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INFECTIOUS DISEASE POLICY

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					                              INFECTIOUS DISEASE POLICY
1.     POLICY STATEMENT OF INTENT ......................................................................................................... 2

2.     SCOPE OF THE POLICY............................................................................................................................ 3

3.     DEFINITIONS AND ACRONYMS ............................................................................................................. 3

4.     POLICY PRINCIPLES................................................................................................................................. 4
     4.1     OCCUPATIONAL HEALTH AND SAFETY: PREVENTING THE TRANSMISSION OF INFECTIOUS DISEASES ....... 4
     4.2     INFORMED CONSENT .................................................................................................................................. 4
     4.3     OPTING OUT ............................................................................................................................................... 4
     4.4     PRIVACY .................................................................................................................................................... 5
     4.5     DISCRIMINATION........................................................................................................................................ 5
5.     POLICY GUIDELINES ................................................................................................................................ 5
     5.1     RESPONSIBILITIES OF THE FACULTY OF HEALTH SCIENCE ......................................................................... 5
     5.2     RESPONSIBILITIES OF THE STUDENT .......................................................................................................... 5
     5.3     COST .......................................................................................................................................................... 7
     5.4     INTERNATIONAL STUDENTS ....................................................................................................................... 7
     5.5     STUDENTS UNDERTAKING OVERSEAS ELECTIVES ...................................................................................... 7
     5.6     CONSEQUENCES OF NON-COMPLIANCE ...................................................................................................... 8
6.     INFECTIOUS DISEASES SCREENING AND IMMUNISATIONS ....................................................... 8
     TESTING FOR BLOOD-BORNE VIRUSES: HIV, HBV AND HCV ............................................................................ 8
     IMMUNISATIONS ................................................................................................................................................ 10
     SCREENING FOR TUBERCULOSIS (MANTOUX TESTING) ..................................................................................... 15
     EXPOSURE TO BLOOD AND BODY FLUIDS DURING CLINICAL PLACEMENTS/ROTATIONS ..................................... 15
7.     ADMINISTRATION OF THE POLICY................................................................................................... 16
     SCHOOL OF HUMAN LIFE SCIENCES ................................................................................................................... 17
     SCHOOL OF MEDICINE ....................................................................................................................................... 17
     SCHOOL OF NURSING AND MIDWIFERY ............................................................................................................. 18
     SCHOOL OF PHARMACY ..................................................................................................................................... 18
8.     TABULATED SUMMARY OF THE INFECTIOUS DISEASE POLICY............................................ 19

9.     COMPLIANCE WITH INFECTIOUS DISEASE POLICY: FORMS .................................................. 20
     STUDENT DECLARATION FORM ......................................................................................................................... 20
     HEALTH CARE PROVIDER FORM ........................................................................................................................ 21
     HEALTH CARE PROVIDER FORM CONTINUED: ................................................................................................... 22
     SCREENING FOR TUBERCULOSIS FORM .............................................................................................................. 23
     FORM FOR PERIOD OF ELECTIVE STUDY ............................................................................................................ 24
     OPTING OUT FORM ............................................................................................................................................ 25
                               University of Tasmania Faculty of Health Science Infectious Disease Policy




1.      Policy Statement of Intent
The University and Faculty of Health Science is required to comply with Commonwealth and
State legislation and regulations including to ensure the safety of students and patients. The
Faculty of Health Science has a duty of care towards both students and patients to prevent or
minimise the risk of transmission of infectious or blood-borne diseases.

This policy provides direction as to the Faculty of Heath Science infectious diseases and
immunisation protocols for students undertaking learning placements and clinical rotations in
health care settings.

 Relevant             Anti-discrimination Act (Tasmania Consolidated Acts, 1998: Section 43)
 State/Federal
                      HIV/AIDS Preventative Measures Act (Tasmania Consolidated Acts, 1993)
 Govt. Legislation
                      Privacy Act 1988 (Aust)
                      Personal Information Protection Act 2004 (Tas)
 Related              Tasmania Department of Health and Human Services Code of Practice for Healthcare
 Documents            workers including those infected with HIV, Hepatitis B or Hepatitis C. (2005)
                      Tasmania Department of Health and Human Services Hepatitis B Policy (2006)
                      National Health and Medical Research Council Infection Control Guidelines for the
                      prevention of transmission of infectious diseases in the health care setting (2004)
                      Australian Government Department Health and Aging, Canberra available at
                      http://www.health.gov.au/internet/wcms/publishing.nsf/Content/icg-guidelines-index.htm
                      New South Wales Health Policy Directive Occupational assessment, screening and
                      vaccination against specified infectious diseases (2007).
                      National Immunisation Program: available electronically at
                      http://www.health.gov.au/internet/immunise/publishing.nsf/Content/handbook03-
                      changes
                      National Health and Medical Research Council. The Australian Immunisation
                      Handbook Current Edition and amendments available at
                      http://www.health.gov.au/internet/immunise/publishing.nsf/Content/handbook03-
                      changes

