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NURSING APPLICANT MEDICAL EVALUATION Ethel University Health Services 3900 Ethel Drive, St. Paul, MN 55112 *Please make and keep a copy of this entire form for future needs. Student name Social Security
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How to fill out nursing applicant medical evaluation
How to fill out a nursing applicant medical evaluation:
01
Start by carefully reading and understanding the instructions provided with the medical evaluation form. Ensure that you have all the necessary documents and information before you begin filling it out.
02
Begin by providing your personal details, including your full name, contact information, and any identification numbers required.
03
Next, provide information about your educational background, including the name of the nursing school you attended, your degree or certification, and any relevant coursework or clinical experience.
04
Provide a detailed employment history, listing all your previous nursing jobs, including the names of the facilities, the dates of employment, your job titles, and a brief description of your responsibilities.
05
In the section dedicated to medical history, disclose any pre-existing medical conditions, disabilities, or chronic illnesses. It is important to be thorough and honest in providing this information, as it will help evaluate your fitness for the nursing profession.
06
If you have had any recent surgeries or significant medical procedures, list them in the appropriate section, along with the dates and reasons for the procedures.
07
Provide a comprehensive list of any medications you are currently taking, including dosage and frequency. Be sure to include any over-the-counter medications, herbal supplements, or vitamins.
08
If you have any allergies or adverse reactions to medications, latex, or other substances, make sure to list them in the appropriate section.
09
In the family medical history section, disclose any relevant information about your immediate family members' medical conditions or hereditary illnesses.
10
Finally, review the completed form thoroughly to ensure all the information provided is accurate and up to date. Sign and date the form as required, and submit it to the appropriate authority or institution.
Who needs nursing applicant medical evaluation?
01
Nursing applicants who are applying for a nursing program or a job in the healthcare industry generally need to undergo a medical evaluation.
02
These evaluations are essential to assess an applicant's physical and mental fitness for the demanding nature of the nursing profession.
03
Nursing schools, healthcare facilities, and employers often require applicants to complete a medical evaluation to ensure the safety and well-being of patients under their care.
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What is nursing applicant medical evaluation?
Nursing applicant medical evaluation is a health assessment conducted to determine if an individual is physically and mentally fit to work as a nurse.
Who is required to file nursing applicant medical evaluation?
Nursing applicants are required to file a medical evaluation.
How to fill out nursing applicant medical evaluation?
Nursing applicants must complete the required forms and undergo a medical examination by a licensed healthcare provider.
What is the purpose of nursing applicant medical evaluation?
The purpose of nursing applicant medical evaluation is to ensure the safety and well-being of patients by confirming that nurses are in good health to perform their duties.
What information must be reported on nursing applicant medical evaluation?
Nursing applicant medical evaluation must include medical history, physical examination results, and any necessary medical documentation.
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