Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Cabrillo College Allied Health Department Dental Hygiene, Medical Assistant, Nursing, Radiologic Technology Programs HEALTH SCREENING REQUIREMENTS All Allied Health students must meet the health screening requirements outlined in this document in order to enter clinical areas. If you are Medical Assistant Student it is easiest to fulfill these requirements using option #1 noted below. If you wish to use to use option #2 please speak with Lori Chavez, MA Program Specialist. If you are a Nursing, Radiologic Technology or Dental Hygiene student you may fulfill these requirements one of two ways: 1. Through Cabrillo College Student Health Services (SHS) If you choose option #1 for any health screening requirement, you are responsible for providing a set of COPIES of all previous health screening document to SHS. Copies of health screening records may be brought in person, mailed or faxed to SHS @ (831)477-5634. You must keep COPIES of all health screening documents in your Professional Document Folder. You will be provided with one set of original documentation of all medical services provided at SHS. Fees will be applied for ANY ADDITIONAL COPIES of medical records from SHS. You will need to obtain the proper documents to be uploaded to your online tracking system account (not applicable to MA students). OR 2. Through a health care provider of your choice If you choose option #2 for any health screening requirement, you must obtain the proper documents to be uploaded to your online tracking system account (not applicable to MA students). You must keep COPIES of all health screening documents in your Professional Document Folder. Here are a few basics to help you understand this process and get started with your health screening compliance: MULTIPLE VISITS to any health care provider are required to fulfill ALH program health screening requirements. Do not expect to finish the necessary screenings/documentation in fewer than 3 months. It can take up to 8 months to fulfill all requirements. WHAT IS A TITER? If you’ve had a given childhood disease (eg, varicella—chicken pox) or you’ve had the vaccine for a given childhood disease, you will show reactive antibodies via a blood test. These are called “titers.” ALH Students Health Screening Requirements 2.21.12 MAP 2/21/2012 REQUIREMENT TUBERCULOSIS (TB) screening (TB SKIN TESTING ) HOW TO FULFILL Negative 2-stage TB testing (PPD ): TB SKIN TESTING skin test with reading 48-72 hours later return 1-3 weeks later and repeat process Immunity to MEASLES (RUBEOLA), MUMPS, RUBELLA (“German” measles) Immunity to VARICELLA (CHICKEN POX) Positive measles, mumps, rubella titers (blood tests) Positive varicella titer (blood test) ALTERNATIVES SCHEDULE Annual TB testing for the previous 3 years (with negative results) If you’ve had previous positive TB test and CAN DOCUMENT IT (see above): need negative chest x-ray report, annual symptom screening and riskfactor evaluation questionnaire (from SHS) < 6 mos. prior to program entry If baseline titers are negative (nonreactive), complete vaccination series required Vaccine series must be in process before starting program and completed according to vaccine timeline during program enrollment Annually (episodic after first negative two-stage; must be no more than 12 months from prior test, or 2-stage TB SKIN TESTING will be required again) MMR: 2 doses # 1: day 1 #2: > 1 mo. later Varicella: 2 doses (SHS does not offer this vaccine, but can draw blood for titers) Re-testing for immunity (titers) required after completion of series # 1: day 1 #2: > 1 mo. later Hepatitis A: 2 doses Immunity to HEPATITIS A AND HEPATITIS B Verifiable immunization record showing 2 doses of hepatitis A vaccine OR positive hepatitis A titer #1: day 1 #2: no sooner than 6 mos. after day 1 Hepatitis B: 3 doses Positive hepatitis A titer Positive hepatitis B titer (blood test) #1: day 1 #2: no sooner than 1 mo. later #3: no sooner than 6 mos. after day 1 OR Twinrix (combo hep A & B): 3 doses. Same as hep B schedule Tdap (tetanus diphtheria, acellular pertussis) vaccine Verifiable immunization record showing Tdap within last 10 years ALH Students Health Screening Requirements 2.21.12 TD and DTaP are not substitutes for Tdap. Tdap: 1 dose MAP 2/21/2012 REQUIREMENT HOW TO FULFILL ALTERNATIVES SCHEDULE Physical exam SHS/ALH physical exam form (available on SHS/ALH Websites) signed by medical professional * Any changes in health status after physical exam (surgery, pregnancy, etc.) must be cleared by treating clinician Within 6 mos. of start of Nursing, DH or RT program or MA externship placement, and annually thereafter OR - as required by program. Drug testing Seasonal influenza vaccine FOR DENTAL HYGIENE STUDENTS ONLY (at high risk for transmitting hepatitis B virus to your patients): Required within 60-90 days prior to start of Nursing, DH or RT program or MA externship placement, and annually thereafter - OR - as required by program. Drug-10 screen for drugs of abuse Verifiable immunization record showing seasonal influenza vaccine Verification of declination of vaccine Verification of unavailability of vaccine* Annually in fall Negative hepatitis B antigen titer Screening for hepatitis B infection ALH Students Health Screening Requirements 2.21.12 MAP 2/21/2012 Immunization Time Line Immunizations MMR Measles(Rubeola), Mumps, Rubella Hepatitis A Hepatitis B OR Twin Rx (Hep A&B combination) TDAP Tetanus, Diptheria, Acellular Pertussis Varicella Seasonal Influenza Start Date 1 month after first vaccination 6 months after first vaccination Titers One month after final vaccination Follow up if titers positive Immunity established. No further follow up N/A Follow up if any titer is negative #1 vaccination #2 vaccination N/A Titer for immunity Repeat series and re-titer. If titer remains negative, documented as non-responder. N/A #1 vaccination #1 vaccination N/A #2 vaccination N/A No titer needed #2 vaccination #3 vaccination Titer for immunity for Hep B Immunity established. No further follow up Give booster of Hep B and re-titer. May give up to 3 boosters after initial series. If titer remains negative, documented as non-responder One time only. Followed by Td every 10 years #1 vaccination N/A N/A N/A N/A N/A #2 vaccination N/A Titer for immunity Immunity established. No further follow up Given annually every fall N/A N/A N/A N/A Get Varicella vaccine series (not available at Student Health Services) and re-titer 1 month after last vaccination. N/A Other Health Requirements Tuberculosis Screening Physical Exam Drug Testing 1. A negative two-step TB test. This requires that the first TB test, if negative, be followed by a second TB test administered one to three weeks after the first. This is to be followed by annual TB testing. OR 2. Documentation of three previous years of negative TB tests, followed by annual TB testing. OR 3. If a previously positive TB test, must have a negative chest x-ray and annual negative screening questionnaire. Complete physical exam including clearance by a medical professional for essential eligibility requirements. Urine Drug 10 screen done 60-90 days prior to entering program and again before beginning second year. ALH Students Health Screening Requirements 2.21.12 2/21/2012 MAP