                      The Committee of Deans of Australian Medical Schools, Guidelines for Infectious
                      Diseases Policies and Programs for Medical Students, prepared by Dr Philip Jones,
                      UNDSW, and Danielle Brown, CDAMS. (2001)
     Commencement
             Date
          Policy      Responsible person: Dean Faculty of Health Science
 Development and
                      Monitoring and Review: Chair of Student Management Placement Committee
         Review
                              Annual review of Section 6: Infectious Diseases Screening and Immunisations
                              Review of Policy every 3 years
                      Contact: Executive Officer Faculty of Health Science
       Review Date




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                               University of Tasmania Faculty of Health Science Infectious Disease Policy




2.     Scope of the Policy
The policy applies to students who are required to participate in workplace learning
placements in health care settings involved with the provision of patient care and services. As
the duties and experiences of students participating in clinical placements will vary
significantly according to the course in which they are enrolled and the agencies in which the
placement occurs, aspects of the policy will be applied as is appropriate to the student
experience. In general students are required to comply with the policy in a manner consistent
with that which applies to employees/health care workers within the same vocational field.

Notwithstanding the general principle that the FHS encourages all students to receive
childhood immunisations recommended in the Australian National Immunisation Program
Schedule, students who do not undertake workplace learning placements are exempt from
this policy.

Each School in the Faculty of Health Science will identify students who undertake
placements in health care settings and implement this policy on their behalf as outlined under
Section 7: Administration of the Policy.


3.     Definitions and Acronyms
AMA                   Australian Medical Association
AMSA                  Australian Medical Students Association
Anti-HBc IgG          Antibody to Hepatitis B core antigen
Anti-HBs              Antibody to Hepatitis B virus surface antigen
CDAMS                 Committee of Deans of Australian Medical Schools
                      (now known as the Medical Deans Australia and New Zealand)
DHHS                  Tasmanian Department of Health and Human Services
dT                    diphtheria-tetanus vaccine for use in adults (ADT)
dTpa                  adult/adolescent formulation diphtheria-tetanus-acellular pertussis vaccine
EPP/s                 Exposure-prone procedures
HBeAg                 Hepatitis B early antigen
HBIG                  Hepatitis B immunoglobulin
HBsAg                 Hepatitis B surface antigen
HBV DNA               Hepatitis B virus DNA
HBV                   Hepatitis B virus
HCV RNA               Hepatitis C virus RNA
HCV                   Hepatitis C virus
HCW                   Health care workers
HIV                   Human immunodeficiency virus
mIU/ml                milli-International Units per milliliter
MMR                   Measles, mumps, rubella vaccine
NHMRC                 National Health and Medical Research Council
NIP                   National Immunisation Program Schedule
OH&S                  Occupational Health and Safety
RHH                   Royal Hobart Hospital
SNM                   School of Nursing and Midwifery
SoM                   School of Medicine
TB                    Tuberculosis




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                               University of Tasmania Faculty of Health Science Infectious Disease Policy




4.     Policy Principles
4.1 Occupational Health and Safety: Preventing the Transmission
of Infectious Diseases
The University and Faculty of Health Science is committed to providing a safe and secure
teaching and learning environment. Refer to the UTAS Occupational Health and Safety
Policy at http://www.admin.utas.edu.au/hr/ohs/pol_proc/ohs.pdf

The Faculty of Health Science has committed to ensuring the safety of students and patients
by actively promoting measures to prevent or minimise the risk of transmission of infectious
and/or blood-borne diseases including infection control practices; immunisations; serological
and other testing of immunity and student access to OH&S management programs within
placement agencies.

The Faculty of Health Science will maintain current on-line information on infectious and
blood-borne diseases, which may be accessed by all students throughout their course.

