Prior to admission to MCC-Penn Valley’s nursing programs, applicants will be required to submit official documentation of information listed below. Each nursing school is required by contract* to maintain official documentation of health and other information on all students. TITER / IMMUNIZATION REQUIREMENTS Hepatitis B – The Hepatitis B vaccine is recommended for health care workers by the Centers for Disease Control (CDC). Official documentation must be provided for all three injections and a titer drawn showing proof of immunity. OR a signed Hepatitis B waiver must be on file in the Nursing Division Office. Chickenpox (varicella) – Complete an IGG titer (titer must be dated and the result showing evidence of immunity). (Equivocal or Negative is not acceptable.) If no immunity is present, two immunizations must be given. OR Give two immunizations 4 weeks apart Measles, Mumps, Rubella – Complete an IGG titer for each (measles, mumps, rubella). Titers must be dated and the result showing evidence of immunity for each (measles, mumps, rubella). (Equivocal or Negative is not acceptable.) If no immunity is present, two immunizations must be given. OR Give two immunizations 4 weeks apart Tuberculosis Screen – Two-step Mantoux skin test (or documentation of annual skin test) required. Results must be documented in mm of induration and cannot be over one year old. Negative Chest X-Ray (less than five years old) required if TB test is positive or has history of positive skin tests. Individuals with chest X-Rays less than five years old will be required to complete an Annual TB Assessment form. Tetanus-Diphtheria – The initial series is typically given in childhood and boosters are required every ten years. The booster should be of TetanusDiphtheria and acellular pertussis (TDaP). If the booster has been given within the last ten years, provide official documentation of the date (month/day/year) of the immunization. If the booster is ten years old or older, give the TDaP immunization and provide official documentation of the date (month/day/year) of the immunization. Titers are not acceptable for any portion of TDaP. CPR TRAINING – CPR must be for “Healthcare Provider” through American Heart Association. If you are selected for the program, you will be mailed information to help you locate training. Your card must be valid through end of program. CRIMINAL BACKGROUND CHECK INFORMATION In order for you to be placed in a clinical site, you must complete a criminal background check. Detailed information about the criminal background check will be included in the admission packet mailed upon acceptance to the program. Please note that details of your criminal background check will not be given to any staff or faculty within the Nursing Division. Family Care Safety Registry (FCSR) In order for you to be placed in a clinical site, you must complete a FCSR Detailed information about the FCSR will be included in the admission packet mailed upon acceptance to the program. You will be required to bring in your FCSR in a sealed envelope. Please note that details of your FCSR will not be given to any staff or faculty within the Nursing Division. Official documentation of immunizations and/or titers must include complete dates (mm/dd/yy), results of titers (positive/immune or negative/not immune), student/patient name, health care provider’s name/organization, phone number and appropriate signatures—such as a physician’s prescription pad, official clinical record. *On January 1, 2004, the Joint Commission on Accreditation of Healthcare organizations (JCAHO) instituted new regulations that must be followed in order for hospitals, home health agencies, clinics, etc., to gain or maintain accreditation status. One of these new regulations requires all persons who are involved with direct patient care activities, i.e., employees, volunteers and students, must have criminal background checks, as well as other healthcare related checks. 25 Jan 2010