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Step by Step Guide to the Clinical Placement ProcessPlease check with your school representative if you have a question about COVID 19 regulations for clinical placements.
After receiving verification that your request for a clinical placement has been accepted by a healthcare facility, you need to complete the following requirements before your clinical begins and submit all information to your school, not the healthcare facility. |
Advocate Aurora Health - Nursing and Medical Assistants please go to Nursing & MA Clinical Placement. All other disciplines will follow FVHCA requirements.
Step 1: FVHCA Health Requirements/Background Checks (Note: school should have these on file for you already, but verify with your school that they are current):
Step 1: FVHCA Health Requirements/Background Checks (Note: school should have these on file for you already, but verify with your school that they are current):
- Health Requirements (Note that COVID-19 vaccination requirements vary, your school can email site contact for details if needed)
- 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 General Orientation Requirements before coming onsite, starting with the online modules below:
1. Student Orientation Professional Expectation Module
2. Student Orientation HIPAA Privacy and Security Module
3. Student Orientation Infection Prevention
4. Safety in the Workplace
2. Student Orientation HIPAA Privacy and Security Module
3. Student Orientation Infection Prevention
4. Safety in the Workplace
Step 3: Complete a Facility Specific Orientation:
(If you are utilizing an organization not listed below, jump to Step #3.)
(If you are utilizing an organization not listed below, jump to Step #3.)
- Ministry Health Care / Affinity
- Agnesian Healthcare
- ThedaCare (You will receive onsite orientation your first day; there is no online orientation to complete ahead of time - details about completing Form C are in below in Step 4).
- Evergreen Retirement Community (contact them 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.
Final Reminders
- Dress accordingly.
- Some facilities may assign a badge or student badge backer to you; if not, always wear your student badge while on site.
- Remember to keep patients at the center of your experience and practice safely.
- Ask questions if you are not familiar with something.
- Seek out experiences as they come available.
- Have fun! Learn a lot!