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College of Nursing

For Current Students

Clinical Site Placement and COVID Requirements

Clinical Site COVID Requirements

Clinicial sites' COVID-19 policies  are everchanging. Please check back often. 

 

Atrirum Health COVID Exemption Education

Effective Sunday, October 31, all students must be fully immunized to gain or continue access to Atrium Health properties. This requirement applies to all students who have badge access to Atrium Health campuses, including the Wake Forest School of Medicine, and properties across the enterprise – such as the Greater Charlotte Region, Atrium Health Navicent and Wake Forest Baptist Health.

There are several ways to get vaccinated:

  • Atrium Health Wake Forest Baptist
  • Local health department
  • Retail pharmacy

Students who have already been vaccinated may upload proof of vaccination by the deadline of Sunday, October 31, 2021.

 Exemptions

Students in affiliate programs are not eligible to apply for religious or medical exemptions.

If your school has an affiliation agreement with Atrium Health, this letter also serves as notice that failing to comply with this requirement may constitute a default on your contract. A default can result in the exclusion of your students, employees and representatives from accessing our properties and/or the termination of your contract with us.

Thank you for your cooperation with this important initiative to protect the health and safety of our patients, teammates and communities.

Effective Sunday, October 31, all students must be fully immunized, having completed the vaccine series, prior to being granted access to Atrium Health properties. There are several ways to get vaccinated:

  • Atrium Health Wake Forest Baptist
  • Local health department
  • Retail pharmacy

Students who have already been vaccinated may upload proof of vaccination by the deadline of Sunday, October 31, 2021.

Exemptions

Students in affiliate programs are not eligible to apply for religious or medical exemptions.

If your school has an affiliation agreement with Atrium Health, this letter also serves as notice that failing to comply with this requirement may constitute a default on your contract. A default can result in the exclusion of your students, employees and representatives from accessing our properties and/or the termination of your contract with us.

 

Required Vaccines

COVID-19

  • All STUDENTS and INSTRUCTORS with a rotation start date on or after November 1, 2021 must be fully vaccinated or have an approved exemption on file before their start date.
  • All STUDENTS and INSTRUCTORS currently in a rotation extending past November 1, 2021 must be fully vaccinated by November 1, 2021 or have an approved exemption on file to continue working and complete their rotation.

Additionally, Banner Health will consider medical and religious requests for exemption. For medical exemption requests, candidates will need to submit a medical exemption request form that would include a recommendation from a provider (DO, MD, NP), as to the medical reason the requestor should not receive the vaccine. Requests for medical and religious exemptions are considered based on the information provided.

Please review the process for each below.

How to submit your vaccine documentation in myClinicalExchange:

In myClinicalExchange, each student and instructor must log in and review their compliance requirements.

Vaccine Compliance upload

  • COVID-19 Vaccine will be added as a compliance item
    • Students and instructors must upload documentation of their vaccine by October 1 to allow sufficient time for review prior to the November 1st vaccine deadline
    • Add vaccine information, upload documentation or exemption in designated area in MCE

If you wish to submit an exemption for either COVID-19 or the Influenza Vaccine, please follow the below steps: 

A Training Module must be completed prior to inquiring about the exemption process via Banner Health Occupational Health Services.

  • To begin module click here

Send the appropriate COVID-19 vaccine Exemption Request Form (Medical or Religious) to OHSCovid-19Mailbox@bannerhealth.com

  • Include in subject line:
    • “STUDENT COVID-19 Exemption, {School Name}, {Student Name} and {Rotation Start Date} ” to OHSCovid-19Mailbox@bannerhealth.com
    • *You may be asked to answer clarifying questions to complete the exemption request
  1. Must be completed by October 1, 2021 to allow sufficient time for review Prior to the November 1st vaccine deadline

Should your application be approved, you must upload the approved document received from occupational health to your myClinicalExchange profile to be fully compliant and approved to start your rotation.

What if my status changes?

If your medical condition or religious beliefs change at any point in the request for exemption process, you may withdraw your exemption request and obtain the vaccine.

For all questions regarding exemptions, please reach out to Banner Occupational Health at OHSCOVID-19-Mailbox@bannerhealth.com.

Due to the COVID crisis, everyone that is on campus must be screened. All students are required to complete a Risk Assessment form, 72 hours prior to the start of their clinical rotation and send to Ms. Sheppard.(see attached).

Bon Secours does not currently require vaccination.  Bon Secours is committed to the health and well-being of our patients, associates and communities. We will continue to evaluate considerations on a market-by-market basis, based on the needs of the communities we serve, and will remain in compliance with any local, state and federal requirements. Given the recent announcement regarding federal requirements, we will continue to monitor developments and work to better understand the implications in the weeks to come. Now and always, our associates’ health and safety are our top priority as they care for our communities.

COVID-19 Vaccination Required for CaroMont  employees, physicians, APPs, volunteers, contract staff, student and instructors.  Proof of COVID-19 vaccination is required by October 31 2021.  See COVID-19 Student Communication.

Students should read and follow the Student Workflow for COVID-19 Symptoms/Exposure/Testing & Return to Work

Effective 9.8.2021, tyhe new emergency rule requires that student must receive their first COIV-19 does by September 30, 2021 and their second dose no later than October 31, 2021. 

On or around September 24th, a new requirement will be added to the LUH student list.

This requirement will be called "Covid-19 Vaccination Received Date". We are asking for the following information to be provided to meet this requirement:

  • Vaccination Brand Name
  • Vaccination Date(s)--both dates if it is a 2-dose vaccine (and a 3rd if a booster is given)
  • OR an acceptable document of exemption

Thank you! 

Alissa Kegler
Longmont United Hospital
alissakegler@centura.org

Effective 9.8.2021, tyhe new emergency rule requires that student must receive their first COIV-19 does by September 30, 2021 and their second dose no later than October 31, 2021. 

COVID vaccination is required for clinical experience.  Coastcal Pediatrics Associates currently does not have an exemption form on file, but we are happy to accept a letter of authorization for an exception to be considered.  We recognize that each case must be considered individually; however, to date, only two religious entities are exempt: Jehovah’s Witness and The Church of Scientology.  Proof of membership and a letter of authorization to consider exemption should be included with a completed application for placement.

Coastal Pediatrics Associates COVID Prevention Protocol

COVID vaccinations are required unless the school allows a reasonable accommodation. If the school does approve an RA, then the school must monitor and ensure that the student have weekly testing and then notify me if the student(s) ever had a + test. These unvaccinated students will also be required to wear full CVS-provided PPE anytime they are inside a CVS facility.

The College of Nursing is not facilitating reasonable accommodations at this time. 

COVID vaccinations are required for clinical experiences. 

9.23.2021

Good afternoon academic partners,

I wanted to touch base and ensure we are all on the same page regarding current information surrounding student placements at the following Dignity Health acute care locations:

  • Mercy Folsom Hospital (MHF)
  • Mercy General Hospital (MGH)
  • Mercy San Juan Medical Center (MSJMC)
  • Methodist Hospital (MET)
  • Sierra Nevada Memorial Hospital (SNMH)
  • Woodland Memorial Hospital (WHC)

Information and updates are changing rapidly, and we wanted to ensure you are aware of our current expectations surrounding students/instructors who participate in clinical placements at our facilities. Please note that everything is subject to change.

Here is a link to the latest California AFL update that came out 9/9/21 that specifically pertains to students. Please familiarize yourself with it: https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-21-34.aspx

Covid-19 Vaccine:

If you have a student or instructor who would like to receive the Covid-19 vaccine, please reach out to our team and we can connect you to the appropriate resources.

Student Covid-19 Exemptions:

We are currently still in progress on this topic and will report any updates when we receive them from our leadership.

Vaccinated Students/Instructors: 

Our 6 DH acute care facilities will require a proof of COVID-19 vaccine be provided upon entry into the facility.

Unvaccinated Students and Covid-19 Testing:

If students are in progress of completing their Covid-19 vaccine series, they are considered unvaccinated and the testing process listed below is applicable.

Please be aware that the state of California requires either PCR testing or antigen testing.

  • No Covid-19 home tests are permitted.
  • The tests have to be from a CLIA licensed Lab and with the CLIA license information on the test.

Students/instructors will carry their 72-hour negative test results with them at all times.

Weekly testing tracking requirements:

  • Students/Instructors with TWO OR MORE clinical/non-clinical shifts per week require TWO test results per week on file with school/university (Test must be within 72 hours of arrival to facility)
  • Students/Instructors with ONE clinical/non-clinical shift per week require ONE Covid-19 test per week on file with their school/university (Test must be within 72 hours of arrival to facility)

It is the school's responsibility to monitor and track all student Covid-19 test results.

The documentation of Covid-19 test results compliant with the latest AFL requirements are subject to audit.

FIT Testing:

Currently, only MSJ and MGH are the only two facilities that are permitting certain types of students to directly care for Covid-19 positive patients. Please refer to the below table.

If you have a question regarding a student program type that is not mentioned below, please reach out to our team for clarification.

For those specifically approved student program types who are directly caring for Covid-19 positive patients, students/instructors MUST have a FIT test performed by the MSJ or MGH Employee Health representative.

  • The completed FIT test form is then uploaded in myClinicalExchange.
    • Completed means that the EH representative signature is present on the form.
    • If you are not seeing the area in mCE where this form would be uploaded, please reach out to our team.
  • If students have rotations in a high risk areas (ED, ICU) they may be FIT tested. Please reach out to our team for more information.
  • Only a Dignity Health Employee Health representative can perform the FIT testing at this time.
  • Students/Instructors are only permitted to wear approved N-95 masks that are provided by our Dignity Health facilities.
  • If students transfer between facilities, a new FIT test may need to be performed if that facility has different N-95 mask styles. 

