Advance Practice Nurses work in the following clinics:
All schools of nursing requesting nursing student placement at Children's Hospital of Wisconsin must use the following forms. Requests will not be processed if information is received in an alternative format.
Nursing Student Schedule Form. This form will help our staff and units have a clear picture of when students are on the units. Please fill this form out each semester and submit it to Diane Dooley.
Student Information Sheet. This form can be used for undergraduate nursing students participating in a senior preceptorship. This form should be submitted with the student placement request form. Completed forms should be sent via email to Diane Dooley.
Student clinical site evaluation
Alternative learning experiences
Alternative learning experience request form
This form is used for clinical students currently conducting a rotation at Children's Hospital of Wisconsin, but who would like a one-time alternative learning experience on another unit/area. This form is to be mailed, faxed or emailed to the appropriate contact person. Please refer to the Alternative learning experience listing.
Alternative student objectives and evaluation form
The first page of this form should be printed out and completed by the student prior to attending an alternative/observational experience. The bottom portion is to be completed by the staff who works with the student at the alternative site. The second page should be returned to the clinical instructor. This form can be used by the student to evaluate their alternate site experience and for the student to evaluate the staff who worked with them during this experience. Please forward any important feedback to Tracy Blair (MS #B265A) or Martha Kliebenstein (MS #B265A) to relay back to the specific unit.
Student orientation information (mandatory)
Click on the picture to start the prezi presentation; start on the pirate ship's top sail to begin.
Providing education and care to babies and their families requires being up-to-date and comfortable talking with parents and caregivers about the importance of safe sleep practices. Our students need to be educated and help us to promote infant safe sleep whenever possible. Click on link: Infant Safe Sleep Education.
Safe Sleep Audit Tool
Student evaluation survey on Safe Sleep Audit