CLEMSON UNIVERSITY NURSING INSTRUCTOR’S GUIDE
BON SECOURS ST. FRANCIS HEALTH SYSTEM
1. Students and faculty are to wear their Clemson University ID badge at all times during patient care. No other badges
are required for clinical rotations.
2. Documents:
 C&S Agreement (Appendix A)- All students and faculty must complete the Confidentiality and Security Agreement
(appendix A) and return to Trace Barton before the first week of clinicals. Her office is located on the 6 th floor at St.
Francis Hospital (downtown). Her phone number is 864-449-1387 (O) and e-mail is tracelyn_Barton@bshsi.org .
Once she receives the signed forms, passwords will be given to allow students to access the online training.
 Access Form (Appendix B)—please fill out all the information on the students listed when you know who they are
going to be. This form is to be faxed to:
Eva Mathews
Clinical Informatics
Work Cell # 864-607-7919
Office # 864-255-1505
Eva_Mathews@bshsi.org

eLearning Instructions (Appendix C) —these are the instructions for the students to access the eLearnings. All students
must complete 4 eLearning modules online which they can do it from home (this takes about an hour). After the
training, they will need to take a couple of tests in a proctored environment. If they do the training online, their
names/info needs to be sent Eva Mathews in order to set up a temporary access code for them.
3. Student Tests— All students must complete the online training and then and take 2 proctored post-tests:
a) “ConnectCare e-ssentials Proficiency Assessment” (Appendix D). The instructor will use the answer sheet to grade.
b) “Medication Administration with Barcoding Proficiency Assessment” (Appendix E). The instructor will grade using
the answer sheet
Both tests must be taken at a grade of 85% before receiving computer access codes. All post-tests are retained by the
clinical instructor. Once the forms are completed, regular student passwords can be obtained from Eva Mathews
4. Tracie Barton (Tracelyn_Barton@bshsi.org ) coordinates student clinical placements within nursing. Her number is 4491387.
5. Students must read the Annual Mandatory Safety Update and take the Post-Test on an answer sheet. These are in the
LRC. The answer sheet for instructors is Appendix F
6. All students must read the self-study HIPAA Privacy and Security Training booklet and take the post-test. These can be
found in the LRC. The instructor will check the answer sheet (Appendix G) before starting clinicals. Hard copies of the
test booklet and exam are available in the Learning Resource Center. Students will need to make copies of the original
test booklet. Once the post-test is completed, it should be given to the clinical instructor for grading. Students must
score ≥ 80% to pass the test. All post-tests are retained by the clinical instructor. The manual is in the LRC.
7. Students must provide the following dates to the clinical instructor prior to the first week of clinical: expected graduation
date, CPR, physical exam, and PPD. These dates, along with the students’ grades from the Safety and HIPAA tests,
should be recorded on the Student Mandatory Requirements Sheet (appendix H). This form must be returned to Trace
Barton during the first week of clinical. Faculty have the same requirements, but must also include:
a) State of Nursing licensure, license number and expiration date
b) Units on which the instructor will have students
c) Faculty agreement on file in St. Francis Health System Nursing Administration
d) Faculty orientation completed onsite prior to student placement
8. Clinical faculty must contact Lisa Cobb 864-255-1566 to arrange for computer classes. Instructors are required to
complete in-class training with a credentialed St. Francis trainer.
9. Clinical faculty should contact Bruce Spaulding (Director of Safety) at 864-255-1128 before the start of the semester to
obtain the location for student parking. Parking sites vary each semester and often require building access codes as
well. Students are encouraged to park in the Outpatient Center building parking lot
10. Clinical faculty should contact Rebecca Mueller, Peri-operative Clinical Nurse Specialist, at 864-255-1066 to set-up a
meeting regarding the semester’s OR rotations. She may also be reached at rebecca_mueller@bshsi.org.
11. Faculty needs to contact the Pharmacy located on the basement level and speak with Patty Putnam or Deanna Oriol to
obtain access to Pyxis.
