Nursing Clinical Practice Policies
Requirements for Participation in Clinical Placements
By accepting admission and enrolling in the Trinity Nursing Program, the student certifies that he/she understands, meets, and continues to meet the essential eligibility requirements for clinical placement. These requirements pertain to candor, health-related standards, and eligibility for placement in clinical settings.
Candor or full disclosure of pertinent information as well as correction of inaccuracies or misperceptions is required of all nursing students. Students must complete all health clearance information, which requires disclosure of any health conditions that may affect the student′s ability to enter clinical settings or the ability of the School to secure clinical placements.
Students are required to submit to a criminal background check and to fully disclose their relevant health history that may impact their health or safety in a clinical setting, or the health or safety of those around them. This may include, but is not limited to, any history of chemical dependency/substance use (i.e. alcohol, drugs, controlled substances).
Whether or not a student represents a threat to practice, disciplinary action, withdrawal from clinical courses or dismissal from the Nursing Program may result from failing to fully disclose relevant health history, criminal background, and/or falsification or omission of information.
- Health Requirements and Limitations
- Health and Immunization Requirements
- Proof of Personal Health Insurance Coverage
- CPR-Health Care Provider
- Drug Screen and Criminal Background Check
- Professional Liability Insurance
In addition to the Trinity policy on Accommodations for Persons with Disabilities in the university catalog, the Trinity Nursing Program supports the guidelines for the ADA set forth by the National Council of State Boards of Nursing (NCSBN). These guidelines serve to guide applicants and students of nursing in understanding what functions, standards, and competencies will be required of them during their course of study and whether or not some accommodations will be necessary in order for them to be successful. The NCSBN has defined the following list of essential nursing functions necessary for the professional practice of nursing. This list of essential nursing functions is defined as:
- Physical (gross and fine motor, physical endurance, physical strength, mobility)
- Sensory (visual, tactile, olfactory, hearing)
- Cognitive (reading, arithmetic, analytical and critical thinking)
- Interactive (interpersonal, communicative)
Prior to the first day of a class in the nursing program, the student must notify Trinity’s Coordinator for Disability Services of any special accommodation required to complete requirements for the course of study in the nursing program. It is the student’s responsibility to discuss with the class or clinical instructor, any special accommodation required, prior to the beginning of the course.
Students must report, immediately in writing, any changes in health status which impacts their safety, the safety of patients or those whom the student encounters, to the Chief Nursing Officer.
NOTE: At the time of application for licensure, the applicant will be asked by the Board of Nursing about any accommodations that were necessary to complete the nursing education requirements.
In order to comply with the regulations established by the clinical agencies to which students are assigned, and to minimize risks to student health, all nursing students must submit evidence of good health and currency in immunizations, vaccines, and screening requirements.
- Flu Shot Update – Effective Fall Semester 2012
All students are required to obtain the seasonal flu vaccine on an annual basis. Students who do not provide documentation of receiving a seasonal flu vaccine will be removed from clinical and withdrawn from the lecture portion of the course as well.
- Physical Examination: All the following health requirements must be confirmed by a licensed health care provider. A physical examination by a licensed health care professional, using the Trinity Washington University Health Screening Forms. This form must be submitted to the Nursing Program Office in the healthcare provider’s sealed, return address envelope, with the provider’s signature across the seal of the envelope. The student must provide copies of all medical records to the nursing program for each of these requirements (copies of original immunization records, titer lab results, chest x-ray report, etc.)
The Trinity Health Forms can be downloaded from the Trinity website accessing the following link: Updated Health Screening Form. The physical exam must be completed annually while enrolled in the nursing program.
Physical Exam (PE): You must be medically cleared to attend clinical. This is an annual requirement. Students who fail to keep the PE current will be unable to register for the next semester and/or risk being dropped from clinical courses. Only the complete Trinity Physical Exam form will be accepted.
- TB Screening:
- BCG: For those students with a history of bacille Calmette–Guérin (BCG) injection: you must provide documentation of testing with either IGRA (CDC recommendation) or PPD.
- Annual PPD: negative PPD [TB skin test (TST)] done within the past year. This must be renewed every year.
- Positive TB skin test:
- Stating “history of positive PPD” is insufficient. You
must provide a copy of the original medical document containing the actual measurement reading.
- A positive PPD requires either a negative chest x-ray every 2 years or a negative serum TB antibody screen (IRGA). A positive chest x-ray or antibody screen requires documentation of follow-up with a licensed provider and medical treatment as indicated.
