Clinical Health Care Requirements
Rationale for Policy: To protect students and the clients for whom they care, and to meet the requirements of the clinical sites where students will have experience, health care agencies necessitate and specify requirements for all students.

All accepted nursing students must comply with the health care agencies' clinical requirements. The Nursing Division will establish deadlines for submission of all documentation. Incompliance with deadlines will prevent completion of required clinical documentation by the Nursing division, thus leading to the student's inability to be assigned to a clinical facility and the inability to complete the clinical component of the nursing course.

Numerous health care requirements are mandatory for students. If a student is noncompliant with established deadline, the student's offer for acceptance into the program will be rescinded, and the student's file will become inactive thus leading to the position being filled by other applicant selected by the dean of Nursing based on the ranking list.

Currently, the following Clinical Health Care immunizations/vaccinations or positive titers are required for all accepted nursing students:
Measles, Mumps, Rubella (MMR)
Varicella
Hepatitis B
Tuberculosis (Tb) Screen
Tetanus, Diphtheria and Pertussis (Tdap)
Influenza

Valid exemptions include a medical exemption and/or a religious exemption.
Medical: Physician or health department indicates that certain vaccinates are medically exempted (because of risk of harm). Specifically for Hepatitis B medical exemption, a health care provider's documentation is required stating one of the following as a contraindication for the vaccination:

    1. the individual meets the criteria for contraindication set forth in the manufacturer's vaccine package insert; or
    2. the individual meets the criteria for contraindication published by the U.S. Centers for Disease Control of the ACIP; or
    3. in the best professional judgment of the health care provider, based on the individual's medical condition and history, the risk of harm from the vaccinate outweighs the potential benefit.

Religious: The vaccination conflicts with the student's religious tenets or practices. The student must provide a written statement, affirmed under penalties of perjury, that vaccination conflicts with the religious tenets and practices of the student. You may provide your written statement on the back of this form – be sure it is legible and dated.
Other clinical health care agency requirements include the following:
Health Verification
Confidentiality Agreement
Background Check
CRP for health care personnel
OSHA
HiPPA
Malpractice Insurance

The Nursing Division also requires students to read and agree to abide by the Ethical and Professional Behavior Agreement, Student Confidentiality Agreement, Tennessee Professional Assistance Program, Drug and Alcohol Testing Consent, and Core Performance Standards.

Clinical requirements are enforced by clinical affiliates and OSHA regulations. Within the guidelines of the regulations, completing a refusal document may be an option. Clinical affiliates may refuse clinical rotation access to students who fail to obtain the required immunizations, which would impact a student's ability to successfully progress through or complete the program. Clinical requirements may be added or changed based on current information regarding communicable diseases; revised or new college or Board of Regents policies; and/or health agency requirements. Students will be informed of any new requirements and the deadlines for meeting those requirements.