This Memorandum of Understanding between THE JOHNS HOPKINS HOSPITAL (“JHH”) and the INSTITUTE FOR JOHNS HOPKINS NURSING (“IJHN”), with an address of 600 N Wolfe Street Admin 308, Baltimore MD 21287 (herein collectively referred to as “Johns Hopkins”), and  a nurse visiting the United States to participate in a clinical observation experience with JHH (herein referred to as “Nurse”).
Whereas, JHH is willing to host the Nurse in a clinical observation experience and the IJHN is willing to schedule and coordinate such experience.

Now, Therefore, In consideration of the mutual promises set forth herein, it is agreed by and between JHH, IJHN and Nurse as follows:

Clinical Observation Experience

  • Nurse will provide IJHN with a detailed list of objectives/goals to be fulfilled during the clinical observation experience (the “Experience”). The list should include special interests and skills that the Nurse wishes to observe or learn during the Experience. Johns Hopkins will arrange for a schedule of rotations based on the Nurse’s stated objectives/goals.
  • The Nurse and Johns Hopkins will mutually determine the start and end dates for the Experience.
  • IJHN will provide an orientation program for Nurse upon his/her arrival, and will provide support and information to Nurse before and during the Experience.
  • Nurse acknowledges that he/she may not take any photographs, videos, or make any other recordings of patients or employees during the Experience.
  • Nurse acknowledges that the Experience is strictly limited to observation only, and that Nurse may not practice skills, treat, or provide medical services or advice to Johns Hopkins patients during the Experience.
  • Nurse recognizes that health care environments pose certain inherent risks, and Nurse agrees not to hold Johns Hopkins liable for any personal injury or property damage that arises during or as a result of Nurse’s Experience with Johns Hopkins. Nurse shall sign and submit the Waiver and Release attached hereto as Exhibit A
  • Nurse will adhere to Johns Hopkins appearance policies, including without limitation, professional attire (no jeans) in non-clinical areas, and uniform or lab coat in clinical areas.
  • Nurse will adhere to all other applicable Johns Hopkins policies of which he/she is made aware, and acknowledges that Johns Hopkins may require Nurse’s immediate removal in the event Nurse fails to follow such policy or other instructions provided by Johns Hopkins.

Nurse Screening/Qualifications

  • Prior to confirmation of the Experience, Nurse must submit the following: 
    • Proof of required health screens and immunizations, plus a flu shot if Experience is during flu season in accordance with Johns Hopkins policy.
    • Documentation of health insurance.
    • If requested, evidence of acceptable criminal background check.
    • If requested, evidence of nursing degree(s), professional licensure, etc.
  • Nurse will view the on-line orientation course/video and any other assigned trainings prior to the Experience, as directed by IJHN.
  • Nurse acknowledges that a successful Experience requires English proficiency, and that Johns Hopkins does not provide interpreter services for the Experience. Nurse warrants and represents that Nurse has a professional proficiency in English, including familiarity with medical terminology.


  • Nurse will arrange and pay for all air and ground transportation, hotel accommodations, meals, and personal expenses during the Experience.
  • Prior to the start of the Experience, the Nurse agrees to pay in full the determined cost of the Experience.
  • Payment may be made by credit card or international wiring of funds. Please see wiring information below.

WIRE The Johns Hopkins Hospital
Bank of America
100 South Charles Street
Baltimore MD 21201
Transit/Routing/ABA number: 026009593
Account number: 2000501999 Type of account: Depository
If needed for international wires:
SWIFT code: BOFAUS3N CHIPS ABA number: None

  • In the event of cancellation by Nurse, a full refund, less a $500 processing fee, will be returned if cancellation request is received via email at least four weeks in advance of the Experience start date. No refunds will be processed after four weeks prior to the confirmed start date. 
  • IJHN reserves the right to cancel a program due to unforeseen circumstances. In the event of such cancellation, IJHN will refund all fees paid to Johns Hopkins in full; Johns Hopkins cannot be responsible for transportation and accommodation costs, charges, or expenses incurred by the Nurse

General Terms

  • If Nurse has a medical emergency while on-site at JHH during the Experience, Johns Hopkins will see that emergency care is provided through the Nurse’s health insurance coverage. With the exception of emergency care, the Nurse is responsible for his/her own medical care needs.
  • In the event that a dispute arises between Johns Hopkins and the Nurse, the parties will work cooperatively to resolve informally if possible. In the event of a dispute rising to the level of litigation, this Agreement shall be governed by the laws of the State of Maryland (excepting any conflict of laws or provision which would serve to defeat application of Maryland law), and venue shall be in the State of Maryland. EACH PARTY, KNOWINGLY AND AFTER CONSULTATION WITH COUNSEL, FOR ITSELF, ITS SUCCESSORS AND ASSIGNS, WAIVES ALL RIGHT TO TRIAL BY JURY OF ANY CLAIM ARISING WITH RESPECT TO THIS AGREEMENT OR ANY MATTER RELATED IN ANY WAY THERETO.

