planning and providing nursing care and treatment services
4. Planning, determining, and implementing in-service training program for nurses and nursing assistants;
5. Providing direct service in complex nursing situations and demonstrating to the nursing staff new techniques and methods of patient care;
6. Coordinating support services to meet hospital staffing and patient care needs and insure timely and efficient patient flow;
7. Making decisions on patient care issues in the absence of the nurse manager and/or higher level supervisor
8. Participates in the development, revision and implementation of nursing programs, policies and procedures.

E. Describe your level of nursing skill (choose one only): trainee, independent worker, or supervisor.

F. Do you possess supervisory experience with this employer? If yes, provide the dates you worked as a supervisor, the number and job titles of employees your supervised and a brief description of your supervisory duties?

G. How did your duties and authorities differ from those of your supervisor?

Be specific and complete in your responses. To receive credit, the employer(s) and each position held must be identified in the Work Experience section of your application.

If your write up is unclear, you may be asked to provide a copy of your official Job/Position Description.

If yes, you MUST attach a copy of your OFFICIAL TRANSCRIPTS to your application, as verification.

• Yes
• No

• State of Hawaii Registered Nurse License
• Cardio-Pulmonary Resuscitation (CPR) Certification
• None of the Above