Immunization and Compliance Requirements

You should have been given a detailed sheet of instructions, but here is some more information on the Immunization and Compliance Requirements for Lane Community College EMS Programs.

Hepatitis B

OPTION 1: Documentation of 3 Hep B vaccinations previously received

OPTION 2: Series of 3 Hep B vaccinations (ENGERIX-B® or RECOMBIVAX HB®)

  1. Dose 1
  2. Approx 28 days later Dose 2 (You can start clinical at this point.)
  3. Approx 5 months later Dose 3 (Must be continued to maintain clinical.)

Documentation for each dose must be assigned to the associated item in ADB. This means assigning documentation and entering dates three times in the Hep B section.

OPTION 3: Series of 2 Hep B vaccinations (HEPLISAV-B™)

  1. Dose 1
  2. Approx 28 days later Dose 2 (You can start clinical at this point.)

Documentation for each dose must be assigned to the associated item in ADB. This means assigning documentation and entering dates two times in the Heplisav-B section. You must have documentation that specifically states Heplisav-B in order to Option 3 otherwise it will be assumed to be a three dose vaccine.

OPTION 4: Immune Surface Antibody Titer showing your immunity (they will draw blood for this option).

MMR

(Measles, Mumps, and Rubella)

OPTION 1: Documentation of 2 MMR vaccinations previously received

This can be a combination of individual Measles, Mumps, and Rubella or MMR to meet the requirement of two doses of Measles (Rubeola), two doses of Mumps and 1 dose of Rubella

OPTION 2: Series of 2 MMR vaccinations

Be aware that at this time MMRV is not listed as an accepted form of vaccination for those over the age of 12.

  1. Dose 1
  2. Approx 28 days later Dose 2

OPTION 3: Immune Surface Antibody Titer showing your immunity (they will draw blood for this option).

OPTION 4: Immune Surface Antibody Titer showing your immunity  to Measles and Mumps (they will draw blood for this option) AND Dose 1 of MMR.

You must have an immune titer for each of the three Measles, Mumps, and Rubella (total of 3 titers). People often find they are only partially immune and require a booster MMR with follow up titer. Do not upload a titer showing you are not immune, unless it is for only one of the 3 items and you will follow up with boosters and titers.

Varicella

(Chicken Pox)

OPTION 1: Documentation of 2 Varicella vaccinations previously received

OPTION 2: Series of 2 Varicella vaccinations 

Be aware that at this time MMRV is not listed as an accepted form of vaccination for those over the age of 12.

  1. Dose 1
  2. Approx 28 days later Dose 2

OPTION 3: Immune Surface Antibody Titer showing your immunity (they will draw blood for this option).

NOTE: Having Chicken Pox as a child does not count for this requirement (even if it is documented on your medical records). Check to make sure prior record was for vaccination and not history of disease. 

Do not upload a titer showing you are not immune.

Adult TDaP

(Tetanus, Diptheria, Acellular Pertussis)

OPTION 1: Documentation of 1 TDaP vaccination previously received as teen/adult within last 10 years

OPTION 2: Documentation of 1 TDaP vaccination previously received as teen/adult over 10 years and 1 Tetanus within last 10 years

OPTION 3: TDaP vaccination

NOTE: Tetanus has been a common immunization, but it was previously given in different formats. You may see something similar on your immunization records but it must be the TDaP in order to include the full Pertussis. If you have had a documented TDaP but it has been longer than 10 years since your Tetanus, you will need to update that.

 

 

TB Test

Documentation: The documentation you provide for skin tests must contain the date of the skin exposure, the date the skin is read, the result in measurement (ex. 0 mm), the results determination (ex. negative), your name, and the facilities name if printed from systems computer OR the medical provider’s signature.

The documentation you provide for blood test must contain the lab report and show the  date of the test, the reference ranges, the results determination (ex. negative), your name, and the facilities name if printed from systems computer OR the medical provider’s signature. Example of lab report provided.

OPTION 1: Two Part TB Test consists of FOUR visits to your medical provider.

  1. Skin is exposed
  2. 48-72 hrs later reaction is read
  3. wait 7-21 days
  4. Skin is exposed a second time
  5. 48-72 hrs later reaction is read

OPTION 2: If you have had a TB Test that shows a reaction, you can get a chest x-ray. These are good for 3 years. So if you have a prior chest x-ray with negative results we will accept that, but you will need to contact Marleena Pearson to get an additional form to go along with those results. 

OPTION 3: QuantiFERON Gold or Tspot blood test with negative results within the last 12 months.

Flu Vaccination

Documentation: The documentation you provide must contain the date of the vaccination, the type of vaccination, your name, the facilities name if printed from systems computer OR the medical provider’s name (printed) with signature.

OPTION 1: Shot or nasal mist from a medical provider that is from the current season*.

OPTION 2: If you have a medical history** that prevents you from getting the flu shot, you will need to contact Marleena Pearson to get a special waiver form. Your doctor will be required to complete the form. This has been limited due to the release of vaccinations without the use of eggs.

*Typically the flu season is September – March. This means you can sometimes find places that will give you the immunization during the summer, but often it is from the previous year and does not meet the requirements of this current year.

** Due to a history of life-threatening allergic reaction to chicken eggs, or after receiving a previous flu vaccination or have experienced Guillain-Barré Syndrome (GBS) within 6 weeks of a previous flu vaccination. 

Not Required for Spring or Summer terms. 

Drug Screen

Students only have one accepted method for Drug Screens. Health Professions has a very specific drug and alcohol test that can not be ordered at your chosen location. You must follow the instructions you were given for your program.

American Databank Students : When you start your account you are ordering a package that includes Background Check, Drug Screen, and Medical Document Manager.

  • You will receive an email with an electronic chain of custody telling you where to go to give your urine sample.
    • You MUST follow the instructions from American Databank.
    • You MUST go to the location specified by Databank.
    • You MUST give the sample within the time frame allowed by Databank.
    • Take any and all prescriptions with you when giving your sample. Be prepared to communicate with ADB directly if your results could be affected by your prescriptions.
  • If you do not get this email within 24 hours of starting your account:
    • Check your spam or junk mail folders for the email
    • Contact Databank to request another email

Results :

  • Negative – Clear – No further action.
  • Negative Dilute – Retest at students expense required. Manage your water in take the day of the test to avoid this result.
  • Positive Dilute – Flagged – Student is not eligible for Health Professions programs for a year.
  • Positive – Flagged – Student is not eligible for Health Professions programs for a year.