UIC College of Nursing Clinical Requirements
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Transcript UIC College of Nursing Clinical Requirements
UIC College of Nursing
Clinical Requirements
Background Check
Urine Drug Screen
Immunity Records
CPR
Immunity Requirements
CON students must complete two
separate immunization forms for
two separate offices
– UIC Office of Medical Immunizations
– College of Nursing Immunizations Office
BOTH FORMS ARE AVAILABLE ON THE
CON WEBSITE
Office of Medical
Immunizations Form
The Main UIC Medical Immunization Form
Same requirements for all students in all
programs eg., business, nursing, education,
architecture
Must be completed and kept current or you
may not be able to register
Fax form to 312-996-8000
May need updating (PPD, DT) ANNUALLY
College Of Nursing
Proof of Immunity Form
Mandated by clinical sites
In place to protect the health of both
workers and patients
Includes:
Vaccines for TD, polio
TB testing
5 titers (M,M,R, Varicella, Hep B)
CPR
Background check
Urine drug screening
Tetanus/Diptheria (Td)
Booster required every 10 years
For your protection in case of a
needle stick injury
No titer for this, just a current
vaccination
Must be TD or TDaP. TT (tetanus
toxoid alone) not acceptable
Polio
Vaccination required by Illinois
Department of Public Health
Pre-1957 Exemption
Must provide record of pediatric
vaccination with OPV/IPV vaccine series
If no records, requires single adult IPV
booster
No titer for this is done
TB Testing (PPD)
Baseline 2-step purified protein derivative
(PPD) testing required
– Two PPD skin tests: 1-3 weeks apart
After 2-step, annual single-step required
If you have a current PPD (within the past
yr), one additional PPD in the same calendar
year will suffice
Quantiferon Gold TB blood test is an
alternative to the 2-step PPD but must be
repeated yearly
If you have a history of + PPD:
– Record of positive PPD required, including date
and measurement
– Baseline Chest X-Ray dated after the positive
result
– Annual TB Symptom questionnaire must be
completed: a self-report assessing for TB signs
and symptoms
– Questionnaire available on the CON website
Titers
Blood tests
Test blood for presence of antibodies
(immunity) to specific illnesses
Positive titer means you are immune
Positive titer can result from disease
exposure or immunization
REQUIRED TITERS
MEASLES IgG
MUMPS IgG
RUBELLA IgG
VARICELLA IgG
HEPATITIS B surface antibody,
QUANT
If you have a negative titer
Measles* or mumps* – need 2 MMR
boosters, 4-6 weeks apart
Rubella – need one MMR booster
Varicella* – need 2 varicella boosters,
4-6 weeks apart
*If you prefer to have a single
booster and then another titer, this
is OK too
A Word About Hepatitis B
For YOUR protection
Vaccine preventable illness that can lead to liver
cancer
Vaccine series requires 3 vaccines at 0, 1, and 6
months
Titer done 6 weeks after last vaccination
If you had the series awhile ago, your titer may be
negative, but you may really be immune
(immunologic memory) If this happens, email me
for guidance
It is important to know for certain since this
protects YOU
Titers
CON only accepts baseline titers as proof
of immunity. They are the gold standard
for immunity
Titers are about $90 for all 5
University Health Service or Quest
Diagnostics
If Quest used, must be in the State of
Illinois
Both order forms on CON website
CPR
Required for patient safety
Must be Healthcare Professional Level
Mandated by contract with clinical sites
Acceptable certifications
– American Heart Association Healthcare
Provider
NO OTHER CARD WILL BE ACCEPTED
– See CON website for information
Urine Drug Screen
Required for admission to the College of
Nursing
Must be done at University Health Service
See UHS form for their hours and phone#
Form is on CON website
Cost is approx $40
Urine drug screen is an annual requirement.
Background Check
The College has contracted with Certified
Background
Please follow directions on website/flyer
If your background check reveals something, it
does not necessarily mean that you cannot
continue in the program.
If you have concerns, please contact:
Dr. Patricia Lewis, Associate Dean for Clinical
Practice
Tel#: 312.996.5706 email: [email protected]
Open discussion and honesty are paramount
Consequences
If records are not submitted or are
incomplete by the deadline specified
on the CON website:
–
–
–
–
–
No Clinicals
No Classes
No Registration
No Grades Reported
Possible cancellation of admission
Recap
2 Separate Immunity Forms
2 Separate Immunity Offices
Annual PPD and urine drug screen
Background check on admission
KEEP A COPY OF EVERYTHING
Contact Numbers
UIC Office of Medical Immunizations
– 312-413-0464
CON Clinical Compliance Office:
– Email [email protected]
Chicago Department of Public Health
– 311 (in Chicago)
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