Practical Nurse Diploma

Nursing students are privy to healthcare information and are bound by legislation to keep the information they have access to confidential.

Instructions: Please carefully read, sign and submit the Clinical Placement Agreement to @email.

On admission students should read and understand the College of Licensed Practical Nurses of Alberta (CLPNA) Professional Responsibility and Accountability document.

Instructions: Read the Becoming a Licensed Practical Nurse in Canada Requisite Skills and Abilities document, then sign the Personal Declarations PN Students Form and email to @email.

Confidentiality is crucial in health care. Alberta Health Services requires all students to complete confidentiality training and sign a confidentiality agreement.

Instructions: Complete the online modules here. There is a form at the end of the training modules, please sign and email the form to: @email.

Complete the highlighted fields, first name, last name, and position (student) on the AHS Photo ID Badge Form. This is required even if you already have an AHS ID badge, it is needed to request your clinical access. Please note: your student ID picture will also be used for your AHS ID.

Instructions: Email completed form to @email. Do NOT send this form to AHS.

The Required Organizational Learning: Respectful Workplaces and Prevention of Harassment and Violence Policy course supports students and instructors to know how to stay safe during their placement by guiding them on how to appropriately prevent and safely respond to incidents of worker-to-worker and patient-to-worker harassment and violence. It also provides training on AHS' Respectful Workplaces and Prevention of Harassment and Violence Policy and Procedure and aligns with provincial Occupational Health and Safety legislation.

Instructions: Once completed, please submit your completion certificate found at the end of the course and submit it as part of your checklist.

Instructions: Please read, agree to, sign and submit the Immunization and Practicum Disclosure Waiver Form to @email.

Instructions: Please read, agree to, sign and submit the Police Information Check Waiver Form to @email.

All nursing students must be immunized according to AHS requirements. Please note that placements may be refused to students who are not compliant with the standard.

Alberta Health Services (AHS) reserves the right to preclude any students who are not up to date with their immunizations from attending clinical placements for the safety of the patients, students, and staff. This decision would depend on the situation at that specific clinical location. Failure to attend clinical may result in the course expectations not being met and the student not being successful in the course/program.

It is the student's responsibility to ensure that their immunizations are kept up to date, according to the standard for the duration of the program.

Instructions: Contact your local Public Health Centre to make an appointment to have the Student Immunization Clearance Form completed. Here you will find corresponding Appendix A, B, & C. Your Immunization Record must be completed and signed by a health care professional at Public Health. If you are a student from outside Alberta/Canada, please start this process prior to your arrival in Alberta. Once completed, scan and email a copy to @email.

A current N95 mask fit test is required for clinical placements. NWP Continuing Education conducts mask fit tests for a nominal fee. You can book one here.

Continuing Education can be reached at @email or by phone at 780 539 2975.

If students are being tested by an external provider, please ensure that the mask styles comply with AHS's current recommendations.

Instructions: Scan and email your current Mask Fit certificate to: @email. Please note that this needs to be completed during the submission window listed above, this will ensure you never expire during clinical.

Important Information

• Students must obtain a Police Information Check with Vulnerable Sector Clearance (PIC) to participate in clinical courses.
• We can now accept digital copies.

If your PIC is unclear, clinical agencies will review your documents to determine if you can participate in clinical experiences at their site. If your PIC is unclear, you must notify the Clinical Placement Coordinator immediately to start this process.

Clinical placement sites that are a part of Alberta Health Services will honour a student's initial Police Information Check for the duration of their program. Clinical placements with other organizations may require a new PIC, dated within 90 days of the start of your clinical course.

If you have any breaks in your nursing program, for any reason, you will need to submit a new Police Information Check with Vulnerable Sector Clearance before restarting the program.

Ensure you familiarize yourself with the requirements and process, including fees, identification to bring, and processing times, to meet this requirement expediently. Fees are the responsibility of the student, and processing times vary depending on the volume of requests.

Students under the age of 18 cannot obtain a PIC and should wait until they turn 18 to complete this requirement. Please email your Clinical Placement Coordinator so they can make this note in your student file.

MyCRC.ca police information checks are not accepted.

Instructions: Obtain a Police Information Check with Vulnerable Sector Clearance (PIC) from your local police detachment, scan it, and send a copy to PNchecklist@nwpolytech.ca. Ensure that the PIC is dated within 90 days of the submission window.

Students must have a current Heart and Stroke Foundation: Basic Life Support (BLS) Provider - CPR. No other courses will be accepted. Online Blended CPR certification through Heart and Stroke is only accepted if you have completed the in-person component and are fully certified as a BLS - Provider. Students are responsible for covering the cost of the training.

Alberta Health Services (AHS) requires BLS - CPR to be renewed annually. It is the student's responsibility to ensure that their BLS Provider - CPR is current. Students must complete and submit recertification for each year of the program. Students who do not submit during the submission window will be withdrawn from their clinical courses.

BLS - CPR courses are offered through NWP Continuing Education, or students are welcome to find their own training provider as long as it is Heart and Stroke - BLS

Instructions: Scan and email your current CPR certificate to PNchecklist@NWPolytech.ca. Please note that this needs to be completed during the submission window listed above. This will ensure that your certificate never expires during clinical.