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CLINICALS CONNECT

CLINICAL STUDENT REQUIREMENTS

eCHECKLIST+

CLINICAL PROGRAM POLICY:

 

  • ALL Clinical Student Required Documents below MUST BE SUBMITTED NO LESS THAN 30 DAYS PRIOR TO THE CLINICALS PREP OR CLINICAL ROTATION START DATE.

 

  • Applicable documents must contain Images Facing Right-Side Up.

 

  • Applicable documents must be Submitted as PDF.

  • Applicable documents must be Submitted ONLY from the University-Issued STUDENT EMAIL address.

 

1) BACKGROUND CHECK

   *Must be updated every year, 30 days prior to expiring.

   *Document cannot expire during the course of the rotation.

   *MUST be NATIONAL BACKGROUND REPORT:

    Background Check for Canadian Students

    Background Check for All Other Students

2) 10-PANEL DRUG SCREEN

   *Urine or blood is acceptable.

   *MUST be updated every year, 30 days prior to expiring.

   *Document cannot expire during the course of the rotation.

   *Title the PDF: Lastname.Firstname - DRUG SCREEN

3) PPD

   *MUST be no more than a year old.

   *MUST be updated every year, 30 days prior to expiring.

   *Document cannot expire during the course of the rotation.

   *Title the PDF: Lastname.Firstname - PPD

4) COVID-19 VACCINATION CARD

   *MUST have a completed series.

   *Boosters are not required, but are encouraged.

   *If you have a religious or medical condition that prevents

    you from taking the vaccine you must provide a letter from

    either your religious leader (pastor, priest, etc) or

    physician, on letterhead, with contact information.

   *Title the PDF: Lastname.Firstname - COVID-19 CARD

5) SEASONAL FLU SHOT

   *Should be updated by 9/15 (Sept 15th) each year.

   *If you have a religious or medical condition that prevents

    you from taking the seasonal flu shot, you must provide a

    letter from either your religious leader (pastor, priest, etc)

    or physician, on letterhead, with contact information.

   *Title the PDF: Lastname.Firstname - FLU SHOT

6) IMMUNIZATIONS

   *Proof of DPT (Diphtheria, Pertussis, and Tetanus) series

    with one booster within the past 10 years; AND

   *Titers with Lab Values for:

     MMR (Measles, Mumps, Rubella)

     Varicella

     Hepatitis B

   *Title the PDF: Lastname.Firstname - IMMUNIZATIONS

7) CURRENT 2023 CV

   *Title the PDF: Lastname.Firstname - CV

8) CURRENT 2023 GME PHOTO

   *For badges and rotation composite.

   *White lab coat preferred.

   *MUST stand against solid white or beige background.

   *Title the JPEG: Lastname.Firstname - GME PHOTO

9) COPY OF HEALTH INSURANCE CARD

    *Title the PDF: Lastname.Firstname - INSURANCE

10) HIPAA-OSHA CERTIFICATE 

      *Title the PDF: Lastname.Firstname - HIPAA-OSHA

11) ACLS

      *Title the PDF: Lastname.Firstname - ACLS

12) BLS

      *Title the PDF: Lastname.Firstname - BLS

NOTE: Hospital policies and QUCOM require that students use ONLY the University-Issued Email Address. Additional documents may be required, depending on clinical site.

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