Northside Hospital


Student Information

 

  1. Please refer to Northside's website: http://www.northside.com
  2. Click on the Careers link (on the left under the Quick Links box in blue)
  3. Click on the Orientation link (on the left in the blue box)
  4. The page should say "Please login!" and have a blank box
  5. Enter "green" (all lowercase letters) in the box.
  6. Complete and submit:
    • Health History (2 forms)
      1. Must complete top portion and ALL of questions 1-11
      2. Sign and date
    • Acknowledgement and Release Form Participation in Clinical Training Program
      1. Print Name: Print Your Name / Affiliate: Kennesaw State University / Specialty Area of Study: BSN Nursing / Student/Faculty Signature: Your Signature
    • Confidentiality/Security of Information and Computer Access Code Agreement (2 forms)
      1. Printed Name: Print your name
      2. Dept. Name or Name of Agency: Kennesaw State University
      3. Employee /Agent’s Signature: Sign your name and Date
      4. Employee/Agent’s Position: Nursing Student
      5. Manager/NSH  Designee’s Signature: Nursing Staff will sign
    • Log into your Advantage account and select Northside Hospital to view your results

§  Please read the online orientation. Any questions should be directed to your instructor.

 

 

Medical Documents that must be submitted with your clinical paperwork

  1. Front and back copy of your current cpr card

    IMMUNIZATIONS

  2. PPD:
    • Negative PPD: Negative ppd within one year
      OR
    • Positive PPD: Chest X-ray or radiology report within the last 12 months AND documentation of taken prophylactic medication
      OR
    • Quantiferon: Must be negative result
  3. Proof of tetanus immunization
  4. Proof of Varicella or titer value report
  5. Proof of two MMR immunization or titer value report
  6. Proof of three Hepatitis B immunization or titer value report
  7. (4417 Preceptorship Only) Submit a front and back copy of your current health insurance card

 

Document Checklist

 

Northside Hospital Health History Form  (2 pages)

Acknowledgement and Release Form for Participation in Clinical Training Program

Confidentiality/Security of Information and Computer Access Code Agreement (submit 2nd page)

Immunizations (listed above)

Front and back copy of your current CPR Card

(4417 Preceptorship only) Front and back copy of your current Health Insurance Card