12. Kate Downes coordinates senior practicum placements, 255-1092 or Kate_Downes@bshsi.org. The following
information is required for all Senior Practicum requests:
o The school must submit requests for each student placement
o The school must submit the faculty member responsible for those practicum students
o Kate will notify unit directors of these requests and request an appropriate preceptor for each student
o If the director is able to accommodate a student placement, the preceptor will be identified and assigned to the
student
o Kate will notify the faculty member of placement and contact information for those units/preceptors
13. Helpful phone numbers:
 Dana --- charge nurse of OR ---- get all of your OR student assignments from her --- her direct line = 449-8334
 Lisa Cobb --- nurse education liason ---255-1566 ---- her office is on the 6th floor next to the kitchen
 Suzanne Metz ---- Charge Nurse of PICC team --- 449-6543 --- their office is also on the 6th floor
 Natalie Powell ---- to arrange a room for post conference --natalie_powell@bshsi.org or 255-1651
 St. Francis 6th Floor front desk
864-255-1638
th
 St. Francis 7 Floor front desk
864-255-1738
 St. Francis Security
864-255-1580
 St. Francis general number
864-255-1000
 Dialysis
864-255-1154
 OR desk
864-255-1073
 PACU
864-255-1551
 PICC Team
864-449-6543
 Pre-Op
864-255-1080
Appendix A
Appendix B
Access Form for Nursing Students
*ALL information must be entered in order to grant access to the system
School: Clemson University
Arrival Date:
First Name
MI
Last Name
Last 4 Digits of SSN
Instructor
Return this form Eva Mathews at Eva_Mathews@bshsi.org or Fax to 864-679-8945
Grad. Date
Appendix B
Access Form for Nursing Students
*ALL information must be entered in order to grant access to the system
School: Clemson University
Arrival Date: January 11, 2010
First Name
MI
Last Name
Last 4 Digits of SSN
Instructor
Return this form Eva Mathews at Eva_Mathews@bshsi.org or Fax to 864-679-8945
Grad. Date
Appendix C
1.
2.
3.
4.
5.
6.
Accessing e-Learning from outside the Hospital
Launch an Internet Explorer Browser.
Type: https://iris.bshsi.org in the URL address bar (make sure to include the s in https://) and press > Enter
You will now be prompted to enter a UserID and password.
a. If you see the small box at right open asking for your Username and password Type: the user name that is
assigned to you in the UserID box and then type your assigned password in the password box and press >
OK
b. If your username and password are not accepted, try typing ads\ followed by your username in the
username field.
Look for the box with the ConnectCare icon and click the >e link.
a. If you see the prompt at the right open asking for your Username and password Type: the user name that is
assigned to you in the UserID box and then type your assigned password in the password box and click
Log In.
Once you are logged in, look for the box with the ConnectCare icon and click the >e link to access the eLearning page.
Scroll down and click on any of the >external links next to the e-Learning module names to launch the selfpaced and audio guided learning module. Example: click the >external link link to the right of the IP 49
Overview of the Medication Administration Record (February ’09 Go Live) (external link)
Please complete the following modules: IP 49; IP 10; IP 11, and IP 12. Your instructor will administer 2 tests after
completion of the modules which are open book and open system.
Appendix D
Appendix E
Name:
Employee #:
Appendix F
KEY
Department #:
Date:
ANNUAL MANDATORY EMPLOYEE UPDATE ANSWER SHEET (2005 Revision)
Part I: Fill in the correct answer choice regarding safety.
1.
A
B
C
D
2.
A
B
C
D
3.
A
B
C
D
4.
A
B
C
D
5.
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B
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D
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B
C
D
7.
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B
C
D
8.
9.
10.
A
A
A
B
B
B
C
C
C
23.
A
B
C
D
24.
A
B
C
D
25.
A
B
C
D
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A
B
C
D
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A
B
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D
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38.
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B
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D
D
D
11.
A
B
C
D
12.
A
B
C
D
13.
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B
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D
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D
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D
21.
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D
22.
A
B
C
D
Part II: a. Identify safety violation.
b. Identify solution.
39.
a. equipment blocking fire pull
b. move equipment
40.
a. chair blocking extinguisher cabinet
b. put chair away in proper place
Appendix G HIPAA Post Test Answer Key
All students/instructors must complete this post-test BEFORE beginning their rotation. A score of 80% or higher is
passing.
