Verification of Training in
Standard Precautions for Registered Nurses
“An employer shall provide training and the necessary equipment to each employee and
student trainee who has duties that require the employee to have direct contact with blood
or body fluids in the scope of the employee’s employment.” This training must include
instruction in the procedures “Standard Precautions."
Because nursing students may have direct contact with blood and other body fluids, the
School of Nursing is requiring training in Standard Precautions. This form will be retained in
the School of Nursing office as documentation of training in Standard Precautions.
This is to verify that ______________________________ received training in Standard
Precautions on ____ / ____ / ________ (mm/dd/yyyy)
at _______________________(Agency Name).
Signature (Agency Representative) _____________________________
(Title) _____________________________________
(Date) _________________________