The Faculty of Health Science will ensure students in assigned clinical placements have
access to the placement agency occupational health surveillance and management programs
for potential exposures related to blood borne and other infectious diseases.

4.2    Informed Consent
The principle of informed consent governs the Infectious Disease Policy and related
procedures within each of the Schools in the Faculty.

Prospective students will be provided with printed or electronic copies of the Infectious
Disease Policy prior to or upon enrolment.

After appropriate education enrolled students are required to sign a statement indicating that
they have read and agree to comply with the Infectious Disease Policy. Students are required
to understand their responsibility to protect themselves as individuals and their
responsibilities to protect patients from transmission of blood-borne and other infectious
diseases.

4.3    Opting out
Students who are required to comply with the policy have the choice to opt out of the
immunisation program on medical or conscientious grounds with the written approval of the
Head of School. Opting out would be subject to consideration as to whether the student is
required to or is likely to undertake exposure-prone procedures. If so, such students must
undergo testing for blood borne viruses and must have demonstrated immunity to Hepatitis B
in accordance with the DHHS Hepatitis B Policy and Code of Practice for Health Care
Workers including those infected with HIV, Hepatitis B or Hepatitis C.

Students who do not undertake the immunisation program for whatever reason, and non-
responders to vaccination, would need to be referred by their general practitioner or
immunisation provider to an appropriate specialist (infectious diseases or occupational
health) for further advice on protecting themselves and patients from infectious diseases.



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                                University of Tasmania Faculty of Health Science Infectious Disease Policy




4.4     Privacy
Any information obtained as a result of implementing the policy will be managed to ensure
that students’ confidentiality is protected. The conditions for disclosure of information, the
nature of the information and the circumstances leading to disclosure, where required is
stipulated in this policy.

4.5     Discrimination
In accordance with the law and University policy, the Faculty of Health Science strives to
provide a work and study environment that is free from discrimination.

The Faculty of Health Science prohibits coercion of disclosure of status and discrimination
against students with blood-borne viruses by its staff, with the exception whereby it is
necessary to protect public health under Section 47 of the Anti-Discrimination Act 1998
Tasmania.

As students must exclude themselves from exposure-prone procedures if they are infected
with blood-borne viruses, the Faculty of Health Science will endeavor to ensure that students
who elect not to participate in exposure-prone procedures are not discriminated against on the
basis that non-participation is seen as surrogate disclosure of their status. The Faculty will
strive to support students who disclose their status where appropriate in order to protect them
and the people they are caring for.


5.      Policy Guidelines
5.1     Responsibilities of the Faculty of Health Science
     1. Schools within the Faculty of Health Science will abide by the Infectious Disease
        Policy and where applicable will implement the policy for enrolled students.
     2. The Schools will provide information to students on aspects of infectious diseases,
        blood-borne viruses, exposure-prone procedures and infection control practices
        relevant to the course or unit or study.
     3. Where relevant Schools will inform students, prior to enrolment, of the need to be
        aware of their infective status for blood-borne viruses.
     4. The Schools will require students to acknowledge their understanding and acceptance
        of this Infectious Disease Policy at the time of enrolment. Students will be required to
        sign a declaration stating they have read and understood the policy and that they
        recognize their rights and responsibilities under the policy.
     5. Screening for infections and the administration of appropriate immunisations and
        chemoprophylaxis is not the direct responsibility of the FHS but the FHS is
        responsible for documentation of compliance where this is required of the student.

5.2     Responsibilities of the Student
     2. The onus to comply with the policy rests solely with the student.

        The FHS will require all students to whom this policy applies to acknowledge their
        understanding and acceptance of the Infectious Diseases Policy at the time of or as
        soon as practicable after enrolment. Students will be required to sign a declaration that
        states they have both read and understood the policy and recognize their rights and


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                              University of Tasmania Faculty of Health Science Infectious Disease Policy




      responsibilities under the policy and return the signed declaration to the School by the
      date stipulated.

