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

    1. Go to http://tcps-us.com

    2. Read and follow the instructions to access your credentialing documents

    Badge Pickup

    • Badges must be picked up from HR (open 8–4) before rotation begins

    Medical Documents 
    (must be submitted with your clinical paperwork)

    1. Front and back copy of your current CPR card
    2. Immunizations 
      • PPD (Must provide one of the following)
        • Negative PPD: Negative PPD within 90 days
          If your PPD is not within 90 days Cartersville Medical Center requires you to have another test administered. Contact your Personal Health Care Provider or you can have the test done at the KSU Clinic, the cost is $17.00 (may be less depending on insurance) / call 470-578-6644 to schedule an appointment (The updated PPD must be submitted with your clinical paperwork).
        • Positive PPD: Chest X-ray or radiology report within the last 12 months and documentation of taken prophylactic medication
        • Quantiferon: Must be negative result
      • Proof of tetanus immunization
      • Proof of Varicella or titer value report
      • Proof of two MMR immunization or titer value report
      • Proof of three Hepatitis B immunization or titer value report
      • Current Flu documentation
  • 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.

    New pediatric faculty 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.

    1. If you have been assigned to CHOA you will receive an e-mail from Symplr providing instructions. Credentialing for CHOA will cost $49. Send your receipt to Lisa Longeiret llongeir@kennesaw.edu for reimbursement.
    2. If you do not receive Symplr’s e-mail please contact Lisa Longeiret llongeir@kennesaw.edu
    3. Please read Symplr’s instructions carefully, detailed information is listed for required uploads and documentation.
    4. Manager should be listed in Symplr as Jeannette Clarke jclar276@kennesaw.edu, 470-578-2890
    5. Please view the new guidelines for the required 12 panel drug test. Please contact Natalie Mclain (natalie.mclain@infomart-usa.com) directly with any questions about drug testing.
    6. CHOA does their own background check through Symplr, you can print your drug screen from Advantage Students and upload the results to satisfy the drug test requirement.
    7. CHOA encourages you to download the Symplr Mobile App (after connecting to their site you can upload required documents and it will provide you with real time compliance status).
    8. Symplr will show green light status when you have completed each portion of credentialing.
    • Parking Information
       
    • CLINICAL INSTRUCTORS

      CLINICAL GROUPS

      PRACTICUM/PRECEPTED STUDENTS

      ADVANCED PRACTICE STUDENTS

      Scottish Rite

      Clinical Instructors/Faculty/Clinical Groups/Practicum 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/Practicum 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 to Julie Sandock, Julie.Sandock@choa.org, in the Security office. Students 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).

      Hughes Spalding

      Clinical Instructors/Faculty/Clinical Groups/Practicum 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 side, pull a ticket, and bring ticket with them for validation.

    In the event you have an issue with one of the requirements please contact Lisa Longeiret llongeir@kennesaw.edu for resolution

  • Faculty Information

    Intern On-board Packet

    • Faculty please complete the Intern On-board Packet and e-mail it to llongeir@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

    • braveheart

      Camp Braveheart

      No special requirements

      • breatheeasy

        Camp Breathe Easy

        No special requirements

        • highfive

          Camp High Five

          No special requirements

          • independence

            Camp Independence

            No special requirements

            • crazy legs

              Camp Krazy Legs

              No special requirements

              • kudzu

                Camp Kudzu

                No special requirements

                • newhope

                  Camp New Hope

                  No special requirements
                  • no limbitations

                    Camp No Limb-itations

                    No special requirements
                    • strong4life

                      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 llongeir@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

                      *when signing up with ACEMAPP only use your KSU e-mail*

                      Emory is now using ACEMAPP as their credentialing tool. You will receive an e-mail invitation to join this credentialing tool (KSU e-mail address). If you do not receive this invitation please contact llongeir@kennesaw.edu. The required documents will be in ACEMAPP.

                      For help with the ACEMAPP, please contact their support team below:
                      Email: support@acemapp.org
                      Phone: 844-223-4292

                      Parking / Badge Information

                      Emory University Hospital Midtown Only:
                      Badge office hours are M-F 7-3:30 (closed for lunch from 12:30-1:00), located on the F level of the Glenn Building (adjacent to the visitor parking deck).
                      Students are required to find parking in other pay lots. There is a lot at the corner of Peachtree and Pine for $5 per day if in by 9:00 a.m.

                    • Faculty Information

                      Floyd Medical Center uses a credentialing tool called Rotation Manager. Click on the links below to, first, watch the student video and, second, learn about how to sign up and use Rotation Manager.

                      student video rotation manager register for rotation manager

                      Directions for registration to Rotation Manager

                      1. Click on the link, fill out the information
                      2. Select WellStar Kennesaw Nursing for school name
                      3. DO NOT pay for the service, scroll down, agree and register.