GSM Facility Specific Student Permissions Based on Student Type

Facility

Nursing students permitted in Designated Covid-19 Units and allowed to directly care for Covid + patients.

Paramedic students permitted in Designated Covid-19 Units and allowed to directly care for Covid + patients.

EMT Students permitted in Designated Covid-19 Units and allowed to care for Covid + patients.

RT Students permitted in Designated Covid-19 Units and allowed to care for Covid + patients.

Students permitted in high-risk areas

i.e. ED/ICU 

MGH

Yes

Yes

Yes

Yes

Yes

MSJ

Yes

Yes

Yes

Yes

Yes

MHF

No

No

No

No

Yes

However, students are NOT permitted in Covid designated units.

MET

No

Yes

No

No

Yes

However, students are NOT permitted in Covid designated units.

SNMH

No

Yes

Yes

Yes

Yes

However, students are NOT permitted in Covid designated units.

WHC

No

No

No

No

Yes

However, students are NOT permitted in Covid designated units.

Thank you for your continued patience as we navigate through the fall semester. If you have any questions, please reach out to our student management team and we can assist.

Respectfully,

Marissa S. Krull, BSN, RN
Clinical Educator, Clinical Site Liaison
Northern California Division - Greater Sacramento Market
Collaborative Learning Center
1700 Tribute Road, Suite 100
Sacramento, California 95815
916.210.9465 (O)
16.733.6351 (F)
GSM-DHMFStudentPlacements@DignityHealth.org

All students must be vaccinated and also prepared to wear a mask upon request. 

The Free Medical Clinic does not require vaccination at this time. 

9.23.2021

Inova requires COVID vaccinations for all student learners and clinical faculty.  The effective start date for the vaccination requirement is October 1, 2021.  There is a medical/religous exemption form. 

Inova Addendum B Exemption Request Form

9.24.2021

Effective October 1, 2021, Lexington Medical Center will require the COVID vaccine for all students. No exemptions are allowed.

Student should review LMC Student COVID.19  Procedures PDF.  Complete the COVID Screening Questionnaire.  Student must submit 3 business days prior to the rotation start date to employeehealth@lexhealth.org.

*The three business days only include Monday through Friday.  For a Monday start date, responses should be submitted on Wednesday.

By October 1, 2021, all faculty and students rotating in a Methodist Health System facility must be fully vaccinated, unless granted a medical or religious exemption (Exemption Forms can be found on pp.10 & 11). Those who are not fully vaccinated or who have not been granted an exemption will not be allowed to participate in any learning activities at a Methodist Health System facility. Know your deadlines! If you are taking a two-dose series, you will need your first Moderna vaccine by September 3, or your first Pfizer vaccine by September 10, and the Johnson & Johnson (J&J) vaccine by October 1st.

Methodist Health System Safe Return of Students COVID Vaccine Updated Exemptions 9.20.2021

9.23.2021

Scope:

  • Students and Faculty
  • If you are a NH team member and a student or faculty member, you must use the ServiceNow process for exemption requests and notify pipeline and recruitment of your exemption status.

Process Description:

  • Please complete the form using the link below to request a COVID-19 Exemption.
  • Within the form, you will select the vaccine you are requesting the exemption for and the reason you are requesting the exemption, faith or medical.
  • If requesting a faith-based exemption, you will be able to request an exemption for either or both vaccines within one request.
  • If requesting a medical based exemption, you will be required to fill out separate requests for each vaccine.
  • If a faith request is submitted, an acknowledgement of receipt will be sent to the email entered on the submission
  • If a medical request is submitted, an acknowledgement of receipt and the exemption form you must take to your physician to have signed will be sent to the email entered on the submission.  Once the form has been completed and signed by your physician, the form must be emailed to the address at the bottom of the form: medicalbasedvaccinerequest@novanthealth.org. The medical exemption request will not be considered until both parts have been received by Novant Health.
  • Once a determination has been made, you will receive an email outlining the determination.

This is the link for vaccine exemption request for students and faculty: https://nh.team/exemptionrequestform

COVID vaccine dates and product names must be entered in the “VALUES” section of your myClinicalExchange account by September 15.If you have a pending or approved exemption, enter it in the “VALUES” section. Please review your account to ensure you have entered the dates and information correctly (see examples below):

  • Pfizer: 4/1/2021 and 4/23/2021
  • Moderna: 1/21/2021 and 2/15/2021
  • J&J: 2/5/2021
  • Pending exemption

ATTENTION: CLINICAL STUDENTS AND FACULTY

All team members, students and faculty must wear a mask while in any Prisma Health facility, regardless of their vaccination status. Unvaccinated individuals who provide direct patient care or enter patient rooms for their jobs must wear an N95 mask and eye protection while at work.

N95 fit testing does not mean that students can now engage with (1) COVID patients, (2) PUIs or (3) in aerosolizing procedures without prior approval. These three scenarios must be vetted and approved by Infection Prevention and IHE task force for any students in the CLE. For questions, please contact Dr. Christen Hairston.

Effective August 11, 2021, if you have not been vaccinated for COVID-19 and are a clinical student or faculty member in the Prisma Health clinical learning environment, you cannot continue with your clinical rotation UNTIL you are fit tested to wear the appropriate N95 mask and eyewear.

No exceptions.

  • If you have been fit tested, you must email your completed OSHA fit testing form to student.affairs@prismahealth.org.
  • If you have received the COVID-19 vaccine, please upload into your compliance checklist in myClinicalExchange.

Your clinical rotation will cease until you complete this important task.Orientation Hand ins

Options for Fit Testing


Option 1: Home Institution Fit Testing
Students may receive their fit testing through their home institution if they can fit test for V-flex 1804 and 1804s masks, use the OSHA fit testing form and provide record of completed fit testing to Prisma Health Student Affairs.

 

Option 2: Prisma Health Employee Health Fit Testing
Students and faculty can visit an Employee Health location to get fit tested. No appointment necessary.

 

Midlands

Baptist Hospital
1301 Taylor St, Ste. 2H
Mon.-Fri.: 7:30 a.m.-4 p.m.; Thur.: closed Noon-1 p.m.

Richland Hospital
9 Medical Park Dr, Ste. 360
Mon.-Fri.: 7:30 a.m.-4 p.m.; Thur.: closed Noon-1 p.m.

Tuomey Hospital
129 N. Washington St.
Mon., Wed., Fri.: 7:30 a.m.-4 p.m.

Upstate

Baptist Easley Hospital
200 Fleetwood Dr., near registration
Tue.: 7:30 a.m.-11 a.m.

Greenville Memorial Hospital
701 Grove Rd.
Employee Services Center
Mon.-Fri.: 7:30 a.m.-4 p.m.; Thur.: closed Noon-1 p.m.

Greer Memorial Hospital
830 S. Buncombe Rd.
Thur.: 7:30 a.m.-11 a.m.

Laurens County Hospital
22726 Hwy 76E
Thur.: 8 a.m.-11:30 a.m.

Oconee Memorial Hospital
298 Memorial Dr.
Wed.: 7:30 a.m.-11 a.m.

Patewood Hospital
255 Enterprise Blvd, Ste. 102
Mon.-Fri.: 7:30 a.m.-4 p.m.; Thur.: closed Noon-1 pm

Students are expected to shave facial hair for N95 fit testing.
If there is a medical or religious reason a student cannot shave or wear a N95 mask, contact student.affairs@prismahealth.org.

Resource: CDC guidance on facial hair with tight-fitting masks

What do I do bring to the fit testing?
You must complete and bring with you a photo ID and the OSHA FIT TESTING FORM.

  • Make sure your name and info is filled out on all three pages.
  • If you are an employee, your Employee ID is on Workday under your profile.
  • If you are NOT an employee, put your SSN# as your ID.

What do I do with my completed OSHA fit testing form?
AFTER fit testing, email your completed OSHA and fit testing form to student.affairs@prismahealth.org.

Will I receive a mask after being fit tested?
Yes, you will receive one N95 mask. Other masks are available on clinical floors.

In what circumstances can an individual remove the N95 mask?
Individuals who are required to wear N95 masks may remove it for periods of time under the following conditions except while in a patient room or direct care area:

  • When you are physically distanced (6 feet) from other people.
  • When you are physically distanced (6 feet) while actively eating or drinking in a break room.

To protect your N95 mask, please place it in a paper bag when you’re not wearing it. Masks should be replaced when they become visibly soiled or damp.

What happens if I don't get fit tested or get the COVID-19 vaccine?
If you are not vaccinated and not fit tested, then you are not allowed to attend your rotations in a Prisma Health facility until you are fit tested or fully vaccinated.

Do vaccinated students need to be fit tested?
Not at this time. Vaccinated students must wear a mask, but not an N95 unless you are engaged in aerosolizing procedures, which should be very few individuals at this time. Students are not to be engaged in aerosolizing procedures without the direct approval of the IHE task force and Infection Prevention Committee.

Do I have to wear a N95 mask if I have been partially vaccinated?
Yes, if you begin the vaccination process, you still must wear an N95 mask and eye protection until two weeks after you receive the one-dose Johnson & Johnson vaccine OR two weeks after you receive the second dose of the Moderna or Pfizer vaccines.

All students who are rotating at any RSFH facility are required to be fully vaccinated against COVID-19 by Nov 1, 2021. It is recommended that students receive their 1st dose vaccination no later than Oct 1, 2021, to ensure they receive the 2nd dose prior to the deadline.

