Monday, July 23, 2018*

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1 The Department of Nursing and Health Sciences requires that students registered in the BN program complete the following by: Monday, July 23, 2018* To be completed by First Year students: Register for first year courses See Year One course registration instructions. Register for courses via MYUNB online. Request for Criminal Record / Vulnerable Sector Verification Letter Enter your name and birth date into the letter provided in this document. Take to your local law enforcement office to receive your criminal record check documents. Proof of CPR - HCP Level C Complete a Health Care Provider Level C CPR course and receive an official course completion card. This course must be CPR HCP Level C. Immunization Form Get form provided in this document completed by Physician or Nurse Practitioner. Medical Information Form Get form provided in this document completed by Physician or Nurse Practitioner. Please Note: To avoid any critical document complications within the academic year, it is strongly recommended that students complete all critical documents for the upcoming year between the second week of June and the third week of July. * Students admitted past the July 23th deadline will be advised separately on Critical Document submission by the Nursing and Health Science Coordinator

2 How to submit Critical Documents** Complete ALL documents prior to sending. We will only accept a complete package. Scan and combine all documents into one PDF document (Black and White / Gray Scale preferred). PDF is a commonly used file format available in most programs including Microsoft Office or Google Docs. There is a free smartphone APP for Apple and Android called GENIUS SCAN, which can be used for this purpose. Attach and using the following format: Name your PDF: Your Subject: Send to: (Your Last Name) Critical Documents Y1 (Your Last Name) Critical Documents Y1 BNdocsSJ1@unb.ca Attention: A student who does not meet the deadline for submission of their critical documents or clinical course registration will be deregistered by the Registrar s Office from clinical courses for the upcoming year as well as any associated prerequisite or corequisite theory courses. For more information, see the UNB Saint John Nursing Student Handbook. ** The Department of Nursing and Health Sciences will only accept critical documents received via the method listed above. For assistance with Critical Documents Contact the Student Support Coordinator Brenda.Anthony@unb.ca

3 May 1, 2018 To Whom It May Concern: REQUEST FOR CRIMINAL RECORD & VULNERABLE SECTOR VERIFICATION NAME: Date of Birth: This student is entering a year in the Nursing Program at UNB Saint John in September Nursing students are required to have an education experience in a variety of health care and community settings. In these environments, students will come in direct contact with vulnerable people, including young people, senior citizens, and those with physical, developmental, emotional, social or other disabilities. Please provide this student with verification documents for Criminal Record and Vulnerable Sector checks. Yours truly, Brenda Anthony Student Support Coordinator Phone: (506) DEPARTMENT OF NURSING AND HEALTH SCIENCES

4 CRITICAL DOCUMENTS BACHELOR OF NURSING MEDICAL INFORMATION FORM Name: Emergency Contact: Student ID Number: Relationship: Address of Emergency Contact: Phone Number of Emergency Contact: PLEASE HAVE A PHYSICIAN OR NURSE PRACTITIONER COMPLETE THE FOLLOWING: HEALTH A. In your opinion, is the applicant medically fit (no cognitive, physical, psychological or emotional conditions and dependence on alcohol or drugs) and able to attend the Bachelor of Nursing Program? Yes No B. Other: SUMMARY OF ONGOING CONCERNS A. Diagnoses: B. Long-Term Medications: Health Care Provider s Name: Phone Number: Address: Health Care Provider s Signature Date Updated March 2015

5 CRITICAL DOCUMENTS BACHELOR OF NURSING IMMUNIZATION FORM Name: Birth Date: IMMUNIZATION DATES Tdap* (Tetanus, diphtheria, and acellular pertissus) Date of Primary Series Completed: Date of Adolescent Booster: Date of Adult Booster: MMR* (Measles, Mumps, & Rubella) Date of 1 st MMR: Date of 2 nd MMR: Varicella* History of disease? Yes No If NO, need 2 boosters Dose 1: Dose 2: Tuberculosis* Two-Step Mantoux Step One: Step Two: (within 7-21 days of Step One date) If TST is positive, CXR indicated Hepatitis B* Dose 1 Dose 2 (one month later) Dose 3 (6-12 months after Dose 1) Titre: (4-6 weeks after Dose 3) If results show no immunity, a booster is required: Flu shots Nursing Students are strongly recommended to obtain the flu shots annually. *See Immunization Guidelines (attached) for details. Signature of Applicant Signature of Health Care Provider Date Updated March 2015

