BSN Clinical Compliance Requirements

For students conditionally accepted into the Concordia University Texas BSN Program, there are clinical compliance requirements that must be met in order to participate in the program.

Enrollment in the Clinical Student system

All compliance requirements must be complete and all documentation completed prior to the start of the semester. If a requirement is not complete, students may not start nursing courses. To ensure and track compliance for the Concordia University Texas BSN Program and clinical partners, Clinical Student / System 32 (Clinical Student) is the required electronic manager of compliance files for each nursing student. Students are automatically enrolled in Clinical Student upon conditional acceptance to the program.

Review and update records through Clinical Student

Throughout their enrollment in the CTX BSN Program, students are responsible for reviewing and updating immunization and other required records through Clinical Student. Students may be asked to present physical copies of these documents to CTX BSN administration. 

If students are not in compliance at any time, they cannot attend any clinical practicum experience, and this may jeopardize their ability to start or participate in the nursing program. If for any reason a required immunization is contraindicated, the student is required to present a record from a health care provider indicating the circumstances.

The below information regarding clinical requirements is reflected in Clinical Student, but also provided here for reference and preparation for enrollment in the BSN Program.

Clinical Student Set-Up

  • CTX will establish an account in Clinical Student for the student. 
  • The student will receive initial login information via email from a System32 email address. This process will take time and is not automatic. Please be patient and check email including junk/spam for this information. 
  • The student will use their login information to set up their Clinical Student account as soon as the student gets the email notification.
  • Once the student logs into Clinical Student, they will be prompted to set up their account. Please follow the instructions to initiate their background check and begin uploading their clinical compliance documents. 
  • The student is responsible for uploading documents to their Clinical Student account.
  • The student will pay for their Clinical Student account. The cost for the Clinical Student / System32 account is approximately $160.00. Additional charges may apply for a background check, drug screens, or other items. 
  • Begin uploading all documentation as soon as it is available. 

Immunization Records & Physical Exam

Documentation must include date, lot number, dosing, and signature of the person administering the vaccine. This information is due 30 days from the start of the semester.

  • MMR (Measles, Mumps & Rubella): Documentation of either (1) proof of 2 MMR vaccinations or (2) Positive IgG titer ( including a lab report for each of the 3 components) must be provided.
  • Varicella (Chicken Pox): Documentation of either (1) two completed vaccinations, (2) Positive antibody titers with lab report, or (3) A letter noting medically documented history of disease from the student, parent, or documenting physician must be provided. 
  • TDaP (Tetanus, Diphtheria, and Pertussis) Booster: Must have all three of the components and provide documentation of completion within the past 8 years.
  • Influenza: Must be updated yearly by October 1st. Students conditionally admitted for the Fall cohort may submit documentation of an updated flu shot when it becomes available after September 1 rather than submit the previous season's documentation.
  • Physical or Sports Physical Exam: Documentation of a physical exam must be submitted to Clinical Student.
  • Tuberculosis (TB) Test (3 options available):
    Choose from the options below, and upload results. This information is due prior to starting the semester. 
    • 2-Step TB Test: Involves 2 rounds of testing with a minimum of 4 doctor's visits. 
      • Round 1, Visit 1: PPD Antigen is applied under the skin.
      • Round 1, Visit 2: Results read 2-3 days later. If positive, you will be referred for a chest X-ray. If never vaccinated and you have a positive result, you will need to upload a chest X-ray showing no active disease.
      • Round 2, Visit 3: 7-21 days after the first test and a negative result, a second skin test will be reapplied.
      • Round 2, Visit 4: 2-3 days after the second application, results are read. Positive results are referred for chest X-rays.
    • TB Gold Test: QuantiFERON-TB Gold In-TUbe (QFT-G) blood test. Results will be available faster than 2-Step testing.
    • Chest X-Ray Report: This option must be used for anyone with a previous TB vaccination or a positive result for any of the above. Must show no active disease.

TB Testing must be renewed annually.

  • Hepatitis B (Hep-B) Vaccine (4 options available):
    Choose from the options below, and upload documentation prior to the start of the semester.
    • Hepatitis A&B Twinrix (30 Days) - Recommended for any student admitted less than 6 months from the cohort start date. 
      • Total of 4 doses delivered individually at 0, 7 and 21-30 days, plus a 12-month booster. *Booster shot may be completed after the start of classes. First 3 doses must be complete prior to the start of classes.
    • Hepislav-B - alternative for rapid administration. 2 doses administered 1 month apart. 
    • Traditional Method (6 Months)
      • 3 doses delivered individually at 4, 8 and 16 weeks, respectively.
    • Titer: Positive hepatitis B Surface Antibody test.
  • COVID-19 Vaccination (optional at this time, subject to change):
    Please upload documents if you have received the COVID-19 vaccination.
  • CPR
    • Obtain CPR certification and approval prior to start.
    • Student must be certified for Basic Life Support (BLS) for Healthcare Providers through the American Heart Association
    • The student must provide a copy of your completion and certification card for the American Heart Association Basic Life Support Health Provider course. The copy of the card uploaded must include the front & back of the card and include signatures of both the instructor and student.
    • Red Cross certification will not be accepted. 
    • To start, visit, and click "Sign up for a BLS classroom course near you" to search for an instructor.
    • The certification must remain valid and cannot expire during enrollment. Students should pay attention to reminders sent from Clinical Student as they proceed through the program.
  • Health Insurance
    • Student must have insurance throughout the nursing program, with documentation no older  than 30 days from the start of the semester.
    • Student must upload proof of health insurance enrollment, such as a summary of coverage with their information and policy number, or upload front and back of their insurance card.
    • Insurance coverage must include emergency room visits.
    • CTX does not have preferred insurance providers. Research thoroughly to find the best coverage and premium for the student.
    • Plans that renew month-to-month will not be accepted. Plans must show coverage throughout the nursing program semester.

  • Clinical Student / System 32 Background Check
    • Clinical partners require additional screening beyond that provided by the Texas BON.
    • This screening is specifically outlined and covered within your Clinical Student / System 32 account. 
    • Hospitals require an additional background screening that includes employment history, professional disciplinary action, and other disciplinary actions that may have occurred. 
    • This is in addition to the criminal background screening required by the Texas BON and is not optional; no other background checking services will be accepted.

  • Drug Screening
    • Complete no sooner than 30 days, and no later than 14 days from the first day of the semester.
    • Clinical Student provides a drug screen order. The dates on the order show how long the order is active, but do not align with the eligible window of accepted results.
    • Results will be sent directly to Clinical Student for approval when the student submits their sample. 
    • Clinical Student must show results as accepted and completed before the student may start clinicals.
    • Any student that has an interrupted enrollment will be required to complete a drug screen prior to readmission to the nursing program. An interruption in enrollment is defined as not being continuously enrolled in a nursing course. The cost of drug screening is the responsibility of the student. 
    • A positive drug screen is any instance in which a drug screen report shows a positive test for one or more of the drugs on the panel. Any student may be required to have additional screening at any time. A student who has a positive drug screen, for which there is not a lawful prescription, will not be given placement in any clinical facility and will be dismissed from the program immediately.

If you have questions once you have set up your Clinical Student / System 32 account, please contact their support at