<%@ page import="org.jasig.portal.security.provider.*" %> <%@ page import="org.jasig.portal.security.*" %> <%@ page import="java.util.*" %> <%@ page import="com.pipeline.bom.Person_3" %> <%@ page import="com.pipeline.bom.PersonManager_3" %> <%@ page import="com.pipeline.bom.BomManagerFactory" %> <%@ page import="com.pipeline.web.WebUtil" %> <%@ page import="java.net.*" %> <% //Check to see if this is the Google search appliance String googleApplianceAgent="gsa-crawler"; String userAgent = request.getHeader("User-Agent"); //index will be greater than 0 if the GSA is detected int index=userAgent.indexOf(googleApplianceAgent); //pass-through authentication ------------------------------------------------------ if (index < 0){ //if this is not the Google search appliance String username = ""; try{ SimplePersonManager doriPerson = new SimplePersonManager(); IPerson i = doriPerson.getPerson(request); String uid = (String)i.getAttribute("urn:sungardhe:dir:loginId"); //out.println(uid); username = uid; }catch (java.lang.NullPointerException e){ //user not logged in - redirect to login String theRedirectURL = "/cp/home/displaylogin?goto=" + URLEncoder.encode(request.getRequestURL().toString().replace("http://", "https://")); %> <% }catch (Exception e){ out.println("Error: " + e); } } //END pass-through authentication ------------------------------------------------------ %>
<% //put content in school frame if this is not the Google search appliance if (index < 0){ %> <% } %>

School of Nursing

Forms

Undergraduate Forms

CLINICAL FORMS

FRESHMAN

Health Requirements
Pre-Clinical Health Requirements Form - Complete required exam, lab tests and titres prior to the start of the Fall semester. Bring completed forms to UPNS 108 Freshman Seminar course for further instructions.

Clincal Requirements*
Freshman students will complete these requirements during the Fall semester as part of the UPNS 108 Freshman Seminar course. All requirements must be completed prio to the start of the freshman Spring semester.
- Criminal Record Check
- Child Abuse Clearance
- FBI Clearance

*Freshman Transfer Students - contact the Office of Student Services for insturctions and deadlines. 412.396.6347


SOPHOMORE

Health Requirements
- Complete all Freshman Requirements
- TB Test

Clinical Requirements
CPR Certification - Preferred vendors:
Center for Emergency Medicine
American Heart Association
American Red Cross

First Aid Training - Preferred vendors:
Center for Emergency Medicine
International CPR Institute

 

Liability Insurance - Preferred vendor:
Nurses Service Organization

HIPAA Training - Available in Blackboard

Criminal Record Check - Preferred vendor:
Certified Background (Package Code UQ05)

Child Abuse Clearance - Preferred vendor:
Certified Background (Package Code UQ05)

FBI Clearance - Preferred vendor:
Cogent

Scan and upload your certificate, card or verification of completion of these requirements to Certified Background (1-888-666-7788) by July 1st preceeding the academic year. Keep your original documents in a secure location where you can access them if needed.


JUNIOR

Health Requirements
- Physical Exam
- TB Test

Clinical Requirements
CPR Certification - Preferred vendors:
Center for Emergency Medicine
American Heart Association
American Red Cross

First Aid Training - Preferred vendors:
Center for Emergency Medicine
International CPR Institute

Liability Insurance - Preferred vendor:
Nurses Service Organization

HIPAA Training - Available in Blackboard

Criminal Record Check - Preferred vendor:
Certified Background (Package Code UQ05)

Child Abuse Clearance - Preferred vendor:
Certified Background (Package Code UQ05)

FBI Clearance (if not previously completed) - Preferred vendor: Cogent

Scan and upload your certificate, card or verification of completion of these requirements to Certified Background (1-888-666-7788) by July 1st preceeding the academic year. Keep your original documents in a secure location where you can access them if needed.


SENIOR

Health Requirements
- TB Test

Clinical Requirements
CPR Certification - Preferred vendors:
Center for Emergency Medicine
American Heart Association
American Red Cross

First Aid Training - Preferred vendors:
Center for Emergency Medicine
International CPR Institute

 

Liability Insurance - Preferred vendor:
Nurses Service Organization

HIPAA Training - Available in Blackboard

Criminal Record Check - Preferred vendor:
Certified Background (Package Code UQ05)

Child Abuse Clearance - Preferred vendor:
Certified Background (Package Code UQ05)

FBI Clearance (if not previously completed) - Preferred vendor: Cogent

Scan and upload your certificate, card or verification of completion of these requirements to Certified Background (1-888-666-7788) by July 1st preceeding the academic year. Keep your original documents in a secure location where you can access them if needed.


SECOND DEGREE

Health Requirements
Pre-Clinical Health Requirements Form

Clinical Requirements
CPR Certification - Preferred vendors:
Center for Emergency Medicine
American Heart Association
American Red Cross

First Aid Training - Preferred vendors:
Center for Emergency Medicine
International CPR Institute

 

Liability Insurance - Preferred vendor:
Nurses Service Organization

HIPAA Training - Available in Blackboard

Criminal Record Check - Preferred vendor:
Certified Background (Package Code UQ05)

Child Abuse Clearance - Preferred vendor:
Certified Background (Package Code UQ05)

FBI Clearance - Preferred vendor:
Cogent

Mail copies of all clearances before August 1st to:
Laurie Roorback
School of Nursing
Duquesne University
600 Forbes Avenue - 544 Fisher hall
Pittsburgh, PA 15282


ACADEMIC FORMS

Family Educational Rights and Privacy Act

FERPA form

Directed Study

Download guidelines and form

Academic Integrity Forms:

Appeal to Academic Standing Committee

Student Intention to File Appeal to the Dean

Exit Interview Form

Download form

Personal Conduct Statement

Download form

NAP TUTORS

I NEEDa tutor
NAP Tutor Request Form

I want TO BE a tutor
NAP Tutor Application Form

MISC. FORMS

Preceptor Evaluation by Student

2012 Uniform Order Form



Graduate Forms

CLINICAL FORMS

University Health Insurance Coverage Policy

Universal Precautions Acknowledgement Form

MSN and Post-Master's Certificates:

MSN Clinical Requirements

Health Services Pre-Clinical Health Requirements Form

ACADEMIC FORMS

PhD Progression Forms

Form #1 Topic and Committee Approval

Form #2 Program of Studies Approval

Form #3 Proposal Defense Approval

Form #4 Final Dissertation Defense Approval

Academic Integrity Forms:

Appeal to Academic Standing Committee

Student Intention to File Appeal to the Dean

Family Educational Rights and Privacy Act

FERPA form