Speakers 2 nd Year ADN Gerianne Babbo ~ Professor, Documentation - PDF document

6/21/2018 Speakers 2 nd Year ADN  Gerianne Babbo ~ Professor, Documentation Orientation Associate Dean of Nursing  Bethany Mauden ~ Office Support Supervisor (Presenter)  Dominique Hofmann-Gacioch ~ Clinical Placement Liaison Nursing Programs Administrative ADN Documentation FAQ Page Office  Summer Office Hours Problems? Monday thru Friday: 8:00-5:30pm Saturday thru Sunday: Closed 1. Review your materials – 99% of student Hours are subject to change questions are answered within the  Contact Information: materials Location: CSC 341 2. After completing the first step if you still Email: nursing@olympic.edu have questions, email Website: www.olympic.edu/nursing nursing@Olympic.edu with a list of Phone: 360-475-7748 questions. Fax: 360-475-7628 Please do not call. Submitting Your Documentation Documentation Packet Submission What to bring with your Documentation Turn in ORIGINALS of your signed forms. Packet Keep a copy of all documentation for your  Bring a copy of your Drivers License records. We do NOT make copies.  Bring your Vehicle Registration Incomplete packets will not be accepted.  Documentation Packets (Forms with accompanying requirements, and Harrison Turn in your Packet) documentation packet in Helpful Hints a sheet protector. It really will fit!  Make sure to print clearly and legibly Mark name and entrance year. 6 1

6/21/2018 Due date Documentation Packets Your complete documentation packet is due We will review each document and into: requirement within the packets 1. Castlebranch.com/Medical Document  Packet 1: Documentation Packet – Forms Manager (CB/MDM) (Return by August 24 by 3:00pm) Prior to Friday, August 24, 2018 3:00 PM.  Packet 2: Castle Branch/Medical & Document Manager - Information and 2. Nursing Programs Administrative office Upload Instructions by Friday, August 24, 2018 3:00 PM. (Uploaded & Accepted prior to August 24) What will happen if I miss the Olympic College Nursing Programs deadline? Packet #1: Documentation Packet - Forms~ Failure to turn in your complete Purple color ~ Includes: documentation packet 1. Documentation Release Form (for by Friday, August 24, 2018 3:00 PM. clinical partners) 2. Student Information, Address Consent Form, and Emergency Contact  You will not be able to attend clinicals, 3. Clinical Placements & Navy Security therefore would have to withdraw from Information the Nursing Program 4. Permission to Use Student Work 5. Student Mailbox Consent Olympic College Nursing Programs Documentation Release Form  Allows release of information to clinical Packet #1: Documentation Packet - agencies. Forms~ Purple color ~ Includes: • Immunization Status; • Personal Health 6. Naval Hospital Agreement & Liability Insurance; • CPR (Health Care • Malpractice Insurance; 7. Harrison Medical Center Professional Level); • Background Check; • Learning Modules; Acknowledgment  What do I do? 8. Photo/Video Release Complete the documentation release. 1. 9. HIPPA and Confidentiality and Complete your background check on Castlebranch.com 2. Print a copy of your completed background check and 3. Security Agreement turn in with your packet to the Nursing Programs office. (instructions are included in your packet) 2

6/21/2018 Student Information, Address Consent, Emergency Contact and Emergency Contact Form  Complete entire document. No blanks.  While emergency’s are not typical, if  This is the ONLY address and phone information there is one we would like to know who the Nursing Programs receives. to contact.  Please update any name, phone, and address changes  This information is shared with faculty with the Nursing Programs office as well as Registration & Records. only.  Include personal email address for our records, we use your OC email address for all email communication.  Information is shared with faculty, and placed on the student directory following student permission. Clinical Placements/Demographic P ERMISSION TO U SE S TUDENT W ORK & Form S TUDENT M AILBOX C ONSENT F ORMS Completion of all items are required for Clinical Placements • Last Name • Base Access P ERMISSION TO U SE S TUDENT W ORK • First Name • Vehicle Information • Middle Name (not just initials, if no • Drivers License Information – including  Used for accreditation purposes. middle name please write NA) Drivers License number, height, weight, • Social Security Number hair and eye color • Date to Birth • Logins at Clinical Facilities • Gender • Employee information S TUDENT M AILBOX C ONSENT • Citizenship • Certifications/licenses, or Registrations  Gives permission for faculty and staff to Complete ALL areas of this form.  return assignments in your student ALL information is kept strictly confidential.  mailbox.  Important Note – one of the following is required for Navy Base Access : Enhanced Drivers License , Passport or Birth Certificate . A copy of your Driver’s License is required with this document.  Naval Hospital Bremerton Agreement & Harrison Medical Photo/Video Release Center Student Acknowledgement Primary use: Navy Hospital Bremerton Agreement  Video’s during simulation practice,  Navy Civilian Trainee Agreement  Fill out and return.  Photos for clinical badges and  You will be going to Naval Hospital Bremerton  Phone directories (faculty use), etc. for clinical experiences. They require completion of this form. Please review, complete, and date. Harrison Medical Center - Student Acknowledgement  Complete Name and Date sections  Required by Harrison Medical Center 3

6/21/2018 Group Health HIPAA form Olympic College Nursing Programs Steps: Packet #2: Castle Branch / Medical 1. Complete both sides of the HIPAA Document Manager - Information and form. Upload Instructions 2. Leave dates of clinical experience and instructor blank as these do change throughout the program. 3. Return with documentation packet to the Nursing Administrative office. We will send them to Group Health in bulk. Castlebranch.com Castlebranch.com Service order will include: Ordering Instructions 1. Go to www.Castlebranch.com and click on “Place Background Check : ( Castlebranch.com )  order.“ (do not log in) Washington Statewide Criminal Search • 2. In the Package Code box, enter the package code. Nationwide Sex Offender • The code you use is dependent on which tracker Nationwide Federal Criminal Search • you chose to use LAST YEAR. Nationwide Healthcare Fraud and Abuse Search • Type of Tracker Ordered Last Year Package Code Residency History • Annual Medical Document Manager OL32re- recheck background check Immunizations ( Medical Document Manager ) Follow renewal link for Tracker  Price of Both: $87.75 Provide proof of immunity • Unlimited Medical Document OL32re- recheck background check Price: $67.75 Additional Checklist Items ( Medical Document Manager ): Manager  3. Enter your payment information –Visa, MasterCard, CPR Card, Insurance (Health, Liability, Malpractice) • or Money Order. Follow the online instructions to complete your order. Submitting Documents to Medical What do I provide to OC from Document Manager Castlebranch.com/ Medical  Submit your documents to Document Manager? Castlebranch.com/Medical Document Manager via: Upload (similar to Facebook)  A “T o-Do-List Summary Report” from Castle 1. Branch/Medical Document Manager showing all Accepts JPG or PDF. immunizations and documents have been received and accepted. Phone App (for iPhone & Android) 2. * Recommended  Completed background check. Fax (include fax sheet they provide) 3. Please do not give us a copy of documents submitted Mail (include sheet they provide) 4. to your profile. 4