This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) in the Jacksonville facility without an affiliation agreement.

Step 1: Students are responsible for securing their own preceptor at this facility and notifying the USF Undergraduate Clinical Coordinator, Ashley Sanford at asanford@health.usf.edu

Step 2: It is required that all students register with the management and compliance system: myClinical Exchange. The annual cost is $36.50 and is paid by the student. Go to this website to create your account and complete your registration:  https://register.myclinicalexchange.com/MainPage.aspx?ReturnUrl=%2f

Enter your email address and receive a validation code to continue filling out the form which requires standard name/address/ school/program/emergency contact information. Only information with a red asterisk is required.

This facility/organization only accepts their employees for student placement. Time sensitive, must be submitted 2 weeks before the semester starts! With the holiday, it will need to be more.

If you are a current employee/team member at this location(s), you are eligible to complete your experiential hours (service learning) at these facilities if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will send a list of student names who are seeking placement at these hospitals to Ms. Sheila Hartigan and Ms. Andrea Coppage.

Step 2: Students must complete the following training and documentation:

1. All BayCare employees must register for an NE number to be used when in the clinical setting as a student and complete all the same requirements as non-employees. If a student is an employee, he or she must have both an NE number and employee ID number listed on the form in the designated fields. Instructions are here: https://usf.box.com/v/OLCBayCareNEinstructions (Please note: there is a new link that will replace baycare.org/onlinetraining, please use this link moving foward: https://baycare.org/careers/nonteam-member-training.)
2. Students may not enter a facility until all mandatory training and onboarding requirements are complete. Failure to follow procedure will result in the entire group being delayed in beginning their clinical rotation or being asked to leave the facility until requirements are verified as being met.

Step 3: Students must submit their Non-Employee (NE) number, BayCare Employee ID number, and OLC transcript of the completed training via email to the USF Clinical Coordinator.

Step 4: The USF Clinical Coordinator will provide completed BayCare Request for Student Hospital Access form on your behalf at least two weeks prior to your experiential hours starting.

Step 5: Ms. Sheila Hartigan will assign you a preceptor at your hospital affiliation. She or Andrea Coppage will email you the preceptor's name and contact information.

Step 6: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

Step 7: ALL employees of at Morton Plant Mease, Countryside, Dunedin, and Northbay MUST pick up their flu vaccination stickers at the Employee Health building on Tampa Rd, on a Friday between 7 a.m. and 3 p.m. Students must bring proof of their vaccination and student ID. You must have your sticker on your student badge as well as your employee badge in order to be cleared to do your Service Learning Hours on site.

This facility/organization only accepts their employees for student placement. Time sensitive, must be submitted 2 weeks before the semester starts! With the holiday, it will need to be more.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following training and documentation:

1. All BayCare employees must register for an Non-Employee (NE) number to be used when in the clinical setting as a student and complete all the same requirements as non-employees. If a student is an employee, he or she must have both an NE number and employee ID number listed on the form in the designated fields. Instructions are here: https://usf.box.com/v/OLCBayCareNEinstructions (Please note: there is a new link that will replace baycare.org/onlinetraining, please use this link moving foward: https://baycare.org/careers/nonteam-member-training.)
2. Students may not enter a facility until all mandatory training and onboarding requirements are complete. Failure to follow procedure will result in the entire group being delayed in beginning their clinical rotation or being asked to leave the facility until requirements are verified as being met.

Step 2: Students must submit their NE number, BayCare Employee ID number, and OLC transcript of the completed training via email to the USF Clinical Coordinator.

Step 3: The USF Clinical Coordinator will provide completed BayCare Request for Student Hospital Access form on your behalf at least two weeks prior to your experiential hours starting.

Step 4: Students should email Ms. Wendy Sutyak (wendy.sutyak@baycare.org) directly to get set up with a nurse manager for their experiential (service learning) hours.

Step 5: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization mainly only accepts their employees for student placement. Time sensitive, must be submitted 2 weeks before the semester starts! With the holiday, it will need to be more.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following training and documentation:

1. All students, including BayCare employees, must register for an Non-Employee (NE) number to be used when in the clinical setting as a student and complete all the same requirements as non-employees. If a student is an employee, he or she must have both an NE number and employee ID number listed on the form in the designated fields. Instructions are here: https://usf.box.com/v/OLCBayCareNEinstructions (Please note: there is a new link that will replace baycare.org/onlinetraining, please use this link moving foward: https://baycare.org/careers/nonteam-member-training.)
2. Students may not enter a facility until all mandatory training and onboarding requirements are complete. Failure to follow procedure will result in the entire group being delayed in beginning their clinical rotation or being asked to leave the facility until requirements are verified as being met.

