Undergraduate Nursing Students Clinical Affiliations Process

Student Clinical Request Form

Clinical Affiliations Handbook: Contains information about Advocate Healthcare and Good Samaritan Hospital with directions and campus map. Also provides key information regarding our Standards of Behavior, Culture of Safety, Joint Commission and National Patient Safety Goals, Risk Management, and Infection Control practices. Page 31 contains the Acceptance of Clinical Affiliations Handbook Form that is required to be signed by all students and faculty.

Faculty Guide: Describes the faculty requirements and responsibilities. Also contains a Faculty Check List to facilitate completion of all requirements.

Clinical Requirements Form: The program coordinator/Dean must verify that all students and instructors have met the requirements and documents are on file with the school. Instances in which the request comes from an individual student, they have the option to have the program coordinator/Dean complete the verification form or submit copies to verify all requirements are met. Verification must be received to our office prior to the students starting on site.

Change of Clinical Rotation Form: Cancellations or changes to a clinical request must be submitted to the Clinical Affiliations Coordinator as soon as possible. All changes must be submitted using this form via email. Accommodating changes will be done to the best of our ability and at the discretion of the Clinical Affiliations Coordinator or department leadership. In rare situations in which we must cancel or change a rotation, alternative arrangements will be attempted and the school/student will be notified immediately.