A student may submit an exemption for the following reasons:

  1. Medical Exemption: A medical exemption may be granted to accommodate disabilities and for medical criteria consistent with those published by public health authorities and/or the Centers for Disease Control (CDC).
  2. Religious Exemption: a religious exemption may be granted to accommodate an individuals sincerely held religious belief, practice, or observance. Social, political, and economic philosophies, and mere personal preferences, do not constitute religious beliefs.

All students who qualify for a medical or religious exemption will wear a mask as dictated by RSFH policy and procedures.

Failure to comply with RSFH COVID-19 policy and procedures will result in removal from clinical rotations

To further support the safety of our employees and staff, we are strengthening our universal masking protocol by requiring unvaccinated staff members to wear a higher level of respiratory protection and vaccinated staff members to be masked at all times.

  • All unvaccinated staff/providers/operational leaders in all areas of the hospital, outpatient settings and practices, and Post-acute facilities (including back office, non-patient-facing areas) are required to wear a respirator (N95, PAPR, CAPR, FFR, etc.) when in the facility regardless of whether they are in the presence of known or suspected COVID-19 patients.
    • If unvaccinated staff members are in non-clinical, non-patient-facing areas, they are to reuse their N95 mask until soiled or damaged per extended use guidance.
  • Fully vaccinated people must wear a mask in all public indoor settings. This includes meeting rooms, boardrooms and other common spaces throughout our facilities.
  • To reiterate, all persons in all of our healthcare settings are instructed to wear a mask or a respirator at all times, except when eating/drinking, regardless of the location in the facility. Individuals are to socially distance when they are unmasked to eat/drink.
  • You may remove your mask when alone in your office or in your respective administrative workspace that is separated by 6 feet or more from others.
  • All previous infection prevention and OSHA requirements apply (i.e., no eating/drinking at the nurses' station, etc.).

 

 

Sentara Health care is requiring COVID-19 vaccination as part of the Sentara Healthcare's required immunizationf or all employees and non-employees, to include any students, instructors, vendors, or contractors, that are in their facilities.  All mentioned personnel of the policy are now required to be fully vaccinated by October 18, 2021. Medical and religious exemptions are available upon request for those who qualify and provide supportive documentation.  All immunization validations, including exemptions, are to be maintained by the scholl and provided to Sentara upon request, per the Agreement.  

COVID vaccination are required effrective September 1, 2021.  If not vaccinated, students will have to be tested twice a week. 

9/23/2021

Vaccination is not required at this time.  Appropriate PPE and precautions if symptomatic or contact. 

9.23.2021

Currently a COVID vaccination is not a requirement for students or faculty.  At which time our system requires vaccination of its associates, then students and faculty will be required as well.

3/23/2021

COVID vaccination is preferred and encouraged; however, it is not required at this time.. 

9/23/2021

COVID vaccinations are required for clinical experiences.  There are no exemptions allowed.  This vaccination requirement is effective September 1, 2021. 

9.24.2021

COVID vaccination is preferred and encouraged; however, it is not required at this time..  Student will have to wear masks at all time.  

Three Rivers Behavioral Health does not required COVID vaccinations for staff, student learners or faculty. 

9.24.2021

Tower Health will now require that any student from your school who is working at a Tower Health facility adhere to our new policy with regard to the COVID-19 vaccine. The new policy states as follows:

Proof of full vaccination for COVID-19, or documentation of exemption from the COVID-19 vaccine for either the medical or religious exemptions set forth immediately above. For purposes of this Agreement a Student is deemed to have received “full vaccination” if it is two weeks after the Student received the second dose of a two-dose series, such as the Pfizer or Moderna vaccines, or two weeks after the Student received a single-dose vaccine, such as Johnson & Johnson’s  Janssen vaccine.

In the event a Student is exempted from receiving the current influenza vaccine or COVID-19 vaccine for medical or religious exemption, as described above, School shall ensure that Facility is notified of the exemption.

Any individual who is working in Tower Health facilities located in Philadelphia are required to be fully vaccinated by October 15, 2021, per the mandate by the City of Philadelphia. All other individuals must be fully vaccinated by November 1, 2021.

Any individual who receives an exemption will be required to undergo twice-weekly COVID-19 testing.

Tower Health Caccine Medical Exemption Request

9/23/2021

The employees/students should follow the same PPE requirements as the clinical staff of the unit. As we are currently at Level Orange at UMMS, all (regardless of vaccination status) are required to wear a KN-95 mask and eye protection when in clinical areas.

Effective October 1, 2021, all partners with staff or students who are routinely physically present at any UMMS facility are required to be fully vaccinated against COVID-19 or have an approved exemption. Importantly, this approach brings our COVID-19 vaccination policy in line with those already set for influenza, measles and many other common vaccines that have long been required in our System.

University of Maryland Medical Center COVID 19 Mandatory Vaccination Policy 8.25.2021

University of Maryland Medical Center Tiered Approach to Infection Prevention Practice and Presence at the Workplace

9/23/2021

New COVID vaccination information – Receipt of a COVID-19 vaccine is a condition of learning or providing service for the UNC Medical Center and due by Tuesday, September 21, 2021  (2 shots if receiving Moderna or Pfizer vaccine, or one-shot if receiving Johnson & Johnson vaccine).  Note: UNC Medical Center is allowing a deferral of vaccination for pregnant persons (must be compliant within 1 month of delivery). Documentation of student vaccination is to be verified and maintained by the respective school (similar to the flu vaccine documentation) and made available upon audit or request. Likewise, medical and religious exemptions should be determined, managed, and maintained by the school and made available upon audit or request.   

Schools provide COVID Vax List by September 21, 2021:

Student COVID Vax Exemptions (generally)

  • UNC Health entities should require each school to manage student exemption requests
    • Schools provide a list of all students who have been granted a COVID vax exemption by the school
  • If APP student rotation, send list to APP Student Placement Manager
      • include the reason for such COVID vax exemptions (Medical or Religious)
      • include any other vaccines that the student has not received due to a granted exemption (Medical or Religious) 
      • School’s guidelines for reviewing and approving student exemption requests should not be more permissive than the UNC Health guidelines, i.e., exemptions may only be granted for acceptable medical contraindications, pregnancy, or for those students with a sincerely held religious belief that conflicts with the COVID-19 vaccination requirement.

COVID Vax Medical Exemption

  • All medical exemption requests should be approved by the School’s Campus Health office or department in accordance with the same standards applicable to UNC Health employees.
    • UNC Medical Center is allowing a deferral of vaccination for pregnant persons (student must receive vax when they return).
    • Medical exemptions may only be granted for acceptable medical contraindications, pregnancy, etc… (see attached Med Exempt form)

COVID Vax Religious Exemption Guidelines and Process:

  • Schools make the religious exemption determination, evaluating the following (see attached Religious Exempt form and questions below)
  • The student must provide specific information for each question:

1) Your specific religious belief or practice; and
2) How it conflicts with the COVID-19 immunization requirement.

  • To further support the religious exemption request, student should include the following to their school:
  • How long have you practiced this religious belief, practice or observance
  • What vaccinations have you refused previously based on this belief
  • Attach other documentation that you believe supports your religious accommodation request (optional)

Miscellaneous

  • UNC Health reserves the right to further investigate and/or deny any exemption that was granted by the School. 
  • Individual APPs or Clinics may be more restrictive on allowing COVID vax exemptions for APP students than the parameters laid out herein
  • Students who are granted exemptions as listed above will be subject to the same infection prevention rules as UNC Health employees working at that facility, which may include surveillance testing by UNC Health.
COVID Reminders and Guidelines (UPMC Student Oversight COVID Guidelines)
  • UPMC does not currently require the COVID vaccine for rotations.
  • Remind students and faculty that social distancing is required to keep all safe. This includes all areas such as not huddling in the lobby prior to starting clinical.
  •   Students are only permitted to use main entrances at all UPMC hospitals for COVID screening purposes. IF your students are also a UPMC employee, they are NOT permitted to use their UPMC email address to complete a building entry IF they are functioning in the role of a student for that day.
  •  At this time, no decisions have been made for Spring Semester. Communication will be provided as it becomes available.
  •  All schools will be asked to sign an addendum that they will have an exposure plan. It will need to be maintained and updated as situations change in the region or nationally. They will need to produce their plan upon request. The addendum will be then incorporated into any new education agreement or for renewals.

Revised 9.24.2021

Dear Wellstar Academic Partner,

To protect the health and safety of our team members, caregivers, patients, and communities, Wellstar is joining other leading healthcare systems and requiring all team members and caregivers, including student learners and their faculty to be vaccinated.

Please note, October 1 is the deadline
for all team members, including faculty and students, to be fully vaccinated against COVID-19. Faculty and students must be vaccinated and upload proof of vaccination in the ACEMAPP system before being considered cleared for placement.

Please review the attached documents for more information about vaccines, including details about the process for requesting medical or religious exemptions.

Wellstar’s faculty and student medical exemption/pregnancy deferment process:
Wellstar's faculty and student medical exemption/pregnancy deferment process applies to students who have no employment relationship with Wellstar.

