Clinical Site Information


Faculty

  • Faculty Information

    • No special requirements.
  • Faculty Information

    List of required documentation to be submitted by Faculty member to VA HR:

    1. VHA form 10-2850a
    2. Resume
    3. OF-306
    4. Transcript
    5. Certifications

    In addition to the above documentation, Nursing Education requires the following forms to be completed and submitted:

    1. Clinical Instructor Profile
    2. Faculty cover and checklist
    3. TMS completion certificates
    4. Test for student education

    Upon Completion of Clinical

    Clinical instructors must collect two forms from the students upon completion of clinical:

    1. National VA Learners’ Perceptions Survey  
    2. Atlanta VAMC Student evaluation form

    Both forms must be submitted to Jeanne L. Overby within 3 days of completion of clinical.  You can e-mail jeanne.overby@va.gov or fax 404-728-7733.  Please email Jeanne when you fax the documents, the fax machine is not in her office.

  • Faculty Information

    • No special requirements.
  • Faculty Information

    • Contact Willette Gatlin two weeks before your first day of clinical to schedule badge orientation at 770-387-8172 ext. 2 or by e-mail willette.gatlin@hcahealthcare.com
  • Faculty Information

  • Faculty Information

    • No special requirements.
  • Faculty Information

    • No special requirements.
  • Faculty Information

    Please remember that any new instructors to Children's must have all of their orientation requirements completed prior to starting on the unit with their students. Please refer www.choa.org/nursingfaculty orientation requirements.

    Web Page Instructions

    1. Login: university
    2. Password: faculty04
    3. Submit

    Faculty Corner

    After reviewing the information on the CHOA nursing faculty website page, please contact Leslie Holmes, KSU pediatric faculty member. Her contact information is lminer3@kennesaw.edu, 470-578-2061. Do not submit materials or contact CHOA until you speak with Leslie Holmes. She will help you with the process.

    Parking Information

    Scottish Rite: Clinical Instructors/Faculty/Clinical Groups/Pracitcum Students can park in the main deck. The badge will grant access to parking deck through Employee Entrance/Exit.

    Egleston: Clinical Instructors/Faculty/Clinical Groups/Pracitcum Students cannot park in the main decks (T1 & T2) during peaks hours. Designated off-site parking for students has been identified at the CHOA Administrative Park located on Tullie Circle. Shuttles operate from this location on Monday through Friday, 5:00 AM to 9:00 PM.

    In order to park at the Administrative Center (spaces surrounding the building formerly known as Piccadilly), staff must contact the Egleston Parking Department at 404-785-6696. Advanced notice is required. Staff must complete a car registration form and obtain a decal prior to parking at Piccadilly.

    *Exception: During the weekend or those working an overnight shift, instructors/students may park in either of the main hospital decks. In order to do this, one must pull a ticket and have it validated at the front desk.

    On March 1st, Children’s Healthcare of Atlanta at Egleston will begin a 24/7 security screening process for all visitors. While we currently already utilize this process each day after 8:00 PM, the new program will allow us to expand the screening around the clock. Clinical Faculty/Staff, should they have the need to enter the main entrance, will be allowed to pass upon showing their CHOA or Emory identification to Security. Clinical Faculty/Staff should not bypass the line however and are encouraged to wait patiently until being greeted by Security. Additional staffing has been allocated to ensure the process flows as quickly as possible. Thanks in advance for your understanding as we work towards our goal of increasing patient, visitor and staff safety!

    Hughes Spalding: Clinical Instructors/Faculty/Clinical Groups/Pracitcum Students cannot park directly at the Hughes Spalding deck. Students and faculty are to park at the Butler deck (148 Jesse Hill Jr. Drive, Atlanta 30303; just past Grady Hospital, next to McDonald's)—enter on visitor's side, pull a ticket, and bring ticket with them for validation.

    CHOA Student clinical orientation checklist
  • Faculty Information

    Intern Onboard Packet

    • Faculty please complete the Intern Onboard Packet and e-mail it to jclar276@kennesaw.edu two weeks before orientation.
    • There is a required in-person orientation for this site. The date and time will be given at placement or once documents are submitted.
    • If you do not receive a orientation date one week before clinical, please contact your clinical faculty for orientation.

