Health Requirements

Because our clinical agencies require specific health information, all nursing majors are required to have a completed health examination submitted one MONTH prior to the start of the first clinical course (this is the fall semester for undergraduate nursing courses).

Therefore all nursing students must have a health examination in June, July or August. This is the only health examination required during the program under ordinary circumstances. The University Student Health Center does not provide this service.

The SU School of Nursing form must be used for the health examination and may be obtained from the school’s web site. The student is also required to submit a “Technical Standards” form signed by the physician/health care provider verifying that the student is both physically and mentally fit to provide safe care to patients.

Students are supplied with detailed instructions on how to submit the completed documents to the online service known as CastleBranch.com where student health records will be confidentially maintained. Submitted materials are reviewed to verify that the student is eligible for participation in the clinical courses. Students are responsible for the annual cost of this service. No student will be allowed in a clinical agency without fulfilling this requirement.

The student may also send a copy of the completed health record to the University Health Center.

Health care workers, including students in health care clinical experiences, are at risk for contracting a variety of communicable diseases, and are also at risk for spreading communicable diseases to vulnerable populations. The Centers for Disease Control (CDC) has specific recommendations for health care workers, in addition to the usual adult immunization recommendations, to better protect health care workers and the populations they serve.

The SU School of Nursing requires its students to provide proof of certain immunizations and/or immunities prior to the start of the program to assist the School in facilitating clinical placements which are required for program completion. Most, if not all, clinical sites require proof of the immunizations and/or immunities required by the program prior to clinical placement.

Please be advised that failure to receive and provide proof of immunizations (and/or proof of immunity) required by clinical sites may impact a student’s ability to participate in clinical experiences that are required for program completion. Please also be advised that some clinical agencies may require immunizations in addition to those required by the program.

Students with any questions about communicable diseases or immunizations should contact Teena Milligan, Clinical Coordinator, School of Nursing.

Prior to the start of their respective  programs, students must submit documentation of immunity or immunization records for the following to CastleBranch.com.

Health Exam Form

Immunization Record Form

Absence of Tuberculosis Form

Fit for Duty Form

Initial Requirement

Tetanus, diphtheria and pertussis (Tdap)

One time Tdap booster within the past 10 years.  If Tdap booster was given more than 10 years ago, proof of Td within the past 10 years is required.

Measles, Mumps, Rubella (MMR)

Evidence of 2 doses of MMR given at least 4 weeks apart OR Laboratory evidence of immunity (Positive titers) for each of these:  Measles, Mumps and Rubella

Varicella vaccination

Physician Documentation of disease OR 2 doses of Varicella vaccine at least 4 weeks apart OR Laboratory evidence of immunity (positive titer) for varicella

Hepatitis B

Complete series of vaccinations for Hepatitis B. If previously unvaccinated, will need 2 doses of Heplisav-B or 3 doses of Engerix-B or Recombivax HB series.

Tuberculosis

Proof of a two-step tuberculosis skin test (TST) at least one week apart, done within the last 12 months or proof of two consecutive annual tuberculin skin tests (TST) completed within the last 12 months.  If you have a positive result, you must attach a copy of a negative Chest X-ray report. Please also include dates of prophylaxis therapy, if completed.

A tuberculosis screening test (PPD) is required annually. Students who submitted a previous x-ray due to a positive PPD must sign and submit a form verifying the absence of symptoms by August 15.

For students who had not finished the Hepatitis B series prior to entering the program, completion is required with verification submitted by August 15.

Annual influenza vaccination is required of all SU nursing students with submission of documentation to CastleBranch.com. Students who are not in compliance with this requirement will not be permitted to participate in clinical experiences. This vaccination is generally available on campus during the fall semester (at a small charge to students) or at local clinical agencies (free of charge).

Due to changing clinical site and agency regulations, Salisbury University students who accept admission to any nursing program (B.S.N., M.S.N., D.N.P.) must now complete drug screen testing to participate in clinical experiences. This testing is managed through the PreCheck system. Instructions for completion are provided by the School of Nursing. The cost of testing is the responsibility of the student. It is highly possible that, in the near future, all students may be required to undergo additional drug screen testing for some or all clinical experiences including both routine and random drug screening. The School of Nursing will provide information for students as it becomes available. Students who do not complete this requirement will be unable to remain in their respective programs.

