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VERIFIER Please complete and sign the below verification and return this form to the certificant to include in their audit packet. Certification Organization for the American Association of Critical-Care Nurses Verification of Clinical Hours for PCCN Renewal 3-Year PCCN Renewal Audit Period - CERTIFICANT This form must be completed by your clinical supervisor or a professional colleague RN or physician confirming that you completed 432 hours in direct care of acutely ill adult patients within...
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How to fill out verification of clinical hours

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How to fill out verification of clinical hours

01
Step 1: Gather all your clinical hour records, including the dates, times, and locations of each clinical session.
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Step 2: Download the verification form from the authorized body or organization that requires the clinical hour verification.
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Step 3: Fill in your personal information on the form, such as your name, contact details, and student ID number.
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Step 4: Provide accurate details of each clinical session on the form, including the dates, times, and locations as recorded in your clinical hour records.
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Step 5: If required, obtain signatures from supervisors, preceptors, or any other authorized individuals who can verify your clinical hours.
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Step 6: Review the completed form for any errors or missing information. Make sure all the required fields are filled out correctly.
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Step 7: Submit the verification form along with any supporting documents or evidence of your clinical hours to the appropriate authority or organization.
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Step 8: Keep a copy of the filled-out form and supporting documents for your records in case of any future inquiries or audits.

Who needs verification of clinical hours?

01
Students pursuing healthcare-related programs or degrees that require clinical training.
02
Medical or nursing professionals seeking licensure or certification.
03
Healthcare organizations, employers, or educational institutions that need to validate the clinical hours completed by an individual.
04
Government regulatory bodies overseeing healthcare professions.
05
Insurance companies or legal entities involved in medical-related claims or cases that may require proof of clinical hours.
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Verification of clinical hours is a process where healthcare professionals confirm the hours they have completed for clinical practice or training.
Healthcare professionals who are required to maintain records of their clinical hours, such as medical students, residents, or licensed practitioners, are required to file verification of clinical hours.
To fill out verification of clinical hours, individuals typically need to provide details of the hours they have completed, including dates, locations, and types of clinical activities.
The purpose of verification of clinical hours is to ensure that healthcare professionals have met the necessary clinical training requirements and have the practical experience needed to practice safely.
Information such as the dates, locations, types of clinical activities, and total hours completed must be reported on verification of clinical hours.
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