- Annual TB screening thereafter: Negative TB symptom questionnaire performed with a licensed health care provider. Any manifestations of disease will require a chest x-ray and follow-up with a licensed provider and medical treatment as indicated.
- Stating “history of positive PPD” is insufficient. You
Immunization record must be completed by a licensed health care professional, using the Trinity Washington University Health Screening Form. This form must be submitted to the Nursing Program Office in the provider’s sealed, return address envelope, with the provider’s signature across the seal of the envelope.
- MMR (Measles, mumps, rubella): 2 doses of MMR vaccine or positive antibody titer for each disease. History of the disease is not adequate.
- Tetanus/Diphtheria, Pertussis (TDaP): Vaccination with TD (tetanus/diphtheria) must be within 10 years. Vaccination with Pertussis must be no earlier than 2005. Pertussis vaccination may be given separately (alone) if dosing with the TDaP is too early for TD booster.
- Varicella (Chicken Pox): 2 injections of the Varicella vaccine or a positive Varicella antibody titer level. History of the disease is not adequate.
- Polio: Completed polio vaccination series or positive polio antibody titer. Documentation of 3 doses of either OPV or IPV is required for a completed series. Four doses are required for a completed series if the OPV and IPV are given as a combined treatment.
- Hepatitis B: Immunizations with 3 injections of the Hepatitis B vaccine or positive Hepatitis B antibody titer level and date drawn. You must have the initiated the series and provide documentation of the first injection to attend clinical. The series should be completed within 6 months of the initial injection. Students who fail to continue the series and/or complete the series will be unable to register for the next semester and/or risk being dropped from clinical courses.
- Seasonal Influenza vaccine (flu): This is an annual requirement. You will not be allowed in the e to register for the next semester and/or risk being dropped from clinical courses. Be aware that flu vaccine production may be limited. Also be aware that composition of the flu vaccine may change each year. Therefore, hospitals may require immunization with the newest flu vaccine lot, requiring up-dating the flu vaccine before your last immunization has expired.
Students are required to maintain current major medical health insurance major health insurance coverage for the duration of enrollment in the nursing program.
All students enrolled in the Trinity Nursing Program are required to present evidence of personal health insurance coverage prior to beginning clinical coursework.
- Students must be covered by year round health insurance.
- Student must be insured under the University Health Insurance Plan or by another insurance contract that the student or his/her parents purchase with comparable benefits to the University Plan.
- Proof of current insurance coverage must be presented to the Nursing Program Office
- Health insurance information should include the type of health insurance (i.e. HMO, PPO, etc) where the student may be treated. This information will enable the Administration to assist the student should injury or illness occur.
- Students are responsible for any cost incurred that is not covered by their personal health insurance. Trinity does not assume liability for an incident or injury which may occur during a clinical or laboratory experience.
Prior to entering the clinical setting, students must present evidence of having completed Cardiopulmonary Resuscitation (CPR) Certification. The course must be approved by American Heart Association (Course C – CPR for the Health Care Professional) and include 1 and 2 person for the adult, child, and infant rescue.
- CPR certification must be renewed annually and remain valid through the end of the program
- It is the student’s responsibility to maintain current certification
- Absence from clinical because of lack of current certification is considered as unexcused absence and is subject to the same governing policies
Only Healthcare Provider CPR (BCLS) from the American Heart Association will be accepted. CPR from sources which do not provide the hands-on skills check-off will not be accepted. You will not be allowed in the clinical setting if your CPR card is expired. Students who fail to provide a current CPR card will be unable to register for the next semester and/or risk being dropped from clinical courses.
- Students needing any required immunizations and/or titers are responsible for making the arrangements for receiving the immunizations and/or titers, and bear financial responsibility for all aspects.
- The student’s health care provider should mail the three Health Clearance Forms in a sealed, return address envelope to: Trinity Washington University
Nursing Program Office
125 Michigan Avenue, NE
Washington, D.C. 20017-1094
- All health forms must be received by the Nursing Program by the date designated by the nursing program each semester prior to beginning clinical coursework, and health records must be updated annually.
The Nursing Program Office maintains health and immunization records independently of the University Student Health Office. Each student’s health compliance must be verified with clinical agencies before the student is allowed to enter any clinical environment. Confirmation of health compliance to the requirements of clinical agencies is verified, but health documents from a student’s file are not released to any third party without authorization from the student. Students should keep their own copies of health records available for clinical assignments should the agency require documentation.
