Required Documentation For On-Site Experiential Learning

Overview

The School of Nursing and Allied Health and our clinical partners require that certain documentation is collected prior to a student participating in on-site experiential learning. The information on this site was compiled to help your transition from strictly classroom learning into the clinical experience.

Important Terms

Certiphi: An outside-party vendor that conducts drug screens and background checks
Exxat Approve: The service that provides compliance review. A team of reviewers from Exxat review each document submitted and either approve the documentation or provide feedback regarding corrections.
Exxat Prism: Clinical management platform in which students can view their clinical placements; submit clinical paperwork/activities, patient logs, and time sheets; and conduct clinical site evaluations.
Drug Screen: A 10-panel drug screen that is ordered through Certiphi. Depending on your program, you may be required to complete more than one.
Clearances
- Child Abuse History Clearance: Pennsylvania Clearance for working with/around children
- Department of Human Services (DHS) FBI Fingerprint Clearance: Pennsylvania Clearance checking for federal criminal history
- PATCH (PA Access To Criminal History): Pennsylvania Clearance checking for state criminal history

Exxat Student Video Tutorials

Student Navigation (5:21)

Completing the Student Profile (9:39)

Submitting Compliance Documents(6:50)

Instructions for Uploading Clinical Requirements Once Invited to Exxat

You will receive an email from Exxat inviting you to the system.
Login to the Nest
Under “Quick Links” click “EXXAT”
Login using your SJU credentials.
Once logged in, click “Compliance” in the top right of the Dashboard
Upload the required clearances and documents.
Once you upload your clearances, the clearance will show as “Pending” until “Approved” or “Not Approved”
Please see the Exxat Student Video Tutorials (listed in the preceding section) for more detailed instructions.

What documentation will need to be submitted to Exxat?

New clinical students enrolling in their first clinical course will need to complete several documents prior to being permitted to attend clinicals. These documents are completed within or submitted to Exxat for review and approval. Below is a list of all potential documents that would be required to be submitted to Exxat. Each requirement has a set of Guidelines for Students that can be found within Exxat.
Depending on the length of your program, some documentation will require renewal. This will be reviewed at your program orientation.

STUDENTS WITHOUT APPROVED CLINICAL REQUIREMENTS CANNOT ATTEND CLINICALS
(You will not be permitted to attend clinical on-campus or off-site without approved requirements)

Requirement	Instructions/Documentation Requirements	Examples/Helpful Links
Physical	Must be from last 12 months Document must be completely filled out (program, emergency contact, etc.) Annual renewal for some programs	Physical Form * Please use your SJU credentials to view this document
TB Screening	2-step PPD Skin Test (2 separate applications) from last 12 months Quantiferon Gold Lab Result from last 12 months Lab results must include name, DOB, date drawn/collected, reference range, and result Chest X-Ray Result (if prior positive PPD/Quantiferon) Imaging results must include name, DOB, date of X-ray, and results/impression Annual renewal for some programs	Tuberculosis PPD Screening Form * Please use your SJU credentials to view this document
Immunizations	Hepatitis B Childhood 3-dose series, adult 2-dose series, or positive titer. Lab results must include name, DOB, date drawn/collected, reference range, and result Note: There is no booster for this vaccine, if you have a negative titer, you will need the repeat series. MMR (Measles, Mumps, Rubella) 2 dose series or positive titer Lab results must include name, DOB, date drawn/collected, reference range, and result Varicella 2 dose series or positive titer Lab results must include name, DOB, date drawn/collected, reference range, and result TDap Last dose within last 10 years COVID-19 Vaccination or exemption Medical exemption: requires letter from provider Religious exemption: requires letter from clergy person Flu Vaccination or exemption Medical exemption: requires letter from provider Annual renewal for some programs
BLS Card	Must be American Heart Association Basic Life Support for Providers Heartsaver is NOT accepted Red Cross is NOT accepted HSI is NOT accepted RQI IS accepted	You can find BLS courses on the following sites: AHA’s Atlas Lancaster CPR Lancaster EMS
FIT Test	This requirement is completed on campus during your first off-site clinical course.
DHS FBI Fingerprint Clearance	SJU does not cover the cost of this clearance ($24.95) Identogo Website to register and schedule your fingerprints: https://www.identogo.com Service Code: 1KG756 Note: This clearance may take several weeks to process if results are being sent via mail. Please plan accordingly.	DHS Fingerprint Results Example * Please use your SJU credentials to view this document
Pennsylvania Access to Criminal History (PATCH) Clearance	This requirement is completed through Exxat via our partner, Certiphi. Instructions will be available in Exxat. You may submit a recent PATCH if completed within the last 12 months.	PATCH Example * Please use your SJU credentials to view this document
Pennsylvania Child Abuse History Clearance	This requirement is completed through Exxat via our partner, Certiphi. Instructions will be available in Exxat. You may submit a recent Child Abuse History Clearance if completed within the last 12 months and certification purpose is listed as Employment.	Child Abuse History Clearance Example * Please use your SJU credentials to view this document

Please Note: The DHS Fingerprint Clearance, PATCH, and Child Abuse Clearances are THREE different clearances. They are NOT the same clearances and all three MUST be completed.

School of Nursing and Allied Health students with Exxat specific questions may contact either:

Mrs. Maginnis
Clinical Coordinator for Undergraduate Nursing at Lancaster
cmaginnis@sju.edu
Miss McMorris
Clinical Coordinator for Graduate Nursing and Allied Health programs
jmcmorris@sju.edu

If you have questions related to your educational track, please reach out to your program director and/or clinical coordinator.