Step 2: Students must submit their NE number, BayCare Employee ID number, and OLC transcript of the completed training via email to the USF Clinical Coordinator.

Step 3: The USF Clinical Coordinator will provide completed BayCare Request for Student Hospital Access form on your behalf at least two weeks prior to your experiential hours starting.

Step 4: Ms. Tammy Barna (tammy.barna@baycare.org) will assist in assigning your preceptor for your hours.

Step 5: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization mainly only accepts their employees for student placement. Time sensitive, must be submitted 2 weeks before the semester starts! With the holiday, it will need to be more.

If you are a current employee/team member at this location(s), you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Identify a SJH/SJCH/SJWH Preceptor for Experiential Learning Practicum (Service Learning Practicum).

• RN-BSN Students may solicit their own BayCare preceptor at SJH/SJCH/SJWH
• Students may not work with a preceptor within the department where the student is a BayCare Team Member (TM)
• Students are encouraged to seek out preceptors outside of the hospital where they are employed (e.g., a SJWH TM should seek a preceptor at SJCH or SJH; a SJCH TM should seek a preceptor at SJH or SJWH, etc.)
• Students who need assistance identifying a preceptor at SJH/SJWH/SJCH should email Megan.Calton@baycare.org for assistance. Please specify in your email that you are USF RN-BS student looking for a preceptor for your Service Learning Practicum. If you are a TM, please specify what department you currently work in. 

Step 2: Students must complete the following training and documentation:

1. Review the following requirements: https://usf.box.com/v/StudentEducationRequirement
2. All BayCare employees must register for an Non-Employee (NE) number to be used when in the clinical setting as a student and complete all the same requirements as non-employees. If a student is an employee, he or she must have both an NE number and employee ID number listed on the form in the designated fields. Instructions are here: https://usf.box.com/v/OLCBayCareNEinstructions (Please note: there is a new link that will replace baycare.org/onlinetraining, please use this link moving foward: https://baycare.org/careers/nonteam-member-training.)
3. Students may not enter a facility until all mandatory training and onboarding requirements are complete. Failure to follow procedure will result in the entire group being delayed in beginning their clinical rotation or being asked to leave the facility until requirements are verified as being met.
4. Follow instructions on the SJH-SJCH-SJWH Student Training Requirements document to ensure you have met all requirements. If you are a BayCare TM, please make sure to reference the “SJH-SJCH-SJWH Student Training Requirements for TMs”: https://usf.box.com/v/SJH-SJCH-SJWHStudentTraining.

Step 3: Students must submit their NE number, BayCare Employee ID number, and OLC transcript of the completed training via email to the USF Clinical Coordinator.

Step 4: The USF Clinical Coordinator will provide completed BayCare Request for Student Hospital Access form on your behalf at least two weeks prior to your experiential hours starting.

Step 5: Students must email Megan Calton with your preceptor's information at least 2 weeks prior to your start date.

• Once you have identified a preceptor, you must e-mail Megan.Calton@baycare.org, Academic Liaison, to notify her that you have completed your training requirements and have identified a preceptor prior to beginning hours
• You must e-mail using your USF school e-mail address
• In your e-mail:
• Specify that you are USF RN-BS student
• Provide your preceptor’s name and unit
• Attach your complete Service Learning Request form
• Indicate that you have completed training requirements
• Include your BayCare NE (nonemployee) number; Also include your BayCare TM ID if you are a BayCare employee
• Request permission to begin completing your hours

Step 6: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

Step 7: Wait for confirmation e-mail stating you are cleared to begin your hours

• Megan Calton, Academic Liaison, will email you notifying you that you are cleared to begin your hours
• You may not begin hours until you receive this e-mail
• Ms. Calton will verify that your training requirements are complete and confirm your arrangement with your preceptor
• If you are missing any requirements, Ms. Calton will let you know what is outstanding
• When you have received your e-mail clearance, you may begin your hours.
  
  

This facility/organization mainly only accepts their employees for student placement. Time sensitive, must be submitted 2 weeks before the semester starts! With the holiday, it will need to be more.