  • Medical/Pregnancy Process:
    • For education institutions that provide an exemption process for students, Wellstar accepts an attestation/letter from the institution of the student's approved exemption and document it in ACEMAPP.
    • Wellstar accepts a revised medical/pregnancy exemption form for education institutions that do not provide an exemption for students. The student/faculty and their medical provider would attest to their known contraindication to the Covid-19 vaccine or current pregnancy and document it in ACEMAPP.
      • Please note that pregnancy deferments expire upon the child's birth; medical exemptions expire at the end of the clinical period with Wellstar.
    • Wellstar will not accept religious exemption requests from faculty or students

Wellstar COVID Academic Partner Letter 9.2.2021

Wellstar Student Faculty Medical Pregnancy Exemption Form

The VA is mandating that all VHA health care personnel, including HPTs, be vaccinated for COVID-19 by October 7, 2021. If an HPT is not vaccinated or filed an examption by October 7, 2021, they cannot come to the VA.  The existing TQCVL already covers requiring the COVID-19 vaccine as it has been added to the web site:  https://www.cdc.gov/vaccines/adults/rec-vac/hcw.html 

The signed and submitted Trainee Qualification Credentialing and Verification Letter (TQCVL) is an attestation to the fact those HPTs listed are fully vaccinated in accordance with the CDC vaccine requirements for healthcare workers.  To be clear, those students listed on your TQCVL must be vaccinated against COVID 19.  We will not accept any unvaccinated trainees, and they may not be included on the TQCVL. 

 

Clinical Site  Placement Requirement

This section contains important requirements specific to certain clinical placements. When clinical information, background checks, and drug screening documentation are required for submission to agencies, students should gather photocopies of all documents and send to the Office of Academic Affairs who will forward the information to the respective agency. Send documents to scnursing@sc.edu.

Student Placement Request Mid-Carolina Student Coordinator

Mid-Carolina AHEC

Revised 8/23/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Casey Cato, ccato@comporium.net
Student Placement Request Application Deadlines

Students should complete the NP application online . Students are not permitted to reach out to providers to find placements on their own. AnMed will then try to find placement in their practices on a first come, first serve basis after they have placed all students from their priority group which are AnMed employees, Clemson University students, and Anderson University students.

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Revised 7/15/2021

Application deadlines

  • Spring semester - Due by October 1
  • Summer semester - Due by February 1
  • Fall semester - Due by May 1
Student Placement Request

Effective January 1, 2019, the College of Nursing can no longer support APRN student placements at any Atrium Health clinical site.

Atrium will support Atrium employees to complete their DNP projects within their system. Nursing Administration and Nursing Informatic students can also complete indirect hours at Atrium Health.

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Revised 1/142020

Student Placement Request Site/Practice Case Form Approver Forms Required

Clinical students requesting internship at Wake Forest Baptist Medical Center should contact Nurse Affiliate c/o Nursing Education Dept
South Building, 3rd floor
Email: NurseAffiliate@wakehealth.edu The Nurse Affiliate mailbox is the inbox most closely monitored by staff throughout the day. Please use the Nurse Affiliate mailbox instead of personal mailboxes to ensure a timely response.

Many staff are working remotely part time and their work phones are being forwarded to their personal phones. Unfortunately, this means they do not see your phone number, only a generic WFBH number when receiving a forwarded call. It is not possible for staff to know who is calling if they cannot immediately pick up, so please leave a message with your call back number. Staff check their voicemail messages throughout the day and can only return your call if you leave a message with your phone number included.

Effective August 6, 2021, faculty and students can still be fit tested each day of the week Monday-Friday but will be unable to pick up badges on Monday, Fridays and Wednesday 7:00 am. – 3:30 pm.

Please make badging requests as early as possible through cardacss@wakehealth.edu or BadgeOff_UM@wakehealth.edu. Both accounts will be monitored when walk in offices are closed; immediate need for assistance should also be sent to either account.

If you have any questions, feel free to email BadgeOff_UM@wakehealth.edu.

  • Badges need to be maintained for duration of program (badge life expectancy is 3-5 years)
    • Badges will only be replaced if defective, damaged, or lost/stolen
    • $10 replacement fee will be applied for lost or damaged badges
  • Badges will have an initial expiration date on them, which serves only as a reminder of expiration of student access (badge is not “unusable” after this date).
    • The Nurse Affiliate office will notify you or your school coordinator of your upcoming expiration; once access is extended, badge access will continue.
  • With the badge, you will also receive a yellow park card. This is for our campus security to identify you as a visiting student (since most of you will not have an employee barcode sticker).
    • These park cards can be updated each year, or as needed, by the Badge Office
  • If you are an employee, you will only receive a badge cover, which must be worn over top of your employee badge (which has the hospital access).
    • If you end your employment while still serving in the student role, please contact the badge office to receive a full access student badge.
  • Student badges have “general hospital access”. Occasionally, a student may need access to a unit or certain area on a unit that isn’t included in the general hospital access. In these cases, have the nurse manager/charge nurse on the unit call or email the badge office to request additional access.

Updated 10/13/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.  

Student Placement Request

Site/Practice Case Form Approver

Forms Required

Complete the Augusta University School (AUSC) Confirmation form and send to scnursing@sc.edu for verification along with your program and student ID. Please send a copy of your health insurance card at the time you send the AUSC Confirmation form.  After CON staff have received the form and health insurance card, and verified your information, they will submit to NURSE_EDUCATORS@augusta.edu.

Note, your Castlebranch account must be up to date before the form will be submitted to Augusta University Medical Center. Once submitted, students will be asked to sign a confidentiality statement, provided by Augusta University Medical Center.

Revised 8/21/2000

Wyatt Mobley,  NURSE_EDUCATORS@augusta.edu

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 Augusta University School Confirmation Form

Student Placement Request Site/Practice Case Form Approver Form(s)  Required

Student clinical placement request must be submitted through mCE.

 

Revised 8/25/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

INFLUENZA

  • All STUDENTS and INSTRUCTORS with a rotation start date on or after December 1, 2021 must be fully vaccinated or have an approved exemption on file before their start date.
  • All STUDENTS and INSTRUCTORS currently in a rotation extending past December 1, 2021 must be fully vaccinated by December 1, 2021 or have an approved exemption on file to continue working and complete their rotation.

Additionally, Banner Health will consider medical and religious requests for exemption. For medical exemption requests, candidates will need to submit a medical exemption request form that would include a recommendation from a provider (DO, MD, NP), as to the medical reason the requestor should not receive the vaccine. Requests for medical and religious exemptions are considered based on the information provided.

How to submit your vaccine documentation in myClinicalExchange:

In myClinicalExchange, each student and instructor must log in and review their compliance requirements.

Vaccine Compliance upload

  • Influenza Vaccine is a current compliance item
    • Students and instructors must upload documentation of their vaccine by November 1 to allow sufficient time for review prior to the December 1st vaccine deadline.
    • Add expiration date, upload documentation or exemption form in designated area in MCE
  1. Request the appropriate Influenza vaccine Exemption Request Form (Medical or Religious) from Banner Health Occupational Health Services at OHSCovid-19Mailbox@bannerhealth.com.
  2. Send completed exemption documentation to the below with the subject line:
    • Include in subject line:
      • STUDENT INFLUENZA Exemption, {School Name}, {Student Name} and {Rotation Start Date}”to OHSCovid-19Mailbox@bannerhealth.com
      • *You may be asked to answer clarifying questions to complete the exemption request
  1. Must be completed by November 1, 2021, to allow sufficient time for review Prior to the December 1st vaccine deadline.
  2. Should your application be approved, you must upload the approved document received from occupational health to your myClinicalExchange profile to be fully compliant and approved to start your rotation.

What if my status changes?

If your medical condition or religious beliefs change at any point in the request for exemption process, you may withdraw your exemption request and obtain the vaccine.

For all questions regarding exemptions, please reach out to Banner Occupational Health at OHSCOVID-19-Mailbox@bannerhealth.com.

Student Placement Request Site/Practice Case Form Approver Forms Required

Student must download and complete the Barnes Jewish Hospital graduate workbook and forward to scnursing@sc.edu for verification and submission.

 

Revised 7/22/2020

Janet Kaminsky, NS, RN, CEN
Practice Specialist
Barnes Jewish Hospital
Center for Practice Excellence
Cell: 314.801.4190/ Fax: 314.454.7508
Janet.kaminsky@bjc.org

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Student Placement Request Site/Practice Case Form Approver Form(s) Required                

Students may not contact preceptors directly. Students must contact Ms. Sheppard for preceptor placement.

Student completes the attached BMH Student Self Study Packet, BMH Student Policies and New Employee and Student Assessment Form.

Student sends completed packet and signed Policies document, along with required documentation to Lillie Sheppard, Student Internship Coordinator, Beaufort Memorial Education Department , lsheppard@bmhsc.org. COMPLETED packets are due at least 2 weeks prior to the start of the student’s rotation. This allows time to process the packets as they receive a large volume of students. If items are missing, it may delay processing and/or their rotation start.

Once packets are processed, the school and/or student will be notified if items are missing or if they are cleared to schedule a badge appointment.

Ms. Sheppard will provide student with Preceptor information to be included on the CASE form once the student is placed. Students should send an email at least 2 weeks prior to the start of their rotation start date to scnursing@sc.edu requesting for the College of Nursing to share their CastleBranch data with Ms. Sheppard. Please include your full name as listed in CastleBranch, the last four digits of your SSN, as well as your Degree and Program (example: MSN, FNP).

revised  1/14/2021

BMH Student Internship Coordinator
Lillie Sheppard
Education Department
Phone: 843.522.5861
Fax: 843.522.5880
lsheppard@bmhsc.org

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Student Placement Request Site/Practice Case Form Approver Forms Required

Please contact Noreen Bachman if you are looking for clinical placement with Bon Secours St. Francis Health System or any practice they may own. When emailing Ms. Bachman noreen_bachman@bshsi.org, please include your resume, type of rotation needed, the number of rotation hours, timeslot (i.e. May-June).

