Document 10684503

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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
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