Authorization Form (one time only)
Agencies require that the School of Nursing release certain information regarding background checks, drug screens, immunizations, etc. upon request. Therefore, a SLU School of Nursing Authorization Form can be found here. Please download, sign and return with the other forms to:
Saint Louis University
School of Nursing
3525 Caroline Mall
St. Louis, MO 63104
Students must send in a verification of current licensure. Please click here for license verification information.
Validation of Knowledge Regarding Exposure to Blood-Borne Pathogens (one time only)
To ensure your knowledge of standard precautions and the system for reporting exposures, all students must read the booklet published by the CDC, Exposure to Blood: What Health-Care Workers Need to Know, and the accompanying School of Nursing Information, Additional Notes on Blood-Borne Pathogens. Please complete the Blood-Bourne Pathogens Receipt and Acknowledgement Form found here.
All students are required to be certified by the American Heart Association and to maintain the certification throughout their coursework.
Criminal Background Checks
In order to promote a safe healthcare environment and meet program's standards and requirements of the University, School of Nursing and clinical affiliates, students are required to have a "comprehensive" background check prior to any clinical experience. The student must sign an authorization to release the results of the background check to the School of Nursing and to the agency if requested. The Saint Louis University's Office of the Registrar coordinates to have background checks performed. The Office of the Registrar will bill the student's account for the cost of procuring the background check and will maintain records of the results of student background checks for the duration of the student's enrollment at the University. "Comprehensive" background checks must be completed prior to enrollment.
Follow the directions below for completing the background check:
- Master's students can access the background check application directly at: https://www.slu.edu/services/registrar/background/
- Background checks deemed unacceptable based on past criminal history will be handled on an individual basis with consultation from the Dean and program director, and may result in dismissal.
Drug Screens and Other Agency Requirements
It is the student's responsibility to check with each agency prior to beginning clinical experiences to identify and meet that agency's requirements. In some cases, drug screens or other requirements may be required. In that case the student must follow the agency's directions for meeting those requirements. The student is responsible for the cost of required screenings. Local students may contact the Student Health Services (314-977-2323) for information on obtaining a drug screen through Student Health Services.
The agency maintains the right to deny a student to practice if a background check or drug screen is positive. In such cases, the inability to place a student in a clinical agency would prevent the student from completing the program. The records for both the criminal background check and the drug screen will be maintained in strict confidence by the School of Nursing and will be disclosed to the participating agency only upon request.
It is the student's responsibility to determine and follow all agency guidelines and requirements.
Emergency Contact Information Verification
This information must be kept up-to-date in the student's Banner account. A hold on registration will be placed when the student does not have updated information (once a semester). If a student receives an e-mail reminding him/her to verify emergency contact information log onto MySLU (https://myslu.slu.edu), click on the Tools tab, and click on Banner Self Service
The student will now be prompted with a verification form
- If the information is accurate please check the box at the bottom of the screen indicating that you are verifying the information as accurate then click the submit button
- If the information is inaccurate then please modify the information, after the correction access the form again and click the verification check-box and click submit
- If the student encounters difficulties, call the SLU Registrar's office at 314-977-2269
Health Insurance and Portability and Accountability Act (HIPAA)
Under HIPAA, certain identifying pieces of health information are protected from casual scrutiny or use by unauthorized personnel. HIPAA regulations govern the circumstances of collection, access to and use of this Protected Health Information (PHI): names, postal addresses, telephone numbers, fax numbers, e-mail addresses, dates (including birth dates), social security numbers, medical record, and health plan numbers, account numbers, certificate/license numbers, vehicle identifiers including license plate numbers, device identifiers, names of relatives, Web URLs, IP address numbers, biometric identifiers, photographs and comparable images, and any other unique identifying number, characteristic, or code.
Each student must listen to the HIPAA training session. It is located in each nursing course. After receiving access to the first nursing course in Blackboard, click on "Etc." in the course. Listen to the "Overview of HIPAA" and follow directions. You will not be able to access the course until the week prior to the beginning of the semester.
