Rural Health Innovation Collaborative

Transforming the Education of Current and Future Healthcare Professionals


AHA Equipment Loan Request

Please complete the following form indicating what equipment you are wanting to borrow from the Simulation Center. Submission of this form does NOT indicate that your request has been accepted. A member of the Simulation Center staff will contact you with confirmation of the event.
For more information or questions, please contact:


Laura Livingston, BSN, RN, CHSE  Tricia Hostetter, RN BSN
Lead Clinical Simulation Specialist  AHA Certification Specialist
Laura.Livingston@therhic.org    Tricia.Hostetter@therhic.org



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I acknowledge that I have read, understand, and agree to abide by the following:

- Healthcare Simulation Standards of Best Practice® and the Healthcare Simulationist Code of Ethics. I commit to upholding these principles in all simulation-based activities to ensure integrity, professionalism, and the highest quality of education and patient safety.
- I accept full responsibility for the safe use, secure storage, and timely return of all borrowed simulation equipment by the designated return date.
- I acknowledge that any medical supplies provided by the RHIC are to be used solely for educational purposes, will be securely stored away from patient care areas, and will be promptly returned or properly disposed of as required. *



If you do not get an email receipt of request submission within the next few minutes, please resubmit your request or email Tricia.Hostetter@therhic.org