Placement coordinators

Student placement information

Thank you for your interest in the nursing student placement program at Children's Hospital of Wisconsin. As a teaching hospital we are committed to provide quality learning experiences for all nursing students.

Undergraduate experiences

Instructor-led clinical groups
This traditional learning experience involves an instructor bringing a group of students, eight or fewer for acute care, six or fewer for critical care, to a clinical unit in the hospital for learning. Clinical hours are expected to be in alignment with hospital shifts- days 0700-1530 and pms 1500-2330. Requests for this type of learning must be submitted by the School of Nursing using the nursing student request form for clinical groups.

Deadline for submission of requests for group placements are:

Traditional Semester Sequence:

  • Fall requests (for experiences occurring between Aug. 15 and Dec. 31) must be submitted by April 1st
  • Spring requests (for experiences occurring between Jan. 1 and May 15) must be submitted by September 1st
  • Summer requests (for experiences occurring between May 15 and Aug. 15) must be submitted by March 1st

Trimester Sequence:

  • Fall requests (for experiences occurring between Aug. 15 and Nov. 30) must be submitted by April 1st
  • Winter requests (for experiences occurring between Dec. 1 and Feb. 28) must be submitted by April 1st
  • Spring requests (for experiences occurring between Mar. 1 and May 31) must be submitted by September 1st

Preceptorships

This experience is reserved for students in their senior capstone/synthesis or last semester in an associate degree program. This is a one-on-one learning experience with a registered nurse in the student's area of interest. There are a limited number of precepted learning experiences available in any given time period. Faculty must submit requests using the nursing student placement request form preceptor students.

Deadline for submission of requests for preceptorships are:

Traditional Semester Sequence:

  • Fall requests (for experiences occurring between Aug. 15 and Dec. 31) must be submitted by May 31st
  • Spring requests (for experiences occurring between Jan. 1 and May 15) must be submitted by November 1st
  • Summer requests (for experiences occurring between May 15 and Aug. 15) must be submitted by April 1st

Trimester Sequence:

  • Fall requests (for experiences occurring between Aug. 15 and Nov. 30) must be submitted by May 31st
  • Spring requests (for experiences occurring between Mar. 1 and May 31) must be submitted by November 1st

Preceptor placement process checklist.

Preceptor information pack

Graduate experiences

Graduate students in pediatrics, family practice, education and administration come to Children's Hospital for clinical learning experiences. All graduate students are linked with a specific, primary preceptor who will help coordinate their learning at the hospital.

Preceptorships
All requests must be made by a faculty member. Requests will not be accepted from students. Placements are made for one semester at a time. Requests for year-long preceptorships will not be honored. Faculty must submit requests using the nursing student placement request form.

Deadlines are the same as for undergrad preceptorships listed above.

  • Fall requests (for experiences occurring between Aug. 15 and Dec. 31) must be submitted by May 31st
  • Spring requests (for experiences occurring between Jan. 1 and May 15) must be submitted by November 1st
  • Summer requests (for experiences occurring between May 15 and Aug. 15) must be submitted by April 1st

Student Placement Forms

Student Placement Forms

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 Placement Request Form for clinical groups. 
This is the first step to requesting clinical group placement. This form may be sent via email, or fax.

Nursing Student Placement Request Form for precepted students 
Filling out this form is the first step to requesting a one-on-one precepted experience for a last semester BSN or ADN student. This form may be sent via email or fax.  Please refer to Children's Hospital of Wisconsin unit profiles.

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 Placement Certification Form (Exhibit A)
This form certifies that all Children's Hospital of Wisconsin health, OSHA and background check requirements are met. Failure to turn in this form 30 days in advance, may result in a delayed clinical experience. This form is to be mailed, faxed (414) 266-5731 or scanned via email to Diane Dooley.

Student Roster Sheet 
This form (attachment to Exhibit A of program agreement) lists each student, patient care area and dates of experience. This form is to be sent with the Student Placement Certification form.

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: https://www.surveymonkey.com/s/chwsitesurvey

Privacy and Confidentiality (HIPAA) Form
All students and faculty spending time at Children's Hospital of Wisconsin must sign and date the confidentiality form (attachment to Exhibit A of program agreement). Failure to turn in this form 30 days in advance, may result in a delayed clinical experience.  This form is to be mailed, faxed (414) 266-5731 or scanned via email to Diane Dooley.