WELCOME Late Admits for Fall 2015 to the Clinical Nursing Program HEALTH MAINTENANCE MEETING PLEASE do not take any papers/handouts from the front of the room until the presentation is over PLEASE sign in or you will not be considered as having attended today

Pharmacology Calculations Remediation mid August 2015

Uniform and ATI All students must purchase a uniform All students must purchase ATI There are due dates on each form of when to purchase these by

CAMP I CAN Required one full day orientation held August 26, :00am – 5:30pm Will require registration and additional fee The student will not be eligible nor receive authorization to register for this until all health requirements are met

Health Maintenance Meeting RVCC HSE Student Services Specialist Nadine M. Larson is the fastest and easiest way to contact me! Room H217 (in H220 office suite) x 8610 A mail box to drop off any needed documents when I am not in the office is in Room H220 or on my office door. Open office hours M, T, W p but appointments are preferred. All other hours by appointment only

Health Maintenance Requirements Nursing program requires students comply with: ◦ Obtaining and completing a health maintenance record form (each year you are here, there is a new form to fill out) ◦ Handing in copies of lab reports, titers, immunization records, and other documents that are requested WITH the health maintenance record TOGETHER! ◦ Purchase uniform and ATI ◦ Background check (met as a preclinical student and must be done yearly) ◦ Malpractice Insurance (must renew YEARLY) ◦ Current CPR certification (good for 2 years) ◦ Yearly Two Step TB testing (2 PPDs 1-4 weeks apart) ◦ Drug testing (yearly) ◦ An influenza immunization (yearly)

It is the student’s responsibility to keep current with yearly health maintenance procedures, i.e. CPR, Two Step PPDs, malpractice insurance, influenza immunization. Each year you are here, there is a form to be filled out and some type of health maintenance to keep current. You are ineligible for clinicals without up to date health maintenance!

Deadline Dates for Health Maintenance Records and ALL required documents Early admission Generic Students No later than August 5, 2015 *Forms and documents must be complete to be accepted!!! If anything is missing they will be given back to the student. Everything must be handed in together, not separate! Please use my i.e. check off sheet to verify you are handing in everything on the list! - You must make an appointment with me when you are ready to hand in completed documents and health requirements – after I see all documents are complete you will receive authorization to register for open seats in all 5 sections of Foundations of Nursing – day students day section – eve students eve sections. More registration information will come to students via postal mail in the month of April.

Diagnostic Testing Each student is to have the following lab work done by their personal physician: hemoglobin, hematocrit, CMP (comprehensive metabolic panel) and urinalysis (NOT A URINE DIPSTICK IN OFFICE). The physician MUST fill in the values of each test on the “Student Health Maintenance Record” AND provide a copy of each lab to keep in the students’ file.

Immunizations & Titers Hepatitis B (HEP B) ◦ All students require a Hepatitis B titer  3 distinct vaccines in the series  Vaccine schedule must be followed - Get Dose #1, 28 days later dose #2, then 4 -6 months later dose #3. HEP B TITER DRAWN SIX-EIGHT (6-8)WEEKS after dose # 3 Students not immune NEED to follow-up with their health care provider because they may need to go through a second full series/booster, and then must re-titer.

Immunizations & Titers All students require a MMR titer Measles, Mumps, & Rubella (MMR) ◦ Students born before 1957 are considered to have natural immunity, but still need a titer. ◦ Students born after 1957 need to make sure they had two MMR vaccines before the titer is performed. Mumps & Rubella Titers ◦ Must show immunity; if negative titer, student must follow-up with their health care provider for boosters & re-titer ◦ If need vaccination, titer is done 6-8 weeks after series completed

Varicella/Chickenpox ◦ All students require a varicella titer ◦ It is NOT acceptable to simply get the date of disease documented – a titer is mandatory! ◦ Students with a negative/non-immune varicella titer must follow-up with their health care provider for the varicella immunization series & another titer 6-8 weeks later to show immunity

TdaP ◦ Tetanus shot good for 10 years ◦ Tdap for people under 65 years of age ◦ If never had any vaccination for tetanus or diphtheria, need to complete a series of 3 immunizations, then receive a titer 6 – 8 weeks later.

Influenza Flu shots are REQUIRED for nursing students during “flu season.” It is mandated by the clinical facilities – can get started in August 2015 THERE IS A SEPARATE FORM TO HAND IN NO LATER THAN October 1, 2015 PROVE YOU HAVE RECEIVED A FLU SHOT Please wait until the Fall to get your flu shot, as what is available NOW and what flu immunization will be available in August/September is different!!!

