Castle Branch and CAPS: How USA Clears You for Clinicals
Before you set foot in a clinical rotation at the University of South Alabama College of Nursing, two systems have to say yes: Castle Branch, the compliance vendor USA uses to verify your health and background records, and CAPS, the in-house clinical placement and tracking system run by USA's Office for Clinical Affairs. This page explains exactly what each system checks, what documents you must upload, and how we shepherd the paperwork so your USA-approved preceptor and site are logged in CAPS and you reach full admission.
Tell us your USA track and city. No payment until your preceptor and site are confirmed.

What is Castle Branch and why does USA require it?
Castle Branch, accessed through the myCB portal, is the third-party compliance vendor the University of South Alabama uses to verify that every nursing student meets clinical eligibility before a rotation begins. USA does not accept a stack of loose paperwork; it requires your records inside myCB so the Office for Clinical Affairs and your clinical sites can confirm compliance in one place.
The myCB account bundles three things USA needs from you: a Medical Document Manager where your immunization and health records live, a background check, and an 11-panel drug screen. Each piece has to clear before you can be placed. If any item is incomplete or expired, your placement stalls, which is why we treat Castle Branch as the first gate to work through, not an afterthought.
What goes into the myCB Medical Document Manager?
The Medical Document Manager is the section of your myCB account where you upload and track your health and immunization documentation so USA and your clinical site can verify it. It stores your records, flags what is missing, and shows expiration dates so nothing lapses mid-rotation.
The core immunizations USA expects documented are:
- MMR (measles, mumps, rubella)
- Varicella (chickenpox)
- Hepatitis B
- TDAP (tetanus, diphtheria, pertussis)
You upload proof for each, typically titers or vaccination records, into the Medical Document Manager. Because clinical sites can set their own additional requirements, always confirm the full list against your current USA handbook and the specific site's rules. We help you assemble, name, and upload these documents correctly so a reviewer approves them the first time instead of kicking them back.
What does the background check and 11-panel drug screen cover?
Alongside your health records, myCB runs a background check and an 11-panel drug screen, both of which USA requires before clinical placement. The background check verifies you are eligible to be in a patient-care setting, and the 11-panel drug screen is a standardized lab test ordered through your Castle Branch account.
You complete both through myCB rather than arranging them independently, which keeps the results attached to your compliance file where the Office for Clinical Affairs can see them. We make sure you order the correct screen, complete it inside the required window, and that the results post to your account so there is no gap when your placement is reviewed.
What is CAPS and how does it relate to admission?
CAPS is USA's in-house clinical placement and tracking system, operated by the Office for Clinical Affairs, and it is where your approved preceptor and clinical site are logged. Castle Branch proves you are compliant; CAPS is where the actual placement is recorded and tracked once your preceptor is approved.
This matters because placement at USA is an admission gate. USA runs a student-led placement model: you must locate your own clinical site and preceptor, and USA gives no guarantee of approved placement, assisting only as needed. Until a placement is identified and logged, you are admitted only conditionally and capped to limited support credit hours. Getting a USA-approved preceptor confirmed and recorded in CAPS is what moves you from conditional to full admission.
How we shepherd your Castle Branch and CAPS compliance
We handle the compliance legwork end to end so the paperwork never becomes the reason your placement stalls. As an independent placement service, we source and verify a USA-approved preceptor and clinical site, then work your Castle Branch file and CAPS entry to completion.
In practice that means we help you set up and populate the myCB Medical Document Manager with MMR, Varicella, Hepatitis B, and TDAP documentation, confirm the background check and 11-panel drug screen are ordered and posted, and coordinate so the confirmed preceptor and site get logged in CAPS through the Office for Clinical Affairs. The goal is a clean compliance file and a recorded placement that takes you to full admission.
The fee pays for our legwork: sourcing your preceptor, verifying USA eligibility, and moving the Castle Branch and CAPS steps along. It is never a payment to the preceptor, it covers only our sourcing and coordination work, and you pay only once your preceptor and site are confirmed.
Good to know
Do I have to use Castle Branch, or can I submit records another way?
You use Castle Branch through the myCB portal because that is the compliance vendor USA relies on. Your immunizations, background check, and 11-panel drug screen all live in that account so the Office for Clinical Affairs and your clinical site can verify them in one place. Confirm any site-specific extras against your current USA handbook.
Which immunizations does the myCB Medical Document Manager require?
The core immunizations documented in the Medical Document Manager are MMR, Varicella, Hepatitis B, and TDAP. You upload titers or vaccination records for each. Individual clinical sites can add requirements, so always check your current USA handbook and the site's rules.
What is the difference between Castle Branch and CAPS?
Castle Branch (myCB) is where you prove compliance: health records, background check, and drug screen. CAPS is USA's in-house placement and tracking system, run by the Office for Clinical Affairs, where your approved preceptor and clinical site are logged. You need both cleared to reach full admission.
Will finishing Castle Branch give me full admission?
Not by itself. Castle Branch clears your compliance, but full admission also depends on identifying a USA-approved preceptor and clinical site and getting that placement logged in CAPS. Without a placement you are admitted only conditionally and capped to limited support credit hours.
Does your fee include the cost of Castle Branch itself?
Our fee covers sourcing your preceptor, verifying USA eligibility, and doing the Castle Branch and CAPS legwork with you. Castle Branch charges its own account and screening fees directly, and our fee is never a payment to the preceptor; it covers our sourcing and coordination work only. You pay us only once your preceptor and site are confirmed.
What Castle Branch and CAPS check
| Component | What it covers |
|---|---|
| Medical Document Manager | Immunizations: MMR, Varicella, Hepatitis B, TDAP |
| Background check | Eligibility for patient-care settings |
| 11-panel drug screen | Standardized lab test ordered through myCB |
| CAPS logging | Approved preceptor and site recorded via the Office for Clinical Affairs |
Sources: USA Office for Clinical Affairs; USA College of Nursing, Clinical Placement; Alabama Board of Nursing, CRNP Requirements.
Clear the gate, not your calendar
Tell us your track, your city, and your admission timeline. We will come back with a placement plan and a realistic path to full admission and your clinical hours.