Your Online Resource Center for Clinical Education

For your convenience, Memorial Health System provides you a list of useful resources below for clinical students and faculty provided to you at no charge. Certain files require Microsoft Word, Microsoft Excel or Adobe Acrobat to open and view the files on your personal computer.

For Non-Nursing Students (currently enrolled in undergraduate or technical college)

NOTE: If you are a high school student interested in observation, please contact Volunteer Services at 719-365-1232.

• Clinical Placement Request Form (.doc/135K)

For Current Nursing Students

• Memorial Student Handbook (.pdf/608K)
• Government Loan Repayment Program (.doc/27K)
• Independent Study/Passion (.pdf/108K) or Independent Study/Passion (.doc/136K)
• Competency Quiz for Nursing Students (.pdf/56K)
• New Name Badge Request Form (.pdf/57K)

• Contact Human Resources-Nurse Recruiters at 719-365-5114 for questions related to employment

  For Advanced Practice Students

  • Advanced Practice Checklist (.pdf/53K)

  For Clinical Instructors

  • Memorial Student Handbook (.pdf/608K)
  • Student Evaluation Form (.pdf/62K)
  • Clinical Faculty Evaluation Form (.pdf/61K)
  • Management/Staff Evaluation Form (.pdf/61K)
  • Remote Access Request Form for computer charting access for students and instructors (.xls/19K)
  • Clinical Rotation Student Assignments (.doc/126K)
  • Request for Post Conference Rooms (.doc/46K)
  • Instructor Checklist (.pdf/88K)
  • Senior Practicum Checklist (.pdf/41K)
  • Group Capstone Senior Practicum Request (.pdf/104K) or Group Capstone Senior Practicum Request (.doc/144K)
  • Individual Capstone Request (.pdf/104K) or Individual Capstone Request (.doc/136K)
  • Eclips Access Questions (.pdf/32K)
  • Competency Quiz for Nursing Students (.pdf/56K)
  • New Name Badge Request Form (.pdf/57K)

  • Contact Info

    • Teresa Taylor, Director, Clinical Education, 719-365-5086

    • Ilknur (Jasmin) Dal, Clinical Education, Clinical Student Liaison, 719-365-6962

    
    

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