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Public Health Nursing


Public Health Nursing

Los Angeles County Public Health Nursing Practice Public Health Nursing Resources Student Nurse Orientation Public Health Nursing Job Opportunities and Benefits Medication Calculation Exam Study Guide University Affiliates Links Public Health Nursing Intranet Site    (DPH Employee's Only)

Contact Information
County of Los Angeles
Department of Public Health
Nursing Administration
241 N. Figueroa Street, Room 347
Phone: (213) 288-7725
Toll Free Phone Number: 1 (866) 307-6877
Fax: (213) 250-0612
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University Affiliates Instructor Forms and Policies

University Affiliation Manual 2009 (Revised 5/2009)

The following instructions and forms will be utilized in processing University Affiliate students and instructors for their clinical rotation with Los Angeles County Department of Public Health (LAC DPH).  All of the forms are new and/or revised. Please discard all previous versions of the forms.  The forms will be updated and revised according to changes in the LAC DPH policies and procedures.  Download forms when needed for each quarter or semester. 

Important Timelines

Student Orientation Schedule 2024

Thank you for your interest in Los Angeles County Department of Public Health (LAC DPH). We look forward to precepting/mentoring your students. Prior to your students beginning their clinical rotation with LAC DPH, each student must be live scanned and cleared; there are no exceptions. To ensure the process is conducted efficiently and each student is processed in a timely manner, the following steps must be completed.

A. The clinical coordinator/student coordinator completes and submits the following forms to LAC DPH Nursing Administration no later than ten (10) weeks prior to first day of clinical rotation via email to 

WOC Request Form Instructor and Student List This form needs to be submitted with the WOC request forms

Without Compensation (WOC) Request Form and Instructions This form is to be completed by instructor or coordinator for each student and instructor

LAC-DPH Nursing Administration will notify University's clinical coordinator/designee completing the WOC forms of students' eligibility to make live scan appointment.

LAC DPH Nursing Administration will notify University's clinical coordinator/designee of all live scan results. Students who have not cleared will not be allowed to rotate through LAC DPH, and the University will have to place the student with a non-LAC DPH facility.

B. Requirements for Practice in Clinical Facilities Form and Instructions: Faculty and students are required to provide all necessary documentation related to the "Requirement for Practice in Clinical Facilities" form. This includes up-to-date vaccinations, current BCLS, current car insurance, valid driver's license/ID, as well as other requirements. This completed form is due to LAC DPH Nursing Administration 3 weeks prior to the start of clinical rotation.

C. Clinical Rotation Selection Schedule Form: In order to ensure that each affiliate university receives the best possible experience, the clinical coordinator must complete and submit the University Affiliation Clinical Rotation Selection Schedule. Please download the University Affiliation Clinical Rotation Selection Schedule and submit the completed form via e-mail to This form must be submitted by May 15, 2024.

D. Evaluations: Annual Year End Evaluation Forms are due to Nursing Administration no later than July 17, of every year. Please disregard previous forms located in the University Affiliates Manual.


University Affiliates New Instructors and Student Forms and Policies

The Live Scan process must be completed by all instructors and students prior to the start of clinical rotations.  Students and Instructors must wear LAC ID badges at all times during clinical. Badges will be issued by Nursing Administration at the Public Health Nursing Orientation or the first day of clinical rotation. Lost or stolen badges are $25. Student must notify DPH Human Resources immediately and bring a copy of the police report.

A. Live Scan Instructions  

B. Live Scan forms: All forms must be completed and submitted to Human Resources on the day of the Live Scan Appointment.

     1. Request for Live Scan Service

     2. Employee Information Sheet

     3. Work Status Questionnaire

     4. Acknowledgement of Employee Responsibilities

     5. Volunteer Assignment Agreement

     6. Employee Acknowledgment and Receipt of County Policy of Equity

     7. Agreement of Understanding - Non County Workers (policies)

              Elder/Dependent Adult Abuse

              Hand Hygiene in Healthcare Settings

              Confidentiality of Non-Patient Public Health Records

              Safeguards for Protected Health Information (PHI)

              Possession of a License or Certificate

              Professional Appearance in the Workplace

              Identification Badges


              Designation of Sensitive Positions and Requirements for Criminal History Information


              Political Activity

              Threat Management "Zero Tolerance" Policy

              Diversity Policy

              Public Health Information Technology and Security Policy

              Acceptable Use Policy for County Information Technology Resources

              Exclusion of Individual/Entities from Federal Health Care Programs

              Acceptance of Gift Prohibitions

              Notice of Child Abuse, Elder/Dependent Adult Abuse, Domestic/Intimate Partner Violence Reporting

              County of Los Angeles Volunteer Workers: Indemnification & Insurance Program Description

              Employee Safety Handbook

              Security Incident Report and Code Reference Sheet

C. Nursing Student Orientation and Health Insurance Portability and Accountability Act (HIPAA) Compliance Modules (instructions for access provided by Nursing Administration)

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Presentations Designed for Nursing Student Orientation
The following presentations were developed by the various programs in Department of Public Health.  They were  designed to be used in conjunction with a half-day, in-person orientation provided to all Public Health university affiliated nursing students. To view the presentations with audio, see the Nursing Student Orientation page.

Introduction and DPH Overview     

Acute Communicable Disease Control Program (ACDC)      

Childhood Lead Poisoning Prevention Program (CLPPP)       

Children's Medical Services (CMS)     

Division of HIV & STD Program (DHSP) - HIV Focus     

Division of HIV & STD Program (DHSP) - STD Focus     

Environmental Health (EH)     

Emergency Preparedness PHN Program     

Nurse Family Partnership (NFP)     

Public Health Investigation (PHI)     

Tuberculosis Control Program (TBC)     

Vaccine Preventable Disease Control Program (VPDCP)      

Bloodborne Pathogens(BBP)      

Infection Control(IC)      

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Core Competency Assessments for UA Clinical Instructors
The resources below are for University Affiliate Clinical Instructors who are required to complete and pass the Core Competency Assessments prior to teaching with DPH. The self-study guide outlines all material that will be covered on the assessments.

A. Core Competency Assessment Overview Video 

B. Core Competency Assessments Online Examination Instructions (available February 2023) 

C. Study Resources

     1. Self-Study Guide

     2. Skills Demonstration Video

     3. NP Swab Specimen Collection Skills Overview Sheet

     4. PPE Skills Overview Sheet


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