Revised 2/7/2019

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver Forms Required

To streamline the process of student management at Carolina Health Centers (CHC), student must send an application for clinical placement by email to sbotchie@carolinahealthcenters.org or to careers@carolinahealthcenters.org.

To access the application for clinical placement go to Carolina Health Centers' website: https://www.carolinahealthcenters.org/clinical-students.

Step 1: Mail, email or fax completed application to Carolina Health Centers, Inc.

Step 2: Applications are forwarded to schedulers for pediatric and/or family medicine departments

Step 3: CHC will contact the applicant should something become available.

Additional information on the application process will be shared with students once CHC receives the student's application.  

Revised 8/26/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver

Forms Required

 

Student will submit all required items to MyClinicalExchange.

Note: Students must review the Caromont Health and Guidelines for Clinicals at CaroMont Health documents. Students must sign the Guidelines document prior to clinicals at CaroMont. The form may be signed electronically. 

Revised 9/13/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Volunteers and students who are not vaccinated or provide proof of vaccination by October 31 will not be allowed on campus until the Influenza season ends. Active and Associate Medical Staff and Advanced Care Practitioners who are not vaccinated or provide proof of vaccination by November 8 will be asked to take a Leave of Absence until the end of the Influenza season or be placed on Administrative Leave.

Vaccination Period

Student Placement Request Site/Practice Case Form Approver Forms Required
All students must be cleared with HR and Employee Health before the rotation can begin. A background check, immunizations, including a 2-step PPD, current drug screen* and hospital orientation packet must be in place. Please complete the attached documents and return to Ms. Price. If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

CRMC Hospital Pre-hire Attestation 2018

HIPPA Privacy IT Security Poster

2017-2018 Code of Conduct

Pre-hire Test 3.29.2018 Final

CRMC Pre-hire Orientation for New Employees Powerpoint

Drug screens must be within 30 days of start date and can be done on site for a fee of $5.00.
 

Angel Price, HR Generalist / Chester Regional Medical Center
One Medical Park Drive
Chester, SC
Direct: 803.581.9409
Fax: 803.581.6230

Angel.price@chesterregional.com

 
Student Placement Request Site/Practice Case Form Approver Forms Required

Students should complete the documents listed under “Forms Required” and send to Ms. Cedeno at Coastal Carolina Hospital.

Kristin Cedeno
Director, Medical Staff Services
Coastal Carolina Hospital
1000 Medical Center Drive
Hardeeville, SC 29927
Direct: 843.784.8138
Fax: 843.784.8198
Kristin.Cedeno@tenethealth.com

Revised 7/26/2019

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Student Checklist 2012

Orientation Hand ins v05914

Orientation Reading Material v080713

 

Student Placement Request Site/Practice Case Form Approver Forms Required

Students should complete the documents listed under “Forms Required” and send to: 

Carol Murray
HR Specialist - Benefits Administration & Training
Coastal Pediatrics Associates
Phone (843) 737-9499
cmurray@cpakids.com
www.cpakids.com

Revised 9./27/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Coastal Pediatric Associates Clinical Education - Welcome

Coastal Pediatric Associates Clinical Learning Experience Application (Attachement A)

Coastal Pediatric Associates Clinical  Learning Experience Standards of Behavior (Attachment B)

Coastal Pediatric Associates Clinical Learning Experience Non Employee Orientation (Attachment C)

Coastal Pediatric Associates Clinical Learning Experience HIPAA Non-Employee Confidentiality Agreement (Attachment D)

Coastal Pediatric Associates Clinical Learning Experience OSHA Acknowledgment (Attachment E)

 

Student Placement Request Site/Practice Case Form Approver Forms Required

A current contract (affiliation agreement) must be in place - students refer to Central Student Portal for more information regarding contracts.

myClinicalExchange is the web based automated tool used to operate, administer, and manage our Student Clinical Placement Program.

myClinicalExchange allows students to register for and manage their entire participation at our Student Clinical Placement Program as follows:

  • View their clinical placement schedule;
  • Complete, submit & upload their Clinical and On-boarding Compliance documents;
  • Consent and approve document as required by our hospital; as well as
  • Complete their clinical placement survey on-line.

Each student will be charged a nominal fee each year chosen by the Academic Partner.

  • 12 Month Subscription - $39.50 (EX: Student enrolled in a 4-year program)
  • 18 Month Subscription - $59.50 (EX: Student enrolled in an 18-month accelerated program)
  • 24 Month Subscription - $79.00 (EX: Student pursuing a higher degree).myClinicalExchange allows student to register for and manage their entire participation at our Student Clinical Placement Program as follows:

Student with an active mCE account are not required to purchase a new one.

Students without an account can register and purchase by selecting this link: https://register.myclinicalexchange.com/NewRegistration.aspx

Here is the link to myClinicalExchange FAQ website: https://www.myclinicalexchange.com/FAQ.aspx

Revised 7/22/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Effective May 31, 2021, HCA facilities only accept BLS Provider training from American Red Cross (ARC) or American Heart Association (AHA).

Student Placement Request Site/Practice Case Form Approver Forms Required

A current contract (affiliation agreement) must be in place - students refer to Central Student Portal for more information regarding contracts.

myClinicalExchange is the web based automated tool used to operate, administer, and manage our Student Clinical Placement Program.

myClinicalExchange allows students to register for and manage their entire participation at our Student Clinical Placement Program as follows:

  • View their clinical placement schedule;
  • Complete, submit & upload their Clinical and On-boarding Compliance documents;
  • Consent and approve document as required by our hospital; as well as
  • Complete their clinical placement survey on-line.

Each student will be charged a nominal fee each year chosen by the Academic Partner.

  • 12 Month Subscription - $39.50 (EX: Student enrolled in a 4-year program)
  • 18 Month Subscription - $59.50 (EX: Student enrolled in an 18-month accelerated program)
  • 24 Month Subscription - $79.00 (EX: Student pursuing a higher degree).myClinicalExchange allows student to register for and manage their entire participation at our Student Clinical Placement Program as follows:

Students with an active mCE account are not required to purchase a new one.

Students without an account can register and purchase by selecting this link: https://register.myclinicalexchange.com/NewRegistration.aspx

Here is the link to myClinicalExchange FAQ website: https://www.myclinicalexchange.com/FAQ.aspx

Revised 9/2/2020

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver Forms Required

Cone Health no longer supports UofSC CON placements except for Cone Health employees.  

Employees of Cone Health must contact staff.education@conehealth.com for assistance with a placement.  Student MUSC communicate with UofSC CON if they secure a Cone Health placement. 

Revised 2/4/2019

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver Forms Required

Please review the Cooperative Health Clinical Guidelines

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Cooperative Health Practicum Support Guidelines for Nurse Practitioner Student April 2018

Student Placement Request Site/Practice Case Form Approver Forms Required
Revised 9/13/2021 If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

All students placed at Dignity Health's hospitals or clinics must receive the influenza vaccine and update their current influenza documentation in the MyClinicalExchange system. The renewal date will need to be updated as well as the influenza form. The form will need to be updated and uploaded in the system with new dates listed on the forms.

Declination to the flu vaccine will only be allowed for a history of allergy to a component of the vaccine, history of life threating allergic reaction or a history of Guillain-Barre Syndrome or a legitimate medical reason. A physician's note will need to be obtained to support the reason for declination.

Please note: Influenza dates and forms must by updated by October 31, 2021. Dignity Health's flu season starts as of November 1, 2021. Anyone who has not obtained the flu vaccine nor updated their influenza dates and forms will be removed from their placement until the information is updated. This will apply to students and clinical instructors.

As always, if you have any questions, please email GSM-DHMFStudentPlacements@dignityhealth.org

Student Placement Request Site/Practice Case Form Approver Form(s) Required
Revised 9/13/2021 If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

All students placed at Dignity Health's hospitals or clinics must receive the influenza vaccine and update their current influenza documentation in the MyClinicalExchange system. The renewal date will need to be updated as well as the influenza form. The form will need to be updated and uploaded in the system with new dates listed on the forms.

Declination to the flu vaccine will only be allowed for a history of allergy to a component of the vaccine, history of life threating allergic reaction or a history of Guillain-Barre Syndrome or a legitimate medical reason. A physician's note will need to be obtained to support the reason for declination.

Please note: Influenza dates and forms must by updated by October 31, 2021. Dignity Health's flu season starts as of November 1, 2021. Anyone who has not obtained the flu vaccine nor updated their influenza dates and forms will be removed from their placement until the information is updated. This will apply to students and clinical instructors.

As always, if you have any questions, please email GSM-DHMFStudentPlacements@dignityhealth.org

Student Placement Request Site/Practice Case Form Approver Forms Required

Effective August 11, 2021, Doctor’s Care is not accepting students for clinical placement until further notice.

Be aware that Doctor’s Care will only take students for one clinical rotation, unless there are two to three semesters between rotations.

Student must complete the forms in the “Doctors Care Packet under “Forms Required.” Submit your complete packet to the Office of Academic Affair via email to scnursing@sc.edu to be submitted on your behalf. The Office of Academic Affairs will give Doctor’s Care access to view your immunization, background check and drug screen information via CastleBranch.

Revised 8/11/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Doctors Care Packet
Student Placement Request Site/Practice Case Form Approver Forms Required

A current contract (affiliation agreement) must be in place - students refer to Central Student Portal for more information regarding contracts.

myClinicalExchange is the web based automated tool used to operate, administer, and manage our Student Clinical Placement Program.

myClinicalExchange allows students to register for and manage their entire participation at our Student Clinical Placement Program as follows:

  • View their clinical placement schedule;
  • Complete, submit & upload their Clinical and On-boarding Compliance documents;
  • Consent and approve document as required by our hospital; as well as
  • Complete their clinical placement survey on-line.