     

  • Faculty Information

    • Faculty should contact Cynthia Appleby for scheduling student orientation or other coordination issues at 770-514-3118 or clappleb@dhr.state.ga.us.
  • Faculty Information

    • Camp Braveheart

      No special requirements

      • Camp Breathe Easy

        No special requirements

        • Camp High Five

          No special requirements

          • Camp Independence

            No special requirements

            • Camp Krazy Legs

              No special requirements

              • Camp Kudzu

                No special requirements

                • Camp New Hope

                  No special requirements
                  • Camp No Limb-itations

                    No special requirements
                    • Camp Strong4Life

                      No special requirements

                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      •  No special requirements.
                    • Faculty Information

                      • All instructors must have a Background Check & Drug Screening through Advantage www.advantagestudents.com. The fee for this service is $97.00. Select DeKalb Medical to view your results. Background Check & Drug Screening must be completed at least two weeks before the first day of clinical. Forward e-mailed Advantage payment receipt to llongeir@kennesaw.edu for reimbursement.
                      • Review Training Powerpoint and complete Sunrise Clinical Assessment and submit
                      • Complete Clinical Orientation Check off Sheet and submit.
                        Review and complete User Access and Confidentiality Agreement and submit.
                      • Review and complete EXHIBIT B Statement of The Joint Commission on Accreditation of HealthCare Organizations and submit, please have a witness to print and sign their name before submitting.
                      • You can scan and e-mail your paperwork to nu_medrecords@kennesaw.edu
                      • NO FAXES
                      • Badge Office is 404-501-5301 -- badge fee $10.00
                      • Park in the yellow lot, it is free for students/faculty with a badge
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      See link below to obtain clinical documents
                      Emory Healthcare Nursing Students & Faculty

                      The submission of documents does not apply to faculty supervising practicum 4417 students

                      • See Emory University Hospital clinical page at www.emoryhealthcare.org
                        • Select Careers (upper menu in the right corner)
                        • Select Nursing at Emory (in the left hand menu)
                        • Select Nursing Students & Faculty (in the Nursing at Emory submenu)
                        • Select Faculty Forms (in the Nursing Students & Faculty submenu)
                      • Must have flu vaccine for current flu season. Fall semester flu documentation must be submitted by 2nd Friday in October – Spring semester flu documentation must be submitted with clinical paperwork.
                      • Please contact nursing.education@emoryhealthcare.com to set up an appointment for ID badge and parking.
                      • Emory John's Creek ONLY: Complete Faculty Credentialing Requirements form and send completed forms to Manager of Education, Emory Johns Creek Hospital (EJCH), via fax: 678-474-7026 or email latrina.geyer@emoryhealthcare.org.
                      • Parking Information for Emory Johns Creek Hospital
                      • Submit completed forms to Jeannette Clarke in Room 3004, jclar276@kennesaw.edu or via fax at 470-578-9069
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • Attend New Employee/Student Orientation
                        (Parking is $6.00 a day)
                      • Review the Annual Required Training document
                        • Mental Health & Maternal Child (Course 3314 & 3318): In addition to completing the General Orientation Training, you must complete these forms and submit with your clinical paperwork.
                        • Mental Health: Read (see attached document) and complete these additional steps one month prior to your expected rotation
                      • You will receive an invitation to purchase ACEMAPP, please watch your KSU e-mail and log in as soon as possible
                      • Complete all required documentation as soon as possible and log in frequently to assess your progress. If you do not receive an invitation please e-mail nu_medrecords@kennesaw.edu 

                        ACEMAPP Student Checklist

                      1. Sign up for your desired Orientation date by e-mailing onboardingdocs@gmh.edu per the attached calendar
                      2. All instructors must have a Background Check & Drug Screening through Advantage www.advantagestudents.com. The fee for this service is $97.00. Select Grady Medical Center to view your results. Background Check & Drug Screening must be completed at least two weeks before the first day of clinical. Forward e-mailed Advantage payment receipt to llongeir@kennesaw.edu for reimbursement.
                      3. Instructors must contact onboardingdocs@gmh.edu to make an appointment to pick up their badge before the first day of clinial
                    • Faculty Information

                    • Faculty Information

                      • Complete and submit Clinical Paperwork
                      • Review Orientation Packet
                      • Complete Online Orientation and submit passed confirmation (see below) Include your RN# and expiration date in the top right corner of your confirmation
                      • Submit a copy of your Curriculum Vita
                      • Contact Misty Rigas at mrigaas@blueridgeahec.org at least three weeks before your group clinical start date to schedule badge pick.
                      • All instructors must have a Background Check & Drug Screening through Advantage www.advantageFaculty.com.  The fee for this service is $97.00. Select Floyd Medical Center to view your results.  Background Check & Drug Screening must be completed at least two weeks before the first day of clinical.   Forward e-mailed Advantage payment receipt to llongeir@kennesaw.edu for reimbursement. 

