WELCOME Late Admits for Fall 2014 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 Late admits previously received info regarding these dates: LAST names A – MZ: 7/14/14 – 7/18/14 N – Z: 7/21/14 – 7/25/14 ** Please check RVCC email weekly for important updates I, and nursing personnel need to communicate to you Uniform and ATI All students must purchase a uniform – no later than 7/23/14 All students must purchase ATI – no later than 7/31/14 CAMP I CAN Required one full day orientation held in August 25, 2014- MANDATORY! 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 nlarson2@raritanval.edu EMAIL is the fastest and easiest way to contact me! Room H213 (in H220 office suite) 908-526-1200 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 130p-230p Monday – Friday, but appointments are preferred. All other hours by appointment only Out of office Fridays until 8/19/14 Out of office 7.11 – 7.22.14 No appointments/students 8.22.14 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 Late admission Generic Students No later than August 5, 2014 *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 July. 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 2014 THERE IS A SEPARATE FORM TO HAND IN NO LATER THAN October 1, 2014 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!!! PART 3 - IMMUNIZATION RECORD To be completed and signed by a healthcare provider. Dates must include mm/dd/yy. Titers are required for Hep B, MMR, and Varicella. Vaccine Type Hepatitis B (titer required) **See below for declination MMR born before 1957MMR booster not needed (titer required) Tetanus-DiphtheriaPertussis (Td/Tdap) Completed Vaccination Series mm/dd/yy First Dose mm/dd/ yy Second Dose mm/dd/yy Titer mm/dd/yy Include copy of all titer reports Immune Not Immune Date____________________ Must also have immune titer (4-8 weeks after Dose 1) (4-6 months after Dose 1) Immune Not Immune Date____________________ Must also have immune titer If never received ANY series of tetanus and diphtheria vaccines, must start primary series of 3 vaccines (4 weeks after 1st dose) Must also have immune titer (4-8 weeks after 1st dose) Must have received Tdap or Td booster within last 10 years Date________________ Tdap Td *For under age 65, one Tdap is substituted for a Td booster, then boost with Td every 10 years Varicella (titer required) Influenza Third Dose mm/dd/yy (6-12 months after the 2nd dose) If had the active Immune Not Immune disease, students Date____________________ generally do not receive vaccination *Date of active disease: _______________ _ Date of last vaccination: ________________________________________ Never Received Vaccination 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. - www.adamsafeguard.com 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 (3/31/15) 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/June/July2014May/June/July2016 CPR class (if needed) - You may go to any BLS AHA CPR class - Feel free to check hospitals or Google AHA BLS CPR classes – must do class and have card BEFORE 8/5/14 Tuberculosis Testing/PPD All students in PNAD, 1st Year, and 2nd Year programs are required to have 2 PPDs yearly PPD test must be assessed within 48-72 hours after placement and measurement of the size (in mm) of induration noted. Then a 2nd PPD test must be placed1-4 weeks later. It is then to be assessed within 48-72 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 4/01/14 and 4/08/14 is NOT acceptable because it will not be valid through the entire Spring 2015 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 46 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 1st year students is 8/18-9/1/14 – 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 emailed to me)). I will notify you when I receive the drug screen via RVCC email. Flu shot will come at a later date Check RVCC email 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. Email 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 July 2014 via postal mail Feel free to email me questions nlarson2@raritanval.edu Check list of things to hand in – they must be handed in all together to be accepted Original Health Maintenance Form (filled out) DRUG SCREEN – this gets emailed to me (*4-6 weeks prior to clinical date) - Flu shot in Fall – now mandatory!! - 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) All students before leaving MUST take: ◦ Immunization and Health Maintenance Policy ◦ A Health Maintenance Record that applies to YOU – i.e. PNAD/1st Year Generic Nursing Student, or Returning/Continuing Student. ◦ Influenza documentation form ◦ An example of check off list I use when finalizing your handed in documents ◦ A **SIGN IN to prove you attended!!!!!! OPTIONAL PAPERWORK – My business card, a copy of the power point, and SMC CPR registration form