Each student will be charged a nominal fee each year chosen by the Academic Partner.

  • 12 Month Subscription - $39.50 (EX: Student enrolled in a 4-year program)
  • 18 Month Subscription - $59.50 (EX: Student enrolled in an 18-month accelerated program)
  • 24 Month Subscription - $79.00 (EX: Student pursuing a higher degree).myClinicalExchange allows student to register for and manage their entire participation at our Student Clinical Placement Program as follows:

Students with an active mCE account are not required to purchase a new one.

Students without an account can register and purchase by selecting this link: https://register.myclinicalexchange.com/NewRegistration.aspx

Here is the link to myClinicalExchange FAQ website: https://www.myclinicalexchange.com/FAQ.aspx

Revised 7/22/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Effective May 31, 2021, HCA facilities only accept BLS Provider training from American Red Cross (ARC) or American Heart Association (AHA).

Student Placement Request Site/Practice Case Form Approver Forms Required

A current contract (affiliation agreement) must be in place - students refer to Central Student Portal for more information regarding contracts.

myClinicalExchange is the web based automated tool used to operate, administer, and manage our Student Clinical Placement Program.

myClinicalExchange allows students to register for and manage their entire participation at our Student Clinical Placement Program as follows:

  • View their clinical placement schedule;
  • Complete, submit & upload their Clinical and On-boarding Compliance documents;
  • Consent and approve document as required by our hospital; as well as
  • Complete their clinical placement survey on-line.

Each student will be charged a nominal fee each year chosen by the Academic Partner.

  • 12 Month Subscription - $39.50 (EX: Student enrolled in a 4-year program)
  • 18 Month Subscription - $59.50 (EX: Student enrolled in an 18-month accelerated program)
  • 24 Month Subscription - $79.00 (EX: Student pursuing a higher degree).myClinicalExchange allows student to register for and manage their entire participation at our Student Clinical Placement Program as follows:

Students with an active mCE account are not required to purchase a new one.

Students without an account can register and purchase by selecting this link: https://register.myclinicalexchange.com/NewRegistration.aspx

Here is the link to myClinicalExchange FAQ website: https://www.myclinicalexchange.com/FAQ.aspx

Revised 9/2/2020

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Effective May 31, 2021, HCA facilities only accept BLS Provider training from American Red Cross (ARC) or American Heart Association (AHA).

Student Placement Request Site/Practice Case Form Approver Forms Required

Visit https://www.freemedclinic.org/nurse-practitioner-preceptorship-1 to submit an application. 

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

The Free Medical Clinic Nurse Practitioner Student Placement 12/2016

Student Placement Request Site/Practice Case Form Approver Forms Required

A current contract (affiliation agreement) must be in place - students refer to Central Student Portal for more information regarding contracts.

myClinicalExchange is the web based automated tool used to operate, administer, and manage our Student Clinical Placement Program.

myClinicalExchange allows students to register for and manage their entire participation at our Student Clinical Placement Program as follows:

  • View their clinical placement schedule;
  • Complete, submit & upload their Clinical and On-boarding Compliance documents;
  • Consent and approve document as required by our hospital; as well as
  • Complete their clinical placement survey on-line.

Each student will be charged a nominal fee each year chosen by the Academic Partner.

  • 12 Month Subscription - $39.50 (EX: Student enrolled in a 4-year program)
  • 18 Month Subscription - $59.50 (EX: Student enrolled in an 18-month accelerated program)
  • 24 Month Subscription - $79.00 (EX: Student pursuing a higher degree).myClinicalExchange allows student to register for and manage their entire participation at our Student Clinical Placement Program as follows:

Students with an active mCE account are not required to purchase a new one.

Students without an account can register and purchase by selecting this link: https://register.myclinicalexchange.com/NewRegistration.aspx

Here is the link to myClinicalExchange FAQ website: https://www.myclinicalexchange.com/FAQ.aspx

Revised 7/22/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Effective May 31, 2021, HCA facilities only accept BLS Provider training from American Red Cross (ARC) or American Heart Association (AHA).

Student Placement Request Site/Practice Case Form Approver Forms Required

Before beginning the below required processes, students must contact Ms. Julie Nelson to secure a provider.  Once a provider has agreed, follow the below instructions. 

Students must go to the below website and scroll to the section marked Materials for College and Midlevel students:

http://www.lexmed.com/careers/students

  • Complete the LMC Career Observation form
  • Complete the Affiliated Professional Staff Student Rotations form and have the preceptor sign
  • Review Dress Codes (note students are required to wear a school issued ID while onsite)
  • Review HIPAA Training Power Point
  • Review Active Shooter flyer
  • Email scnursing@sc.edu to request a school representative submit the Student Requirements Checklist Updated document on your behalf.

Please note all paperwork (other than the COVID screening questionnaire) needs to be submitted at least two weeks prior to the start of the requested clinical rotation.  Complete Student forms and Checklist for NP students should be emailed to jmnelson@lexhealth.org or faxed to 803.936.7852.

Ms. Julie Nelson is the approving authority (site manager) and should be listed on all case forms for NP clinical experiences at LMC.  Her contact information is:

Julie M. Nelson
Physician Network Student Coordinator
Lexington Medical Center
110 East Medical Lane, Suite 210B
West Columbia, SC 29169
Office: 803-936-3150
jmnelson@lexhealth.org

Ms. Donna Wagner is the approving authority (site manager) and should be listed on all case forms for NA, NI, NE, & NEL clinical experiences at LMC. Her contact information is:

Donna Wagner
dkwagner@lexhealth.org

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Student Placement Request Site/Practice Case Form Approver Forms Required

A current contract (affiliation agreement) must be in place - students refer to Central Student Portal for more information regarding contracts.

myClinicalExchange is the web based automated tool used to operate, administer, and manage our Student Clinical Placement Program.

myClinicalExchange allows students to register for and manage their entire participation at our Student Clinical Placement Program as follows:

  • View their clinical placement schedule;
  • Complete, submit & upload their Clinical and On-boarding Compliance documents;
  • Consent and approve document as required by our hospital; as well as
  • Complete their clinical placement survey on-line.

Each student will be charged a nominal fee each year chosen by the Academic Partner.

  • 12 Month Subscription - $39.50 (EX: Student enrolled in a 4-year program)
  • 18 Month Subscription - $59.50 (EX: Student enrolled in an 18-month accelerated program)
  • 24 Month Subscription - $79.00 (EX: Student pursuing a higher degree).myClinicalExchange allows student to register for and manage their entire participation at our Student Clinical Placement Program as follows:

Students with an active mCE account are not required to purchase a new one.

Students without an account can register and purchase by selecting this link: https://register.myclinicalexchange.com/NewRegistration.aspx

Here is the link to myClinicalExchange FAQ website: https://www.myclinicalexchange.com/FAQ.aspx

Revised 7/22/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Effective May 31, 2021, HCA facilities only accept BLS Provider training from American Red Cross (ARC) or American Heart Association (AHA).

Student Placement Request Site/Practice Case Form Approver Forms Required

A current contract (affiliation agreement) must be in place - students refer to Central Student Portal for more information regarding contracts.

myClinicalExchange is the web based automated tool used to operate, administer, and manage our Student Clinical Placement Program.

myClinicalExchange allows students to register for and manage their entire participation at our Student Clinical Placement Program as follows:

  • View their clinical placement schedule;
  • Complete, submit & upload their Clinical and On-boarding Compliance documents;
  • Consent and approve document as required by our hospital; as well as
  • Complete their clinical placement survey on-line.

Each student will be charged a nominal fee each year chosen by the Academic Partner.

  • 12 Month Subscription - $39.50 (EX: Student enrolled in a 4-year program)
  • 18 Month Subscription - $59.50 (EX: Student enrolled in an 18-month accelerated program)
  • 24 Month Subscription - $79.00 (EX: Student pursuing a higher degree).myClinicalExchange allows student to register for and manage their entire participation at our Student Clinical Placement Program as follows:

Students with an active mCE account are not required to purchase a new one.

Students without an account can register and purchase by selecting this link: https://register.myclinicalexchange.com/NewRegistration.aspx

Here is the link to myClinicalExchange FAQ website: https://www.myclinicalexchange.com/FAQ.aspx

Revised 7/22/2021

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Effective May 31, 2021, HCA facilities only accept BLS Provider training from American Red Cross (ARC) or American Heart Association (AHA).

Student Placement Request Site/Practice Case Form Approver Forms Required

For FNP students only

To apply, visit https://jobs.cvshealth.com/internships/ .  The application portal is only open three times a year in August, December and April. 

Deadlines are as follows:

 

Application portal open for the month of:

Interviewing for placement in:

Students notified of placement:

Spring (Jan-April)

August

September

By end of first week in October

Summer (May-August)

December

January

By end of first week in February

Fall (September-December)

April

May

By end of first week in June

Students must complete mandatory online modules before starting their rotation.  An email (that will include the link to the modules as well as the username/password) will be sent by Minute Clinic 3-4 weeks prior to the first clinical day.

Revised 5/29/2019

Amy Waggoner (mccollege@cvscaremark.com) is the agency approving authority (site manager) for all case forms for all Minute Clinic locations.

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver Forms Required

For APP (NP) students:

MUSC College of Nursing graduate students and employees are given priority. The process for clinical placement requests at any MUSC facility for any outside student (outside defined as any student who is not currently enrolled at MUSC) is to submit an application. Directions are stated in the links below. Any questions about the application process should be directed to apps@musc.edu.

