Dental Hygiene, Medical Assistant, Nursing, Radiologic Technology Programs
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 HOW TO FULFILL ALTERNATIVES SCHEDULE
TUBERCULOSIS (TB) screening (TB
SKIN TESTING )
Immunity to MEASLES
(RUBEOLA), MUMPS, RUBELLA
(“German” measles)
Immunity to VARICELLA
(CHICKEN POX)
Immunity to HEPATITIS A AND
HEPATITIS B
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
Positive measles, mumps, rubella titers (blood tests)
Positive varicella titer
(blood test)

Verifiable immunization record showing 2 doses of hepatitis A vaccine
OR positive hepatitis A titer

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

Re-testing for immunity (titers) required after completion of series
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
Positive hepatitis A titer

Positive hepatitis B titer
(blood test)
Varicella: 2 doses (SHS does not offer this vaccine, but can draw blood for titers)

# 1: day 1

#2: > 1 mo. later
Hepatitis A: 2 doses

#1: day 1

#2: no sooner than 6 mos. after day 1
Hepatitis B: 3 doses

#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
TD and DTaP are not substitutes for Tdap. Tdap: 1 dose
ALH Students Health Screening Requirements 2.21.12 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
Drug testing
Seasonal influenza vaccine
Drug-10 screen for drugs of abuse
Verifiable immunization record showing seasonal influenza vaccine

Verification of declination of vaccine

Verification of unavailability of vaccine*
FOR DENTAL HYGIENE
STUDENTS ONLY (at high risk for transmitting hepatitis B virus to your patients):
Screening for hepatitis B infection
Negative hepatitis B antigen titer
Within 6 mos. of start of Nursing, DH or RT program or MA externship placement, and annually thereafter -
OR - as required by program.
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.
Annually in fall
ALH Students Health Screening Requirements 2.21.12 MAP 2/21/2012

 Immunizations  Start Date


1 month after first vaccination
#2 vaccination
N/A
6 months after first vaccination
N/A
#2 vaccination
 Titers 
One month after final vaccination Follow up if titers positive
Titer for immunity Immunity established. No further follow up
N/A No titer needed N/A
Follow up if any titer is negative
MMR
Measles(Rubeola),
Mumps, Rubella
Hepatitis A
#1 vaccination
#1 vaccination
#1 vaccination
Repeat series and re-titer. If titer remains negative, documented as non-responder.
N/A
Hepatitis B
OR
Twin Rx
(Hep A&B combination)
TDAP
Tetanus, Diptheria,
Acellular Pertussis
Varicella
One time only.
Followed by Td every 10 years
#1 vaccination
#2 vaccination
N/A
#2 vaccination
#3 vaccination
N/A
N/A
Titer for immunity for Hep B
N/A
Immunity established. No further follow up
N/A
Titer for immunity 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
N/A
Get Varicella vaccine series (not available at Student Health Services) and re-titer 1 month after last vaccination.
N/A Seasonal Influenza Given annually every fall
N/A N/A N/A N/A


Tuberculosis Screening 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.
Physical Exam
Drug Testing
ALH Students Health Screening Requirements 2.21.12
2/21/2012
MAP