The following documentation is required by most institutions. You are required to show/provide original documentation to verify dates of completion and give a copy to your clinical instructor. You will not be able to start clinical experiences without this information. You are required to maintain the original form and original documentation in your files.
Requirement |
Copy of Completed Paperwork Goes To: |
|
Annual TB |
Student Health
1012 Student Center
Telephone: 913-588-1941
FAX: 913-588-1943 |
MMR (disease history and/or immunizations) |
Student Health |
Chickenpox (history-required, titer or immunization-optional) |
Student Health |
Hepatitis B (can waive, if documented; titer optional) |
Student Health |
Tetanus-Diphtheria (booster every 10 years after the initial series) |
Student Health |
Health Insurance (or waiver) (Student Health) |
Student Health |
| Physical Examination (within first semester of enrollment) |
Student Health |
Color Blindness screen (one time) |
Skills Lab
1020 School of Nursing
Telephone: 913-588-1756
FAX: 913-588-1660
ATTN: Shonté Hutson
|
Current BLS Affirmation (AHA standards/expiration date)
|
Academic Affairs
2015 School of Nursing
Telephone: 913-588-3390
FAX: 913-588-1660
ATTN: Sharon Buchanan
|
Current Licensure in both Kansas and Missouri – all RNs
|
Academic Affairs
|
Annual Clinical Orientation Training and Examination http://www.kchealthcareers.com/asp/Schools/KC_cne_manual.asp
|
Academic Affairs
|
Annual Signed Confidentiality Statement
http://www2.kumc.edu/son/vorientation/forms3.html
|
Academic Affairs |
HIPPA Training and Examination (one time)
http://www2.kumc.edu/son/vorientation/vorientation.html
|
Student records automatically update when exam is passed |
Signed HIPPA Agreement form on file (one time)
http://www2.kumc.edu/son/vorientation/HIPAA_CONFIDENTIALITY_POLICY.pdf
|
Student Affairs
G020 School of Nursing
Telephone: 913-588-1619
FAX: 913-588-1615
|
Signed Profits Statement on file (one time)
http://www2.kumc.edu/son/profits.htm
|
Student Affairs |
Criminal Background Check (Is done at admission) |
Student Affairs |
Harrassment Training
http://www2.kumc.edu/chalk/ |
Student records automatically update when exam is passed |
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The University of Kansas Medical Center