Cone Health Clinical Education Agreement

Excerpt of student requirements

To inform the student and the faculty of the Facility’s requirements for acceptance, to verify compliance, and to maintain the ability to share validation of said contractual requirements within 2 hours of a request by Facility. Written medical verification of the following for each student and faculty member to be at Facility prior to arrival. This applies to their initial engagement at the facility after the effective date of this contract and annually for the annual items below.  A negative Twelve Panel Urine Drug Screen report test from a National Institute of Drug Abuse (NIDA) approved laboratory on file prior to the first assignment\student experience at CH with the contracted school. {Panel includes: AMP (amphetamine),BAR (barbituates), BZO (benzodiazepines), COC (cocaine),THC (marijuana), MTD (methadone), mAMP methamphetamine), MDMA (ectasy), OPI (opiate), PCP (Phencyclidine) PPX (Propoxyphene), OXY (oxycodone)}  Rubeola, Rubella, and Mumps: If born in 1957 or after need documentation of two (2) MMR’s or documented proof of disease history, serology evidence of immunity; if born before 1957 need one (1) MMR documented or serology evidence of immunity  Annual TB Skin Test (Mantoux Method/QuantiFERON or a 2-Step PPD test if this is the first PPD test. (See http://www.cdc.gov/tb/topic/testing/default.htm) If positive, chest x-ray should be negative and individual asymptomatic of TB with at least an annual assessment within three (3) months of starting the clinical assignment.  Annual Flu vaccine (The only exemption will be with a family physician’s request on MD letterhead. Each exemption submitted will be reviewed by the Director, Infection Prevention and Employee Health).  Chickenpox (documentation of 2 doses or documented proof of disease history, serology evidence of immunity to varicella)  Tetanus/Diphtheria (a dose or Td or TDAP since age of 14)  HBV immunization or sign the mandatory declination form and have been counseled regarding universal precautions  Current American Heart Association CPR-Health Care Provider certification is required for all students involved in patient care contact.  School Photo Identification badge