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Linda Bartjen
847-723-3377
Linda.bartjen@advocatehealth.com
a. Student List form (attach syllabus) Email one copy to Darina as well as the UPP b. Nursing Instructor Information form c. Computer Room Request form d. Additional Observation Request form Send completed form to: Linda Bartjen (linda.bartjen@advocatehealth.com) at a minimum of four weeks prior to the requested date in order to accommodate the request. Scrubs Request form (where applicable) e. Daily Communication Tool: Form is to be sent to the UPP prior to the first day of the rotation. Subsequently, it is to be completed each day of the rotation and given to the UPP prior to the start of the clinical day. 5. Review the Clinical Affiliations Orientation Handbook 6. Review the Clinical Affiliations Orientation Handbook with the students. The clinical instructor assumes the responsibility for students reading and comprehending the handbook content. Each student is requires to sign the Acceptance of the Clinical Affiliations Handbook Form and return the form to the clinical instructor. 7. Student orientation: Student orientation sessions are arranged by the clinical instructor and are usually held on the first day of the clinical rotation. Darina Lichner will provide the following information to the students during the Student Orientation Session: a. Welcome to Advocate Lutheran General Hospital/Advocate Lutheran General Childrens Hospital (ALGH/ALGCH). b. Discuss expectations of students, i.e., professional behavior, confidentiality of patients information, etc. c. Collect the acceptance form for the Clinical Affiliations Handbook d. Collect the students HIPAA/CareConnection form, the instructors HIPAA/CC and Nursing Instructor Information form and process all forms. The access codes will be emailed to the Nursing Instructor shortly thereafter. e. Collect the students quizzes f. The Clinical Nursing Instructor will then review the Student Orientation PPT (if not done previously) with the students, have the students complete the orientation quiz, and provide CareConnection education to the students
OTHER CONSIDERATIONS
1. The Nursing Instructor must be on site during all student clinical rotations. 2. If a Nursing Instructor is absent or ill, it is the responsibility of the school to either cancel the clinical for that day or provide a qualified instructor replacement who has attended the ALGH/ALGCH Nursing Instructor Orientation. In either case, Darina Lichner must be notified via phone at: (847) 723-5081. 3. It is mandatory that the Clinical Affiliations Team (Darina Lichner or other team member) be contacted for any issues or concerns that arise during a clinical rotation. We are committed to providing a successful clinical experience for all instructors, students, and associates. Documentation of any issues allows us to track behaviors over an extended period of time and appropriately place students in the best learning environment at all times.
5. Must fill out a Scrub Request form when observing in the specialty areas, such as Main Operating Room or Labor and Delivery. This form must fill out PRIOR to observation experience. Once approved, hospital acquired scrubs will be assigned 6. One student per area, per school, per day may be considered 7. No more than 8 hours at a time Expectations of Nursing Student: 1. Student is not required to document in medical record 2. Students are on the unit for OBSERVATION only 3. Student does NOT own the care of the patient
(To be completed by CREAD staff only): Approved by: Pls allow them to have 30 minute break Observation Only
Rev. 2011
INSTRUCTOR CHECKLIST
Complet ed 1. Attend Nursing Instructor Orientation annually 2. Contact the Unit Point Person (UPP) to arrange a meeting PRIOR to the start of your clinical rotation: Unit________________ UPP__________________ Date_________ Time ____________ Phone _________________ 3. Discuss with the UPP the best strategies to optimize the student learning experience. Send a copy of the Student List Form (with syllabus) to Darina and the UPP 4. Review the Clinical Affiliations Handbook 5. Review the Clinical Affiliations Handbook with the students Collect the acceptance of the Handbook form and submit to Darina Lichner on the first day of the computer lab 6. Confirm the first day of the students orientation in the computer lab: Date__________ ___________ Time_________ CREAD Rm #
SCHOOL_____________________________ COURSE #_________________ ROTATION START DATE________________ /END DATE_________________ UNIT ______________ INSTRUCTORS NAME_________________________