Associate Degree Nursing (RN) Clinical Requirements Packet

Complete the Clinical Requirement Checklist​ and submit copies of all required documentation.  These include:

• A copy of your current CPR certification.  As a nursing student, you will be assigned to patients in healthcare facilities for your clinical experiences and as such are required to be currently certified in Basic Life Support with CPR for adults, children, and infants and tested with two-person rescue.
• A copy of your flu vaccination – required for Spring start students only.

Nursing is a physically demanding profession and you must be prepared to meet the technical standards necessary to physically perform the functions of nursing. Upon review of the standards, print the Technical Standards Disclosure form​, initialing each of the areas in which compliance with the standard is possible.  Then sign and date as indicated on the bottom of the form.

The initial step to completing the criminal background check is to complete the Health Science Program Application for Clinical Practice form. This form confidentially discloses to Shasta College the existence of any criminal issues. While the existence of convictions will not necessarily disqualify you from enrollment, failure to disclose may be considered falsification and will result in the offer of enrollment being rescinded and will be grounds for immediate termination upon discovery at any time during enrollment.

A 2-step Tuberculosis (TB) screening process is required if receiving PPD.  

• ​Standard PPD - The first TB screening must be within 12 months prior to class start date.  The TB screening results will be documented o​n the Clinical Requirement Checklist​ and on the 2-Step Tuberculosis (TB) Screening (New Students)​ form (submitted with the Page 2 requirements).
• Students with known positive PPD Tuberculosis Screening results can use their recent chest x-ray and physician exam as clearance.  These students must submit a completed Confidential TB Screening form with clearance from their physician and documentation of a chest x-ray within the past two (2) years attached to the questionnaire.
• Quantiferon Gold Blood Test - Students not receiving the 2-step PPD TB test due to the nationwide shortage or those who have previously received a BCG vaccine and chosen to obtain a Quantiferon Gold blood test for clearance must obt​ain a physician's order to perform this blood test.  If a Quantiferon Gold blood test is ordered, please complete this test during the Step 2 timeline listed under item I on page 2 of the pre-enrollment check-off list.

The required physical examination must be completed within no more than 6 months prior to entering the program. The results of the physical examination must be documented on the Health Data & Physical Exam form. The front page of the Health Data form is to be completed by you and the back page by your healthcare provider. 

The information on the Student Data Form​ will be kept on file while you are enrolled in the program.  It is your responsibility to notify the Health Sciences office of any changes in your contact information by filling out the Contact Information Change Form​.​

• Use of Electronic Devices Agreement
• Student Honor Contract
• Photography and Publication Release
• Assumption of Risk and Release​​
• Time Commitment for Nursing Courses

COVID-19 Vaccine Requirement

It is important for you to follow the Step-By-Step Instructions for completing the Criminal Background Check and Drug Screening. Proceed with this step ONLY when notified of your acceptance into the class. 

Complete only one of the following tests and the corresponding form:

• Standard PPD - Complete the Tuberculosis Screening form (PDF) and attach the second Tuberculosis screening results within the timeframe above.  

OR

• Quantiferon Gold Blood Test – Complete the Confidential TB Questionnaire form (PDF) with clearance from your physician and attach documentation of a negative Quantiferon Gold Blood Test within the time from applicable to your start semester as specified above.

Your Program Mandatory Orientation will consist of two parts: 

(Dates, times and location as appropriate are included in your Enrollment Invitation Email)

• Program & Systems Orientation will be provided to you via our online learning management system (Canvas).  You will be sent an email providing you with instructions and giving you a 2-week period of time in which to the complete the orientation. 
• Faculty & Class Introduction will be an in-person meeting. At this orientation, you will be given information regarding uniforms and textbooks.

Completion of both parts of the Mandatory Orientation is required to complete your eligibility and be given authorization to register for your classes.  

The following lin​ks direct you to enrollment policies:​​​​​​ ​ ​

• Clinical Requirements Policy​​
• ​Pre-Enrollment Criminal Background & Drug Screening Policy
• ​Drug Screening, Criminal Background & Criminal Convictions Policy (Enrolled Students)​

If at any time during the process of preparing for enrollment, you make any changes to your contact information, please notify us immediately.

Submit Contact Information Change Form