Applying to Observe

Once an observer has found an Ascension sponsor they can fill out the Job Shadow and Observation Application. 

 

Please carefully review the areas listed below and be sure to complete the correct application. Failure to complete the right application can delay your observation experience.

 

For  job shadows of MDs, DOs and other advanced practice providers (PAs, NPs, CRNAs, etc.)  please visit this link to apply:

Link to online Job Shadow Application

For job shadows in the areas of occupational therapy, physical therapy, and speech therapy, please reach out to the following individuals:

Ascension Wisconsin South Region (Greater Milwaukee Area and Racine)

 Link to online Job Shadow Application

Ascension Wisconsin North Region (Fox Valley and other northern sites)

 Link to printable Job Shadow Application

For job shadows in all other areas including nursing, allied health areas, and healthcare administration

Link to printable Job Shadow Application

 

Health Requirements for Observers

To encourage interest in health care professions, Ascension Wisconsin has agreed to allow individuals to shadow/observe professionals at our sites of care, given the individual meets the following health requirements and provides proof/documentation of the items listed below: 

  • Tuberculosis Screening

    Negative test(s) for tuberculosis, as shown by negative findings on a Mantoux test or QuantiFERON-TB test, or a negative chest x-ray within the past 12 months.

    TB test(s) to confirm absence of TB infection can be obtained from a primary care clinic/provider or local health department. The test results document must include the date of the test and the result, and must be completed within the last 12 months.

     

  • COVID-19 Vaccination
    Beginning 6/1/2021, proof of full vaccination against COVID -19 or a documented medical exemption is required for job shadows/observations. Proof of vaccination can be obtained from the provider at the time of vaccination or through the Wisconsin Immunization Registry (or other relevant state database). Fully vaccinated is considered 2 weeks after the second dose in a 2-dose series of the Pfizer or Moderna vaccines or 2 weeks after a single dose of the J&J/Janssen COVID-19 vaccine.

    In the event that you cannot receive the COVID-19 vaccine due to a medical issue, documentation from your provider must be provided for a medical exemption. You will be required to take additional precautions in the clinical setting as a result.

  • Immunity to Measles, Mumps, and Rubella

    Immunity to measles (rubeola), mumps, and rubella as shown by a positive titer or two documented doses of live virus vaccine (MMR) administered a minimum of 28 days apart after the 1st birthday.

    Proof of immunity is most commonly provided through an immunization record. This can be obtained from your health care provider or through the Wisconsin Immunization Registry (or other relevant state database).

    If no record is available of immunizations, then the individual must request that a titer be conducted by their health care provider to prove immunity. The subsequent test results would count as proof.

  • Immunity to Varicella

    Immunity to Varicella as shown by a positive titer, evidence of two vaccinations, or reported history of Chicken Pox disease.

    Proof of immunity is most commonly provided through an immunization record or history of disease. This can be obtained from your health care provider or through the Wisconsin Immunization Registry (or other relevant state database).

    If no record is available of immunizations, then the individual must request that a titer be conducted by their health care provider to prove immunity. The subsequent test results would count as proof.

  • Immunity to Hepatitis B

    Immunity to Hepatitis B as evidence by a completed vaccination series and titer or completion of the attached declination of immunization form.

    Read the Vaccine Information Statement: Hepatitis B Vaccine: What You Need to Know published by the Centers for Disease Control and Prevention and understand the purpose and benefits of this vaccine, the potential side effects of this vaccine and the risk of not getting vaccinated.

  • Annual Influenza Vaccination
    For observations occurring between 10/1 and 3/31 each year: Proof of the seasonal influenza vaccine or a documented medical exemption.Proof of vaccination can be obtained from the provider at the time of vaccination or through the Wisconsin Immunization Registry (or other relevant state database).
    In the event that you cannot receive the seasonal influenza vaccine due to a medical issue, documentation from your provider must be provided for a medical exemption. You may be required to take additional precautions in the clinical setting as a result.