REQUIREMENTS FOR CLINICAL INSTRUCTORS:

AURORA ST. LUKE’S MEDICAL CENTER (ASLMC) -SUMMER 2018 SEMESTER

Nursing Services is pleased to host your nursing students and we look forward to a good semester.

Requirements Prior to Clinicals / Where to Locate Information: / Timeline:
Please submit the following:
Student Roster/List.
·  Verification that students/instructor having completed the criminal background checks with no results found.
·  Verification that students/instructors have been screened through OIG/SAM(the Office of Inspector General, and Excluded Parties Listing), with no results found.
·  Verification that students and instructor are in compliance with Health Care Requirements.
All of this information should be submitted on the Compliance Form. / Any positive background checks or names appearing on the OIG/SAM lists must be submitted to Aurora for approval to participate in the clinical experience. / These documents MUST be submitted to our office prior to the clinical experience to:
Attention: Pat Volkert
Academic Liaison

Obtaining ID and Password:
Nursing clinicals held at ASLMC will need to document medications and nursing care in the Smart Chart Computer System. / In order for students/instructor to have access to the Computer System, you must:
Utilize the Excel Template to request for ID’s and Passwords located on the website for Aurora Student Nursing ID and Password Section
Save the Excel Template to your computer.
Please provide all information requested on the Excel Template.
Attach and e-mail the completed Excel Template to us for processing at:
/ Please submit this information minimally (3) weeks prior to the semester in order to ensure students/instructor access to the computer.
If information is received less than 3 weeks prior there may be delays in obtaining computer access.
Epic IDs will be distributed upon receipt of completed Orientation Checklist, Minimum Data Form, and Annual Confidentiality & Compliance Form.
Requirements Prior to Clinicals / Where to Locate Information: / Timeline:
Computer Training for Instructors:
Aurora St. Luke’s Medical Center utilizes the Smart Chart Computer System for clinical documentation, result viewing, and medication administration.
Computer Training for Your Students
Please view the Smart Chart Documentation on the Student Nursing website for any updates and guidelines for your teaching. / The expectation is that you will be trained in the use of the system so you can train your students. Also, we expect schools to provide a representative for all “TBA” instructors, and that the representative trains the instructor when named.
To reserve classrooms and conference rooms at ASLMC, email .
Include dates and times for room needed along with Aurora site.
Students should be trained on campus in the web-based application available at your school.
Instructions on how to access EPIC training environment on campus are housed at your college site / Computer Training For Instructors
Please call 414-647-6483 or

If EPIC training is needed.
Copy of the course objectives is to be submitted to the Manager/CNS on your host unit. / Please complete and submit “Instructor Data Form” / Prior to start of clinical experience.
Acquaint yourself with the Charting System, Clinical Practice, and our Policies. / Outlined on the “Orientation Checklist”. Policies can be found thru Dashboard on EPIC and EPIC training environment. / Prior to start of clinical experience.
To arrange some clinical orientation days. / Utilize the Grid for SLMC SLSS to contact the Manager/CNS on your host unit. / Prior to start of clinical experience.
Secure a password for Pyxis system. (Students will not be issued a Pyxis password).
Instructions for access to the Pyxis system are located in the link above. / Fill out this form Pyxis Access Form- top portion only- and return to or fax to 414-647-6389-att. Pat Volkert. / Before requesting medications from pharmacy, please check the electronic MAR (eMAR) to determine the location of the medication. Often, medications are in the unit based cabinets (UBC) or in the refrigerator as indicated in the comments section under the drug entry on the eMAR.
Requirements Needed At the Start of Clinical Experience: / Where to Locate Information: / Timeline:
Parking privileges / Loss Prevention Services is located at SLMC on the 1st floor of the North Building. Normal hours of operation are 0830-1600, Monday-Friday.
Loss Prevention’s phone number is (414) 649-7375.
After hours 24-hour security phone is (414) 649-7901.
Policies for Parking
Lockers to store personal belongings. / Can be obtained through Loss Prevention at Aurora St. Luke’s Medical Center at (414) 649-7375.
If students sustains an injury while on hospital property / Refer to Student/Faculty Injury Policy
All student’s errors and incidents must be reported to the Unit Manager and an Incident Report must be completed. / An Incident Report should be completed for any unusual occurrence that:
Interrupts or interferes with providing a standard level of practice or patient care
Causes harm to any person or hospital property, or
Has the potential of causing harm (including needle/sharps punctures)
Documents Needed At the Start of Clinical Experience: / Where to Locate Information: / Timeline:
Identification Name Badge. / An ID name badge should be provided by the student or the school. All students must wear an ID badge while participating in the clinical experience at the hospital. The ID should identify the individual as a “student”, along with first and last name.
Badge access to Secured Areas. / If you require access to secured areas please fill out the Faculty Badge Request form and submit to Jenni Cincotta at / Include list of areas that you need access to.
Upon receipt of these documents Epic IDs will be distributed:
Orientation Checklist: (Orient your nursing students at the beginning of their clinical experiences).
Minimum Necessary Use of Protected Health Information Statement
Annual Confidentiality and Compliance Agreement / Submit all 3 documents via Aurora Required Forms Link
Please note- ALL ITEMS on the Orientation Form should be reviewed by ALL before submitting electronic forms. This means DO NOT submit ANY forms until after you and your students have been on the unit and reviewed unit specific items- call lights, equipment, physical environment, etc. Computer training needs to be completed as well prior to submission of forms.
Instructors are required to submit electronic orientation forms as well as students. / These 3 documents MUST be submitted prior to patient care.

The Unit Manager or his/her designee will be your contact for day-to-day operations and questions. If you need further assistance, please contact Pat Volkert, Academic Liaison, at (414) 647-6483.Welcome to Aurora St. Luke’s Medical Center (ASLMC)

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