Eastern New Mexico University



Immunizations/VaccinationsRequirement DescriptionMeasles, Mumps and Rubella (MMR)One of the following is required:2 vaccines ORPositive antibody titer for all 3 components (lab report or physician verification of results required).If series in process, submit 1st vaccine and new alerts will be created to complete the series.Varicella (Chicken Pox)One of the following is required:2 vaccines ORPositive antibody titer (lab report or physician verification of results required).If series in process submit 1st vaccine and new alerts will be created to complete the series. If titer is negative or equivocal, student must receive 1 booster shot.Hepatitis BOne of the following is required:3 vaccinations ORPositive antibody titer (lab report or physician verification of results required) ORDeclination Waiver (must be completed on the school form available to download)If series in process, submit where you and new alerts will be created to complete the series. If titer is negative or equivocal, student must receive a booster shot.TB Skin TestOne of the following is required:2 step TB Skin test (administered 1-3 weeks apart) ORIf positive results, provide Physician Clearance on letterhead Renewal will be set for 1 year.Upon renewal one of the following is required:2 step TB Skin test (administered 1-3 weeks apart) ORIf positive results, Physician Clearance on letterhead.Tetanus, Diphtheria & Pertussis (Tdap)Submit documentation of a Tdap booster administered within the past 10 years. Renewal date will be set at 10 years from the administered date of the booster.CPR CertificationOne of the following is required:American Heart Association BLS Provider Course ORAmerican Red Cross BLS Training for Healthcare ProvidersCopy of BOTH the front AND the back of your card is required and the card MUST be signed.Renewal date will be set based on expiration of certification.Note: You may use a different agency for re-certification as long as the class is for Healthcare Providers and covers Adult/Child/Infant CPR/AED level (this includes online courses).InfluenzaOne of the following is required:Documentation of flu shot administered during the current flu season ORDeclination waiver. Declination waiver must be completed on the school form available for download.Renewal will be set for one yearPhysical ExaminationDownload, print, complete and upload physical examination.The form must be completed and signed by a medical professional within the past 12 months. Renewal will be set for 1 year.SecurityRequirement DescriptionFingerprintingAll student clinicians in New Mexico must undergo a criminal history screening annually. This includes a registry check and fingerprinting by the New Mexico Department of Health. New students will complete NMDOH fingerprinting on campus during orientation. Note: Some practicum sites may additionally require fingerprinting.MVR Driving RecordsPlease visit your state’s Department of Motor Vehicle office or website and obtain a copy of your motor vehicle driving records. Please upload your copy to this requirement. This will be reviewed it will be noted if records were found.Background checkStudents are required to have background checks through Castle Branch to stay compliant. Renewal will be set for 1 year.Before uploading your background check results please make sure they have been completed. You can do this by clicking on the blue "View Results" button next to the background check item on your to-do list. If there is a current date listed on the blue Castle Branch seal in the top right corner of your results summary, this means results are completed and can be uploaded. If there is an old date you're probably looking at an old background check and may want to click on a different "View Results" option. If there is no date in the blue Castle Branch seal, your background check has not been completed yet. The average background check is completed within 5 business days.If your results are complete, you can upload these results to this requirement by selecting the Browse option next to "My Documents" and then selecting the Background Check folder, then selecting your most recent results.Note: Results files are labeled using an order number. An order number that starts with 9018 is from 2018 and an order number that starts with 9017 is from 2017. You can use this to find your most recent background check results.Professional LiabilityCurrent Professional Liability insurance coverage is required and evidence of coverage must be uploaded to Castle Branch. Coverage limits must be $1,000,000 each occurrence and $3,000,000 aggregate. Renewal will be set based on the expiration of coverage.Note: Coverage must survive the termination of student participation in the program and remain in effect for 1 calendar year following student separation from the program.Drug TestingStudents are required to complete drug tests yearly to stay compliant.Renewal will be set for 1 year.Once you have signed up for EE56 DT with Castle Branch, a drug test will be ordered and you will receive an echain within 24 hours. The echain will provide the location of the nearest Quest Lab and a form. Print the form and take it with you to be drug tested. If the Quest Lab location provided is not where you currently reside, contact Castle Branch for a different Quest Lab location. If the testing results are positive, a medical review officer (MRO) will contact you to discuss any prescription medications being taken.If you can see your drug test results on your to-do list you can upload these results to this requirement by selecting the Browse option next to "My Documents" and then selecting the Drug Test folder, then selecting your most recent results. If your drug test requirement isn't yet completed and you've taken your drug test more than 5 days ago, please contact customer service at 888-723-4263. Please have your specimen ID number on hand when calling customer service.Note: Results files are labeled using an order number. An order number that starts with 9018 is from 2018 and an order number that starts with 9017 is from 2017. You can use this to find your most recent drug test results.TrainingsRequirement DescriptionHIPAA CertificationUpload documentation of HIPAA Certification. Renewal will be set for 1 year.FERPA CertificationUpload documentation of FERPA Training. Renewal will be set for 1 year.OSHA CertificationUpload documentation of OSHA Training. Must include Bloodborne Pathogens and Universal Precautions training. Renewal will be set for 1 year.Child Abuse and NeglectReportingUpload documentation of Child Abuse and Neglect Reporting Training. Renewal will be set for 1 year.Adult Abuse and NeglectReportingUpload documentation of Adult Abuse and Neglect Reporting Training. Renewal will be set for 1 year.Program FormsRequirement DescriptionHandbook Acknowledgment Download, print, complete and upload Handbook Acknowledgement. Renewal will be set for 1 year.Code Of Conduct Download, print, complete and upload Code of Conduct. Renewal will be set for 1 year.Confidentiality/SecurityPolicy Download, print, complete and upload Confidentiality/Security Policy Form. Renewal will be set for 1 year.Program Policies Statements of Agreement Download, print, complete and upload Program Policies Statements of Agreement. Renewal will be set for 1 year.Student Financial Responsibilities Download, print, complete and upload Student Responsibilities Statements. Renewal will be set for 1 year.Practicum Procedures and Responsibilities Checklist Download, print, complete and upload Practicum Procedures and Responsibilities Checklist. Renewal will be set for 1 yearClinical Practicum Requirements Download, print, complete and upload Clinical Practicum Requirements. Renewal will be set for 1 year.Release of InformationDownload, print, complete and upload Release of Information for Reciprocal. Renewal will be set for 1 year ................
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