_________________________________________
________________________________________
Student/Instructor Name (please print)
Program Name (please print)
___________________________________
___________________________
School Name
Answer the following questions by circling either TRUE or FALSE.
1.)
According to the HIPAA privacy rules implemented in 2003, the
purpose of the required Notice of Privacy Practices (Notice) is to let patients know
how the facility may use or disclose their PHI and explain their rights.
TRUE
FALSE
2.)
A patient has a right to access, review, and obtain a copy of their PHI
in a designated record set (medical record).
TRUE
FALSE
3.)
Sending a copy of a patient’s physical therapy treatment records
to his/her attorney would require an authorization under HIPAA.
TRUE
FALSE
4.)
Once a patient signs an authorization to allow use and disclosure of
his/her PHI for a specific purpose, it can be revoked by written request
from the patient.
TRUE
FALSE
5.)
To comply with HIPAA, if a patient complains that they believe
their privacy rights have been violated, the facility is responsible
for keeping a record of all complaints made, including their resolution.
TRUE
FALSE
6.)
Judy Blackwell is the Corporate Responsibility and HIPAA Privacy Officer.
TRUE
FALSE
7.)
HIPAA Privacy and Security policies and procedures are located on our intranet
and can be accessed by clicking on the HIPAA icon on the main intranet screen.
TRUE
FALSE
8.)
The HIPAA Security rules identify steps to take to secure PHI that is
accessed, stored, sent, or received in an electronic format.
TRUE
FALSE
9.)
St. Francis Health System has identified Keith Weathers, Management
Information Services (MIS) as the HIPAA Security Lead.
TRUE
FALSE
10.) Physical security measures, including students/instructors I.D. badges, locks,
key pads, alarms or other things (e.g. passwords, access codes,
keys, etc.), are designed to restrict access to computer systems,
buildings, rooms, and storage locations where PHI can be accessed.
TRUE
FALSE
11.)
TRUE
FALSE
If a student/instructor leaves his/her computer for only 5 minutes, he/she
does not have to log off of the computer system or at least close out
all computer applications that allow access to PHI.
12.) All students/instructors that use computers at work must have a unique I.D.
and password.
TRUE
FALSE
13.) HIPAA security rules currently do not include items such as fax machines,
copiers, or telephone conversations under the security requirements.
TRUE
FALSE
14.) All computer equipment and software must be approved, purchased,
installed, and disposed of by the Information Services Department.
TRUE
FALSE
15.) Adding, changing or deleting a user’s security access code is based upon
current job responsibilities and job status.
TRUE
FALSE
Please note that questions 16 through 20 continue on the reverse side of this paper.
16.) The HIPAA security rules do not require that formal written policies
and procedures to protect PHI must be in place.
TRUE
FALSE
17.) Under the security rules, a Business Associate Agreement is required
with another organization if they access, exchange, transmit,
or receive our electronic information that contains PHI.
TRUE
FALSE
TRUE
FALSE
TRUE
FALSE
18.) All students/instructors are responsible for reporting any actual or
perceived HIPAA security breaches/incidents immediately to
Keith Weathers, HIPAA Security Lead, Judy Blackwell, HIPAA Privacy Officer,
or the Corporate Compliance Hotline.
19.) Any students/instructors who violates the HIPAA Privacy and/or Security policies
and procedures will be subject to progressive disciplinary action, up to
and including immediate termination of the school contract.
20.) Protected health information (PHI) includes health, medical and other information
that can be identified with or linked to a specific individual.
________________________________________________
Student/Instructor Signature
TRUE
___________________________
Date Submitted
This completed HIPAA Privacy and Security post-test needs to be maintained in the
student’s/instructor’s school file.
Developed: 3/05
FALSE
Appendix H
Student Mandatory Requirements
For Clinical Rotations at St. Francis
Name of School: Clemson University
Course: NURS 303
Instructor: Nancy Ewing
Student Name
Date of
Expected
Graduation
Date of
Date of
Date of negative TB Date of completion of Date of completion of
CPR exp. Health H&P Screening done in
Safety Post Test HIPAA Privacy & Security
form on file
past 12 months
score of 85%
Post Test score of 85%
SLED
Check
done
Rubella,
Rubeola,
Varicella
immunities
HBV
vaccination or
refusal