All students participating in clinical/practice experiences must complete the following requirements. Failure to meet these requirements may result in suspension from classroom, clinical/practicum and lab sessions, or course failure, which could result in dismissal from the program.  

  1. Tuberculin Testing: At the start of the program, individuals must provide proof of the absence of active tuberculosis (TB) disease. An initial TB skin test (TST) or IGRA* (blood test for TB) will be required within one year of starting clinical education.
    1. TST Test: If documented TST in the past 12 months, see below. If you have never been skin tested for TB, you will need to do a 2-step screening as follows:
      1. If first TB Skin test (TST) is positive (+)—individual is considered infected (must have chest X-Ray and TB Risk Assessment Form completed, which is provided to the KCMO Health Department).
      2. If first TST is negative (-)—do the second TST 1-3 weeks later.
      3. If second TST is positive (+)—individual is considered infected (must have chest X-Ray and TB Risk Assessment Form completed, which is provided to the KCMO Health Department).
      4. If second TST is negative (-)—considered a negative (-) baseline.
    2. IGRA screening: An IGRA blood test for TB (either QuantiFERON Gold or TSPOT) may be submitted (if positive (+) - must have chest X-Ray and TB Risk Assessment Form completed, which is provided to the KCMO Health Department). IGRA screening may be beneficial if there is a history of a prior (+) TST or previous vaccination with BCG as this may produce a (+) TST result.
    3. Notes:
      1. Be aware if receiving a live virus immunization (such as varicella, MMR or FluMist), you will need to have your TST done either at the same time, or wait 4 weeks. The TST must be done first, prior to receiving any other live vaccines.
      2. Chest X-ray is not permitted in lieu of TB screening
      3. If traveling outside of the US into an endemic region, notify the Dean for additional requirements.
  2. Measles (Rubeola), Mumps, Rubella (MMR). Provide documentation of 2 (two) MMR vaccinations at least 28 days apart, OR serological proof of immunity (+) positive IgG titers for measles (rubeola), mumps, and rubella.
  3. Varicella (Chicken Pox): Provide documentation of 2 (two) varicella (chicken pox vaccine) immunizations at least 28 days apart, OR serological proof of immunity (+) positive IgG for varicella.
  4. Hepatitis B immunization. Provide evidence of a series of two (Heplisav-B) or three (Engerix or Recombivax) vaccines followed by a post-series surface antibody titer at least 4-8 weeks after the last vaccine is given. If documentation of an initial Hepatitis B immunization series in not available, documentation of a (+) titer is acceptable. Though not recommended, this vaccine can be waived; a signed waiver is required to be kept on file.
  5. Tetanus-Diptheria-Acellular Pertussis (Tdap). Provide evidence of one dose of Tdap (usually given around age 11-12 years). A Td booster is required every 10 years or, if wound injury occurs, after 5 years since last dose.
  6. Influenza. Provide documentation of seasonal flu vaccine per annual CDC announced date (usually available sometime in September).
    1. In the rare occurrence a student has a medical contraindication or request for religious exemption, an appropriate accommodation form must be completed, approved by a designated hospital representative, and on file. [Agencies may not honor an accommodation—please allow 4-6 weeks for this process to take place.]
    2. There is an alternative vaccine for those with egg allergies.
    3. Wearing a mask at the clinical site may or may not be an option for non-immunized; check at specific facilities for policy on non-immunized persons.
  7. Proof of Health Insurance*. Contracts with clinical agencies require that all students provide evidence of health insurance coverage annually.
  8. Basic Life Support (BLS) - must be through American Heart Association and be BLS CPR & AED for Healthcare Professionals course. This must be kept current throughout the program. Courses for lay rescuers such as “heartsaver” are not acceptable. The course must include a physical hands-on validation of skills. NOTE: For MSN student only, the American Red Cross BLS for Healthcare Providers is acceptable.
  9. Color Blindness (for all BSN students and MSN NP students only). An assessment for color blindness is administered by the nursing program. The screening must be done using a test which is approved by an ophthalmologist (Ishihara’s test).
  10. Criminal Background Check. Students must have a criminal background check completed by CastleBranch/Clinical Student prior to enrollment in nursing clinical courses. A single negative check does not preclude the requirement of additional checks at a future time. Students should be aware that any affirmative results from a criminal background check may result in an inability to participate in required clinical activities and therefore may result in the student’s inability to complete degree requirements. In the event that a student’s criminal background check is reported affirmatively, the student will have the opportunity to request an additional criminal background check. The rationale and policy related to repetition of criminal background checks is found in the federal Fair Credit Reporting Act at
  11. Missouri Family Care Safety Registry. Students must register for this state required safety registry. (Applies to all BSN students and MSN Nurse Practitioner students only).
  12. Drug Screen: Students must complete a drug testing through CastleBranch/Clinical Student. Previous drug testing done through a physician’s office or an employer is not accepted. A positive drug screen without appropriate documentation could jeopardize the student’s ability to complete the clinical rotation. The school will determine the student’s ability to progress in the nursing program through the Impaired Nursing Student Policy located in the Student Handbook.
  13. The following items must be completed through the Learning Management System under the NU 0000 link.
    1. Substance Abuse Quiz with a score of 90% or better. (For all BSN students only.)
    2. Exhibit A, B, and C. Exhibit A and B forms are signed with the name of the facility left blank; Exhibit C form requires completion of student information leaving the signature area blank. Undergraduate students must bring the forms to registration. Graduate students must submit the forms to the Registrar by email, fax, mail, or hand delivery. The Registrar will upload these forms to CastleBranch/Clinical Student after the Dean’s signature has been obtained.
    3. Clinical Orientation Competency Exam. * Score 90% or better required.
    4. Confidentiality Statement. * Students must print Confidentiality Statement, sign, write Clinical Orientation Competency Exam score on it, and upload it to CastleBranch/Clinical Student.
  14. HIPAA Training. Completed in class immediately prior to clinical/practice experiences. Additional HIPAA training may be required by specific clinical agencies. (For all BSN students only.)

BSN students must complete these items annually. 


  • NP students may be required to meet additional requirements, i.e. physical exam, at the request of the clinical agency.
  • If for some reason, a student cannot be immunized or otherwise satisfactorily meet the requirements above, the Dean will consider appropriate actions on a case-by-case basis.