Students

Practicum Requirements

Minimum requirements for all practicum sites include updated immunizations, updated CPR and PPD. Additonal requirements and forms for individual sites are listed below. Practicum assignments can be found here.

ALL FORMS MUST BE TURNED IN BY AUGUST 1, 2008

Updated immunization records should be submitted to Catherine Angle via the drop box outside of the student computer lab, room B10 CON. All questions regarding immunization records should be directed to cangle2@uic.edu.

Please check the expiration date on your CPR card to verify that your certification is still valid.

Drug test instructions are on the form. They expire after one semester (i.e. a drug test taken for the Fall '09 semester will not be valid for the Spring '10 semester). A drug test is required upon admission but only needed for future semesters if it is an additional requirement for your clinical site.

Background checks must only be completed once during your studies at UIC. The instructions and package code are on the form.

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University of Illinois Medical Center (UIMC)
Please read the orientation packet, sign pages 23-27 and submit them to the Office of Academic Programs (OAP). The ID Badge Authorization must also be completed and you must obtain your ID on your own prior to beginning your rotation. Powerchart training (formerly Gemini) must only be completed once prior to starting a practicum at UIMC. If you have completed Powerchart training in the past, you are exempt from retraining. If you have not had Powerchart training, you must submit an e-mail request for training to Matt Klara at mklara@uic.edu as soon as possible.

Advocate Hospitals (includes Christ Hospital, Good Samaritan, Illinois Masonic, and Lutheran General Hospitals)
Please sign the confidentiality agreement and submit it to the Office of Academic Programs (OAP). Print your name as well as sign the document.

University of Chicago (U of C)
Please sign and submit the “Emergency/Safety Procedures”, “Blood and Body Fluids Precautions”, “Confidentiality Obligations” and “A.I.D.E.T. Communication Form” to the Office of Academic Programs.

Children’s Memorial Hospital
Please complete the “Clinical Skills List”, “Student Competency Test” and the “Certificate of Patient Confidentiality” and submit them to the Office of Academic Programs.

Loyola University
Please complete the “Student Nurse Orientation Checklist”, “Confidentiality Agreement”and “Post Test Answer Sheet” and submit it to the Office of Academic Programs.

Chicago Department of Public Health (CDPH)
Please submit an electronic copy of your résumé with your current address, phone number and UIC e-mail address and “Fingerprint Screening Referral Form” (also electronically submitted) to Matt Klara at mklara@uic.edu. The appropriate “Non-Paying Internship Work Experience Agreement,” “Confidentiality Agreement”, “Intern Expectations Form” and “Resignation Letter” should also be completed and submitted to Office of Academic Programs. The “What is a public service intern?” form should be read prior to beginning clinicals.

St. Anthony’s
Background checks are required for this site. Please see the form for further instructions.

Jesse Brown VA Medical Center Please complete the “I-9 Employment Eligibility Verification”, “Optional Application for Federal Employment”, “Application Memorandum” and “WOC Letter” and submit it to the Office of Academic Programs.  

Northwestern Memorial Hospital
Review the “NMH Safety Self Study” document below. In addition, you are required to do the computer based Powerchart training available on the 3 computers at the back of the computer lab in Room B10. Open the “NORTHWESTERN” folder on one of the computers, and click on “PCT_Home.exe” to begin the training. Please fill out the “Northwestern Compliance” form when you are done with both tasks and turn it in to the Office of Academic Programs.

MacNeal
No documents are required prior to starting practicum at MacNeal.

Location	Additional requirements
University of Illinois Medical Center	Orientation Packet ID Badge Authorization Powerchart Training Background Check Drug Test
Advocate Hospitals	Confidentiality Agreement Background Check Drug Test
University of Chicago	Orientation packet Drug Test
Children's Memorial Hospital	Orientation packet
Loyola University	Orientation packet
Chicago Dept of Public Health	Fingerprint Screening (submit via e-mail) Résumé (submit via e-mail) Intern Expectation Form Intern Confidentiality Agreement Resignation Letter What is a public service intern? Lower West Internship Agreement Uptown Internship Agreement West Town Internship Agreement
St. Anthony's	Background check
Northwestern Memorial Hospital	Powerchart training (see instructions above) Safety Self Study Compliance form
Jesse Brown VA	I-9 Employment Eligibility Verification Optional Application for Federal Employment Application Memorandum WOC Letter
MacNeal	None