                      Education Requirement:

                      Faculty must review the education material, successfully pass the 50 question quiz and submit your results with the above clinical paperwork prior to beginning clinical. If the education requirement is not met prior to the start date, Faculty will not be able to begin.

                      These instructions are very important, and they are repeated on the web page where the Faculty gets started. Please go to: http://www.floyd.org/articulate/ to begin, select Begin Online Orientation.   Use the user name and password provided below, and please be mindful or all characters and capitalization.

                      User Name: fmc\Faculty08
                      Password: Education08

                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      Since the KSU Health Clinic is now part of the WellStar Health System, see WellStar Health System (Kennestone, Cobb, Windy Hill, Paulding, Douglas and First Steps) below and follow the instructions.

                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • Details coming soon.
                    • Faculty Information

                      • Complete Faculty-Clinical Instructor Credentialing Checklist
                      • Download the Mandatory Data Sheet
                      • Please refer to Northside's Website
                        • Click on the Orientation Link (top of the page in Navy Blue – far right)
                        • This page should say Northside Hospital – Secure Log-in and have a password box
                        • Enter "classroom" (all lowercase letters) in the box.
                        • Please read the online orientation. All pertinent information will be found on this site. There is information on parking that you should give your students.
                        • Complete the following forms and submit to HS 3004 or e-mail nu_medrecords@kennesaw.edu
                          1. Health History (2 forms)
                          2. Acknowledgement and Release Form Participation in Clinical Training Program
                      • Remember to complete your annual education training in NetLearning as a requirement for credentialing. All information is on Northside’s website under Faculty Credentialing.
                      • All instructors must have a Background Check & Drug Screening through Advantage www.advantagestudents.com. The fee for this service is $97.00. Select Northside Hospital to view your results. Background Check & Drug Screening must be completed at least two weeks before the first day of clinical. Forward e-mailed Advantage payment receipt to llongeir@kennesaw.edu for reimbursement.
                      • Please note the following: Clinical Instructors must complete orientation prior to their first clinical day (see dates on Northside Hospital website).
                      • Please call first to make sure your clinical group has been cleared.

                        Ernie Fuller, MSN, RN
                        Clinical Education Coordinator
                        Northside Hospital (Atlanta-Cherokee-Forsyth)
                        Phone: 404-845-5162
                        Pager: 404-225-0966
                        Fax: 404-795-0576

                      Northside Atlanta Parking

                      Student Badge Pickup and Parking Instructions

                      KSU Staff Information

                      Northside Hospital
                      Contact: Ms. Sarah Faulkner
                      Phone: 404-845-5577
                      Fax: 404-303-3740

                      Address
                      Northside Hospital
                      1000 Johnson Ferry Road NE
                      Atlanta, GA 30342-1611

                      For 4417 senior practicum students and faculty supervised instructors – pick up your badges from Northside AFTER you have been cleared to begin, but BEFORE reporting to your unit. 

                      Northside Clinical Education
                      Interchange Building
                      5780 Peachtree Dunwoody Road,
                      Atlanta (30342 for GPS)
                      Suite 500  (5th floor)
                      Hours:  7:30 am – 4:00 pm (M-F)

                      Use the white phone in the lobby to call extension 5577 to let us know you are here. 

                    • Faculty Information

                      PIEDMONT ATLANTA INSTRUCTORS ONLY!

                      Faculty/Instructor must complete the same paperwork that is required for the students, which can be found on Piedmont’s Website.  

                      All faculty new to Piedmont must complete general nursing orientation prior to the start of any clinical rotation.  Proficiency of nursing skills and the use of equipment must be demonstrated during orientation.  All nursing faculty working with students at Piedmont Healthcare must demonstrate proficiency of nursing skills and use of equipment annually.  Nursing Faculty with a 6 month lapse of clinical rotations at Piedmont Healthcare, must complete general nursing orientation prior to the start of any clinical rotation.  For faculty who have been working with students at Piedmont without a lapse, proficiency of nursing skills and use of equipment must be demonstrated prior the start of the Fall 2009 clinical rotations and must be completed every fall thereafter.  All new faculty must complete orientation paperwork found on the student orientation web site in lieu of attending new employee orientation.  All faculty must complete orientation paperwork annually.   

                      Background Check & Drug Screening: Faculty must have a Drug Screening & Background Check $97.00 Package. Forward e-mailed Advantage payment receipt to llongeir@kennesaw.edu for reimbursement.  Please follow instructions for Drug Screening and Criminal Background on Piedmonts Website.