If you are a current employee/team member at this location(s), you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following training and documentation:

1. All students, including BayCare employees, must register for an Non-Employee (NE) number to be used when in the clinical setting as a student and complete all the same requirements as non-employees. If a student is an employee, he or she must have both an NE number and employee ID number listed on the form in the designated fields. Instructions are here: https://usf.box.com/v/OLCBayCareNEinstructions (Please note: there is a new link that will replace baycare.org/onlinetraining, please use this link moving foward: https://baycare.org/careers/nonteam-member-training.)
   1. Confidentiality Agreement 2018
   2. NTM or TM Essentials 2018
   3. Doing the Right Things
   4. NTM or TM Medicare Compliance 2018
2. Students may not enter a facility until all mandatory training and onboarding requirements are complete. Failure to follow procedure will result in the entire group being delayed in beginning their clinical rotation or being asked to leave the facility until requirements are verified as being met.
3. Please review the following additional documentation that would be helpful.
   1. NTM & TM Login Access: https://usf.box.com/v/NTMTMLoginAccess
   2. OLC Learner Functions NTM: https://usf.box.com/v/OLCLearnerFunction
   3. Flu shots WHH.BRMC: https://usf.box.com/v/FlushotWHH
   4. Student Guidelines Polk Region 2018: https://usf.box.com/v/StudentGuidelines2018

Step 2: Students must submit their NE number, BayCare Employee ID number, OLC transcript of completed training, and Flu vaccination documentation via email to the USF Clinical Coordinator.

Step 3: The USF Clinical Coordinator will provide completed BayCare Request for Student Hospital Access form on your behalf at least two weeks prior to your experiential hours starting.

Step 4: Students must identify what nurse leader you are interested in following and Ms. Tamara King (Tamara.King@baycare.org) will verify their availability. Once a nurse leader is secured, Ms. King can send a clearance email to everyone involved.

Step 5: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

Step 6: Students are required to wear their school-issued photo ID badge while on premise in the capacity of a student. You may not wear your BayCare badge during that time.

Step 7: At the close of your experience, the nurse leader must sign the Student Clinical Hours Application form and return the form to WHH Education: https://usf.box.com/v/StudentClinicalHourApp.

This facility/organization mainly only accepts their employees for student placement. Time sensitive, must be submitted 2 weeks before the semester starts! With the holiday, it will need to be more.

If you are a current employee/team member at this location(s), you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: USF representative emails the BayCare student liaison, Tamara King, a request for student hours. Email should contain number of students with names, number of hours needed, date range to obtain these requested hours and what the clinical hours are for (i.e. leadership, EBP, etc.) and possible chosen BayCare team members to follow.

Step 2: The BayCare Student Liaison contacts the department/manager to see if they are able to accommodate the request. If approval is obtained, the Student Liaison will notify the USF Clinical Coordinator.

Step 3: The USF Clinical Coordinator will ensure the below items are on SCHOOL FILE.

IMPORTANT NOTE: Students must provide evidence of meeting the following requirements to the USF Clinical Coordinator, housed in your Castle Branch account.

Step 4: Students must complete the following training and documentation:

1. All students, including BayCare employees, must register for an Non-Employee (NE) number to be used when in the clinical setting as a student and complete all the same requirements as non-employees. If a student is an employee, he or she must have both an NE number and employee ID number listed on the form in the designated fields. Instructions are here: https://usf.box.com/v/OLCBayCareNEinstructions (Please note: there is a new link that will replace baycare.org/onlinetraining, please use this link moving foward: https://baycare.org/careers/nonteam-member-training.)
   1. Confidentiality Agreement 2018
   2. NTM or TM Essentials 2018
   3. Doing the Right Things
   4. NTM or TM Medicare Compliance 2018
2. Students may not enter a facility until all mandatory training and onboarding requirements are complete. Failure to follow procedure will result in the entire group being delayed in beginning their clinical rotation or being asked to leave the facility until requirements are verified as being met.
3. Please review the following additional documentation that would be helpful.
   1. NTM & TM Login Access: https://usf.box.com/v/NTMTMLoginAccess
   2. OLC Learner Functions NTM: https://usf.box.com/v/OLCLearnerFunction
   3. Flu shots WHH.BRMC: https://usf.box.com/v/FlushotWHH
   4. Student Guidelines Polk Region 2018: https://usf.box.com/v/StudentGuidelines2018

Step 5: Students must submit their NE number, BayCare Employee ID number, OLC transcript of completed training, and Flu vaccination documentation via email to the USF Clinical Coordinator.

Step 6: The USF Clinical Coordinator will then send an email to the Student Liaison, at least 2 weeks before student would be on premise for clinical hours, stating all affiliation required documents are on school file, and  send

A) A completed BayCare student hospital access form along with

B) A completed Flu verification form (for Dec1- March31).

Step 7: The Student Liaison will send a clearance email to the USF Clinical Coordinator and BayCare preceptors once requirements are verified as met.

