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BACHELOR OF NURSING PROGRAMME DIPLOMA IN ENROLLED NURSING CERTIFICATE IN REGISTERED NURSE COMPETENCE (NDHB PLACEMENT) Nursing & Massage OCCUPATIONAL HEALTH SCREENING Clinical placements at Northland Health facilities will commence within the first month of study. Before attending clinical placements you are required to supply the results and outcomes of your Occupational Health Screening to North Tec. This is then provided to Northland Health, who requires this information before students attend clinical placements. Failure to meet the Occupational Health Screening requirements of Northland Health means you will not be provided with clinical access to their facilities. The Health Screening Tests On receipt of this information package and before you attend your first clinical placement, it is your responsibility to provide North Tec with evidence of the following: Hepatitis B (Hep B) Antigen and Antibody status QuantiFeron- TB Gold test for Tuberculosis (Tb) MRSA status MMR antibody status (measles, mumps & rubella) Varicella antibody status (chickenpox) Any student who has declared a positive status for HIV, Hepatitis B or Hepatitis C in the health declaration may have restricted access to Northland District Health Board (NDHB) clinical placements. You will need to visit your General Practitioner (Doctor) for the appropriate laboratory forms: a letter (Information for General Practitioner) is provided for you to take to your doctor. The screening is available from NDHB hospital laboratories at no charge. The Occupational Health Screening Flowchart included with this information package outlines the process for you. Further information on the diseases you are being tested for is also provided. Health Screening Results Once your laboratory tests have been completed, and your doctor has the results, you will need to see your doctor (or Practice Nurse) again. Your doctor needs to stamp and sign the Health Screening Results form, included in this package, which gives proof that you received the appropriate Occupational Health Screening. You then need to return a copy of this form to NorthTec. All results are kept strictly confidential and will only be shared with Occupational Health personnel at Northland Health, at their request. If your Occupational Health Screening shows that you are not immune to Hepatitis B then you must be vaccinated with a course of three injections. Your doctor can provide this information on the Health Screening Results form. You must have had the first injection prior to commencing your first clinical placements and the vaccination programme should be completed within 6 months of entering the nursing course. Evidence of this must be supplied -1Last printed 4 July 2017 to NorthTec. At the end of the vaccination programme a blood test will be required to verify immunity. Your doctor can add this information to the Health Screening Results form. If you are a Hepatitis B carrier your doctor will refer you to the Occupational Health and Safety Unit at Whangarei Hospital, to discuss your situation in relation to clinical practice. You may be restricted in the areas in which you are able to work. It is important that you attend your appointment at the Clinic, as the Clinical Practice Lecturer is notified if it is missed. If your QuantiFeron- TB Gold test for Tuberculosis reading results indicates the possibility of Tb infection or exposure to Tb, then your doctor will need to order blood tests, chest X-ray and urine test. Your doctor will then refer you to the Respiratory Specialists via Medical Outpatients Department at Whangarei Hospital. If you are not immune to Measles, Mumps, Rubella or Chickenpox it is strongly advised that you be immunised so that you will not be denied clinical placements where children, pregnant women or ‘at risk’ patients are cared for, and for your own protection if you are of childbearing age. At the end of the vaccination programme a blood test will be required to verify immunity. This information will be added to the Health Screening Results form by your doctor. If you are positive for MRSA, your doctor will need to prescribe appropriate treatment and hand hygiene education. You will need to be re-screened 48 hours after completion of treatment. You may be referred to the Occupational Health and Safety Unit for follow-up. You are advised to be vaccinated for pertussis and influenza or you may not be able to work in high risk areas. Please return a copy of the Health Screening Results form, signed and stamped by your GP to NorthTec. You can deliver or post to: Lucie Quantrill Tutorial Assistant Arts, Commerce