Clinical Requirements

Listed below are the various forms required for clinical placements. All forms are in PDF format unless otherwise indicated. To save the form, right click on the link and choose "Save As" or "Save Link As."

Universal Requirements

• Medical Requirements Checklist

• Physical Form

• Hepatitis B Form

• TB Testing Form

• Flu Vaccination Form

CPR Certification

• CPR Certification

  Certified American Heart Association Health Care Provider Course Instructors

  The following recommended* contacts are approved for instructing the American Heart Association BLS for Healthcare Provider (CPR and AED) Program.

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  • CPR Training Source (Collin Sanders)
    info@cprtrainingsource.com
    770-565-2530
    www.cprtrainingsource.com 
    Use promo code BLS4KSU 
    
    
  • Derek Johnston
    info@safetyhs.com 
    404-380-1510
    www.SafetyHS.com
    Use promo code wellstar
    
    
  • Jeanne Day
    dayscpr@gmail.com 
    404-312-5252
    
    
  • Rose Schambach
    rjschambach@gmail.com
    404-680-2099
    
    
  • Trisha Braxton
    braxton.trisha@gmail.com
    770-334-1268
    
    
  • Pauline Nelson
    pnelsoncpr@gmail.com
    678-447-8641
    
    
  • Pulse-Keepers CPR (Eartha Levy)
    info@Pulse-Keepers.com
    678-357-5216
    www.Pulse-Keepers.com

  *This is not a mandatory list

  CPR cards obtained at the Owls Nest or through the Center of Health Promotion and Wellness do not meet the requirements for Nursing Students.

  Front and Back copy of your CPR card is due by documentation deadline for submission to ACEMAPP.  

Required Self-Study Modules (Bloodborne)