6 IMMUNIZATION GUIDELINES FOR HEALTH CARE WORKERS Hospital employees, students in health care disciplines, laboratory workers and other health care personnel are at risk of exposure to communicable diseases because of contact with patients with infections, both diagnosed and undiagnosed. Optimal usage of immunizing agents for health care workers will safeguard their health and prevent them from infecting patients. The immunization status of each worker must be documented; in the absence of such documentation, immunization must be offered at the earliest opportunity. A brief outline of vaccines recommended for all health care workers is as follows: Tetanus toxoid, diphtheria, and acellular pertussis (Tdap) Immunization against tetanus, diphtheria and acellular pertussis is recommended for all adults in Canada. After the initial series, booster doses of Tdap are recommended every 10 years for optimal protection. It is recommended that adults receive a dose of Tdap 5 years after receiving the adolescent dose of Tdap (the adolescent dose is normally given to grade nine students in N.B.) Measles vaccine (Rubeola) Those born after 1970 who will have patient contact should have proof of two live measles vaccinations, documentation of physician-diagnosed measles or lab evidence of immunity. If one dose of measles vaccine has already been received, a second dose is recommended, usually as MMR vaccine. Those born before 1970 have probably been infected naturally and may usually be considered immune. It is not necessary to initiate a serologic testing program to detect susceptible care workers. Rubella vaccine In health care settings, the rubella immune status of females of childbearing age should be carefully reviewed, and those without documented immunity should be immunized with MMR. Women should be advised to avoid pregnancy for 1 month after immunization. Hepatitis B vaccine Hepatitis B is the most important infectious occupational disease for health care workers; therefore, hepatitis B vaccine is recommended for all who may be exposed to blood or blood products, or who may be at risk of sharps injury, bites or penetrating injuries. Students in health care occupations should complete their vaccine series before possible exposure to such injuries. The standard recommended schedule for hepatitis B vaccine is 0, 1 and 2 months. Because the sero-conversion rate is between 90-99%, post-immunization serologic testing for anti-hbs should be conducted on all students in health care disciplines to establish antibody response. Ideally, testing should be undertaken at least 1 month but no later than 6 months after the last dose of vaccine. Either a single booster dose or re-immunization may be required to provide the necessary protection. Influenza vaccine Annual influenza immunization is recommended for all health care personnel who have contact with individuals in high-risk groups. Such immunization has been shown to reduce the mortality and morbidity of patients under their care in long- term settings and to reduce worker absenteeism during the influenza season. Tuberculosis All students in health care facilities must provide documentation of TB infection status prior to beginning work in a health care facility. Documentation must indicate whether the TST (tuberculin skin test) is negative or positive (including size of reaction in mm s), and whether the person has received previous therapy for inactive TB or treatment for active TB. Two-step testing is required because the immune system loses its ability to produce a positive TST reaction over time and may require an additional stimulus to boost a limited response. If the first test is negative, the second test should be performed 7-21 days after the first. If the first test is positive, the person is documented as TST positive, is investigated clinically, and a second test is not given. Varicella To minimize the risk of varicella outbreaks in health care facilities, Varicella vaccination is recommended for people over 12 months of age who are susceptible to varicella infection. (Public Health Agency of Canada, 2006). References Canadian Tuberculosis Standards, 7 th Ed., Available online at respiratoryguidelines.ca/tb-standards Canadian Immunization Guide, 7 th Ed., Available online at website of Public Health Agency of Canada, phac-aspc.gc.ca/publicat/cig-gci/index-eng.php. Updated March 2015