|
Getting StartedSchool representatives - please check with site contact if you have a question about clinical placements due to COVID-19.
Before a clinical placement request can be considered, a current legal affiliation agreement between the school and the healthcare organization must be in place. Questions? School representatives - a list of healthcare contacts can be found here. Next, your school must submit a Graduate Request form on your behalf. Please note that many organizations do not allow students to reach out to potential preceptors directly. Your school will let you know if the healthcare facility is able to accept the request. Once approved, continue with the orientation steps listed further down on this page so that your school can complete the RIF, or Graduate Required Student/Faculty Information form and submit to the facility. School representatives - form instructions can be found here. |
Orientation
Once placement has been confirmed, ALL of the following requirements must be completed and turned in to your school at least a month BEFORE your rotation start, as your school sends the RIF 3 weeks before clinical. Your school generally has everything under Step #1 as part of your school requirements, but please verify with them that everything is current.
Step 1: FVHCA Health Requirements/Background Checks:
- Health Requirements
- Hepatitis B Documentation Form
- Background Check Information
- To be considered for a medical exception to the influenza vaccination only - Medical Influenza Exemption
Step 2: Complete Online Orientation Requirements:
1. Student Orientation Professional Expectation Module
2. Student Orientation HIPAA Privacy and Security Module
3. Student Orientation Infection Prevention
2. Student Orientation HIPAA Privacy and Security Module
3. Student Orientation Infection Prevention
Step 3: Complete Facility Specific Orientation:
(If you are utilizing an organization not listed below, jump to Step #4.)
(If you are utilizing an organization not listed below, jump to Step #4.)
- Ministry Health Care / Affinity
- Agnesian Healthcare
- Aurora Health Care/Fond du Lac Market area
- ThedaCare (Note: your facility specific orientation will happen in person on your first day onsite; there is no online version to complete)
- Evergreen Retirement Community (contact Evergreen directly for information)
Step 4: Complete and Submit Forms to School:
You need to print off and sign Forms A, B, & C and turn them in to your school representative. Your signature indicates acceptance of responsibility and accountability for information presented. (Note - for electronic signature, use Internet Explorer as it does NOT work in Chrome).
You need to print off and sign Forms A, B, & C and turn them in to your school representative. Your signature indicates acceptance of responsibility and accountability for information presented. (Note - for electronic signature, use Internet Explorer as it does NOT work in Chrome).
Form A: Confidentiality Agreement
Form B: Module Completion
Form C: Healthcare Facility Specific Orientation Completion
Form B: Module Completion
Form C: Healthcare Facility Specific Orientation Completion
Form C information: If you did an online facility specific orientation in Step #3, fill this out with the date you completed it and send to your school for record keeping. If an online orientation is not offered, print this out before you arrive on your first day of clinical, fill it out, and sign after you receive the onsite orientation and department safety walk. When complete, you need to send it to your school for record keeping. We do audit that it was returned to school since it is a regulatory requirement.