If a student is unable to receive required immunization(s) because of a medical contraindication, they must sign a Waiver of Receipt of School of Nursing Required Immunization(s) form prior to each academic year for which they are not able to fulfill the requirement. The Waiver of Receipt of Required Immunizations must be signed by a licensed healthcare provider.

Students Responsibilities for Health Maintenance

SIGNIFICANT CHANGE IN HEALTH STATUS

Students must report any significant change in their health status that impacts their ability to meet the SU Nursing Program technical standards or be in compliance with the health requirements outlined on the “Fit for Duty and Technical Standards” form.  By definition, any situation that curtails clinical performance activities for more than one clinical absence or creates a pattern of absences (e.g. every other week), and/or involves a hospitalization/medical observation will be considered a “Significant Change in Health Status”.

The following are common examples (not an exhaustive list) of changes in health status: diagnosis of mononucleosis or other infectious/communicable illnesses/diseases, disabling headache lasting more than one clinical week,  fractures or other injuries affecting physical ability, hospitalizations, behavioral health issues or other emergency events.

A variety of factors, including length of time (more than one clinical absence or a pattern of absences), hospitalization/medical observation, clinical agency policies, and adherence to the usual standard of medical care, will enter into the determination of what kind of documentation is required before a student can return to clinical experiences.

1. The Length of Absence from Clinical.  If the resolution of the health problem requires more than one clinical absence, the Change of Health status will be deemed significant, and will require documentation and signature by a provider stating that the student is fit for duty.
2. Hospitalization/medical observation will be considered a significant change in health status and will require documentation and signature by a provider stating that the student is fit for duty.
3. Compliance with Clinical Agency Policies. SU Nursing students and faculty must meet the health requirements of our clinical affiliates. If a student has had a significant change in health status as determined above, documentation and signature by a provider stating that the student is fit for duty will be required.
4. Adherence to the usual Standard of Care.  If medical, psychological, and other types of interventions are ordinarily part of care, [e.g., rest, limitation of weight-bearing, use of casts/boots, crutches, restrictions on lifting, medications that alter cognition, etc.], students may not return to clinical until they provide documentation  and signature from a provider stating that the student is fit for duty.

Clinical instructors will assess the situation regarding student clinical participation.  The instructor, in consultation with the Course Coordinator and the Clinical Coordinator of the SU School of Nursing, will make the decision as to whether the student has had a “Significant Change in Health Status and the kind of documentation needed prior to returning to clinical.

The student must be aware that:

1. Suspected changes in health status must be reported to clinical instructors.
2. Clinical agency policies regarding health requirements may vary widely from location to location and by the population served e.g. policies for working with pregnant women, infants, and children are generally stricter
3. After a “Significant Change in Health Status”, a new, updated “Fit for Duty and Technical Standards” form or physician’s note must be completed and signed by a licensed health care provider indicating that the student is safe to return to clinical experiences.
4. Clearance to return to clinical experiences will not be granted until all medical documents have been uploaded and accepted by the Immunization Tracker system.

The COVID-19 vaccine is required for all students in Salisbury University’s School of Nursing. Those students who are non-compliant with the School of Nursing  COVID-19 Vaccine Mandate are not permitted to participate in clinicals, rotations or internships. Compliance means that a student is either a) fully vaccinated, including receiving the booster when eligible, or b) has an approved medical or religious exemption. Unvaccinated students, including those who have not received the booster when eligible, with approved exemptions, are required to participate in COVID-19 testing in accordance with clinical agency guidelines in order to maintain access to clinical placement sites.

Students should note however, that clinical and rotation sites are not required to recognize SU’s medical or religious exemptions.  As a result, hospitals and other clinical and rotation sites may refuse to allow students who are unvaccinated or who have not received the booster when eligible to participate. Students are hereby informed that, while they are permitted to enroll in SU Nursing and CHHS programs, their eligibility to participate in required clinicals is dependent on the requirements of the site, and if they refuse to comply with those requirements, they may not be able to complete the program due to lack of required clinical hours.

To learn more about the vaccines that are available at SU, please contact CampusHealth@salisbury.edu.