Trinity takes very seriously its institutional obligation to protect the privacy of student records as mandated through the Family Educational Rights and Privacy Act (FERPA) and individual health records covered by the Health Insurance Portability and Accountability Act (HIPAA). The records of nursing students are maintained in secure files to which only authorized individuals may have access.
- Drug screen: Completed upon entrance into the nursing program. Be aware that all clinical agencies (hospitals, clinics, etc.) have the right to require an alcohol and/or drug screen on you at any time while you are in the clinical setting. Students will be required to take a drug test at their expense prior to the start of the clinical portion of the program. Students may be denied access to clinical placement sites by the agencies based on the results of their drug test.*
- Criminal background check with fingerprinting: upon entrance into the nursing program. Trinity requires you to complete this background check through www.certifiedbackground.com. Please be aware that Trinity and the clinical agencies reserve the right to determine if it is appropriate for you to continue in clinical. Therefore, any serious findings on the background check may prevent a student from continuing in the nursing program. Any arrests occurring after acceptance and during enrollment must be immediately reported to the Associate Dean of the Nursing Program. Failure to promptly notify the Director may be grounds for dismissal from the program.
Students will be required to submit to a background check and fingerprinting at their own expense prior to the start of the clinical portion of the program. Students may be denied access to clinical placement sites by the agencies based on the results of their background check and fingerprinting.*
* Drug Test Screening and The Criminal Background Check with Fingerprinting) are performed only through Cetified Background; the code that should be entered at time of purchase is RI53all.
The Criminal Background check, which includes fingerprinting, sex offense registry, and check for crimes against minors is mandatory for all nursing students prior to the start of their clinical coursework. The Nursing Program Office and clinical agencies reserve the right to review the results of the criminal background check and to deny student placement in a clinical setting on the basis of these results.
- Students are required to register with CertifiedBackground.com and authorize the following background checks:
- A criminal background check
- Sex offense registry and check for crimes against minors
- Drug screening test
Students may also be expected to submit to random drug testing. (Refer to Reasonable Suspicion Drug and Alcohol Policy)
- Students must register online at Certified Background’s web site under the section labeled “Students.” In the Package Code box, enter the package code RI53ALL. Then select a method of payment. CertifiedBackground.com accepts Visa, MasterCard, and money orders.
- Students are expected to complete the above requirements PRIOR TO NURS CLINICAL AND ASSOCIATED DIDACTIC COURSE REGISTRATION and by the date designated by the Nursing Program. Failure to complete the requirements in this timeframe will result in the student having to drop all clinical nursing courses. Students will not be allowed to attend nursing clinical classes until all requirements have been completed and submitted.
- Evidence of past or present criminal behavior identified through the background check or through other documented evidence of criminal behavior may lead to administrative sanctions up to, and including dismissal from the School of Nursing.
- Non-compliance with the background checks and/or drug testing policies is cause for dismissal from the nursing program.
- The National Council of State Boards of Nursing (NCSBN) has information regarding background checks and licensure: https://www.ncsbn.org
- NOTE: At the time of application for licensure, The Board of Nursing will ask the student applicant for disclosure of any felony, plea agreement, misdemeanor conviction, or drug related behaviors.
- Health Insurance Portability & Accountability Act (HIPAA) Notice of Privacy Form
- The HIPAA Notice of Privacy Form must be signed by the student and faxed directly to Certified Background.
- The form can be downloaded from CertifiedBackground.com, obtained from the Nursing Program Office, or from the Student Health Services Office.
- Students will not be permitted to attend clinical courses until the HIPAA Notice of Privacy Form has been signed by the student and submitted to Certified Background.
- For additional information pertaining to the Health Insurance Portability and Accountability Act (HIPAA), please see the Health Insurance Portability & Accountability Act (HIPAA) section under Laboratory & Clinical Experience.
Professional liability insurance coverage in the amount of $1 million / $3 million is required for all RN-BSN students (and recommended for the traditional BSN students) prior to the beginning of the first day of clinical. A copy of the policy reflecting the amount of coverage must be submitted.
All RN students entering the undergraduate and graduate programs must show evidence of current licensure in a U.S. jurisdiction. Licensed RN students who participate in a clinical experiences must show evidence of licensure in that state prior to the clinical experience.
In addition to the above requirements, the clinical agencies may have additional health or safety requirements which students are required to meet prior to receiving access to the clinical placement site. Changes may occur each semester in the Nursing Program’s clinical requirements, therefore students are expected to routinely check the nursing section of the Trinity website for programmatic updates.
NOTE: Students will not be allowed to participate in clinical experiences unless and until all of the above requirements have been completed and submitted as required.