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Dear Returning Clinical Faculty:
Welcome back! Thank you for choosing Valley Hospital for your clinical rotation. Our goal is to provide a safe environment for you and your students.
Unit-specific information, such as manager's name, email address, and telephone number, can be found by clicking on Information for Clinical Instructors.
All faculty and students need to complete required paperwork annually, on a calendar-year basis.
It is imperative that we receive all required paperwork, including the School Affiliation Roster, by the end of your first clinical day. Please return the paperwork to Kelly Graves; Phillips 4West. Incomplete paperwork cannot be processed, and will be returned to you for completion.
To view and print these documents, you will need Adobe Acrobat Reader. To download this software for free, please click here.
Required Paperwork
a) School Affiliation Roster - Please refer to the School Affiliation Roster Example on how to complete. Student grades to be noted on roster. A Student Affiliation Roster must be submitted for all clinical rotation groups. If a student is returning within the calendar year, please mark “Returning student.”
b) Students & Supplemental Staff Self Learning Orientation Module Post Test - Please note:
- Read each section.
- Complete the test (last section of the book) using the answer sheet.
- Complete the Infection Control Post Test.
- Sign the "Student/Faculty Statement of Confidentiality."
- Sign the "Statement of Understanding and Compliance with the Valley Hospital's Code of Ethics."
c) Products for Sharps Safety - To ensure review of safety products.
For Instructor Information/Completion or for Review with Students
a) Personal Appearance Guidelines - We ask that you review with your students.
b) Nursing Student Clinical Assignment Sheet - Must be filled out and posted daily on the unit.
c) Post Test Answer Sheets - For grading and reviewing results with your students. Must obtain at least 80%.
i) Self Learning Orientation Module Answer Sheet
ii) Infection Control Post Test Answer Sheet
Please return the paperwork to Kelly Graves; Phillips, 4West. Incomplete paperwork cannot be processed, and will be returned to you for completion.
Thank you for your cooperation. I can be reached at BKarasi@valleyhealth.com for any questions.
Sincerely,
Beverly Karas-Irwin, M.S.; M.S.N.; R.N.; A.P.N.,C.; Director, Clinical Partnerships, Nursing Programs.
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