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Pre-License Clinical Compliance (Policy PREL-04)

Download a Printable Version of Policy PREL-04

Effective Date

August 2013

Last Revision Date

10/19/2022

Responsible Party

School of Nursing Divisional Dean, Chief Nurse Administrator, Program Directors, faculty, staff, and students.

Scope and Audience

All School of Nursing Pre-License Program faculty and students.

Additional Authority

CHS: Student Background Check (Policy 313), Student Drug and Alcohol Testing (Policy 314)

1. Policy Purpose

To define clinical compliance requirements and measures for the School of Nursing Pre-License Program.

2. Policy Statement

Requirements For Attending Clinical Courses

As per contractual agreements with our clinical partners, background checks, drug screens, CPR certification, tests for tuberculosis and certain vaccinations and immunizations are required. Some, or all, of these requirements may be gathered by an outside company, depending on the program. The company used will be based on contractual agreements in place at the time requirements are due. Students will be kept apprised of specific health requirements. For some School of Nursing programs, in addition to an account for background check and drug screens, an account for health requirement tracking may be required. Students may also be required, based on their clinical placement, to have accounts through additional outside vendors in order to meet the requirements of their clinical placement. Should this be necessary, students will be notified by the program and all costs incurred will be the responsibility of the student.

Verification Of Enrollment in Medical Insurance

Neither the College of Health Sciences, the Departments or Divisions within the College, nor the clinical agencies carry health insurance for students. All students enrolled and participating in clinical coursework through the College of Health Sciences must be covered by a medical insurance policy. Documentation of current health insurance coverage must be provided.

Background Check

Students in the School of Nursing Pre-License Program may be required to have and maintain a clean background check. Students are admitted to the School of Nursing Pre-License Program conditionally, pending completion of a clean background check by the deadline date provided by specific programs. Students are responsible for following the program-specific account set-up requirements, arranging payment, and directly handling any disputed results with the vendor at the time of check or recheck. Please note School of Nursing designated staff have access to all results but will not initiate or process appeals or corrections through the vendor. Decisions regarding program eligibility will be made based on background results in accordance with College of Health Science Policy: CHS-314.0. Background checks performed for previous employment or licensing cannot be used, per contractual agreements with our partnering health care agencies. Students will be required to maintain a clear criminal record during their time in the program and may be required to complete subsequent background checks every six months, during the time- period directed by the individual program. “Clear criminal background” is defined as a background meeting the criteria as outlined in COHS Policy: CHS-313.0.

Clinical Health Requirements

Students will submit the following health requirements as directed prior to being accepted fully into their specific program. Students may also be required to complete subsequent health requirements (or “serial” health requirements) and re-submit during the time frame indicated by their specific program and in the manner directed at the time of submission.

Tuberculosis (TB)

A verified negative 2-Step or Baseline TB skin test or blood test, such as T-spot or Quantiferon Gold will be required prior to the beginning of the student’s first semester in their specific program.

  • Additional testing may be required as dictated by specific clinical placement requirements.
  • Tine Tests are not accepted
  • If student has a positive TB test:
    • A chest X-ray report indicating the absence of TB obtained within six months prior to admission must be submitted and an annual TB Questionnaire, provided by the student’s program, must be submitted every year thereafter. The questionnaire must be completed by a primary care provider.
    • The School of Nursing will not interpret these or any other results

Measles, Mumps, & Rubella (MMR)

Documentation of positive titers for each (Measles, Mumps and Rubella), OR verification of 2 MMR vaccinations, must be submitted prior to admission unless a severe allergy is documented by a primary care provider.

If any of the titers are “equivocal” or indicate that the student is not protected, and proof of immunization is not available, immunization with 2 MMR vaccinations will be required. Students may be in progress but must follow standard immunization timeline protocols, as recommended by the CDC.

Varicella (chicken pox)

Documentation of a positive antibody, a statement of history of illness from a primary care provider, or proof of two doses of the varicella vaccine will be accepted.

Hepatitis B

Documentation of complete Hepatitis B Vaccination series and positive Hepatitis B titer drawn at least 1-2 months after completion of the initial series is required. Series may be two step or three step series as recommended by the student’s primary care provider.

  • If the titer drawn 1-2 months after completion of the initial series does not show immunity, the student will be required to complete a revaccination series and repeat titer 1-2 months after completion of the second series.
  • Students may be in progress with documentation of at least one dose of the Hepatitis Vaccines. These students must follow CDC guidelines for completion of the series. If the student’s provider is recommending a schedule outside of the standard CDC guidelines, a written explanation from the provider must be submitted. The series and subsequent titer must be completed within 7 months.
  • Some students may be “non- converters,” despite following proper protocol. In order to demonstrate “non-converter” status, the student must provide verification of 2 complete series with 2 negative titers, 1 at the end of each series. Series must be done within the CDC recommended timeframe in order to qualify. Students who do not have protective concentration of anti-HBs (>10 mIU/ml) after revaccination (i.e., after receiving a total of 6 doses) should be tested for HBsAg and anti-HBc to determine their infection status (Holmberg, Suryaprasad & Ward, 2012).
Management of Hepatitis B Virus-infected student
  • Students must provide validation that they are under the care and guidance of a physician with regard to management of the Hepatitis-B viral infection prior to their first semester in the program. This can be found in the form of a signed healthcare provider note stating that viral load testing and other appropriate assessments will occur every 6 months.
  • HBV-infected students can conduct exposure prone procedures if a low or undetectable HBV viral load is documented by regular testing at least every 6 months (Holmberg et al., 2012).
  • Students with active HBV infection (i.e., those who are HBsAg-positive) who do not perform exposure-prone procedures but who practice non or minimally invasive procedures should not be subject to any restriction of their activities or study (Holmberg et al., 2012).
  • Students with a positive HBeAg or circulating HBV burden of greater than or equal to 10(4) genome equivalents (GE) per mL of blood will be prohibited from performing certain pre-defined high-risk (Category III) exposure-prone procedures (EPP) (Lewis, Enfield & Sifri, 2015). The list of Category III exposure-prone procedures is found in Table 3 of the following reference. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381171/
  • Students will use double-gloving for all invasive procedures, for all contact with mucous membranes or non-intact skin, and for all instances in patient care for which gloving is recommended (Lewis et al., 2015).
    vii. Please see relevant tables and charts, found in the following link to summarize the recommendations, guidelines, screening, vaccination, viral load threshold and restrictions for students.

    • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381171/
    • https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6103a1.htm#:~:t ext=CDC%20recommends%20that%20all%20health,health%2Dcare
      %20providers%20and%20students.

Tdap (tetanus, diphtheria, and pertussis)

Documentation of Tdap vaccination received within the past 10 years. Vaccination expiring during the program will require documentation of a booster prior to expiration.

Influenza (flu)

Proof of seasonal flu vaccination must be received upon entry for Spring start cohorts and annually for all students by the program established deadline every October. Exemptions may be requested for the influenza vaccine under the following circumstances:

  • Medical Exemption – Requires the signature of a licensed healthcare provider
  • Religious Exemption

COVID-19

Proof of COVID-19 vaccination compliance may be required by participating healthcare agencies. As such, proof of vaccination or documentation of exemption upon entry to the program is required. Exemptions may be requested for the COVID-19 vaccination under the following circumstances:

  • Medical Exemption – Requires the signature of a licensed healthcare provider
  • Religious Exemption

CPR

Students must, upon entry to the program, have and maintain current Health Care Provider CPR Certification.

  • Certification must be through the American Heart Association(AHA) or the American Red Cross. Class content should include CPR for clients of all ages, ventilation with a barrier device, a bag-valve mask device, and oxygen, relief of foreign body airway, and use of an automatic external defibrillator.
  • Initial certification must be obtained in an in-person/hands-on class, however, recertification can be obtained online.

Additional Pre-license Program Requirements and Information

Vaccine exemptions may result in clinical sites refusing to accept the exempted student and may limit clinical placement options. If no other placement option is available, the student may be delayed or prevented from meeting the requirements for progression within the program and/or graduation from the program. For information on the exemption process, please contact the Student Services Compliance team at nursingcomm@boisestate.edu.

Serial health requirements are to be satisfied by deadlines as determined by the individual program in collaboration with the Clinical Compliance team. Any student not in compliance past the program specific deadline dates may not attend class or clinical rotations until all requirements are satisfied.

All Clinical Health requirements, processes, and procedures are subject to change based on contractual agreements with clinical partners and/or CDC recommendations. Should changes occur after normal Health Requirement cycles, students will be informed by the Clinical Compliance team and given clear directions, to include deadlines for compliance, in order to remain eligible for program participation. Continuous compliance with clinical health requirements is mandatory for the School of Nursing Pre-License Program. Failure to maintain continuous health requirements is grounds for dismissal from the program.

For assistance and questions contact the Student Services compliance team at nursingcomm@boisestate.edu.

Pre-license Program Compliance Accountability

Because continuing compliance is such a crucial component to the integrity of Boise State University’s School of Nursing Pre-Lisence Program and is required for continued clinical affiliation agreements, the following steps will be implemented leading up to the School of Nursing’s dismissal process:

  1. Compliance with clinical requirements is determined by the Clinical Operations Team. Unless an approved extension is granted by the Clinical Operations Team, students will be considered out of compliance for any missed deadline.
  2. The first time a student is out of compliance after the deadline, they will be issued a letter of warning from the Primary Program Director.
  3. If the student has not completed the requirements prior to the deadline, they will not be permitted to attend either class or clinical rotations. This includes practice and simulation labs. At this point, written notification from the Clinical Support Team or Student Services with proof of compliance is required to join class and clinicals. It is up to the faculty to determine whether the missed attendance can be made up.
  4. The second time a student is out of compliance after the deadline, they will be issued a letter of warning stating potential dismissal. As in step 2, if the student has not completed the requirements prior to the first day of class, they will not be permitted to attend either class or clinical rotations. This includes practice and simulation labs. Because this is the second time a student has not met the compliance requirements prior to the deadline, the student must meet with and submit a letter to the Primary Program Director with proof of compliance from either the Clinical Support Team or Student Services to request permission to rejoin class and clinicals. It is up to the faculty to determine whether the missed attendance can be made up.
  5. The third time a student is out of compliance after the deadline, the School of Nursing’s dismissal policy will be initiated. The School of Nursing Dismissal Policy may be found here: https://www.boisestate.edu/nursing/student-resources/son-student-policy-manual/section-2-son-school-wide-policies/dismissal-policy-son-16/

3. Forms

N/A

4. Related Information

BSU: None

CHS: Student Background Check (Policy 313), Student Drug and Alcohol Testing (Policy 314)

SON: None

Last Review Date

10/19/2022

Revision History

August 2013, Spring 2015, Summer 2017, Fall 2019, October 2021, April 1st 2022, Fall 2022, February 2023

References

Holmberg, S. D., Suryaprasad, A., & Ward, J. W. (2012). Updated CDC recommendations for the management of hepatitis B virus-infected health-care providers and students. Centers for Disease Control and Prevent Morbidity and Mortality Weekly Report, 61(3), 1–12.
Lewis, J. D., Sifri, C. D., & Enfield, K. B. (2015). Hepatitis B in healthcare workers: transmission events and guidance for management. World Journal of Hepatology, 7(3), 488–497. https://doi.org/10.4254/wjh.v7.i3.488