   3. In relation to blood borne viruses, students who may perform exposure-prone
      procedures during their course
         • have an ethical duty to be aware of their immunity or infectious status to
             ensure they do not place themselves or others at risk of infection
         • should arrange testing for blood-borne viruses to determine their status prior to
             or as soon as practicable after enrolment.
         • have an ethical duty to seek follow-up and/or regular testing and counseling if
             they engage in at-risk behaviour and/or suspect they may have been infected
             with a blood-borne virus during their course

      Students infected with blood-borne viruses must exclude themselves from performing
      exposure-prone procedures. Students who fail to do so will be subject to the
      consequences outlined in the Code of Practice for Health Care Workers including
      those infected with HIV, Hepatitis B or Hepatitis C which includes notifying the Chief
      Health Officer, exclusion from performing EPPs and testing and subsequent
      management in accordance with the relevant sections of the Tasmanian Public Health
      Act 1997 and the HIV/AIDS Preventative Measures Act 1993.

      All students who may undertake exposure-prone procedures during their course are
      required to sign a declaration that includes, in relation to blood-borne viruses:
          • An acknowledgment that the student has fulfilled the requirement for testing
              for blood-borne viruses;
          • An acknowledgment that there is no requirement for the student to disclose
              their infective status and that the student retains the right to confidentiality;
          • An agreement that if any test for blood-borne viruses is positive the student
              will seek counseling regarding the implications for their future career.
          • An acknowledgement that if any test for blood-borne viruses is positive, the
              student will not undertake any exposure-prone procedures.

      Students’ have a legal right to confidentiality and cannot be compelled to disclose
      their infectious status to others. The Faculty of Health Science respects and upholds
      students’ rights to confidentiality.

   4. Students who are required to undertake clinical placements must document their
      compliance with the immunisation program by providing a completed Health Care
      Provider Form and, if applicable, a completed Tuberculosis Screening Form to the
      School in which they are enrolled prior to commencement of the first placement.

   5. All students have a responsibility to comply with best practice infection control
      techniques, including standard and additional precautions, during clinical placement.
          a. Students should access information on health risks and appropriate precautions
              from the Australian Government Department of Health and Aging website at:
              http://www.health.gov.au/internet/wcms/publishing.nsf/Content/icg-
              guidelines-index.htm




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                               University of Tasmania Faculty of Health Science Infectious Disease Policy




           b. Recommendations on action to be taken in the event of exposure to blood-
              borne viruses can be found at the University Occupational Health and Safety
              Website (see http://www.admin.utas.edu.au/hr/ohs/pol_proc/exposure.pdf).
           c. In addition, students are expected to access, read and adhere to occupational
              exposure policies at each health care agency where they undertake a clinical
              placement and, in the event of exposure during that placement, to comply with
              the polices of the health care agency.

5.3    Cost
With the exception noted, the student is responsible for the cost of required testing and
immunisations.
    • Influenza vaccination for students whilst in clinical placements at the time of the
       agency’s vaccination program may be offered free to students at the discretion of and
       by the placement agency.
Students who experience difficulty in meeting the cost of the required testing and
immunisations are referred to the Safety Net Grant Scheme, a financial assistance scheme
offered by UTAS, at http://www.studentservices.utas.edu.au/finances/safety_net.html

5.4    International Students
International students, both long-term fee-paying students and students on short-term
electives, are subject to the same screening and immunisation standards as domestic students.
Long-term fee-paying overseas students are required to meet the same standards and will be
offered the same program as local students. Students participating in short-term electives, are
required to produce documentation prior to arrival in Australia that they have met the same
requirements prescribed for domestic students. The relevant School will provide an
orientation to elective students on infection control practices.

The Faculty of Health Science retains the right to request overseas students to undergo further
screenings and/or vaccinations on arrival.

5.5    Students undertaking Overseas Electives
Students, undertaking a period of study overseas, must be aware of the health risks and that
appropriate precautions are taken to reduce risks. Malaria, tuberculosis, HIV and a range of
other infectious diseases are common in developing countries and elsewhere. Information
regarding the current prevalence of infectious diseases in different countries and
recommendations for vaccinations prior to travel including Hepatitis A, polio, typhoid,
meningococcal and yellow fever vaccines are available at the Website of the Centre for
Disease Control, Atlanta, Georgia at www.cdc.gov/travel/ .

Students planning to undertake overseas electives are advised to seek medical advice
regarding disease protection, well in advance prior to their departure. This information is
available from the University’s Student Health Service at Sandy Bay.

The provision of relevant information and advice on health risks and the administration of
appropriate immunisations and chemoprophylaxis are not the direct responsibility of the
Faculty of Health Science. The student is required to provide documentation confirming that
they have obtained appropriate information and advice.




