Step by Step Guide to the Clinical Placement Process

Please check with your school site or site contact 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.

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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
• 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 i n the Workplace

Step 3: Complete a Facility Specific Orientation: 
(If you are utilizing an organization not listed below, jump to Step #3.) 

• Ministry Health Care / Affinity
• Agnesian Healthcare
• Aurora Health Care/Fond du Lac Market area​
• 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).

Form A: Confidentiality Agreement
​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!