Each student must then download a copy of the "HIPAA Receipt and Acknowledgement" form, sign it and return it to:
Saint Louis University
School of Nursing
St. Louis, MO 63104
Follow the instructions given. The signature acknowledges that the student has listened to the HIPAA training session, understands it, and will follow the guidelines. All students must return this signed form within the first two weeks of their first course.
Graduate Nursing Student Immunization Requirements
Immunization records are to be mailed or faxed (314-977-8817) to the School of Nursing prior to registration for the subsequent semester (~November 1, ~April 1) or a hold will be placed on the student's registration.
- Diphtheria and Tetanus*: Documentation of a primary series of diphtheria and tetanus toxoid, and a booster within the past ten years.
- Measles*: Documentation of two doses of live measles (or MMR combined) vaccine separated by at least one month on or after the first birthday, OR laboratory evidence of immunity. Because routine childhood immunization schedules for two doses of measles vaccine have only recently been implemented, most students entering the University will need the second dose of live measles vaccine. Individuals who received killed measles vaccine, combination of killed and live measles vaccine, or measles vaccine of an unknown type between 1963-1967 are considered unvaccinated, and should receive two doses of live vaccine at least one month apart.
- Mumps*: Documentation of one dose of live mumps (or MMR combined) vaccine on or after the first birthday, OR laboratory evidence of immunity. Persons who received killed mumps vaccine available between 1950-1978 might benefit from revaccination.
- Rubella*: Documentation of one dose of rubella (or MMR combined) vaccine on or after the first birthday, or documentation of laboratory evidence of immunity.
- Hepatitis A: Immunization series against Hepatitis A, OR laboratory evidence of immunity is recommended for student with direct patient contact, and highly recommended for students working with populations where there is increased incidence of Hepatitis A.
- Hepatitis B*: Immunization series against Hepatitis B, OR laboratory evidence of immunity is required before patient care experiences. Students are encouraged to follow current CDC recommendations, which include a follow-up titer to confirm continued immunity.
- Varicella: Documentation of disease OR laboratory evidence of immunity is recommended before patient care experiences.
- Tuberculin Test*: A sequence of annual negative PPD tests or documentation of a negative 2-step tuberculin skin test within the past 12 months is required before patient care experiences. Annual 1-step retesting is required throughout the program. Positive skin tests require a separate, annual, physician statement documenting treatment and the absence of active/infectious tuberculosis.
Please note: All students must meet the health/immunization requirements of their assigned clinical agency. These requirements may necessitate additional immunizations besides those required by the University and School of Nursing. All requirements are subject to change based on University, School of Nursing, CDC or OSHA requirements.
*These are University requirements. All students must document compliance with these requirements upon entering the University. If documentation is not complete, students will be unable to participate in activities requiring patient contact and the University will place a hold on subsequent registration
Reference: Saint Louis University Student Immunization Requirements (1999)
Revised: Saint Louis University School of Nursing (2002)
Student Photo ID Badge/Card
All students are required to have a valid student ID card. The student will need to wear the SLU ID card during the clinical practicum. On-site students obtain their ID cards from Parking and Card Services. Online students can send a recent digital photo to the Director of the Computer Based Learning (email@example.com). An ID will be mailed to the student.
Additionally, the student is to post his/her photo in the class roster the first semester of coursework.
Students With Disabilities
Students who believe that, due to the impact of a disability, they may need academic accommodations in order to meet the requirements of this, or any other class at Saint Louis University are encouraged to contact the Office of Disabilities Services at 977-8885; DuBourg Hall, Room 36. Confidentiality will be observed in all inquiries.
In order for a student to receive accommodations, faculty must receive official documentation from the Disabilities Services Counselor describing the student's accommodation requirements. It is the student's responsibility to contact the course coordinator at the beginning of the semester so that appropriate accommodations may be provided.