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Nursing Assistant gaining Program All students are required to have tuberculosis screening or chest x-ray upon admission to the program. Tuberculin skin testing using a purified protein derivative (PPD) is done to detect delayed hypersensitivity reactions in people who have been infected with mycobacterium tuberculosis. If the test reading is positive, the student is then required a chest x-ray to rule out active disease and an evaluation from their primary care provider for approp e first tes reading is negative, no further t fing is necessary. STUD NTS WITH PRIOR POSITIVE TB SCREENING TEST For stu Jents who have documentation of a previous positive PPD, no skin testing is perforried. However, the student is required to have a health evaluation, symptom screeni ig, and periodic chest x-ray. Symptom screening review is to be completed ye rly. SHOR AGE OF TB SCREENING TEST (TST) ANTIGENS The Center for Disease Prevention and Control (CDC) recommends any of the three general approaches for addressing the shortages of TST antigens: 1. Substitute interferon-y release assay (IGRA) blood tests for TSTs. 2. Allocate TSTs to priority indications, such as TB contact investigations, as determined by public health authorities. This might require deferment of testis g some persons. CDC does not recommend testing persons who are not at risk for TB. 3. Substitute Aplisol for Tubersol for skin testing. ANTI1 IODY TITERS FOR MEASLES,MUMPS,RUBELLA,AND CHICKEN PO Antibo ly titers indicate if the student has immunity to certain communicable diseases A student is required to provide recent (less than two years) laboratory test results indicating positivu antibody titers to mumps, measles (rubeola), and German measles (rubella). If any of the titers is negative, the student should get the combined MMR vaccine since single antigcr vaccine is no longer available in the U.S. The student must submit proof of re ent MMR mmunization. A student is also required to provide recent (less than two years) laboratory test results indicat ng positive antibody titers to chickenpox (Varicella). If the titer is negative, th student should get a chicken pox vaccine and submit proof of immunization. IMMI NIZATIONS A student is required to have all the necessary immunizations required by nursing facilities before a/she is allowed to attend the clinical site. COVI -19 VACCINATION and BOOSTER Students must have COVID-19 vaccination for acceptance into the certified nursing program. FLU VACCINATION Student Handbook 2024 28 *Policy and Procedures are subject to Change*