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Health Examination Record

ANNE ARUNDEL COMMUNITY COLLEGE

School of Health Professions, Wellness and Physical Education

STUDENT HEALTH EXAMINATION RECORD REQUIREMENTS POLICY

Updated: August 2012

The immunization requirements are based on guidelines set forth by the Maryland Department of Health and Mental Hygiene and the national Centers for Disease Control and Prevention.

1. Students conditionally accepted into a selective admissions health professions program or other health program requiring clinical practicum will be required to complete the Health Examination Record. Once a physician certifies that the candidate meets the technical standard requirement (defined in #2 below) as established by the department within the scope of practice of the profession, and the department receives and concurs with the physician’s certification, the candidate will be considered as having met the technical standard requirement.

 2. Qualification: Good physical and mental health

Admission Criteria: Student must be free of contagion and possess sufficient stamina with or without reasonable accommodations and mental stability to fulfill the requirements of the program and the customary requirements of the profession:

  • Work for 8-12 hours performing physical tasks requiring sufficient strength and motor coordination without jeopardy to patient and student safety such as, for example, bending, lifting, turning and ambulating patients.
  • Perform fine movements and be able to manipulate instruments and wide variety of equipment according to established procedure and standards of speed and accuracy. 
  • Establish and work toward goals in a consistently responsible, realistic manner.
  • Have auditory ability sufficient to monitor and assess health needs (for example: communicate verbally, in an effective manner, with patients and other personnel).
  • Have visual ability sufficient for observation and assessment necessary for patient care (for example: read and process patient-related information like patient charts and requisitions).

The Health Examination Record includes a physical completed by a physician, nurse practitioner or physician assistant, no earlier than 1 year prior to program start date; proof of immunization to rubeola (measles), mumps, rubella, and varicella (chickenpox); Hepatitis B immunity or proof of 3 doses of the HBV vaccine or declination; freedom from tuberculosis evidenced by either a PPD test or chest x-ray (time frame for updated PPDs to be determined by each program); and proof of updated tetanus vaccine.

A. Students are required to have completed the program’s Health Examination Record. This document includes a health care provider’s (physician, nurse practitioner or physician assistant) statement documenting that the following requirements have been met:

  • The student’s mental and physical health is sufficient to meet the core performance standards of the program
  • Immunization Screening
  • Tuberculosis Screening

B. Students are to update any changes in health/immunization status as they occur during the school year by having a physician complete a Health Status Update Form. This is NOT the Health Examination Record, which is sent separately from the Health Professions Admissions office.

C. History and physicals must be current within one year prior to program start date.

Immunization/Screening Requirements

Childhood vaccinations are acceptable if the dates are validated by a health care provider.

A clinical history of a disease is not acceptable as immunity.

Some immunizations are contraindicated in pregnancy or by allergy to vaccine. If contraindicated, the student must submit a written physician's statement validating the circumstances and those items contraindicated. (Please note that clinical sites may not approve site placement of unimmunized students.) If pregnant, immunization requirement must be met after delivery per physician's timeframe.

Immunization/Screening Requirements

Confirmation of immunity is required for all diseases and can be confirmed by either one of the following:

Rubeola (Measles)

A.  Written laboratory results of a rubeola titer indicating immunity (equivocal results do not demonstrate immunity).

B.   Documentation of two live measles or two MMR (Measles-Mumps-Rubella) vaccinations on or after the first birthday. If no evidence of prior documentation is available, the two vaccinations are required to be no less than one month apart. Must be validated on form by physician, nurse practitioner, or physician assistant.              

Rubella (German Measles)

A. Written laboratory results of a rubella titer indicating immunity (equivocal results do not demonstrate immunity).

B.  Documentation of one dose of rubella vaccine or one MMR vaccination on or after the first birthday. Must be validated on form by physician, nurse practitioner, or physician assistant.              

Mumps

A. Written laboratory results of a mumps titer indicating immunity (equivocal results do not demonstrate immunity).

B. Documentation of one dose of live mumps vaccine or one MMR vaccination on or after the first birthday. Must be validated on form by physician, nurse practitioner or physician assistant.

Varicella (Chickenpox)

A. Written laboratory results of a titer for varicella indicating immunity (equivocal results do not demonstrate immunity).

B. Documentation of the varicella vaccination series (2 immunizations at least 4 weeks apart). Must be validated on form by physician, nurse practitioner or physician assistant. If Varivax was administered at 12 years of age or younger, only one dose is required.

TUBERCULOSIS SCREENING

A.  A PPD test (tine test not acceptable) must be performed. Test must be given no more than 9 months prior to the first day of class, unless indicated otherwise for specific programs.                      

B.  If PPD result is significantly positive, in duration greater than 10 mm, a chest x-ray must be performed. A copy of the report must be attached.

C.  For history of positive PPD a chest x-ray report must be submitted. Chest x-ray must be within one year of start date of class (some programs may want them at a certain time of the year).

D.  Students in a health professions program need to update their tuberculosis screening annually. If student has a history of a positive PPD, they must have their physician complete a Positive PPD Questionnaire. Please email healthprofessions@aacc.edu for a form.

HEPATITIS B VACCINATION

Confirmation of immunity or declination is required and can be confirmed by either one of the following:

A.  Vaccination against Hepatitis B is highly recommended. If vaccine series is performed, student must provide written documentation of doses. These must be validated on the form by physician, nurse practitioner or physician assistant.

B.  Students who elect not to have the vaccinations are required to sign a declination form attached to health form instruction packet. 

C.  Written laboratory results of Hepatitis B sab titer indicating immunity.

TETANUS

A. Tetanus immunity is required. Tetanus booster must be validated by physician, nurse practitioner or physician assistant. Must be given no more than 8 years prior to the first day of class. Tdap is recommended for health students.