Step 8: Students must review the attached BayCare Form 4 -Polk Regional Clinical Instructor-Student Guidelines. The USF Clinical Coordinator will ensure all students have received a copy of the guidelines and have reviewed/understood them.

Step 9: Once approved, students can then make arrangements with the BayCare team member they are shadowing for their clinical hours. Students must wear a school-issues photo ID badge when on premise and they must park in the back row of BRMC parking lot. Designated student parking at WHH is beyond the ED down by Lake Martha.

Step 10: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

Note: USF faculty and instructors cannot be on premises unless they have completed all required instructor onboarding and attended a mandatory BayCare instructor orientation class.

This facility/organization only accepts their employees for student placement.

Information to come.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must submit the following completed documentation and email it to the USF Clinical Coordinator (asanford@health.usf.edu).

• Required 6 documents: https://usf.box.com/v/BayfrontSH-Requireddocs
• List your preference for a department that would interest you for your observation hours, areas to choose from: Emergency Room, Women’s Services, Tele/ICU, House Supervisor or Education

Step 2: USF Clinical Coordinator will complete the Rotation Request form, Student Orientation Checklist, and the Student Checklist form and submit all completed documents to Ms. Tonya Powell (Tonya.Powell@BayfrontHealth.com and Ms. Jerrilynn Kelso (Jerrilynn.Kelso@BayfrontHealth.com).

Step 3: Once all above forms and documentation are reviewed and cleared, Ms. Powell and Ms. Kelso will notify the USF Clinical Coordinator if students are cleared.

Step 4: The facility will arrange an appropriate preceptor for you.

Step 5: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

If you are a current employee/team member, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must submit the following completed documentation and email it to the USF Clinical Coordinator.

• Statement of Responsibility 2018: https://usf.box.com/v/StatementofResponsibility
• Student Confidentiality: https://usf.box.com/v/StatementofConfidentiality
• Student-Instructor Orientation Checklist-Bayfront St. Petersburg: https://usf.box.com/v/OrientationChecklist

Step 2: Students are responsible for providing the name, unit and contact information of their preceptor to their USF Clinical Coordinator via email.

Step 3: The USF Clinical Coordinator will provide your documentation and preceptor information to Ms. Sunita Mejia (sunita.mejia@bayfronthealth.com).

This facility/organization accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

For Team Members (TM):

Step 1: Current TM (USF RN-BS student) will secure their own nurse leader as their preceptor. Ms. Debra French has indicated it is fine for current employees to ask a director to be their preceptor.

Step 2: Once a student has secured a preceptor, please provide the preceptor's name and contact information to the USF Clinical Coordinator.

Step 3: The USF Clinical Coordinator will provide the student's preceptor information to Ms. Debra French (debra.french@bayfronthealth.com).

For Non-Team Members (NTM):

Step 1: Students that are NTMs should email Ms. Debra French (debra.french@bayfronthealth.com).

Step 2: Students will need to complete the following:

• • BLS-must be American Heart
  • NATIONAL Criminal Background Check–this means ALL 50 states, can't be more than a year old
  • NATIONAL Sex Offender check–ALL 50 states
  • Titers for MMR, Varicella, Hep B series, FLU-this season FLU Vaccine-PPD-PPD, cannot be more than 12 months old
  • Copy of personal health insurance card

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement. No active Affiliation Agreement at this time.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility without an affiliation agreement, but documentation must be completed in it's place:

Step 1: Students are responsible for finding a preceptor at this facility.

Step 2: Ms. Winsome Smith (wsmith@browardhealth.org) should provide you the following link: https://www.browardhealth.org/orientation/orientation-pages/students-interns-and-instructors-orientation. Students should complete the following and any other items requested by Ms. Smith. All forms can be found on the link, but are also provided below. Please check both to make sure you have the most up to date form.

• Student and Faculty responsibility form: https://usf.box.com/v/StudentObservationForm
• Complete onboarding process, including responsibility: https://usf.box.com/v/StudentResponsibility
• Exhibit A form, which will need to be signed by either the USF Clinical Coordinator or the USF Compliance Officer

Step 3: Submit your forms to Ms. Winsome Smith (wsmith@browardhealth.org) via email.

Step 4: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

*Currently transitioning and might take students starting after Spring 2019

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will submit your name and contact information on your behalf to secure placement at this facility.

Step 2: Children's Medical Services Tampa (CMST) generally pairs students with a nurse care coordinator or sometimes a supervisor.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

*Currently transitioning and might take students starting after Spring 2019

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

This facility/organization will only accept employees for student placement.

