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Inpatient Checklist for Clinical RN Student Placement

Upon approval complete – GSAA Roster/Health Connect Request Form

Submit your paperwork only after the items below are completed in PDF format for each individual student in the following order:

Make sure that all documents are legible and were filled out using Black or Blue Ink only.    

KP Learn Online Training Modules (must include all completed KP Learn Certificates)

MANUAL TESTS (provided by Clinical Education Department)

  • Fall Prevention
  • Patient Restraints
  • Blood Product Administration

ATTESTATION

If you have any additional questions, please feel free to reach out to the placement coordinators:

  • Toni Villasenor
    Student Placement Coordinator – Fremont/San Leandro
    Office: 510-454-5134
    Mobile: 510-363-6282
    Email: Toni.Villasenor@kp.org
  • Gwendolyn Robinson
    Student Liaison – Fremont
    Office: 510-248-7038
    Mobile: 510-846-3960
    Email: Gwenolyn.Q.Robinson@kp.org
  • Nancy Rodriguez
    Clinical Education, Department Secretary – Fremont/San Leandro
    Office: 510-675-5528
    Fax: 510-675-5535
    Email: Nancy.D.Rodriguez@kp.org