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 RN license summary
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
Sample TB Surveillance Form