Program & Clinical Requirements
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Program & Clinical Requirements

Each clinical site has specific requirements students must provide in order to secure a placement. Below is an explanation of the common requirements. Any additional information will be provided as soon as it is known. 

Liability Insurance:

Liability insurance must be purchased each fall or during your first semester through the University. This cost is $25.00. This fee is paid at the University Cashier's window or by phone (931.221.6285.) The Records and Data Office receives notice of student payments. Provide documentation of purchase is not needed. Please inform the cashier you're a BSN Nursing student. 

2-Step TB:

Per the CDC

Facilities employ the 2-step procedure. In this procedure, a person is given a baseline PPD test. If the test is (-), a second test is administered 1- 3 weeks later (i.e., the second test can be read 7-21 days after the first).

If the above was not followed, you must do this process again following the above directions. Some clinical sites require we report the dates of a 2-Step TB process. If your testing does not meet these specifications, you are not in compliance. If your healthcare provider says you do not need to do this, they are wrong. As a nurse, you will be required to submit to TB testing the remainder of you’re career.

In Medatrax you will submit the completed 2-Step process and upload into the box named “Tuberculin Test: Year 1.” Each fall forward you will submit a new 1-Step TB screen in the box for that year.

If you test positive for TB, the program will need a completed TB health check form as well as a copy of a chest x-ray completed within the last 5 years.  Please let your faculty know that you have tested positive. Some clinical sites may require additional verification of an active infection.


Tdap is a combination vaccine that protects against three potentially life-threatening bacterial diseases: tetanus, diphtheria, and pertussis (whooping cough). The vaccine must be a Tdap, any other vaccine is not acceptable. This is once every ten (10) years.  

Background Checks and Drug Screens:

Background checks and drug screens are required every 12 months.

APSU uses Truescreen for all background checks. With drug screens, you have a choice between Workforce Essentials in Clarksville at 23 Madison Street or Truescreen.

Background check and drug screen directions can be found at this link.  

If you need any support in using Truescreen, you must contact them directly. APSU does not provide support for third-party organizations.  

Seasonal Flu Vaccinations:

Every student regardless of the semester you begin the program must be vaccinated each flu season. This means in the fall. You must have this completed by September 30th. Please be sure to ask your provider if this is the current flu season vaccine.


Medatrax does many things. As the program moves forward, its use will expand. Currently, it is being used for you to submit required documentation. The SON chose Medatrax to facilitate changes occurring related to clinical placements and to ensure all nursing students are in compliance.

It is a priority that information is submitted correctly to Medatrax. Some clinical sites will be given access to view documentation through Medatrax and if items are not in the correct “box” your placement at the site could be in jeopardy. Staff or faculty cannot correct your mistakes or adjust submitted information. There are several locations to locate assistance within Medatrax. There are training videos and quick start guides found under help. Medatrax operates excellent customer service. If you have technical issues, reach out to them.


Waivers: These are used if you refuse to receive vaccinations. Do not use this for any other reason. Be aware that information on declining vaccinations can be found in the BSN Handbook. Clinical sites may not accept placement of any student who refuses vaccinations, and an alternative site may not be available. Please reach out to your faculty about this issue.

Vaccinations: Only upload the required vaccination documentation in the box named. If you have multiple pages of vaccinations, do not upload all pages to each box. Locate and upload the named vaccinations in the matching box.

Titers: Everyone must show immunity to MMR ( measles (rubeola), mumps, and rubella) and Varicella (VZV, chickenpox), as well as show a reactive anti-HBs (or HBsAb) for HepB. In some occasions, people will not show immunity or reactivity when titers are drawn even after the required vaccinations. Please, talk to your healthcare provider in these cases and asked for a statement siting testing and failure to convert. In these cases, you are required to show you received 2 rounds of vaccinations.

Again, only upload the matching titer to the box.

Other Documentation: Other program documentation needing to be uploaded must be in the correct location. We do not need a copy of driver licenses, do not put a copy of your insurance card and BLS/CPR together. Each item has its own location.


You are responsible for having all documentation uploaded correctly and whithin the required time frame.  Use the HELP section of Medatrax as well as this document to assist you. 

Just as coursework and attending class are vital to completing the BSN program so is providing these requirements. You cannot complete the program without providing this required information. It must be submitted at the time, in the format, and location required by the program. The program will not and cannot make changes to your upload EXCEPT to delete items.