MUSC does not offer a service where they match preceptors. Students will need to find their own preceptor and then can apply at one of the following links:

Charleston: https://careers.pageuppeople.com/756/cw/en-us/job/523392/aprnpa-external-student-clinical-placement

Lancaster/Chester: https://careers.pageuppeople.com/756/cw/en-us/job/528955/aprnpa-lancasterexternal-student-clinical-placement-lancasterchester

Florence/Marion: https://careers.pageuppeople.com/756/cw/en-us/job/527877/aprnpa-florence-external-student-clinical-placement

For non-APP graduate students:

Graduate students (even if they are MUSC employees) have to apply for clinical sponsorship through their Career Exploration program https://muschealth.org/patients-visitors/volunteers/careers#Sponsership.  Students should identify their own preceptor based on their networking.  For those that cannot, please contact Dr. Kara Simpson, Director of Nursing Excellence for assistance.  She can be reached at simpsoka@musc.edu.

Revised 8/25/2021

For site approval on all CASE forms, please enter (select) MUSC Approval (CASEFORM@sc.edu) from the search option as the MUSC site manager.

Students are responsible for forwarding the final approval email received from MUSC to CASEFORM@SC.EDU so that the case form can be manually updated with the site approval.

The preceptor also receives communication to indicate approval. If your preceptor has not indicated approval, you should follow up with the preceptor to ensure that you have the correct email listed.

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 
Student Placement Request                              Site/Practice Case Form Approver Form(s) Required

Novant Health has adopted myClinicalExchange (mCE) as their web based automated platform to administer and manager their Student Clinical Placement Program.  myClinicalExchange will allow you to register for and manage your entire participation at Novant Health’s Student Clinical Placement Program as follows:

  • View your clinical placement schedule;
  • Complete, submit & upload the clinical and on-boarding compliance documents
  • Consent and approve document as required by Novant Health; as well as
  • Complete the clinical placement survey online.

Students MUST have an active/paid account with mCE in order for Novant Health to see you in mCE.  Novant Health has a strict “no refund” policy. The subscription fee activates the student’s account for that time frame. It doesn’t matter if you do just one rotation at one hospital during that period or multiple rotations across multiple hospitals (even out-of-state locations) that use mCE.

Required documents must be uploaded by student into MCE for submission. Novant Health needs a minimum of 30 days to process your request. Students must find their preceptor PRIOR to the submission of documentation.

Be aware that Novant Health sends clearance emails to you regarding your student approvals for case forms. The clearance email does not typically go out until about one week in advance of the clinical start date. This is due to the high volume of students that they process monthly through their office. Our case form process indicates that Student Programs at Novant Health is approving for the student to be in a Novant Health facility. 

Revised 9/13/2021

Please enter(select) First Name: Approval, Last Name: Novant Health, email StudentPrograms@novanthealth.org from the search option as the Novant site manager.

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Case form approvals:

Do not contact Student Programs or Ms. McMurray at Novant Health to request approval of your case form.

Once student(s) receive the onboarding clearance email from Novant Health, please send the email to caseform@sc.edu. This email will be utilized to update the case form indicating site approval. 

The preceptor also receives communication to indicate approval. If your preceptor has not indicated approval, you should follow up with the preceptor to ensure that you have the correct email listed.

Students and faculty must complete the full vaccination process, which may include one or two doeses depending on the vaccine product administered, by September 15th at 11:59 p.m. All documentation regarding COVID-19 vaccination will need to be uploaded via myClinicalExchange or emailed to studentprograms@novanthealth.org

Scope:

  • Students and Faculty
  • If you are a NH team member and a student or faculty member, you must use the ServiceNow process for exemption requests and notify pipeline and recruitment of your exemption status.

Process Description:

  • Please complete the form using the link below to request a COVID-19 or Influenza Vaccine Exemption.
  • Within the form, you will select the vaccine you are requesting the exemption for and the reason you are requesting the exemption, faith or medical.
  • If requesting a faith-based exemption, you will be able to request an exemption for either or both vaccines within one request.
  • If requesting a medical based exemption, you will be required to fill out separate requests for each vaccine.
  • If a faith request is submitted, an acknowledgement of receipt will be sent to the email entered on the submission
  • If a medical request is submitted, an acknowledgement of receipt and the exemption form you must take to your physician to have signed will be sent to the email entered on the submission.  Once the form has been completed and signed by your physician, the form must be emailed to the address at the bottom of the form: medicalbasedvaccinerequest@novanthealth.org. The medical exemption request will not be considered until both parts have been received by Novant Health.
  • Once a determination has been made, you will receive an email outlining the determination.

This is the link for vaccine exemption request for students and faculty: https://nh.team/exemptionrequestform

COVID vaccine dates and product names must be entered in the “VALUES” section of your myClinicalExchange account by September 15.If you have a pending or approved exemption, enter it in the “VALUES” section. Please review your account to ensure you have entered the dates and information correctly (see examples below):

  • Pfizer: 4/1/2021 and 4/23/2021
  • Moderna: 1/21/2021 and 2/15/2021
  • J&J: 2/5/2021
  • Pending exemption
  • Approved exemption
Student Placement Request Site/Practice Case Form Approver Forms Required

Student will need to complete the Non-Attending Orientation packet, Background Screen Release, Statement of Responsibility and Confidentiality Statement -see attached- and return to Ms. Teresa Howell at Teresa.Howell@tenethealth.com, 803-329-6842

Student completes case form via the Central Student Portal.

Note: COI, immunization records, and PPD/flu documentation submitted must also be submitted to Ms. Howell. Once everything is processed, the student must have a drug screen performed at the Piedmont facility within 30 days of the start of the clinical rotation

Updated 7/29/2021

Ms. Howell will be listed as the approving authority for the faculty and the sponsoring physician and preceptor information must be listed in the additional information field of case form.

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Non-Attending Staff Orientation 2.19.18 Powerpoint

Orientation Assessment

Orientation Completion Summary for Non-Attending

Piedmont Confidentiality Statement

Piedmont Statement of Responsibility

Background Screen Relase

 

Student Placement Request Site/Practice Case Form Approver Forms Required
View Piedmonth Medical Practices Practicum Support Guidelines for NP Students  

Piedmont Medical Practices Practicum Support Guidelines for NP Students

Student Placement Request Site/Practice Case Form Approver Forms Required
Midlands and Upstate
Requesting an educational experience at Prisma Health Midlands and Upstate
Nursing Academics has updated their graduate nursing student application and placement process. As they move forward with becoming one Prisma Health, this change to their process is in alignment with the Midlands. Starting with the Spring 2021 semester, eligible graduate nursing students will now be responsible for securing their own Prisma Health preceptors in the Midlands and Upstate and submitting their placement request for approval and processing through the Independent Student Request portal found here: https://hsc.ghs.org/education/student-affairs/requesting-an-experience/
Prisma Health Nurse Practitioners serving as a preceptor must have held their APRN license for a minimum of 2 years and have approval from their supervisor to serve as a graduate nursing student preceptor.
No student may be in a clinical placement within the Prisma Health Clinical Learning Environment until their placement has been approved by Prisma Health and the student has completed the required Prisma Health student clearance process in myClinicalExchange (student clearance database).
General Student Clearance Process – Students should review the Prisma Health website for details related to the process for rotation clearance: https://hsc.ghs.org/education/student-affairs/newstudent/
Revised 6/10/2021

A case form must be submitted for each facility.  If a student will be precepted at both the hospital and a physician's office, the appropriate site contact for the Midlands is Ms. Nakesha Rivers (nakesha.rivers@prismahealth.org. 

For Upstate, list Ms. Pamela Edwards (Pamela.Edwards@prismahealth.org). 

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver Forms Required
Students contact:
Deborah Bletsch
Affiliations Coordinator
Ralph H. Johnson VA Medical Center
109 Bee Street
Charleston, SC 29401
Deborah.Bletsch@va.gov
Required paperwork should be forwarded to scnursing@sc.edu for processing.
Revised 8/14/2020

Deborah Bletsch
Deborah.Bletsch@va.gov

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver Forms Required

Students are to find a preceptor who is willing to support their clinical learning and then follow these placement guidelines.

Review the Education Experience Process Document carefully.
All required information must be submitted to student.development@rsfh.com at least three (3) weeks prior to the requested learning experience. RSFH reserves the right to exclude and/or remove any students/residents and/or preceptor of which advanced written notice is not obtained.

Due to the increased volume of requests that we will receive, please allow an extended response time.

* Please become familiar with the new COVID-19-specific requirements. Students, residents, and fellows will be expected to complete an online wellness check prior to every rotation shift.

Contact student.development@rsfh.com with any questions.

Reviewed 8/3/2021

RSFH Approval (where "RSFH" is the first name and "Approval" is the last name)

student.development@rsfh.com 

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Student Placement Request Site/Practice Case Form Approver Forms Required
ALL students must complete extensive VA student clearance before receiving clinical placement. Students should contact Dr. Valeria D. Smith, Nurse Educator/Nursing Affiliation Coordinator, to obtain more information about placement at Salisbury Health Care Systems. 
Email: valeria.smith8@va.gov
Phone:  (704) 638-9000  x12847
 
NoteNPs at SHCS are not authorized to place or accept students for clinical placements. Salisbury Health Care Systems (SHCS) includes:
  • Salisbury VA Medical Center
  • Health Care Center Charlotte (HCC-C)
  • Health Care Center Kennersville (HCC-K)
  • The Community Based Outpatient Clinic (CBOC) 
Revised 2/4/19
If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.  
Student Placement Request Site/Practice Case Form Approver Forms Required
APRN students should contact the DHEC Lead APRN in the appropriate region when seeking placements at SC DHEC sites.
updated 4/5/2019
If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.  
Student Placement Request Site/Practice Case Form Approver Forms Required
 

Case Form Approval - list Margaret “Maggie” Johnson (margaret.johnson@scdmh.org) as the site contact.

