Thank you for choosing The Valley Hospital for your clinical rotation. Our goal is to provide a safe learning environment for you and your students.
This page provides information and required documentation for your students’ clinical rotations. All faculty and students need to complete this paperwork once annually, on a calendar-year basis.
Unit-specific information, such as manager's name, email address, and telephone number, can be found by clicking on Unit Manager Contact Information. Unit-specific details can also be found by clicking on Clinical Unit Details.
Required Paperwork
It is imperative that we receive all required paperwork, including the School Affiliation Roster, by the end of your first clinical day. Please return the paperwork to Jennifer DiNoto (see address at right).
School Affiliation Roster
Student grades to be noted on roster. A Student Affiliation Roster must be submitted for all clinical rotation groups. If a student is returning within the calendar year, please mark “Returning student.”
Download for RN Students
Download for PCT Students
Students & Supplemental Staff Self Learning Orientation Module Post Test
Please read each section; read the instructions on front cover page; and complete all tests and sign all statements, etc. included in the packet. MANDATORY: ALL tests and signed statements MUST be returned to the instructor on the FIRST clinical day.
Download for RN Students
Download for PCT Students
COVID-19 Clinical Experience Questionairre and Acknowledgement Form
Mandatory Insulin Education - For RN Students Only
Included in orientation module above. Download
Annual Glucose Competency
Annual glucose competency is required of all instructors. Please run your high and low glucose controls and complete the annual competency test. Please send the signed competency form to Cathy Smith's office at the hospital (see address above). Download
Please also review the following:
Blood Glucose Policy
Hypoglycemia Policy
For Instructor Information/Completion or for Review with Students
Nursing Student Guideline Policy
Valley’s policy outlining selected nursing tasks that a nursing student may perform. Download
Nursing Student Clinical Assignment Sheet
Must be filled out and posted daily on the unit. Download
PCT Clinical Assignment Sheet
Must be filled out and posted daily on the unit. Download
Instructor Meditech 6.1 Access
Instructions for accessing information, including nursing school clinical education information, in Meditech 6.1. Download
Nurses' Notes
Daily nurses’ notes to be completed. Download
Post-Test Answer Sheets
For grading and reviewing results with your students.
Self-Learning Orientation Module Answer Sheet
Insulin Safety Answer Key Sheet
Hand Hygiene/Natural Nail Policy for Healthcare Workers
Instructors and students coming to the hospital for clinical rotations must comply with this policy. Failure to comply will result in the loss of clinical privileges. Download
Personal Appearance Guidelines
Valley’s policy regarding professional appearance, dress and grooming. Download
Other Important Forms & Information
Hospital Shuttle Schedule
All students and instructors are REQUIRED to take the complimentary shuttle between the Ridgewood Campus (223 North Van Dien Ave.) and the Paramus Campus (4 Valley Health Plaza) for clinicals taking place between the hours of 7 a.m. and 7:30 p.m. All students and instructors should park on the Cheel side of the Ridgewood building. The shuttle departs every few minutes and will drop students and instructors off at the main entrance of The Valley Hospital in Paramus. Download
Influenza Vaccination Form
We are required by CMS guidelines for Inpatient Quality Reporting to provide documentation of influenza vaccination of our healthcare workers, including students and instructors working with patients at The Valley Hospital. Please provide us with this documentation for your students and instructors this upcoming flu season. This is required. Download