Illinois Institute of Nursing Studies
Assumption of Risk and Release of Liability Form
Nursing Skills Laboratory Participation

PURPOSE:


Participation in the nursing skills lab at the Illinois Institute of Nursing, also known as IINS, involves hands-on practice with medical equipment, simulated clinical procedures, and interaction with lab partners and mannequins. This environment is designed to closely simulate real-world clinical settings and includes potential risks inherent to healthcare training.

ACKNOWLEDGEMENT OF RISKS:


I, the undersigned, understand and acknowledge that:

  1. Participation in lab activities may involve physical activities, use of needles and sharps, lifting, exposure to bodily fluid simulations, and other risks typical in healthcare settings.

  2. There is a risk of injury, including but not limited to: needle sticks, strains, allergic reactions (e.g., latex), contact with cleaning chemicals, or infection through simulated procedures.

  3. The lab follows strict infection control procedures and safety protocols, and I agree to adhere to all guidelines provided by faculty and staff.

  4. I am responsible for reporting any unsafe conditions, injuries, or accidents immediately to the instructor or lab supervisor.

ASSUMPTION OF RISK:


I voluntarily assume full responsibility for any risks of loss, property damage, personal injury, or illness (including exposure to bloodborne pathogens or infectious agents), that may occur as a result of my participation in lab activities, except where such risks are caused by the sole negligence or misconduct of the institution.

RELEASE OF LIABILITY:


In consideration for being allowed to participate in the nursing lab:

  • I hereby release, waive, discharge, and covenant not to sue Illinois Institute of Nursing Studies, Inc. (IINS) its governing board, officers, faculty, staff, agents, and volunteers from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury that may be sustained by me while participating in the lab.

  • This release includes any claims based on the negligence of the above parties, but excludes any claims resulting from their gross negligence or willful misconduct.

MEDICAL TREATMENT:


I authorize the Illinois Institute of Nursing Studies, Inc. (IINS) to secure emergency medical treatment for me in case of illness or injury and understand that I am responsible for the costs of such treatment.

ACKNOWLEGDMENT AND SIGNATURE:

I have read this Assumption of Risk and Release of Liability Form carefully and fully understand its contents. I acknowledge that I am signing this voluntarily and that it shall be binding upon me, my heirs, legal representatives, and assigns.

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