United States Department of Veterans Affairs
United States Department of Veterans Affairs

Portland VA Medical Center

Education - Regional Nursing Clinical Placement - Student Checklist

Listed below are all the required forms and processes you must review and/or fill out and return to your instructor so he/she can submit these forms all together to the  PVAMC Education office no later than 4 weeks prior to your clinical experience.  Please closely follow the directions your instructor has laid out for you.

Step 1 Read and follow Clinical Access Policy for Undergraduate Student Nurses
Step 2 Read and follow Clinical Procedures for Undergraduate Student Nurses
Step 3 Student completes all of the below bulleted forms in ink and submit to your clinical instructor 5 weeks prior to the first day of clinical rotation:
Step 4 Your clinical instructor must submit the forms to the address below to be received at least 4 weeks prior to your start date.
Step 5 Approximately 2 weeks prior to your start date, a letter will be sent to you explaining that you must now:
  • Schedule a fingerprinting appointment
  • Complete on-line orientation modules

These must be completed prior to your first day of rotation. The letter will explain whom to call and which modules to complete:

  • Complete all forms listed above.
     
  • Please be sure to sign and date wherever required.
     
  • If you were not U.S. born, please include a photocopy of a citizenship document to show you are legal to be in the U.S., i.e.: naturalization certification, resident alien card, passport, etc. The photocopy must be legible.
     
  • Clinical instructors will forward the completed forms to:

Cynthia Sarrazin
Education Division (P2EDUC)
VA Medical Center
PO Box 1034
Portland, OR 97207

For Questions call: 503 220-8262 Ext 53302


If you have any questions or concerns about the process or forms, please contact your instructor.

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