|
REQUIREMENTS |
DESCRIPTION |
|
Physical
Examination |
 |
Completed within
three months of entry into school |
|
|
Hepatitis B |
|
Evidence of the
first 2 (of 3) shots, |
|
or
positive Hepatitis
B surface Antibody, |
|
or
evidence of prior infection. |
What if I had past infection of Hepatitis B?
What if I have current chronic Hepatitis B? |
|
Varicella |
|
2
doses of vaccine |
|
or
positive titer |
What if I had chickenpox as a child? |
|
Measles |
|
2
doses of vaccine
(measles or MMR) |
|
or
positive titer |
|
|
Mumps |
|
1
dose of vaccine (mumps or MMR) |
|
or
positive titer |
|
|
Rubella |
|
1
dose of vaccine (rubella or MMR) |
|
or
positive titer |
|
|
TB Skin
Testing |
|
2
TST (tuberculosis skin testing) skin tests administered one week
apart within the three months preceding entry into school
|
Why is 2 step test required?
OR
For people
who have had annual TB tests
|
Documentation of
one TB skin test completed within three months prior to starting
school |
|
and documentation
of an additional skin test completed within one year of the more
recent test |
For people with a positive skin test history
|
submit chest x-ray
report from time of conversion along with any INH therapy history
|
|
and TB Symptoms
Review Form |
OR
|
a new chest x-ray
report taking within 3 months of entering school if no INH therapy
is taken |
|
and TB Symptoms
Review Form |
Why is a chest x-ray necessary? |
|
Healthcare
Provider CPR |
|
ANNUAL
Requirement |
|
|
Background check |
|
|
Health
Insurance |
|
Copy of Health
Insurance Card |
|
|
Malpractice
Insurance |
|
ANNUAL
Requirement |
|
|
Equipment |
|
Pen light |
|
Calculator |
|
Stethoscope |
|
BP kit |
|
Bandage scissors |
|
|
Clothing |
|
Uniform or Scrubs |
|
Shoes: Closed toe
and heel (white), NO CLOGS |
|
Second-hand watch |
|
School of Nursing
ID and patch |
|
|
ATI fee |
|
1
time fee |
|
Built in on-going
assessment of competencies and remediation as necessary, culminating
in a mock NCLEX exam. |
|
|
|
|
~ ~ ~DOWNLOAD FORMS ~ ~ ~
To view and download these documents, you will need to have the
latest version of Adobe's Acrobat Reader. Download Acrobat from
Adobe's site
 |
|
Immunization Form 2005 |
|
requires MD or NP
signature to verify the required immunizations
|
|
print, complete,
and send this form back to Clinical Placement Coordinator |
|
|
TB Symptoms Review Form |
|
to be filled out by
students with a history of positive TB test
|
|
