- Immunisation Status
- SA Health Online Orientation
- Hand Hygiene Online Orientation
- Fitness for Practice
- Application to swap a placement with another student
- Application to change a placement
- Application to attend a rural placement
- Application for reimbursement of travel expenses (for rural venues only)
- Preferences for NURS3104 (Semester 2) placement
- Birth attendance log
- Continuity of Care Notification Form (online submission)
- National Criminal History Record Check/DCSI Clearances
- Application for Reimbursement of Hep B Immunisation
- Incident Report
It is the student’s responsibility to ensure that their immunisation/vaccination history is complete and up-to-date prior to attending clinical placement. The Health, Counselling and Disability Service of the University provides an immunisation service that is bulk-billed. The School of Nursing & Midwifery will cover the cost of hepatitis B vaccination for all students. The school will also cover the cost of compulsory immunisations for clinical placement in remote and Northern Territory venues. It is not yet necessary for the school to see your immunisation record but you must take it to your clinical venue at orientation. For a copy of the immunisation protocol click Immunisation protocol.pdf (PDF 26KB) . For access to the immunisation record click on Record of Immunisation form (PDF 245KB) .
All students are required to complete the ‘Nursing and midwifery student clinical placement orientation package’, developed by SA Health, prior to attending clinical placement each semester. Information about the package and a link to it can be found on the NursingSA website at nursing/midwifery student clinical placement orientation.
All students are required to complete the ‘Hand Hygiene Online Learning Package’, developed by Hand Hygiene Australia, once per year prior to attending clinical placement.
If you have an existing illness or disability that impairs your ability to undertake a clinical placement you must advise your topic coordinator at least two weeks before commencing that placement. You will need to get a medical practitioner to complete a Fitness for Practice form clearing you for clinical placement. This form is to be submitted to the Topic Coordinator with a copy to the appropriate course coordinator. If you are required to adjust some of your clinical practice the topic coordinator will meet with you to discuss a plan suitable to the placement you have. For fitness for clinical practice protocol click Fitness for clinical practice protocol.pdf (PDF 26KB) . For access to the form please click on Fitness for clinical practice form (PDF 102KB) .
Students can apply to swap a placement with another student if they feel their allocated placement is not suitable. Previous placements of both students will be taken into account before approval is given. For access to the form please click on Application for swap of clinical placement with another student.pdf (PDF 25KB) .
Students can apply to change their placement if they feel their allocated placement is not suitable. Exceptional circumstances only will be considered. For access to the form please click on Request to Change Placement.pdf (PDF 28KB) .
Students are encouraged to seek a rural clinical placement in South Australia. Application forms for rural placements will be made available on this page in approximately September/October the previous year. When the form has been uploaded, you can gain access by clicking on Rural Clinical Placement: Application form for prospective 2nd and 3rd Year students.
Students undertaking placement at a rural venue may claim some travel expenses. For placement purposes, a rural venue is considered to be a venue that is 100km or further from the Adelaide Central Business District (CBD) for students enrolled in the nursing program at the Flinders campus in the Adelaide metropolitan area, and 100km or further from the Renmark campus for students enrolled in the Riverland nursing program. The application form, with attached original receipts, can be submitted to the School of Nursing & Midwifery office. For access to the form please click on Reimbursement of travel expenses.pdf (PDF 27KB) .
Students undertaking their final clinical placement in Semester 2 of their third year are able to submit three venue preferences. Previous placements will be taken into account when considering applications.The application form will be made available on this page in approximately May each year. When the form has been uploaded, you can gain access by accessing Preferences for NURS3104 (DOC 134KB)
10. Birth attendance log (online submission)
This online form is used to keep an accurate record of any attendance of a birth at a hospital/venue by a student.
11. Continuity of Care Notification Form (online submission)
This online form is used to collate information about a midwifery student’s intended presence at a birth.The Clinical Placement Unit staff will advise the hospital/venue of a student’s planned attendance at the birth.
