Bedside Nursing Instructors that are COA Employees Annual Renewal

Bedside Nursing Instructor that is a COA Employee has to renew privileges to have students at COA annually by submitting an Annual Renewal Packet to Mary Jane Prosser in Nursing Education and Research Center.   The packet consists of the following documents.

1.__ Non-COA Nursing Professional Demographic Data Document (click here)
    At the bottom of the document your are suppose to sign that you have read the  Non-COA Staff Infomation HandbookBecause you are a COA Employee you can write in CHEX Annual Curriculumn completed, sign it and write in the date it was completed covering the following toics.  
        __ Fire Safety and Security Information
        __ Code of Conduct
        __ Infection Control
        __ Patient Safety Goals
        __ SBAR: Effective Communication
        __ Child Abuse and Neglect

2.__ Confidentiality and Nondisclosure Statement Form (click here)

3.__ Non-COA Bedside Nursing Instructor Continuing Competency Review Document (click here)
    Your supervisor is to complete this document verifying the following:
        __ You are qualified to provide bedside Patient Care for Pediatric Patients
        __ You have a current nursing license to practice in the State of Alabama
        __ Your Cardiopulmonary Resuscitation (CPR) training is up-to-date and you have a current card
        __ You are current with TB Skin Testing
        __ And your Varicella Status-Positive Titers, Immunizatiuons and Hepatitis B Vaccine has been done or documented

Please route the completed forms to Mary Jane Prosser, Nursing Education and Research office, Suite 410, in the Children's Harbor building of Children's Hospital.   For further instructions or any questions call (205) 638-9908.

Mary Jane Prosser, MSN, R.N.
(205) 638-9908 Office
(205) 638-6066 FAX