Primed For Private Duty Nursing™
Thank you for your interest in working with RNventing Nursing Academy!  We can't wait to learn more about you and your nursing aspirations!

I want to get to know everything there is to know about you and your vision for being a Private Duty Nurse.  So, please complete this form as truthfully as possible (there is absolutely NO JUDGEMENT here, whatsoever).

Nothing that you provide here will be shared, nor does this obligate you to purchase my services. So, take a deep breath, and share your honest feelings and aspirations with me.

Thank you for choosing me to help you, and I'm beyond excited to start this journey with you!  I can't wait to dive into your responses to create an amazingly unique experience for you!

Please note:  ALL information you provide here is held strictly confidential and helps us recommend the best service for your needs.


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Email *
First and Last Name *
When did you receive your nursing license? *
How long have you worked as a nurse? *
Which nursing specialties have you previously worked in? *
Are you an... *
Have you already started your home health nursing job, and if so how long have you been on the job? *
Were you offered orientation, if so how long is it, and have you started or completed orientation yet? *
Which state(s) do you provide care for private duty patients in? *
Are you an RN, LPN, or LVN? *
Are you FT, PT, or PRN? *
What have you found to be the most difficult about your switch to Private Duty Nursing? *
How many private duty patients do you currently provide care for? *
Are your patients primarily pediatric, adult, or geriatric? *
What are your patient's primary illnesses or nursing diagnoses? *
Which of your patient's nursing diagnoses would you like to focus on? *
Which mentorship package are you interested in? *
What is going well for you as a Home Health Nurse at the moment? *
What are 2-3 IMMEDIATE CONCERNS you have about your nursing career at the moment? *
What are your overall goals for our time together? *
When would you like to get started? *
If you had a nursing "Wish List", what magic services or products would you place there to help you become a more successful home health nurse? *
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