Sample Documentation

CPR Cards


RN License Verification

  • RN License verification should include your name, RN License number, state of licensure, expiration date and no board actions or restrictions.
  • This can be found at the online licensure verification webpage for your state of licensure.

Screenshot of License Summary

License Look- Up


TB Documentation

  • TB documentation must include: placement date, read date, induration (mm) and the overall result (positive or negative).
  • Student Health Services needs all four parts of the TB skin test in order to enter your PPD for compliance.

 

Sample TB Surveillance Form