*Currently transitioning and might take students starting after Spring 2019. In addition, Pinellas has limited space. Generally only 1-3 clinic morning sessions each month between August and December.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will submit your name and contact information on your behalf to secure placement at this facility.

Step 2: Children's Medical Services Tampa (CMST) generally pairs students with a nurse care coordinator or sometimes a supervisor.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

*Currently transitioning and might take students starting after Spring 2019

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will email Dr. Maria Russ (maria.russ@sdhc.k21.fl.us) and Ms. K'Netra Hatch (knetra.hatch@sdhc.k12.fl.us) with all students information along with the number of hours and dates.

Step 2: The facility (Ms. Hatch) will place you with a nurse at a facility and should email you with your matched preceptor.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will email Ms. Kelley Huelle (khuelle@pasco.k12.fl.us) with all students information along with the number of hours and dates.

Step 2: Students will need to complete the Volunteer Application via https://apps.raptortech.com/Apply/MTU4OmVuLVVT.

Step 3: The facility will place you with a nurse at a facility and should email you with your matched preceptor.

Step 4: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will email Ms. Sara O'Toole (OTOOLES@pcsb.org) with all students information along with the number of hours and dates.

Step 2: Students will need to complete the Volunteer Application via https://usf.box.com/v/2018PCSVolunteerForm, and provide a copy of your driver's license to Ms. O'Toole via email: OTOOLES@pscb.org.

Step 3: The facility will place you with a nurse at a facility and should email you with your matched preceptor.

Step 4: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will verify with Dr. Maria Stahl (maria.stahl@flhealth.gov) that there is space to accommodate students for the semester requested.

Step 2: Students will need to meet with the FDOH for Brevard County to discuss experience and complete volunteer packet. Email Dr. Stahl (maria.stahl@flhealth.gov) to arrange a day and time to meet.

Step 3: The facility will place you with a nurse leader at the facility and should email you with your matched preceptor.

Step 4: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will email Ms. Heidi C. Evans (Heidi.Evans@flhealth.gov) with all students information along with the number of hours and dates.

Step 2: Students will need to complete the following forms and submit them via email to the USF Clinical Coordinator:

• Candidate Questionaire: https://usf.box.com/v/CandidateQuestionaire
• The USF Clinical Coordinator will work with the USF Compliance Officer to complete the Attestation on your behalf.

Step 3: The USF Clinical Coordinator will submit your completed paperwork on your behalf to Ms. Evans. At that time, Ms. Evans will assign all students who completed their paperwork to do some training required before starting practicum hours.

Step 4: The facility will place you with a nurse leader at the facility and should email you with your matched preceptor.

Step 5: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

This facility/organization will accept non-employees for student placement.

If your USF Clinical Coordinator has placed you at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: USF Clinical Coordinator will verify with the facility if they are able to accommodate the placement request. USF Clinical Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, and unit.

Step 2: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 3: USF Clinical Coordinator will send all student preceptor information to Ms. McKinney for their record.

Step 4: USF Clinical Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 5: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Clinical Coordinator will verify with the facility if they are able to accommodate the placement request. USF Clinical Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Clinical Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement. Time sensitive, must be submitted 3-4 weeks before the semester starts! With the holiday, it will need to be more.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will email Ms. Christine Reeves (christine.reeves@ahss.org) all students names and contact information.

Step 2: Students will need to complete the following forms and submit them via email to the USF Clinical Coordinator. Be advised that some elements are "N/A" due to exclusion of direct patient care activities.

Note: Incomplete and/or illegible documents will delay processing and rotation start. 

Current employees should already have these forms up to date in the FH-Carrollwood system.

• Non-Employee OPID Form: https://usf.box.com/v/FHCarrolOPID19
• Form Request for Student Placement FHCW: https://usf.box.com/v/FHCarrolRequestStudPlacement
• Student Confidentiality of Information Agreement: https://usf.box.com/v/FHCarrolConfidentiality
• Student Orientation Checklist: https://usf.box.com/v/FHCarrolStudOrient

Step 3: Students must schedule a time to briefly meet with Ms. Reeves for your orientation to Carrollwood, regardless if you are already an employee. Email her at christine.reeves@ahss.org.

Step 4: The USF Clinical Coordinator will submit your completed paperwork on your behalf to Ms. Reeves.

Step 5: It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit. Ms. Reeves can clarify for you.