and Social Sciences NorthTec Private Bag 9019 Whangarei Remember: It is your responsibility to attend to this matter promptly so the information can be processed and presented to Northland Health. -2Last printed 4 July 2017 BACHELOR OF NURSING PROGRAMME OCCUPATIONAL HEALTH SCREENING Nursing & Massage Information for General Practitioner Dear Doctor, The bearer of this letter has been accepted onto the Bachelor of Nursing programme at NorthTec. Prior to commencing this nursing programme, it is the student’s responsibility to provide NorthTec with a copy of the results and outcome of the following laboratory tests: Hepatitis B Antigen and Antibody status QuantiFeron - TB Gold test MRSA status MMR antibody status (measles, mumps & rubella) Varicella antibody status (chickenpox) Once the student has completed the required laboratory tests, and you have their results, please complete the Health Screening Results form that accompanies this letter. Students will provide NorthTec with a copy of this form. If the Occupational Health Screening shows that the student is not immune to Hepatitis B, then they must have a full vaccination programme and have their immunity re-checked on completion. Students who are Hepatitis B carriers need to be referred to the Occupational Health and Safety Unit at Whangarei Hospital to discuss their situation in relation to clinical practice. Students with a QuantiFeron - TB Gold test showing the possibility of Tb will require CXR, MSU and labs for FBC, LFTs and CRP and a referral to the Respiratory Specialists via Medical Outpatients at Whangarei Hospital. NDHB OHS process for managing TB is outlined on Healthpoint. If students are not immune to Measles, Mumps, Rubella or Chickenpox, it is strongly advised that s/he be immunised so that access will not be denied to clinical placements where children pregnant women and ‘at risk’ patients are cared for. Students, who test positive for MRSA, will need to have appropriate treatment and be re-screened 48 hours after completion. Students who remain MRSA positive on re-screening will need to be referred to Occupational Health for further advice. Thank you for your cooperation. Yours sincerely Jane Anderson Programme Leader, Nursing Department, NorthTec -3Last printed 4 July 2017 BACHELOR OF NURSING PROGRAMME OCCUPATIONAL HEALTH SCREENING Nursing & Health Screening Results Student Name: Please complete this form when laboratory test results are available, providing details of any outcomes or followup treatment (including vaccinations). This form can be updated as required. Immune Laboratory Test Not immune one Result Outcome/Follow-up Treatment Please provide details. E.g. Referred to Occupational Health and Safety Unit Vaccination commenced (Dates given) and repeat serology completed Date GP signature Hep B s Antigen Hep B Antibody (> 20 iu L immunity level) MRSA QuaniFeron – TB Gold Tuberculosis Measles Mumps Rubella (>10iu L immunity level) Varicella It is the responsibility of the student to have this form completed, signed by their doctor and a copy returned to NorthTec prior to the commencement of the nursing programme. Copies can be returned to: Lucie Quantrill Tutorial Assistant Arts, Commerce and Applied Sciences NorthTec Private Bag 9019 Whangarei 0148 -4Last printed 4 July 2017 BACHELOR OF NURSING PROGRAMME OCCUPATIONAL HEALTH SCREENING Nursing & Massage Occupational Health Screening Flowchart Make an appointment to see your family Doctor. Take the Information for General Practitioner letter included in this information pack with you. Your Practice Nurse will take the MRSA swabs of your nose and axilla. Go to the laboratory with the forms from your Doctor. You will have: Blood tests taken Discuss results with your Doctor or Practice Nurse. Your doctor will advise you if follow-up is required as a result of any of the laboratory tests. This may include vaccinations for Hep B or Measles, Mumps, Rubella, or Chicken Pox, a chest X-ray or referral to Respiratory Specialists at Whangarei Hospital. Remind your doctor to complete the Health Screening Results form for you, and to update it for any follow-up treatment(s) you may have. Post or deliver a copy of the Health Screening Results form to: Tutorial Assistant Arts, Commerce and Applied Sciences North Tec Raumanga Valley Road Private Bag 9019 Whangarei If you have and questions or require further information, contact the Nursing Tutorial Assistant by phone: (09) 470 381 -5Last printed 4 July 2017 BACHELOR OF NURSING PROGRAMME OCCUPATIONAL HEALTH SCREENING Additional Information MRSA MRSA Definition: Methicillin Resistant Staphylococcus Aureus is a group of micro-organisms that have