Whereas, Nurse is a resident of the country noted above, and desires to visit the United States to participate in a clinical observation experience with JHH;

 I certify that I am visiting Johns Hopkins for observational  purposes only.


This Waiver and Release is executed by the “Nurse” on the date set forth on the signature line below to cover the Nurse’s participation in an observership the Johns Hopkins Hospital (“Johns Hopkins”). The Nurse acknowledges and is aware that his/her anticipated observership may include exposure to various patient care areas and/or research environments, and includes certain inherent risks. Working in a medical environment carries with it the possibility of personal injury, as well as potential exposure to airborne or blood borne pathogens, which could lead to an infectious illness such as HIV/AIDS, hepatitis, TB, influenza, or other illness. In addition, the Nurse’s placement could involve handling of sharp instruments or other equipment that could cause injury if not handled properly. The Nurse assumes all risks inherent in participating in the observership, and agrees to follow all precautionary measures and instructions provided by Johns Hopkins staff. In addition, to the extent that the Nurse accompanies Johns Hopkins staff on a ride-along opportunity in a land or air medical response vehicle, the Nurse acknowledges that such ride along opportunity may be dangerous and may result in bodily injury and/or death, as well as the exposure risks set forth in the paragraph above. If the Nurse participates in such ride-along opportunities, the Nurse assumes all risks inherent in being with, riding with and responding to emergency and routine situations. This assumption of risk includes routine activities as well as responding to emergencies with lights and sirens, and also the risks found at the scene of an emergency. The Nurse agrees to follow all precautionary measures and instructions given by Johns Hopkins and the transport company staff. Having been advised of and accepting the inherent risks, the Nurse hereby releases and waives all claims against the Johns Hopkins Affiliate that is hosting the Nurse, as well as its affiliates, parent organization, and their respective trustees, officers, agents, employees, and assigns, related to bodily injury or property damage that occurs during the Nurse’s observership, whether on or off of Johns Hopkins property or in any land or air medical response vehicle. I have read and agree to the terms of this Observership Waiver and Release.

By completing this SIGNATURE field, I warrant my acceptance and adherence to this waiver and release for visting nurses.

Please type your First and Last Name

Mandatory Immunization Requirement (for all visitors) 
To prevent any possibility of risk to patients, staff, and international visitors, IJHN requires proof of immunity and health screening for several infectious diseases. The Nurse shall be responsible for obtaining any required immunizations or tests at his/her own expense before arrival in the U.S. The Nurse shall be responsible for submitting all proof of immunity or screening. Evidence of a complete series of immunizations (or positive titers) are required for Hepatitis B, Measles, Mumps, Rubella (German Measles), Polio, Varicella Zoster (Chicken pox), Tetanus, Influenza and Diphtheria. PPD screening within 12 months of arrival, or other documentation of tuberculosis clearance is required. 

Visiting any clinical area will not be permitted until these proofs of immunity and screening are provided.

Mandatory Health Insurance Requirement (for international visitors)
Health care in the United States (U.S.) is extremely expensive. Before arriving, it is important that international visitors purchase adequate health insurance coverage for the duration of their stay in the U.S. Certain types of elective medical care such as dental services, eyeglasses, and prescription medication are ordinarily not covered by insurance, and they are very expensive. To the extent possible, visitors should take care of such needs before leaving home. Johns Hopkins cannot provide free health insurance or free care. International visitors are required to prove they have health insurance coverage that meets the following minimum requirements set by the U.S. Government:
• $50,000 per accident/illness
• $7,500 for repatriation of remains
• $10,000 for medical evacuation (return to home country)
Accepted visitors must provide proof of coverage in the form of a confirmation letter from the insurance company, listing coverage and effective dates, to the Institute for Johns Hopkins Nursing before arrival in the U.S. 

Select the length of time you will be attending.
Today's Date
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Memorandum of Understanding.