clinical passport requirements tutorial · clinical passport requirements , --- ... state patrol...

Clinical Place ments Northwest St udent/faculty

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Clinical Passport Tutorial

What is a Clinical Passport?

The Clinical Passport is a set of established health and safety standards required of all students and faculty caring for patients in the healthcare

setting. It serves as a record of immunity status for vaccine-preventable diseases. The record should show all pertinent information about that vaccine and when it was administered.

Why are vaccinations important?

You are likely to come into contact with infective material from patients, potentially placing you at risk for exposure and possible transmission of vaccine-preventable diseases.

Why is the Clinical Passport so important?

Employers and healthcare providers have a shared responsibility to prevent

occupationally acquired infections and avoid causing harm to patients by taking reasonable precautions to prevent transmission of vaccine-preventable diseases. Vaccines help maintain immunity and safeguards you and other healthcare professionals from infection and the potential or patients becoming infected.

Keeping Current

You have the professional responsibility to know and keep current with your immunizations and health requirements.

Clinical Placements Northwest ©2018 1 | P a g e

TUBERCU LIN STATUS

Documentillion of iln in itiill 2 nep TST is required AND

docu ment1tionof1nnu11TSTs since2nepwncom ple ted

lf no recorchofpreviouspositiveTBtenssor moreth;in12rr ',•

since lilst TST ➔ 2stepTSTOR

Neg1tive TB IGRA test with in 12 mont hs OR

lf neg1t i'le TST wil hin 12 months ➔ one nepTST

If newly positiYe TST or TB IGRA ➔ F/U by hntthare provide

(ches t X-r1y, symptoms check1nd possible trntment documentHion

of 1bsu..;e of activ• M_ TB d iHaa} and n•ed t o compleu h•a!th

quenionna ire

If hist ory of positive TST ➔ provid• documenution ofTST rnding.

provide proof o f chest X-r;iy dOC\lmentinc a bsence of M . TB, m edical

treal ment a n d n•cuN• sympt om check

lf h istoryo l BCGvacdn• ➔ TST SkinTenincuabove o r TB IGRA.lf

ne-c11ive ➔ OK; lfpositNe ➔ follow up1s1bove

HEPATITIS B

Clinlcfll Pflssport Requ irements

SUIMITT[D ONCl

TUIIUCUUII STATUS

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INFLU ENZA

Proof of,nson1l v.acdnn ion(s)OR

Sicned ded in1tion for ,tud•nt/f1eulty wh o d•din e vacdn1tion

Spe-cific heolrhcore insrirutions may re-quire ~acdnorion wirM!lf uupriotl (i.e., no de-dinatior,J http·{fflu• ho).hnlthmap.orc {

BACKGROUND CHECKS

TUBERCULIN STATUS

lf no r«ord• of~vio<J• po•itiv• Tflte•Uso, mor• · sincelutTST ➔ 2stepTSTOR

Ne1uM1 TB IGRA ten with in 12 months OR

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II n.,•tNe TST within 12 months ➔ one step TST

lf n•wlypositiv., TST or TB IGRA ➔ F/ Uby hntthor•provid•r (chest X-r;,v, syrnptoms check1nd possble trntrnent documenntion of a bserKe of active M. TB dise-ne) and need 10 complete ht!alth

questionn ail't!

ll historyof posilNeTST ➔ provid•documentnionofTST rndine,

provideproofolchllst X·r.ay document inc .absenceofM . TB, medical trn1me nt andn•1at N•..,.mp1omchKk

INFLU ENZA

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HEPATITIS B

Pr00folsn sonalvaccinHionjs ) OR

Sil;neddedina[ionforstudent/facull)'whodecline Vilccinalion

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BACKGROUND CHECKS


TUBERCULIN STATUS

There are two types of tests that are done to measure for TB exposure:

• Tuberculin Skin Test (TST)

• TB blood tests (IGRA)

TST: When you first have a TST, you are required to get a 2-step. The first skin test

not read within this time period.

If the first TST is negative, you will need to obtain a second TST within 1-3 weeks, then yearly after that. If your yearly TST lapses, you will then need to again complete the 2-step process.

Rationale – A 2-step is performed at baseline because people who were infected with TB many years ago may have a negative reaction to an initial TST. The first “step” may stimulate (or boost) the immune system’s ability to react to the test. If the second “step” is not performed as

part of baseline screening, a subsequent positive TST reaction could be misinterpreted as a new infection. Additionally, the TST (Tuberculin Skin Test) and a live vaccine must be done on the same day or separated by 30 days. If done sooner, there is potential for a false positive, resulting in increased cost and unnecessary treatment (chest x-rays).

TB Blood Tests - Interferon Gamma Release Assays (IGRAs) are blood tests for detection of infection to M. tuberculosis. The IGRA measures the person’s immune reactivity to M. tuberculosis, the bacterium that causes TB. The IGRA tests most commonly available are the QuantiFERON Gold In-Tube (QFT-IT) and TSPOT tests.

reaction should be read between 48 and 72 hours after administration. You will have to retest if

Note: If you have a newly positive TST or TB Blood Test you will require a follow-up by your healthcare provider (chest X-ray, symptoms check and possible treatment documentation of absence of active M. TB disease). You will also need to complete a health questionnaire.


