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Information for Students Precepting at the VACongratulations! You will be precepting at a very exciting medical center. Before you get started, though, there are several requirements you must complete. Your attention to detail is appreciated.
First, please download the following attachment (the VA "0711" form), complete Section I (applicant) ONLY, and sign/date it after you print it. (Only sign/date in the Section I part -- other signatures are obtained from you when you are issued your ID card! If you sign/date those areas prematurely, it will invalidate the form.) This form will be one of several forms to assemble and give to me:
New VA 0711 Form
New VA Cybersecurity Instructions
Instructions for VA rev W2010
There will be an appointment for students precepting at the VA to be fingerprinted, obtain photo ID, etc. at TBA (probably week 2 of the quarter). Exact location at the VA is TBA. VA Orientation Agenda
Other important downloads you need to print, complete, and bring to clinical orientation:
VA I9 Form
You must bring identification to the VA fingerprinting day. Please click and view guidelines for appropriate identification: VA Identification Requirements
To summarize, you are required to bring to the Monday 11AM meeting, Monday of Week 1 of the Quarter:
- Two certificates of completion from the cybersecurity course (one for privacy, one for cybersecurity)
- 0711 form, signed and dated
- I9 Form (complete Section 1)
- VA Fingerprint Form (completed): VA Fingerprint Form [note: under Occupation, write "student nurse" under Service, write "nursing" and under Type of Hire, write "clinical placement"]
- Print and bring New User Access Authorization Complete Section 1 of this as follows: Name: your full name; Service: Nursing; Service Name and phone number: Joanna Cronin, x64900; Date of Hire: the first day of your clinical assignment.
On (date and time TBA), bring to the VA:
Two forms of identification (e.g., driver's license, social security card), or more documentation if not a U.S. citizen (contact instructor for more information)
More Useful VA Information: Please be aware of the following VA policies: VA Impaired Nursing Service Employees and Student Nurse Illness or Injury I especially recommend you print and keep the SN Illness/injury policy in your preceptorship packet. Unfortunately at this time, fngerstick blood glucose monitoring by students is not permitted at the VA, due to their competency training and extensive tracking system.
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