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Where relevant, each School will provide students undertaking an elective placement
overseas with a statement emphasising the risk of participating in exposure-prone procedures
during placements. The School will also provide recommendations on action to be taken in
the event of exposure to blood-borne viruses.

5.6    Consequences of Non-compliance
All students who are required to comply with the policy, including those who seek to opt out,
must complete the Student Declaration Form to indicate that they have read, understood,
accept and will comply with the policy. Students who do not complete the Student
Declaration Form will not be eligible for workplace learning placements within the clinical
setting and so will not be able to complete their course.

With the exception of those students who opt out (where written approval of the Head of
School should be submitted as evidence), all students are required to provide evidence of
compliance by submitting a completed Health Care Provider Form and if relevant the
Screening for Tuberculosis Form. Students who have not provided evidence of compliance
prior to the first scheduled placement will not be eligible for workplace learning placements
within the clinical setting and so may not complete their course.

Students who have commenced but not yet completed the immunisation requirements
because of lengthy vaccination schedules may be eligible for placement and should notify the
School Program Coordinator as soon as the delay becomes evident and well before allocation
to placements occurs.


6.     Infectious Diseases Screening and Immunisations
Testing for Blood-borne Viruses: HIV, HBV and HCV

Requirement
Screening for HIV, HBV and HCV is required for any student who will or may perform
exposure-prone procedures.

This applies to students enrolled in MBBS and Bachelor of Nursing

Students have a responsibility to be aware of their status in relation to blood-borne viruses
including HIV, HBV and HCV prior to enrolment in the course.

Students who engage in at risk behaviour or suspect that they may have been infected with a
blood-borne virus at any time during their course have an ethical duty to seek testing and
counseling.

Rationale
Australian medical students (Australian Medical Schools: CDAMS);
   • Recommended for all medical students
   • In order to protect patients, students infected with blood-borne viruses must not
       undertake exposure-prone procedures
Legislative requirements


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                               University of Tasmania Faculty of Health Science Infectious Disease Policy




   •   In Tasmania (and other jurisdictions in Australia), all HCW and students must be
       aware of their status and if positive for a blood-borne virus must not undertake
       exposure-prone procedures (EPPs)
Positive status will not prevent completion of the MBBS or Bachelor of Nursing degrees
   • Students are not required to perform EPPs to complete their degree but students
       wishing to perform EPPs where such opportunities arise within Tasmanian hospitals
       will need to know their status and provide evidence of their immunity to Hepatitis B
       upon request.

Recommended testing for blood-borne viruses
Human immunodeficiency virus (HIV):
   • HIV antibody test
Hepatitis B Virus (HBV)
   • HBsAg test
   • If HBsAg positive, it is recommended, although optional, to determine the degree of
       infectivity by testing
           o HBeAg
           o HBV DNA
Hepatitis C Virus (HCV)
   • HCV antibody test
   • If HCV antibody positive, it is recommended, although optional, to test for HCV
       RNA

Results from Testing for Blood-borne viruses
Students are not required to disclose their status to the Faculty, School or others.
   • The Faculty recognises the right of infected students to confidentiality and prohibits
       coercion of disclosure of status or discrimination against students with blood-borne
       viruses.
   • However, infected students must not undertake exposure-prone procedures.
   • In addition, infected students should seek counseling regarding the implications for
       their future career.

Exposure-prone procedures (EPPs)
These are procedures where there is potential for direct contact between the skin (usually
finger or thumb) of the health care worker and sharp surgical instruments, needles, or sharp
tissues (spicules of bone or teeth) in body cavities or in poorly visualised or confined body
sites (including the mouth).

The following EPPs are not intended as a comprehensive list but as examples of EPPs:
   • Obstetric and gynaecological EPPs: Caesarean section, episiotomies, high vaginal
       repairs, vaginal and abdominal hysterectomies
   • Orthopaedic EPPs: all prosthetic joint replacements
   • Intrathoracic EPPs: all procedures involving sternotomy, pneumonectomy, intercostal
       (chest tube) catheter insertion
   • Intra-abdominal EPPs: gastrectomy, hemicolectomy

Procedures where the hands and fingertips of the operator are visible and outside the patient’s
body at all times are unlikely to pose a risk of transmission of HIV, HBV or HCV from an



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                               University of Tasmania Faculty of Health Science Infectious Disease Policy




infected health care worker to patient. Provided they are not conducted in poorly visualised or
confined body sites, the following procedures are not considered to be exposure-prone;
    • Phlebotomy
    • Administering injections
    • Placing intravenous or central venous lines
    • Performing needle biopsies or aspirations, lumbar punctures, or angiographic
        procedures
    • Excision of epidermal and dermal lesions
    • Suturing of superficial skin lacerations
    • Any other procedure where the use of sharps is superficial, well visualised and very
        unlikely that a health care worker skin injury would result in the exposure of the
        patient to the health care worker’s blood or body substances.

