Clinical Health Clearance

Nursing students should review this entire Web page closely. Failure to meet any of the following requirements will jeopardize your ability to attend clinical courses (see below for details on requirements). Prior to the start of each semester, you must meet clinical requirements designated by the NHS and specific clinical agencies.

All requirements must be current at all times in order for you to participate in clinical course(s). Additional requirements may be requested depending on the clinical agency where you will be completing your clinical work. This assures you of maximal opportunities in a variety of agencies.

The program coordinator identified with your specific nursing program will contact you with clear directions as to completion of the following requirements:

  1. Immunizations
  2. TB Test
  3. Physical Exam
  4. Drug Screen
  5. Influenza Vaccination
  6. CPR Certification
  7. Criminal Background Check
  8. OSHA and HIPAA
  9. Student Handbook Acknowledgement Form
  10. & 11. Additional Requirements for Graduate Students

Requirement Completion Dates

Campus Based Programs:

  • August 1 for undergraduate and graduate nursing programs with fall start

Online Programs:

  • First day of the start term

Program Contacts

Requirements for Clinical Clearance

1. Immunizations

  • Tetanus/Diphtheria/Acellular Pertussis (Tdap): One dose of Tdap vaccine is required within the last ten years. However, if a Td booster has been given within the past 2 years documentation of that vaccine is acceptable. If you are unable to receive the Tdap vaccine, documentation of the reason and of a recent Td vaccine must be submitted.
  • Varicella (Chicken Pox): Two doses of Varicella vaccine or a positive antibody titer is required. To have had the chicken pox as a child may not be sufficient protection against the disease and a titer is therefore necessary to prove immunity.
  • Measles, Mumps, and Rubella: Two doses of MMR vaccine or a positive antibody titer is required.
  • Hepatitis B: Three doses of Hepatitis B vaccine with 4 weeks between doses or positive antibody titer is required. If not already completed, the Health Screening Form should reflect that you have begun this process by the time it is returned.
  • Meningococcus: One dose of vaccine given within the past five years is required of all freshman undergraduate students living in residence halls.
  • The Immunization requirement needs to be completed only once.

2. TB Test

  • A PPD-Mantoux test (one-step) is required annually.
  • If PPD is positive, or student has previous history of a positive tuberculin skin test, a normal chest X-ray is required within 12 months, unless history of INH therapy is documented. Repeat chest X-rays are not needed unless student displays symptoms or signs of TB or a clinician recommends a repeat chest X-ray. The health care provider performing the annual physical should screen for signs and symptoms of TB.
  • A student may chose to do a blood test instead of a PPD. If the blood test is positive for TB, the student must provide written documentation from a health care provider defining treatment and release to work in a clinical setting.
  • This is an annual requirement for all student nurses.

3. Physical Exam

  • Your health care provider must verify that you are in good health and can participate in the clinical setting.
  • This is an annual requirement for all student nurses.

4. Drug Screen

  • All student nurses must provide documentation of a negative urine drug test including full lab results of amphetamines, barbiturates, benzodiazepines, opiates, cocaine, THC (marijuana), methadone, Propoxyphene, Phencyclidine (PCP), and Methaqualone.
  • If a student tests positive due a prescribed medication, documentation from a health care provider must be submitted.
  • Please note that some clinical sites may require a drug screening within 30 days of your first clinical. Therefore, you may need multiple drug screens throughout the year. Your clinical instructor will notify you of this extra requirement and it must be completed in order to achieve clinical clearance.
  • Drug screens are available through the primary health care provider, student health center, or students may opt to utilize Lab Corp through CastleBranch.

5. Influenza Vaccinations

  • All student nurses must be vaccinated against the seasonal influenza virus.
  • The new flu vaccine is released each fall and should be received once available.
  • Students who cannot receive the flu vaccination due to an egg allergy or other health issue most provide documentation of this from a health care provider.
  • This is an annual requirement for all student nurses.

6. CPR Certification

  • An American Heart Association Basic Life Support (BLS) for the Health Care Provider course (not lay people) is required, and must be kept up-to-date at all times. This must be an in-person course with skills test.
  • To find an American Heart Association authorized training center, please visit their site.
  • A copy of the CPR card or documentation stating that the course was complete must be submitted.

7. Criminal Background Check

  • All nursing students must secure a negative criminal background check prior to the first day of class.
  • Some clinical sites may require an additional criminal background check. You will be notified of this extra requirement, and it must be completed in order to achieve clinical clearance.
  • NHS only accepts background checks completed through the vendor Certified Background.


  • All student nurses must provide documentation of OSHA and HIPAA training. If you do not have documentation of this or are in need of training, please reach out to your program coordinator or student support advisor for additional instructions.
  • This is an annual requirement for all student nurses.

9. BSN Handbook Acknowledgement Form

  • The student handbook is made available to students at: The handbook is under "undergraduate" or "graduate" depending on program. All BSN students must review the contents in the handbook and submit the signed statement acknowledging their review (appendix B).

For Campus-Based Graduate Students Only

10. RN Licensing

  • All graduate nursing students must obtain a DC RN license. DC is not part of the compact licensure agreement.
  • In addition, you will need a license from VA or MD, depending upon your place of residence.
  • If you are a DC resident, you will need a MD license. (The state of VA will allow you to attend clinical rotations as a student with DC license. However, the state of MD will not.
  • If you are a resident of VA or MD, you should obtain a license in your state of residence.
  • Please note that while VA and MD are part of the compact agreement, it only applies if you are a resident of the state in which you are licensed.
  • If you are going to remain a permanent resident in another state that is part of the compact agreement, then that license will cover you for MD and VA. You will still need a DC license.
  • If you are going to remain a permanent resident in another state that is not part of the compact agreement, then you must be licensed in MD, DC, and VA.
  • Summary:
    - DC residents need DC license and MD license
    - VA residents need DC license and VA license
    - MD resident need DC license and MD license
  • Please note: As graduate students, you are responsible for obtaining your licenses.  The School of Nursing & Health Studies does not facilitate the application process with the state boards of nursing.

11. CCRN, ACLS, and PALS Certifications

  • Nurse Anesthesia and AG-ACNP/CNS students are required to provide documentation of CCRN and ACLS certifications as well. Nurse Anesthesia students must also be PALS certified. AG-ACNP/CNS may submit proof of certification in CEN or PCCN in lieu of CCRN certification.