HEPAT ITIS B

MMR (Measles, Mum ps, Rubella)

Proof of im m unity by t it er

VARICELLA (Chicken Pox)

Proof of vaccinat,o n (2 doses

Proof of vaccination (2 doses at appropriate intervals.) OR

Proof of immunity by titer

Tdap required once

Td required every 10 years after Tdap

CPR


HEPATITIS B

Complete a series of three vaccines at 0, 1, and 6 months and a post vaccination titer at 6-8 weeks after the series… or

• Provide documentation of positive titer (anti-HBs or HepB Sab)… or

• Provide documentation of history of Hepatitis B… or

• Furnish a signed declination. Note: Many healthcare organizations do not accept a declination.

MMR

You are required to have 2 MMR vaccines or proof of titer (3 titers, one each of Measles [Rubeola], Mumps and Rubella).

NOTE: In most cases getting the MMR is far less expensive than having blood titers

drawn. Revaccination with MMR is safe.

Varicella

You are required to have 2 Varicella vaccines or proof of titer.

NOTE: The titer is only recommended if you have had chicken pox disease. Titer after Varicella vaccine is not recommended by the CDC as most Varicella tests are not sensitive enough to detect antibody level for immunity post vaccination.

Tetanus

Students and faculty are required to show proof of one dose of Tdap, administered after 11 years of age, and a

routine Td booster every 10 years.


Td required e very 10 ye ars afte r Tdap

CPR

America n Ilea rt As.sociatio n BLS Hea hcare Provide.rCertifi cat e


Influenza

Students and faculty are required to show:

• Proof of seasonal vaccine (either the flu shot or nasal spray flu vaccine and where administered [pharmacy, personal medical provider, etc.])… or

• Signed declination of vaccination.

NOTE: Some healthcare institutions require vaccination without exception. Others may allow you to decline on a basis of medical condition, religious belief or creed, or on the basis of a strongly held personal belief. That requires your signature on a declination form stating the reason for declining and committing to wear a mask at all times during flu season when in the institution.

Keep in mind that all live vaccines, such as MMR, Varicella, LAIV (nasal flu) have to be administered on the same day or separated by 28 days.

Expiration - If any of your immunizations expire in the middle of the quarter or semester, up-to-date immunizations are required before beginning the term.

Authorization for Release of Record

Healthcare organizations conduct random compliance audits of student and faculty health and safety requirements. At any time, healthcare has the authority to request proof of a student’s and faculty’s Clinical Passport information.

Your education program will ask you to sign a form which authorizes the college to release this information to any healthcare organization which provides the student’s clinical training experience. This includes all necessary background check information (including, but not limited to: National criminal background check, Washington State Patrol background check, OIG and GSA Excluded Providers database search), and immunization records to any affiliated clinical education site requesting such information in order to finalize your externship placement with those facilities.


Td required every 10 years after Tdal}

CPR

• American Heart Associa t ion BLS Hea

AUTHORIZATION FOR RELEASE OF RECORD

Kept on file by education ins;titut io n

BACKGROU ND CHECKS • National Criminal Background C~ hington State ~ ckgroun

Check (WATCH) upon admission/re-admission and re-ent~ ;e-;o-~rogram t

include all counties of res idence & all Washington State counties per RCW 43.43.830 and OIG and GSA sc reens. Excluded provider search on :

OIG http://exclusions.oig.hhs.gov/ (conducted bimonthly by CPN GSA http://www.sam.gov (conducted bi-monthly by CPNW)

• Washington State Patrol Background Check (WATCH annua lly thereafter)


CPR

You are required to complete an American Heart Association (AHA) BLS course. The BLS Course teaches both single-rescuer and team basic life support skills for application in both in- and out-of-hospital settings. The course trains participants to promptly recognize several life-threatening emergencies, give high-

includes adult, child, and infant rescue techniques.

NOTE: Course can be AHA BLS Provider or Military Health Network Course. “Heartsaver CPR is not acceptable for this requirement.”

Background Checks

Thorough Criminal Background Checks are performed upon admission and reentry/rehire to a program. Checks are repeated annually.

Healthcare partners reserve the right to refuse or accept any student on the basis of these checks.

quality chest compressions, deliver appropriate ventilations, and provide early use of an AED. It

CPNW runs all student and faculty names through the Excluded Provider OIG & SAM databases on the 1st and the 15th day of each month. It is the education program’s responsibility to run their student/faculty names independently if the clinical learning experience falls outside the 1st and 15th dates. Education is notified immediately when a name appears within these databases.


LICENSE (if facu lty licensed or certified as any healthcare provider (RN.

LPN, NAC, etc. & in what specif ic State)

Current

Unencum bered

INSURAN CE

(This may be coverage via the school or ind ividua l)

ADDITIONAL REQUIREM ENTS (i f applicable) Some healthcare settings may have additional requirements, such as the following:

• Veh icle Insurance (for access to VA & M ilitary Facili t ies}

• Personal Health Insurance

• Drug Screen

• Hepatitis A Vaccine

• Current First Aid Card

• Proof of U.S. Cit izenship

• Color Vision Test

• Food Handlers license

additional requirements need to be met.

LICENSE (if faculty licensed as any hea lthcare provider (RN, LPN, NAC,

etc. & in w hat specific State)

■ Current

• Unencumbered

INSURANCE

■


Licensure

If any individual possesses a healthcare license, certification or registration, this information must be provided including State of issue and expiration date.

Insurance

Professional Liability insurance policy with a $1,000,000/3,000,000 limit is required. A policy expiration date must be provided.

NOTE: Some healthcare organizations may have additional requirements that are listed at the bottom of your Passport. Your education program will inform you if any of these requirements will be necessary.


clinical passport requirements tutorial · clinical passport requirements , --- ... state patrol...

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