                      Contact Pamela Redman at least three weeks before clinical start date for General Nursing Orientation dates.  The times/dates for GNO changes depending upon the number of nurses we have who need to attend orientation. 

                      Pam Redman, RN
                      Nursing Development Manager
                      Pamela.redman@piedmont.org
                      404-605-4058 (office)
                      404-694-8843 (cell)

                      PIEDMONT MOUNTAINSIDE INSTRUCTORS ONLY!

                      Faculty/Instructor must complete the same paperwork that is required for the students, which can be found on Piedmont’s Website.

                      All faculty new to Piedmont must complete general nursing orientation prior to the start of any clinical rotation. Proficiency of nursing skills and the use of equipment must be demonstrated during orientation. All nursing faculty working with students at Piedmont Healthcare must demonstrate proficiency of nursing skills and use of equipment annually.  Nursing Faculty with a 6 month lapse of clinical rotations at Piedmont Healthcare, must complete general nursing orientation prior to the start of any clinical rotation. For faculty who have been working with students at Piedmont without a lapse, proficiency of nursing skills and use of equipment must be demonstrated prior the start of the Fall 2009 clinical rotations and must be completed every fall thereafter. All new faculty must complete orientation paperwork found on the student orientation web site in lieu of attending new employee orientation. All faculty must complete orientation paperwork annually.   

                      Background Check & Drug Screening: Faculty must have a Drug Screening & Background Check $97.00 Package. Forward e-mailed Advantage payment receipt to llongeir@kennesaw.edu for reimbursement.  Please follow instructions for Drug Screening and Criminal Background on Piedmonts Website.

                      • Instructors must collect the students Sign In and Out Sheet at the end of the clinical rotations. We are expecting each student to maintain their own sign in sheet.  Submit to Human Resource office, if the HR office is closed on the last day drop them off at the front desk receptionist letting them know where the form should go. 

                      Contact Frank Leist at least three weeks before clinical start date for General Nursing Orientation dates.  The times/dates for GNO changes depending upon the number of nurses we have who need to attend orientation. 

                      Frank Leist
                      Human Resources
                      Piedmont Mountainside Hospital
                      1266 Highway 515 South
                      Jasper, Ga 30143
                      706.301.5515
                      Fax 706.301.5244
                      frank.leist@piedmont.org

                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • Complete Attestation form
                      • Complete Confidentiality and Security Agreement
                      • Complete IT&S Security Access Form
                      • E-mail Melissa Ragland at melissa.ragland@hcahealthcare.com at leastfour weeks before your first day of clinical to schedule a Code of Conduct session. You will not be able to start clinical without completing the session.
                      • Must have Flu Vaccine within the last year, submit vaccine documentation with clinical paperwork
                      • All instructors must have a Background Check & Drug Screening through Advantage www.advantagestudents.com. The fee for this service is $97.00. Select Redmond to view your results. Background Check & Drug Screening must be completed at least two weeks before the first day of clinical. Forward e-mailed Advantage payment receipt to llongeir@kennesaw.edu for reimbursement.
                      • All students and instructors entering Redmond MUST sign in at the switchboard with a time in and the anticipated number of hours that they will be there.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      All nursing instructors (new to Saint Joseph's Hospital) must complete the above before bringing students to the Hospital:

                      Susan Beard, RN, BSN, MS
                      Education Coordinator
                      Saint Joseph's Hospital
                      Susan.Beard@emoryhealthcare.org
                      678-843-7577
                      678-843-7406 (fax)

                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • There is no paperwork for this site. Please check with Lisa Longeiret at 770-499-3312 for further instructions.
                    • Faculty Information

                      All instructors must have a Background Check & Drug Screening through Advantage www.advantagestudents.com. Select WellStar Hospital to view your results. Background Check & Drug Screening must be completed at least two weeks before the first day of clinical. Forward e-mailed Advantage payment receipt to llongeir@kennesaw.edu for reimbursement.