Step 6: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Clinical Coordinator will verify with the facility if they are able to accommodate the placement request. USF Clinical Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Clinical Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Clinical Coordinator will verify with the facility if they are able to accommodate the placement request. USF Clinical Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Clinical Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Clinical Coordinator will verify with the facility if they are able to accommodate the placement request. USF Clinical Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Clinical Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Clinical Coordinator will verify with the facility if they are able to accommodate the placement request. USF Clinical Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Clinical Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will contact Ms. Elizabeth Celeste (elizabeth.celeste@ahss.org) to see if their facility can accommodate students for the semester requested.

Step 2: Students must identify a preceptor for their experience. The hospital mandates that the preceptor cannot be a student's direct supervisor and the student must receive consent from the preceptor that they are willing and available to complete the hours with them.

Step 3: Students must email Ms. Edna Thomas (edna.thomas@ahss.org) for preceptor approval and next steps in the hospital's process for onboarding students.

Step 4: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Student must email the USF Clinical Coordinator (asanford@health.usf.edu) with the following information:

• Preference of learning experience, departments, etc.

Step 2: The USF Clinical Coordinator will email Ms. Kate Dorminy (katherine.dorminy@flhosp.org) all student's information, number of hours, deadline to complete hours, and student preferences.

Step 3: Ms. Dorminy will assign you a preceptor at the facility. Please watch for an email from her, she will send the information to your USF Health email.

Step 4: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Clinical Coordinator will verify with the facility if they are able to accommodate the placement request. USF Clinical Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Clinical Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Per Ms. Marva Green, employees that enroll in the RN to BS Program with USF should contact her directly. Email her at Marva.Green@ahss.org as soon as possible, and she will provide you with the required documents needed to secure your placement.

Step 2: It is the student's responsibility to secure a preceptor for your experiential learning (service learning) practicum hours. The hospital mandates that a student's preceptor cannot be their direct supervisor. If you need assistance in choosing a preceptor, you can contact Marva Green.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Student is required to email Ms. Laura Dorner (laura.dorner@ahss.org) directly to receive the forms required to secure placement for the semester requested.

Step 2: It is the student's responsibility to secure a preceptor for your experiential learning (service learning) practicum hours. The hospital mandates that a student's preceptor cannot e their direct supervisor.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: USF Clinical Coordinator will verify with the facility if they are able to accommodate the placement request. USF Clinical Coordinator will share the following information with the facility: Student name(s), whether they are an FH employee, school, degree, expected start and end dates, hours, FH campus, unit and student's preceptor assigned.

Step 3: USF Clinical Coordinator will send an email to student(s) approved for placement at this facility. Students are then required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 4: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students are required to send the following information to the USF Clinical Coordinator via email (asanford@health.usf.edu):

• Your Campus (which facility, not USF)
• Your unit
• Your preceptor's name and contact information
  • It is the student's responsibility to secure an appropriate preceptor for your experiential learning (service learning) practicum hours. It cannot be your immediate supervisor, and generally cannot be on your unit.

Step 2: Students are required to complete the following yellow portions on this form and return to Ms. McKinney (jennifer.mckinney@flhosp.org) directly. Do not send sensitive SSN information to the USF Clinical Coordinator.

• https://usf.box.com/v/BadgeRequestForm

Step 3: The USF Clinical Coordinator will email Ms. Jennifer McKinney (jennifer.mckinney@flhosp.org) with related information such as date, hours, campus, unit, and preceptor assigned.

Select the appropriate location within the HCA North Florida Division.

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location(s), you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will email Ms. Vicky Murphy (victoria.murphy@hcahealthcare.com) with all student information for students who are employed by the following facilities:

Blake Medical Center

Brandon Regional Hospital

Citrus Memorial Hospital

Doctor's Hospital of Sarasota

Englewood Community Hospital

Fawcett Memorial Hospital

Largo Medical Center

Medical Center of Trinity

Memorial Hospital of Tampa

Northside Hospital–St. Petersburg

Oak Hill Hospital

Palms of Pasadena

Regional Medical Center of Bayonet Point

Southbay Hospital

St. Petersburg General Hospital

Tampa Community Hospital

Step 2: Ms. Murphy will assign you your preceptor for the semester at your facility.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following documentation and return them to Ms. Marge Massaro (margaret.massaro@leehealth.org) in the Department of Academics to secure placement and approval:

• Observation documentation request form: https://usf.box.com/v/NonClincStudForm

Step 2: It is the student's responsibility to secure a sponsor (preceptor) that is a Nurse Manager.

Step 3: Once a student's preceptor is cleared with the facility, students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following documentation and return them to Ms. Marge Massaro (margaret.massaro@leehealth.org) in the Department of Academics to secure placement and approval:

• Observation documentation request form: https://usf.box.com/v/Golisanoobservationform

Step 2: It is the student's responsibility to secure a preceptor. If a student needs assistance, Ms. Debbie Fleming (debbie.fleming@leehealth.org) could possibly help guide students.

