Download Cabrillo College Allied Health Department HEALTH SCREENING REQUIREMENTS

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