                      Orientation

                      1. Review the GAMES (Goals for Achieving Mandatory Education and Safety) Manual. This is completed annually.
                        • Special note for nursing this year, pg. 78-79 Patient and Family Centered Care Bundle Particularly the “Caring Moments”
                      2. Complete GAMES 2015 Student Quiz and correct with GAMES 2015 Quiz Key--repeat test until scoring a grade of 30/32 or greater
                      3. Confidentiality & Technology Acceptance Agreement and Medical Waiver Form
                        • Review
                        • Sign and Complete required fields.
                        • Print your name, sign and date the Medical waiver
                      4. Faculty and Student Orientation Confirmation
                        • Name: Print your name
                        • School: Kennesaw State University
                        • Include the last 4 digits of your SS# and your DOB for EPIC (computer) access.
                        • Facility: Kennestone, Cobb, Windy Hill, Douglas or Paulding
                        • Department, Beginning and Ending Date: Nursing Staff will complete.
                        • Are a Current WellStar Employee: Yes or No
                        • Course Name/or Number: eg. Holistic Health – 3209 
                        • Student/Faculty Signature: Sign your name
                      5. Must have flu vaccine for current flu season. Students will not be able to participate in a clinical without the flu shot.  NO EXCEPTIONS. See WellStar Heath Requirements.
                        • Fall semester flu documentation must be submitted by October 1st
                        • Spring semester flu documentation must be submitted with your clinical paperwork. 
                      6. Review the Infectious Disease Preparedness Protocol  - Healthcare Worker Travel Screening

                      Unit Contacts

                      Faculty who will be on site with a cohort of students such as undergraduate nursing will spend 4 hours on the unit if they have not proctored students on that unit previously.  Faculty should make a contact  with the unit a few weeks before the beginning of the clinical rotation, introduce themselves and arrange for a tour and unit orientation before the first day of clinicals with the students.  Submit Faculty Unit Observation to the nursing department (Click Here).

                      Please note some managers have provided their personal cell phone numbers. Only use these numbers if absolutely necessary and do not distribute them to anyone else. 

                      Professional Appearance

                      1. Check with your unit to see it they have any specific dress requirements
                      2. WellStar badges must be worn at all times while on campus
                      3. Artificial nails cannot be worn by employees providing patient care and/or the processing and management of patient care equipment, medical or food. Artificial nails include any substance or device applied to natural nails to augment or enhance nails. They include, but are not limited to, bonding, overlays, inlays, wraps, tips and/or attached decoration
                      4. WellStar nurses are identified by wearing navy blue. Students will wear their school uniforms

                      Badges

                      Faculty and Students must have their badges before they arrive for their 1st clinical rotation.

                      The badge request forms will be submitted to WellStar by Jeannette Clarke after your documents have been submitted to the nursing department before clinical begins. 

                      Please call ahead and let them know when you are coming with your students so they can be prepared for the volume and will be able to have your badges ready.  If there is a problem, please contact Jeannette Clarke at 470-578-2890, so it can be addressed as soon as possible.

                      Please bring a copy of your proof of flu vaccination (students too) when you pick up your badge. WellStar will not hand out badges without proof of flu vaccination at the time of badge pickup.

                      WellStar Kennestone Security
                      770-793-7780

                      WellStar Cobb Security
                      770-732-3990
                      Fax to 770-732-3996 (Attention: Milton Holloway or Jason Walker)

                      WellStar Douglas Security
                      770-920-6261
                      matthew.chappelle@wellstar.org
                      Fax to 770-920-6379

                      WellStar Paulding Security
                      770-505-7168
                      e-mail all 3 contacts: 
                      Scott Martin - scott.martin@wellstar.org
                      Brent Huff - stephen.huff@wellstar.org
                      Charles Evans - charles.evans@wellstar.org
                      Fax to 770-505-7190

                      WellStar Windy Hill Security
                      770-644-1155
                      gerald.catron@wellstar.org
                      Fax to 770-644-1160

                      Computer Access

                      WellStar is pleased to be transitioning to a new electronic health records system “WellStar Connect”. This is a large endeavor for the system and will implemented over 3 phases. Please be sensitive to the staff as they navigate this change.

                      • WellStar Kennestone go live Dec. 1 – Dec. 15, 2013.
                      • WellStar Cobb, Douglas, Windy Hill, Paulding go live April 1 – April 15, 2014.

                      Staff will be going through training and will have a 2 week “go live” date. We ask students not be in the computer system during those 2 weeks. We do not have student access or training information for the system yet.

                      For the McKesson documentation system we are currently using, computer training will be completed via a computer based training module. Details to follow.

                      Site and Unit Specific Information

                      In addition to the WellStar prerequisite requirements, some units provide specific instructions to facilitate a positive student experience for all

                      Parking:

                      Kennestone – park in the employee parking garage off of North Ave
                      Douglas – park in the employee lot or around the A-D buildings located behind the hospital (no parking in front of the hospital or the emergency room parking area)
                      Windy Hill – park in employee parking in the rear of the hospital (please do not park in the front of the hospital)
                      Cobb – park behind the hospital north of the Children’s Nest off Hospital Drive West

                     

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