Step 3: Once a student's preceptor is cleared with the facility, students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following documentation and return them to Ms. Marge Massaro (margaret.massaro@leehealth.org) in the Department of Academics to secure placement and approval:

• Observation documentation request form: https://usf.box.com/v/ObservationForm18  

Step 2: It is the student's responsibility to secure a sponsor (preceptor) that is a Nurse Manager.

Step 3: Once a student's preceptor is cleared with the facility, students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following documentation and return them to Ms. Marge Massaro (margaret.massaro@leehealth.org) in the Department of Academics to secure placement and approval:

• Observation documentation request form: https://usf.box.com/v/Healthparkobservationform

Step 2: It is the student's responsibility to secure a sponsor (preceptor) that is a Nurse Manager.

Step 3: Once a student's preceptor is cleared with the facility, students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following documentation and return them to Ms. Marge Massaro (margaret.massaro@leehealth.org) in the Department of Academics to secure placement and approval:

• Observation documentation request form: https://usf.box.com/v/ObservationForm18

Step 2: It is the student's responsibility to secure a sponsor (preceptor) that is a Nurse Manager.

Step 3: Once a student's preceptor is cleared with the facility, students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement. Affiliation Agreement in process

If you are a current employee/team member at these locations, you are eligible to complete your experiential hours (service learning) at these facilities if you complete the following and return to the USF Clinical Coordinator:

Step 1: Student must note that all USF RN-BS students/current employees at this site must keep all Health, Safety and Security requirements in a student file via an account with Complio from American Databank. MHS employees have the ability to upload a copy of their employee badge in lieu of paying the $150 cost (only $10 remaining for remaining responsibilities in online system). Non-Employees will have to pay the additional $150 to start an account on Complio.

Note: MHS employees' badge helps satisfy most of the requirements in Complio. These students can on-board themselves one month before the start of the rotation. Non-Employees are recommended to start 2 months in advance from the start of their rotation.

Step 2: Students must satisfy the required immunizations:

• MMR (2) or titers
• Hep B (3) or titers (for healthcare worker only). MHS Hep B declination form will be accepted.
• TDap or Td within the last 10 years
• Varicella or titers or documentation of disease

Step 3: Students must complete a health screening including negative PPD OR proof of a positive PPD along with negative chest X-Ray dated after the positive PPD on file and an MHS signs and symptoms attestation form dated within the last 365 days. No quantiferon gold.

Step 4: Student must complete an 8 panel drug test or higher

Step 5: Students must satisfy the required background check information:

• Tri county (Broward, Miami Dade, Palm Beach) background check
• State/FDLE background check
• National background check
• Sexual Predator background check
• OIG Sanctions & Exclusions Check
• Employment verification – the last year
• Fingerprinting (depending on the type of student)

Step 6: Student must satisfy the Flu Shot requirement (seasonal November 1 to March 31). Declination form will be accepted but must wear a mask at all times.

Step 7: Student must satisfy the BLS for Healthcare providers requirement (if working in an area with patients).

Step 8: It is the student's responsibility to secure an appropriate preceptor. See guidelines above for details. Note: preceptors cannot be the student's direct reports, nor can it be on the student's floor/unit/department.

Step 9: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

No student can on-board until the Affiliation Agreement is completed.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Information to come.

This facility/organization will accept non-employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will provide all student information to Bobbie Bishop (bobbie.bishop@va.gov) including each student's USF Health email address.

Step 2: Ms. Bishop will provide all students with the required forms to be completed as well as instructions for completion. She will also include swearing-in and fingerprinting requirement information.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

If you are NOT a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

You may meet with Bobbie Bishop in Lake City, Florida or her colleague Jose Perez in Gainesville, Florida when ready to complete this process and be sworn-in. You’ll need to bring the required forms of ID detailed on the I-9 List of Acceptable ID.

Step 1: USF Clinical Coordinator will email Ms. Bishop to see if they can accommodate an external employee.

Step 2: Ms. Bishop will confirm and provide documentation for student to complete.

Student Responsibility:

Step 3: Identifying preceptor

Step 4: Complete WOC form by:

• Sign/Date
• Circle Veteran Status in Box

Step 5: Print/provide a copy of your most recent Privacy & HIPAA training and Information Security & Rules of Behavior training certificates from TMS.