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 
Student Placement Request Site/Practice Case Form Approver Forms Required
Prior to participating in an Educational Opportunity, all students and Onsite Faculty shall provide proof of completion/compliance of the following immunization requirements.  Proof of completion/compliance must be verified by the Office of Academic Affairs.  Please email scnursing@sc.edu  requesting verification and provide contact information (name and email address) to which this verification should be sent. 
Reviewed 2/7/2019
If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu. Spectrum Health Immunization Requirements and Questionnaire
Student Placement Request Site/Practice Case Form Approver Forms Required
Students should contact Sara Zupon via email (Sarah.Zupon@ProvidenceHospitals.com) or by phone (803) 799-1922 to obtain more information about clinical placements at Three Rivers Medical Associates.
If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu. Three RIvers Medical Associates Student Forms Template
Student Placement Request Site/Practice Case Form Approver Forms Required
Students should email scnursing@sc.edu requesting the Clinical Student Registration form be completed and submitted to Tidelands Health on their behalf. 
 
Please provide the following: 
  • Requested start and end date
  • Student email
  • Student phone
  • Clinical area requested
  • Tidelands location requested

See sample below 

The Student Onboarding Checklist must be completed and submitted to Ms. Caitlyn Krask, Student Program Coordinator at Tidlands Health for processing no later than two (2) weeks prior to start date of the student clinical rotation. Her contact information is  ckrask@tidelandshealth.org, (843) 652-1766,

Please note Tidelands Health has more stringent requirements for the below listed items:

  • Criminal Background Check - no earlier than 120 days prior to clinical rotation start date.
  • Drug screen must be completed and documented within 60 days of clinical rotation start date.
  • Initial two-step PPD administered, followed with a documented annual PPD. (If clinical start date is greater than 30 days from PPD date, student will complete a symptom evaluation (please request from Tidelands Health.

To complete an updated background check and drug screen, please visit CastleBranch at www.castlebranch.com. Select packet U024bgdt. 

If you have questions regarding this process, please email scnursing@sc.edu

Reviewed 2/4/2019
If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu. Tidelands Health Student Onboarding Checklist
Student Placement Request Site/Practice Case Form Approver Forms Required

A current contract (affiliation agreement) must be in place - students refer to Central Student Portal for more information regarding contracts.

Every successful rotation in mCE must complete each of the following steps.

  • School submits a rotational request 
  • Hospital approves the requested schedule
  • Student and/or school register and pay for an account
  • School links the student to the approved request
  • Student and school review and complete onboarding requirements
  • School and hospital complete a “Final Check” in the Rotation Manager

All onboarding/compliance items are located in myClinicalExchange as soon as the student is scheduled for a rotation. Also their CareLearning Transcript also needs to be uploaded in the document section. Your advisor will send the the spreadsheet attached {ID REQUESTS}.

See Tip Sheet for a bit of assistance in the process of submitting requests and scheduling students. Please note that if a rotation does not have any students attached or the students have red thumbs, you will not be allowed onsite until this is resolved.

 

Chelsey Mathews, BHA

Office: 904-639-2687

Chelsey.Mathews@hcahealthcare.com

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

Trident Health Traditional Rotation Tip Sheet
See attached University of Maryland Medical Center Student Clinical Rotation Policy.
Student Placement Request Site/Practice Case Form Approver Forms Required
Revised 2/22/2021

Jane Kerwin
APP Center Operational Project Manager
APP Student Clinical Placement/Contracts/Compliance
PA, NP, CNM, CRNA Student Clinical Rotations
UNC Medical Center
984.215.5664
Jane.Kerwin@unchealth.unc.edu
APPstudentPlacement@unchealth.unc.edu

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver Forms Required
Students submit their own placement requests independently in myClinical Exchange.  See attached document regarding registration and payment for mCE. 
Note student should not pay until an approval is received.
 
Requests for Emergency Medicine rotations at the sites listed below must now be made by contacting EM administration at EMCCHMstudents@upmc.edu (cc’d).
 
The placement policy for EM requests has not changed. Only the CON clinical coordinator can make EM requests. You may only request sites and preceptors with whom your program has an established relationship, or you may ask on behalf of a student that has a personal relationship with a preceptor.  Students, please email scnursing@sc.edu to request CON submit the EM request on your behalf.  Please provide your name, your program (FNP), course number, dates of rotation, name of site and name of preceptor  (if you have an established relationship with a preceptor) and include preceptor's information.  Please verify if you are an employee of UPMC.  Student should ask CON staff to send the request to EM administration at  EMCCHMstudents@upmc.edu
 
If your program is out of state and/or online, your student must also be a UPMC employee.
If student's school program is in Pennsylvania but outside of Allegheny County, students can only complete an EM rotation outside of Allegheny County (unless they are UPMC employees).
 
Neither CON staff nor students are permitted to reach out directly to sites and preceptors to inquire about availability.
If request is approved by EM administration, student is required to apply via myClinicalExchange (accessible via our webpage here).
 
UPP Emergency Medicine
  • UPMC Somerset
  • UPMC Shadyside
  • UPMC Mercy
  • UPMC Magee
  • UPMC Presby
  • UPMC Montefiore
  • UPMC Urgent Care
UPMC Community Emergency Sites
  • UPMC Cranberry
  • UPMC McKeesport
  • UPMC Passavant
  • UPMC St. Margaret
  • UPMC Monroeville East
  • UPMC Horizon/Greenville
  • UPMC Horizon/Shenango
  • Select Specialty Hospital McKeesport
  • Monongahela Valley Hospital
  • St. Clair Hospital
  • Jameson Hospital
Updated 5/13/2021
If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

UPMC APP - mCE Register and Request Instructions.docx 

Student Placement Request Site/Practice Case Form Approver Forms Required

For student clinical placement, please contact:

Ann Rebera MSN, RN, NPD-BC
Nursing Professional Development Specialist
Student Clinical Placement Coordinator
Nursing Professional Development Services
University of Virginia Health Systems
PO Box 800145 Charlottesville, VA 22908
Phone: (434) 465-8915
PIC: 4816
Fax: (434) 244-7561

Effective October 29, 2021, please contact:

Nancy Pierce MSN, RN, CNL
Nursing Professional Development Specialist
Nursing Professional Development Services
University of Virginia Health System
P.O. Box 800145
Charlottesville, VA 22908-0566
Business Cell: 434-327-2240
Fax: (434) 244-7561
E-mail:  nsp3h@virginia.edu

 

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

Student Placement Request Site/Practice Case Form Approver Forms Required
For clinical placement visit the Rotation Manager website and  create an account in order to complete your academic rotation/internship at Vidant. If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.  
Student Placement Request Site/Practice Case Form Approver Forms Required

For an individual request use https://www.virtua.org/forms/student-affiliate-individual

Ms. Judy Mendez will verify that the student affiliation agreement is up to date. Once she receives the student request, she will start the prerequisite process.

  • Placement
  • Confidentiality
  • Virtua Access to the (VLS) Virtua Learning System.
  • Safety Compliance which is on the VLS
  • ID Badge (the student headshot is needed) – Ms. Mendez will request for the student badge
  • Check list (completed by UofSC School Coordinator: https://www.virtua.org/forms/student-group-checklist)

Once this is complete, the student will be ready for their clinical rotation. If you have questions regarding the student placement process, please contact Ms. Judith Mendez at jmendez@virtua.org.

Judith Mendez
Virtua Health
Clinical Placement Liaison
1200 Howard Blvd, Suite 100
Mt Laurel, NJ 08054

Reviewed 2/14/2019

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.  
Student Placement Request Site/Practice Case Form Approver Forms Required
Wellstar requires a placement request to be submitted via ACEMAPP.  ACEMAPP permits a limited number of 'free' placement requests each year to be submitted by the College of Nursing. 
Students desiring to complete a clinical placement at a Wellstar facility must:
  1. Contact their advisor for more information and must receive verification from their advisor that the College of Nursing will be able to submit a request for them. The CON may not be able to accommodate a request for ACEMAPP placement, if placing a request will cause the College of Nursing to incur a cost for the ACEMAPP placement service.
  2. Once verification has been received and the placement request is approved, students will pay a fee to open a required ACEMAPP account.
  3. Effective 1/1/2022, Wellstar will only accept background checks and drug screens completed through Advantage Students. All costs associated with background checks and drug screens are the responsibility of the student.
Updated 7/23/2021
If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.  
Student Placement Request Site/Practice Case Form Approver Forms Required
To request placement at WJB Dorn VA Medical Center, please visit https://www.columbiasc.va.gov/affiliations/HPT_Checklist.pdf and complete the required documents.  Please send an email to scnursing@sc.edu requesting completion of TQCVL. 
 
WJB Dorn VA is not currently allowing students to complete clinical in the VA Nursing Home. 
 
Revised 9/2/2021

Site approvers for WJB Dorn Veterans Affairs Medical Center case forms:

  • Christine Henderson (Christine.Jones4@va.gov)
  • Rafael Fernandez (rafael.fernandez3@va.gov)
  • Thomas Wiseman (thomas.wiseman@va.gov)

For mental health NP placements: Patricia Dzandu  (patricia.dzandu@va.gov)

If you require changes to case form, please send email with the case form number and information to be changed to caseform@sc.edu.

 

 

 


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