In addition, internal examinations or procedures that do not require the use of sharp
instruments are not considered to be exposure-prone. Hence oral, vaginal or rectal
examinations, endoscopy, placing nasogastric tubes or urinary catheters or other procedures
that do not involve sharps are also excluded from the definition of EPPs.

Immunisations
The following information concerning immunisation is consistent with the National
Immunisation Program as published within the Australian Immunisation Handbook (current
edition: 2008) and the National Health and Medical Research Council (NHMRC) guidelines.
It is important that international students’ vaccinations meet the Australian Standard.

FHS students with underlying medical conditions, which are recognised by the NHMRC as
indications for the following vaccines, are advised of the need to be vaccinated irrespective of
the general recommendations concerning all medical students. Conversely students with
underlying medical conditions, which are recognised by the NHMRC as contraindications for
the following vaccines, must notify the School for referral to an Infectious Diseases physician
for further assessment and management.

Hepatitis B Virus

Requirement
Immunisation against Hepatitis B virus (HBV) is required for any student who will
undertake a workplace learning placement in a health care setting involved in the
provision of patient care, diagnostic or other laboratory services in which there is the
potential for exposure to blood or body fluids unless there is documented serological
confirmation of immunity.

This applies to students enrolled in MBBS, Bachelor of Nursing, Bachelor of Pharmacy,
Bachelor of Health Science/Bachelor of Medical Radiation Science (Medical Imaging),
Bachelor of Biomedical Science and some students enrolled in the Bachelor of Health
Science.

Rationale
Australian citizens (National Immunisation Program):
   • recommended for all Australians. Note that health care workers are regarded as a
       group at occupational risk for exposure to Hepatitis B infection.

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                              University of Tasmania Faculty of Health Science Infectious Disease Policy




Australian medical students (Committee of Deans of Australian Medical Schools, 2001);
   • immunisation required for all medical students
   • protects susceptible students from acquisition of disease through occupational
       exposure
   • protects susceptible patients, if exposed, from acquiring disease from infected
       students
Health Care Workers (Tasmania DHHS Code of Practice for Health Care Workers, 2005);
   • Immunisation of all non-immune HCW is strongly advised.
   • In Tasmania and other jurisdictions, HCW are required by law to know their HBV
       status and if positive they must not perform exposure-prone procedures. Evidence of
       immunity to HBV is required for many workplaces, including the Tasmanian
       Department of Health and Human Services (DHHS) acute care facilities.

Evidence of Immunity to HBV
Students who have been previously vaccinated are required to provide evidence of an anti-
HBs antibody level >10 mIU/ml (or detection of anti-HBs antibody if the laboratory does not
provide numerical antibody measurements) following vaccination. Students who have a past
history of Hepatitis B infection are required to provide evidence of immunity (anti-HBs or
anti-HBc IgG).

Immunisation All students who are not immune require vaccination against Hepatitis B
according to the National Immunisation Program recommendation for health care workers in
the Australian Immunisation Handbook (full course of 3 doses of vaccine).
    • Students are required to provide evidence of immunity by post-vaccination serology
       (anti-HBs antibody level ≥10mIU/ml or detection of anti-HBs antibody if the
       laboratory does not provide numerical antibody measurements) performed at least 4
       weeks after the third dose.
    • Students who are HBsAg negative and who do not reach adequate anti-HBs levels
       (≥10mIU/ml) should be offered further dose/s of vaccine followed by further testing 4
       weeks after the last dose.
    • Students who are persistent non-responders should be considered for referral to an
       infectious diseases physician for further assessment and management including
       consideration for intra-dermal vaccination. If they remain seronegative they also
       should be informed about the need for HBIG within 72 hours of significant exposure
       to HBV-infected blood or body fluids.