Step 6: Complete the Application for Health Care Professions Trainees, Declaration for Federal Employees, and I-9 Form (I-9 only page one to first signature line): https://usf.box.com/v/MalcomTraineesETC.

• No PO Box, use complete legal name, be legible & consistent with information, if you have any question leave blank and you'll complete together with Ms. Bishop.

Step 7: USF Clinical Coordinator will send the TQCVL Form to University of South Florida Dean of the College of Nursing for completion.

• The TQCVL Form requires:
  • Addition of University of South Florida Letterhead & Date on top of Pg. 1.
  • Review & Endorsement at bottom of Pg. 2.
  • Addition of Date of top of Pg. 3.

Step 8: Academic Program Coordinator/Student Collaboration: Student should complete the Request for Clinical Facilities template with desired clinical information (sample provided for guidance).

• Cover-Reg Form: https://usf.box.com/v/MalcomRegform1
• Request: https://usf.box.com/v/MalcomRequestform
• Sample: https://usf.box.com/v/MalcomSample

• • Provide precise dates/times of actual rotation
  • Template MUST be signed by school faculty verifying Rotation, Site, and Preceptor have been approved by the Academic Affiliate.

Step 9: Complete the Trainee Satisfaction Survey (TSS) on-line after all clinicals are complete.

• TSS Flyer VA https://usf.box.com/v/MalcomFlyer3

Note: VA Employees are NOT Permitted to perform school work on VA duty time. It is the student’s responsibility to arrange clinical hours on days off or take appropriate leave to accommodate their academic needs.

This facility/organization will accept non-employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the pre-recorded online orientation video/webinar, which can be found here.

Step 2: After the student completes the video/webinar, you must complete the following documents and return to the USF Clinical Coordinator:

• Attestation of Completion for the video: https://usf.box.com/v/GrouporientationPDF
• Student confidentiality form: https://usf.box.com/v/opisconfidentiality

Step 3: USF Clinical Coordinator will submit each student's documents to Pam Carrube (pamela.carrube@opismr.com).

Step 4: Opis Senior Service Group will assign each student an appropriate preceptor.

Step 5: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the pre-recorded online orientation video/webinar, which can be found here.

Step 2: After the student completes the video/webinar, you must complete the following documents and return to the USF Clinical Coordinator:

• Attestation of Completion for the video: https://usf.box.com/v/GrouporientationPDF
• Student confidentiality form: https://usf.box.com/v/opisconfidentiality

Step 3: USF Clinical Coordinator will submit each student's documents to Pam Carrube (pamela.carrube@opismr.com).

Step 4: Opis Senior Service Group will assign each student an appropriate preceptor.

Step 5: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization will accept non-employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the pre-recorded online orientation video/webinar, which can be found here.

Step 2: After the student completes the video/webinar, you must complete the following documents and return to the USF Clinical Coordinator:

• Attestation of Completion for the video: https://usf.box.com/v/GrouporientationPDF
• Student confidentiality form: https://usf.box.com/v/opisconfidentiality

Step 3: USF Clinical Coordinator will submit each student's documents to Pam Carrube (pamela.carrube@opismr.com).

Step 4: Opis Senior Service Group will assign each student an appropriate preceptor.

Step 5: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization mainly only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: The USF Clinical Coordinator will submit your name and contact information on your behalf to secure placement at this facility (kterry@orangeblossomgroup.com).

Step 2: Orange Blossom Women's Group will coordinate the remainder of your on-boarding.

Step 3: Students must communicate their preceptor's name and contact information via email to your USF Clinical Coordinator (asanford@health.usf.edu).

This facility/organization mainly only accepts their employees for student placement.

If you are a current employee/team member at this location, you are eligible to complete your experiential hours (service learning) at this facility if you complete the following and return to the USF Clinical Coordinator:

Step 1: Students must complete the following documentation and return to the USF Clinical Coordinator to secure placement:

• Student Placement Form: https://usf.box.com/v/StudentPlacementForm
• The USF Clinical Coordinator and the USF Compliance officer will draft an Attestation for the following requirements. Each student should make sure their Castle Branch account is up to date.
  • Level II Background Check
  • Immunization Records
  • TB Test (no later than 1 year)
  • Influenza Vaccine (only required Dec-April)

Step 2: The USF Clinical Coordinator will submit each student's paperwork on their behalf to Ms. Alisha Terborg (alisha.terborg@orlandohealth.com).

Step 3: Once students have completed all requirements, Ms. Alisha Terborg (alisha.terborg@orlandohealth.com) will email all students information about their online orientation.

Step 4: Once a student has completed the online orientation, the student will be given an appointment to come in to HR for a badge.