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Clinical Placement Requirements Center

This webpage was developed to assist you in completing, saving and uploading the required forms for your clinical sites.  To meet clinical placement requirements, please follow the steps below:

  1. Make sure you check your PAWS account to verify your clinical placement site;
  2. Click the + (plus sign) next to the clinical site to to access the required documents.  Make sure you read, complete and upload the required forms;
  3. To complete  the PDF fillable forms, you will need to open the form with the Adobe Viewer program in order to type directly on the form;
  4. When uploading the forms, be sure to follow the proper file name format which includes your last name, first two letters of your first name, and the document identifier. The letters and number in front of the form name is the document identifier.  An example of the uploaded document file name for  the the Last Page of the Mandatory Education Book PDF for Capital Health file is JacksondeCH2;
  5. If your site is not listed below, your course faculty will provide the necessary documents needed for your clinical site;
  6. Remember to abide by the deadline dates for the the clinical site requirements.

 

Capital Health Systems

The following documents must be completed, saved and uploaded to comply with Capital Health System requirements. Click on the form name to open the form.

CH1  Student Affiliation Class Roster Form

CH2  Mandatory Education Book – PDFPlease read the entire book.

Last page of manual – PDF – This is the last page of the manual.  Sign this page, save the document in the appropriate file name format (example: JacksondeCH2) and upload your file using the upload link below.

Saved all your forms and ready to upload? Click here to upload your forms.

Penn @ Princeton Medical Center

The following documents must be completed, saved and uploaded to comply with Penn@Princeton Medical Center requirements. Click on the form name to open the form.

PMC1 TCNJ Student Authorization FormComplete the form, save the document in the appropriate file name format (example: JacksondePMC1) and upload your file using the upload link below.

PMC2 Confidentiality Non Disclosure Authorization Form – Complete the form*, save the document with the appropriate file name format (example: JacksondePMC2) and upload the file using the upload link below.  *This is not a PDF fillable form.  You will need to print the form, complete the form, scan the form and then save the form as a PDF with the appropriated file name format (example: JacksondePMC2) before it can be uploaded.

PMC3 Example of Confidentiality Non Disclosure Authorization Form –  For Reference Use Only –  Example of how to sign the confidentiality form.

Access Request Form

PMC4  Post Test Orientation Manual – PDF  Please read the entire book.

PMC5 Post Test 2021 Link Complete the form*, save the document with the appropriate file name format (example: JacksondePMC5) and upload the file using the upload link below.  *This is not a PDF fillable form.  You will need to print the form, complete the form, scan the form and then save the form as a PDF with the appropriated file name format (example: JacksondePMC5) before it can be uploaded.

Saved all your forms and ready to upload?   Click here to upload your forms.

 

RWJ/Barnabus Health – Hamilton

The following documents must be completed to comply with RWJ/Barnabus Health requirements. Click on the form name to open the form.  Please read the following and when required follow the instructions to complete online forms  – no forms required to upload:

AIDET Technique of RWJ

Code of Conduct 

CULTURE of Kindness

Pyxis Tips

Emergency Code Description

EMTALA

SCM Manuel

COVID-19 Requirements

School Affiliates

RWJ Hospital – Somerset

The following documents must be completed to comply with RWJ Hospital – Somerset requirements. Click on the form name to open the form. Please read the following – no forms required to upload:

COVID-19 School Affiliates

Nursing Clinical Rotations at RWJ Somerset

Somerset Orientation Packet

Nursing Students and Covid Powerpoint

 

Saved all your forms and ready to upload?   Click here to upload your forms.

St. Mary’s Medical Center

The following documents must be completed, saved and uploaded to comply with St. Mary’s Medical Center requirements. Click on the form name to open the form.  Please read the following – no forms required to upload:

CoVid 19 Student Return to Clinical

Education and Clinical Rotation

Student Nursing Policy and Procedure

The following documents must be completed, saved and uploaded to comply with St. Mary’s Medical Center requirements:

SMMC1 TCNJ Student Authorization Form Complete the form, save the document in the appropriate file name format (example: JacksondePMC1) and upload your file using the upload link below.

Access Request Form

SMMC3 Student Nursing Orientation – Please read the entire book.

SMMC2 Confidentiality Statement for Student – Complete the form*, save the document with the appropriate file name format (example: JacksondeSMMC2) and upload the file using the upload link below.  *This is not a PDF fillable form.  You will need to print the form, complete the form, scan the form and then save the form as a PDF with the appropriated file name format (example: JacksondeSMMC2) before it can be uploaded.

Saved all your forms and ready to upload?  Click here to upload your forms.

St. Peter’s Hospital

The following documents must be completed, saved and uploaded to comply with St. Peter’s Hospital requirements. Click on the form name to open the form.

SPUH1 Confidentiality Form

COVID-19 Guidelines

Parking Discount User Guide

All students planning on driving to clinical must send an email to Diane Ragan at dianefisher@saintpetersuh.com to gain access for parking

The following documents must be completed, saved and uploaded to comply with St. Peter’s University Hospital requirements:

SPUH1 Confidentiality Form – Complete the form*, save the document with the appropriate file name format (example: JacksondeSPUH1) and upload the file using the upload link below.  *This is not a PDF fillable form.  You will need to print the form, complete the form, scan the form and then save the form as a PDF with the appropriated file name format (example: JacksondeSPUH1) before it can be uploaded.

COVID Screening Questions

Saved all your forms and ready to upload?   Click here to upload your forms.

Virtua Hospital

You will receive links to the online competency and confidentiality agreement via email from jmendez@virtua.org  The links in the email have an expiration date. DO NOT DELAY IN OPENING THE EMAIL OR ACCESSING THE LINKS. THEY WILL EXPIRE.

For the following requirements:

Confidentiality Statement – Follow the instructions provided in the email that you received and submit required forms by the due date.

Annual Online Competency – Follow the instructions provided in the email that you received and submit required forms by the due date.

 

 

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Owing to exceptionally high enrollment and retention, the Department of Nursing has no capacity for external transfer students seeking admission to the Bachelor of Science in Nursing (BSN) program for the 2022-2023 academic year. This notice will be updated if capacity allows for applications to be submitted through the Office of Admissions for the 2023-2024 academic year.
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