See application forms below
From 2013 all undergraduate and postgraduate students undertaking a professional experience placement (PEP) are required to have a current criminal history record assessment in their possession at least one week prior to the census date for the clinical topic.
No special consideration will be given, and no exemptions apply, if you fail to obtain assessments by the census deadline. Visit: Census Dates page
- For students undertaking Professional Experience Placement (PEP) in South Australia (SA):
All students undertaking a placement in South Australia are required to complete a criminal history record assessment with the Department for Communities and Social Inclusion (DCSI). This includes postgraduate students undertaking a placement in their workplace.
Criminal history record assessments need to be renewed annually, preferably in January each year.
From 12 August 2013, DCSI have replaced the single application form with three separate application forms:
- Child-related employment screening
- Vulnerable person-related employment screening
- Aged Care sector employment screening
If you have not yet applied for a criminal history record assessment, or are applying to renew your documentation, you will have to complete all three assessment forms.
NOTE: If you hold a valid 'single' assessment covering these three areas your document remains current until 12 months from the date of issue. You do not need to apply for separate assessments until this time.
If you are completing a placement in January/February you must have assessments that are current for the entire period of your placement.
You must allow 6-8 weeks for your assessments to be processed.
If you do not have the screening assessments by the week prior to the census date for your clinical topic, you should withdraw. You will not be able to complete the topic requirements because you will not be allocated a placement.
The completed assessments will be mailed to you directly. If you download the forms below, the Professional Experience Placement Unit will receive an email from DCSI confirming that you are cleared for placement.
Forms downloaded directly from the DCSI site do not containg requesting offfice details. If you use those forms, you will need to submit copies of your assessments to the PEP unit.
If DCSI does not clear you for placement, you will be notified and required to attend a meeting with the Associate Dean (Teaching and Learning) and your Clinical Coordinator to clarify issues of concern.
How do I apply?
- DCSI Aged Care Employment Screening Form (DOCX 151KB)
- DCSI Child Related Employment Screening Form (DOCX 137KB)
- DCSI Vulnerable Person Employment Screening Form (DOCX 151KB)
Complete and sign each form.
Present the three forms along with the original documents required for the 100 Point Identification Check to a Justice of the Peace or Commissioner for taking affidavits (solictor, barrister or proclaimed police officer) for verification.
Lodge the forms with an Australia Post Office and pay the nominated fee. If you lodge all three forms at the same time a single fee payment applies.
You are responsible for the cost of the assessments.
If you have questions about this process, please email the Professional Experience Placements Unit.
For further information about the screening process see Department for Communities and Social Inclusion.
- For students undertaking Professional Experience Placement (PEP) outside South Australia:
As of 2013 ALL students undertaking a Professional Experience Placement (PEP) in states outside of South Australia (SA) are required to have submitted to the School of Nursing & Midwifery an original or certified copy of the National Police Certificate (or as required by the clinical venue in that State).
This includes students who are undertaking a PEP in their workplace (postgraduate students).
This document needs to be received by the School of Nursing & Midwifery one week prior to the University Census dates (31st March for Semester 1 or 31st August for Semester 2).
There will be NO special consideration given to students if they have not done so by this date; NO exemptions will be given.
The process of obtaining a police clearance may take some time so you are strongly advised to apply as early as possible before the University Census date.
Scanned, emailed and uncertified copies will not be accepted.
Clearances arranged by their employer will not be accepted.
The National Criminal History Record Check/Police Clearance/DCSI clearance will need to be renewed annually.
** Wesley House Aged Care Facility: Students attending this placement are required to have a police clearance that is no older than 6 months.
All students undertaking a program in the School of Nursing & Midwifery are required to have a HepB vaccination. The School will cover the cost of the vaccination only. The application form, with attached original receipt, can be submitted to the School of Nursing & Midwifery office. For access to the form please access Immunisation of Hep B (PDF 282KB)