                      *After registering, you will be assigned to a rotation*

                      Parking Information

                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • No special requirements.
                    • Faculty Information

                      • Attend Grady Faculty Orientation for 2018
                        Location: 16th floor, main Grady bldg.,
                        January 13, 2018 — 0900–1300 Saturday
                        May 12, 2018 — 0900–1300 Saturday
                        August 24, 2018 — 0900–1300 Friday
                        (Parking is $6.00 a day)

                      Students register for Grady Orientation through ACEMAPP on the events tab. Directions/information regarding this process (and GO in general) is located on the Student & Faculty announcement tab.

                      *when signing up with ACEMAPP only use your KSU e-mail.

                      1. You will receive an invitation to purchase ACEMAPP, please watch your KSU e-mail

                      2. Complete all required documentation and log in frequently to assess your progress.  If you do not receive an invitation please e-mail llongeir@kennesaw.edu

                      3. Sign up for orientation on ACEMAPP

                      Orientation Calendar

                      4. Log into your Advantage account and select Grady Health System to view your results

                      5. All students will be required to pay $1.00 badge fee to Grady Hospital before receiving their badge. Community and Practicum Students, badges must be picked up no sooner than 3 days prior to the beginning date of your clinical rotation, you will be unable to begin your rotation without your badge.

                      6. Parking is $6.00 a day

                      Health Clearance Requirements for Grady

                      All requirements will be listed in ACEMAPP 

                    • Faculty Information

                    • Faculty Information

                      Please see Floyd Medical Center

                    • 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

                      *when signing up with ACEMAPP only use your KSU e-mail*

                      Northside is now using ACEMAPP as their credentialing tool. You will receive an e-mail invitation to join this credentialing tool (KSU e-mail address) about one week after you are notified of your placement. If you do not receive this invitation please contact llongeir@kennesaw.edu. The required documents will be in ACEMAPP and the deadlines for completion will be listed on the ACEMAPP site.

                      For help with the ACEMAPP, please contact their support team below:
                      Email: support@acemapp.org
                      Phone: 844-223-4292

                      • Immunizations needed for clinical at NSH
                        • TB (submit proof of two consecutive negative TB results):
                          • Negative PPD: Negative PPD within 12 months and a PPD within 60 days prior to clinical start date OR 2 annual negative PPD’s
                          • Positive PPD:  Negative Quantiferon Gold within 60 days prior to clinical start date (May also need a CXR if in high risk area like OB)
                          • Positive Quantiferon:  Negative Annual Chest X-ray with report read and signed by MD
                          • Positive Chest X-Ray:  Need evidence of INH or Rifampin treatment and negative Chest X-ray within one year of placement
                          • See attached flow chart for your particular situation. 
                        • Proof of tetanus immunization
                        • Proof of Varicella or titer value report
                        • Proof of two MMR immunization or titer value report
                        • Proof of three Hepatitis B immunization or titer value report

                      Northside Parking

                      All students and faculty are to park at the Orange Parking Deck. Each student and faculty will be assigned a white parking access card to the Orange Deck. These cards would need to be recycled for Security has only given us a very small amount. All students and faculty need to turn in their cards to Student Placement Office located at Interchange Building where they pick up their badges on their last schedule shift.

                      Faculty will need their cards to come in and park however they do not need their cards to leave the parking deck as long as they leave by the Hollis Cobb exit on the 3rd floor. If we do not receive the cards back we will not be able to assign new access cards to your next group. Please assist us by sharing this information with your Senior Practicum students.

                      The only exceptions are those whose last shift falls on the weekend where our offices are closed. They need to drop off their parking access cards to the security office and let them know that they are students turning in their cards so that the officers will place them in the right bin for us to pick up on Monday. We would appreciate if the student would either text or email me when she had done this.

                      KSU Staff Information

                      Northside Hospital
                      Contact: Ms. Maryam Frazier
                      Phone: 404-843-4133

                      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 least four 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

                      See Emory Hospital

                    • 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.

                      *when signing up with ACEMAPP only use your KSU e-mail*

                      WellStar is using ACEMAPP for clinical credentialing. You will receive an e-mail invitation to join this credentialing tool (KSU e-mail address). If you do not receive this invitation please contact llongeir@kennesaw.edu. The required documents will be in ACEMAPP and the deadlines for completion will be listed on the ACEMAPP site.

                      acemapp customer service info

                      Orientation

                      Must have flu vaccine for current flu season. Faculty and 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. 

                      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 should pick up their badges from Kennestone Security before they arrive for their first clinical rotation. Arrive no more than three days prior to your first rotation date. If there is a problem, call KSU Nursing. 

                       

                      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

                      WellStar Douglas Security
                      770-920-6261

                      WellStar Paulding Security
                      770-505-7168

                      WellStar Windy Hill Security
                      770-644-1155

                      North Fulton Regional Security

                      Atlanta Medical Center Security

                      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
                      Atlanta Medical Sites – report first to the Security office for badge in the 315 building, 1st floor; then go to parking office 340 building, 3rd floor.

                     

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