Updated Clinical 1 Lab Consent- legal 2021.pdf - University...

University of Oklahoma College of Nursing
Participant Acknowledgement and Consent Form
Approved by OUHSC Legal Counsel 5.31.16 — Updated 09.15.16
Update approved by Rachel McCombs Legal Counsel 07.19.21
As a student in Nursing 3024 Clinical I Laboratory and in furtherance of my education,
I_________________________________, understand that I am required to give injections per
intradermal, subcutaneous, and intramuscular sites as well as a fingerstick to measure blood
glucose (“Exercises”) as a component of this course. ______ (Initial)
I consent to receive one (1) or two (2) injections per intradermal, subcutaneous and intramuscular
sites with 0.9% Sterile Normal Sodium Chloride as well as a fingerstick to measure blood glucose.
I understand that this is voluntary, that this is not required as part of the course, and that I should
check with a physician prior to the Exercises if I have any concerns about my ability to receive an