become resistant to some antibiotics (i.e. penicillin, amoxycillin and others). A person who tests positive for MRSA, who is healthy, usually suffers no symptoms. When MRSA infects a susceptible person (i.e. someone who is sick through illness or injury) it is a threat to their health. Northland Health Requirements All persons who provide care in the hospital environment are required by Northland Health to be screened for MRSA. Students must declare to NorthTec any experience or employment in a hospital which is not operated by Northland Health. Repeat MRSA testing will be required for any student who has worked in a ward or department or residential care facility where two or more patients or staff have multi-resistant MRSA and were not in isolation. This prevents the spread of MRSA. If you test positive for MRSA there is treatment; your doctor can arrange this for you. Where the results of MRSA testing are not available in advance, students may only be permitted access to Northland Health Hospitals after consultation with the DHB Infection Control Advisor who will make individual recommendations. Bachelor of Nursing Programme Approval and Accreditation Document Last saved by Academic & Quality Hepatitis B (Hep B) Definition: Hepatitis B, also called Serum Hepatitis, is inflammation of the liver caused by the Hepatitis B virus. Northland Health Requirements A blood test is performed to see if you have protection (anti-bodies) against Hepatitis B or are a carrier. If you are anti-body negative you have no immunity to Hepatitis B. If you are anti-body negative you will need to be vaccinated against Hepatitis B. Your doctor can arrange this for you. There will be a cost involved. This vaccination is a requirement of Northland Health. If you are a carrier you will be referred to Occupational Health at North Health to discuss how to keep from spreading Hep B. The Vaccination Programme The vaccination programme consists of three injections. Anti-bodies (which give protection against the disease) are then made by your body (this process is called sero-conversion); immunity is then acquired. -6Last printed 4 July 2017 Measles, Mumps, Rubella & Chickenpox Definition: Tb is an infection that is spread through airborne particles from person to person. It can affect almost any part of the body, but usually infects the lungs. Northland Health Requirements A blood test is performed to see if people have been exposed to TB. Students who are found to have a positive result indicating possible Tb infection or exposure will need their doctor to order a chest X-ray, blood and urine tests and refer them for follow-up with the Respiratory Specialists at Whangarei Hospital prior to commencement of the first clinical placement. Access for any student who does not have clearance will be declined. Definition: These diseases are common among children but can affect adults (both males and females). They generally cause mild symptoms, but can cause brain-damage and other serious complications to the unborn child Northland Health Requirements A blood test is performed to see if you have protection (anti-bodies) to these diseases. If you are anti-body positive you have immunity. If you are anti-body negative you will need to be vaccinated. Your doctor can arrange this for you. There may be a cost involved. Vaccination is strongly advised by Northland Health. The Vaccination Programme The vaccination programme is usually 1 or 2 injections. Anti-bodies (which give protection against the disease) are then made by your body (this process is called sero-conversion); immunity is then retested. Note: There may be a cost for your vaccination. Pertussis Definition: Pertussis which is more commonly known as whooping cough is a highly infectious disease which can damage the breathing tubes. It can be very serious for babies and children, especially for those under one year of age. Northland Health Requirements If you are placed at any stage in the following areas for clinical – S.C.B.U. (special care baby unit), paediatrics and E.D. you will need to provide evidence of your pertussis immunity. If you do not show immunity then you may require vaccination, alternatively you will be required to wear an appropriate mask throughout your clinical placement. The Vaccination Programme The vaccination programme is usually one injection. Anti-bodies (which give protection against the disease) are then made by your body (this process is called sero-conversion); immunity is then re-tested. Note: There may be a cost for your vaccination. Bachelor of Nursing Programme Approval and Accreditation Document Last saved by Academic & Quality -7Last printed 4 July 2017