VACCINE TYPE TITER DATE & RESULT Vaccination Series - dates Hepatitis B* Date: ____________ Result: ___________* #1 ______________ #2_____________ #3____________ **See below if in series MMR* Date: ____________ Result: ___________* #1 ______________ #2_____________ Varicella* Date: ____________ Result: ___________* #1 ______________ #2_____________ AND/OR Date of disease_____________________ Tetanus-Diptheria- Pertussis (TdaP) N/A Last/Most up-to-date TdaP given_______________ Childhood immunization dates (if available)_____ __________________________________________ Influenza N/A Last date of vaccination _____________________ Two Step PPD/ Tuberculosis Testing N/A  Has received the BCG vaccine. Date received __________________________ *Speak to physician regarding this Test 1 (mm/dd/yy)___________ Read on (mm/dd/yy) _____________ Size of induration in mm__________positive/negative (circle one) Test 2 (mm/dd/yy)______________ Read on (mm/dd/yy) _____________ Size of induration in mm___________ positive/negative (circle one) If PPD positive, will require chest x-ray – provide report & physician’s note with recommendations

Background Check Students entering the nursing program MUST go to the Adam Safeguard website as a preclinical student, then every year after, get a criminal history background check done Clinical setting and background check findings

Malpractice Insurance Policy  RN students MUST have malpractice insurance – some students use CMF group insurance (see handout)  Only valid submission of proof is Declaration sheet  Professional liability limitations 1 Million dollars for each occurrence/claim 6 Million dollars aggregate Time period must cover entire semester The policy should be purchased May/June (May for PNADs). This will allow the policy to be valid for the entire school year. If you are currently a health care provider who carries malpractice insurance, you will need to add on your RN student status, and make sure the liability amounts are correct. If you have any trouble doing this, I have a letter that I may customize for you to send to the insurance company.

CPR Certification All students must provide a copy of a valid BLS Healthcare Provider CPR Card, from the American Heart Association. No other CPR providers are accepted – only American Heart Association. A copy of CPR card is the only proof accepted that you are certified.

(continue CPR) Expiration dates before the end of the school year (3/31/16) are NOT helpful, because the CPR certification will not be valid through the entire school year! RN Nursing Students should have CPR valid from May/June2015-May/June2017

CPR class (if needed) - You may go to any BLS AHA CPR class

Tuberculosis Testing/PPD  All students in PNAD, 1 st Year, and 2 nd Year programs are required to have 2 PPDs yearly  PPD test must be assessed within hours after placement and measurement of the size (in mm) of induration noted. Then a 2 nd PPD test must be placed1-4 weeks later. It is then to be assessed within hours after placement. - The area is to be measured in mm and documented. There is a spot for physicians to document this on your health maintenance form.  If results are positive  follow-up chest x-ray required  for All students under 35 years of age, INH prophylaxis must be taken.

You do not want your PPD to expire in a semester. Tuberculosis testing for Generic Nursing Students should be done between May and July to avoid the PPD expiring in a semester and PNADs should have their 2 PPDs done in May (the first PPD can be in April). A two step PPD done 4/01/16 and 4/08/16 is NOT acceptable because it will not be valid through the entire Spring 2016 semester.

 Has received the BCG vaccine. Date received __________________________ Test 1 (mm/dd/yy)______________ Read on (mm/dd/yy) _____________ Size of induration in mm___________ positive/negative (circle one) Test 2 (mm/dd/yy)______________ Read on (mm/dd/yy) _____________ Size of induration in mm___________ positive/negative (circle one) If PPD is positive, chest X ray is REQUIRED. Date taken (mm/dd/yy)____________________ (You must attach copy of radiology report) Negative X ray: INH must be taken for everyone under 35. Date started (mm/dd/yy)_________________ Positive X ray: Recommendations of Physician_____________________________________________________________ ________________________________________________________________________________ __________________

Drug Screening An yearly 11 point urine drug screening will be done 4- 6 weeks prior to the start of clinical rotations. Urine drug screening is paid for and scheduled via adamsafguard.com – see handout Drug testing ordering and screening dates for 1 st year students is 8/17-8/29/15– must pay for, order and go for test in this time period. Do not order ahead of time!

When ready to hand in documents... Look at the checklist provided to make sure you have everything, and copies of everything for yourself and to hand in I do not take partial paperwork, it must come in together or it will be given back to you and you may not register or attend class until it is completed The only thing I will get directly and you will not have to hand in is the drug screen (is ed to me)). I will notify you when I receive the drug screen via RVCC . Flu shot will come at a later date Check RVCC weekly to keep up with important information from the college!

Any student, after carefully reviewing all health maintenance paperwork and policies, who is unsure of ANY requirement needs to contact me. is the fastest way to get in touch with me! When health checklist is done, make an appointment with me. I will review, then we will register you for NURS 101 – info to come in April 2015 via postal mail Feel free to me questions

Check list of things to hand in – they must be handed in all together to be accepted Original Health Maintenance Form (filled out) - Flu shot in Fall – now mandatory!! DRUG SCREEN – this gets ed to me- sign drug screen waiver (*4-6 weeks prior to clinical date)- Purchase ATI Malpractice Insurance – declaration page only Current CPR Card – copy of card 2 Step PPD/CXR – 2 PPDs, 1-4 weeks apart MMR Titer – need copy Hep B Titer – need copy Varicella Titer – need copy Current Lab Reports – copy of all needed Hg/HCt CMP UA Background Check (done as preclinical student already) Adacel (Tetanus shot)

DO NOT FORGET TO SIGN IN!!!!! Please make sure you have signed in to be accounted for today. Failure to sign in, which proves you attended today, will result in your name being removed from the late admission list and you will need to apply to Fall You will then have to attend another nursing information session to receive a clinical application!