Measles, Mumps and Rubella
Requirement
Immunisation against measles, mumps and rubella is required for any student who will
undertake a workplace learning placement in a health care setting involved in the
provision of patient care unless there is documented immunity or documented
immunisation with two doses of measles mumps rubella vaccine (MMR).

This applies to students enrolled in MBBS, Bachelor of Nursing, Bachelor of Pharmacy &
Bachelor of Health Science/Bachelor of Medical Radiation Science (Medical Imaging).

Rationale
Australian citizens (National Immunisation Program)



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                               University of Tasmania Faculty of Health Science Infectious Disease Policy




   •   Vaccination of all Australians in infancy. Funded National Immunisation Program
       catch-up vaccination, for those borne since 1966 to optimise the uptake of measles
       vaccine in Australia, were discontinued in 2007.
Australian medical students (Committee of Deans of Australian Medical Schools, 2001)
   • Recommended by all medical schools in Australia
   • Protect non-immune students from acquiring and, if infected, transmitting infection
Health Care Workers
   • in NSW (and possibly other jurisdictions in the future) screening is required and non-
       immune HCW are restricted from working in several clinical areas including with
       paediatric, immuno-deficient, respiratory patients and in emergency departments and
       intensive care units.

Evidence of Immunity to Measles, Mumps and Rubella
Students are required to provide documented evidence of vaccination with at least 2 doses of
MMR or documented serological evidence of immunity to measles, mumps and rubella. For
measles, it is recognised that for persons born before 1966, immunity is likely. However,
unless provided with catch-up vaccinations, persons born between 1966 and 1980 are
unlikely to have received 2 doses of measles-containing vaccine and may be non-immune.

A history of previous infection with one or more of measles, mumps or rubella is not
considered reliable evidence of immunity nor is it a contraindication for vaccination against
the other components of the vaccine.

Immunisation against Measles, Mumps and Rubella
In Australia, all non-immune adults should be given MMR vaccine, provided there are no
contraindications. There are no ill effects from vaccinating those with pre-existing immunity
to one or more of the three diseases.

Students who are unable to provide documented evidence of immunity to all three
components or documented evidence of immunisation with two doses of MMR, are required
to complete two vaccinations against MMR or undertake catch-up vaccination of two doses
of MMR according to the Australian Immunisation Handbook guidelines.

Varicella
Requirement
Immunisation against varicella is required for any student who will undertake a workplace
learning placement in a health care setting involved in the provision of patient care unless
there is a documented history of infection or documented immunisation.

This applies to students enrolled in MBBS, Bachelor of Nursing, Bachelor of Pharmacy &
Bachelor of Health Science/Bachelor of Medical Radiation Science (Medical Imaging).

Rationale
Australian citizens (National Immunisation Program)
   • Vaccination of all Australians in infancy at 18 months. Funded catch-up vaccination
       program for 12-13 year old children is currently in place.
   • recommended for all non-immune adults, especially health care workers
Australian medical students (Committee of Deans of Australian Medical Schools, 2001)
   • immunisation required for all medical students


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                              University of Tasmania Faculty of Health Science Infectious Disease Policy




   • protects susceptible students from acquisition of disease
   • protects susceptible vulnerable patients from acquiring disease from infected students
Health Care Workers;
   • in NSW (and possibly other jurisdictions in the future) screening is required and non-
       immune HCW are restricted from working in several clinical areas including with
       paediatric, immunodeficient, respiratory patients and in emergency departments and
       intensive care units.

Evidence of immunity to Varicella
Students who have a reliable history of varicella (chicken pox or shingles) or a documented
history of immunisation should be considered immune. Many adolescents and adults who do
not have a history of varicella are also immune. In the absence of a reliable history of
varicella, serological testing before vaccination to establish immunity is available.

Immunisation against Varicella
Students without a reliable history of chickenpox or serological evidence of immunity are
required to be immunised (currently two doses, 1-2 months apart) Where serological testing
has not been performed, adults can be vaccinated as the vaccine is well tolerated in
seropositive persons.

Diphtheria, Tetanus and Pertussis
Recommendation
Immunisation against diphtheria, tetanus and pertussis is recommended for any student
who will undertake a workplace learning placement in a health care setting involved in the
provision of patient care. Immunization against pertussis is required for any student who
will/may have contact with young children.

This applies to students enrolled in MBBS, Bachelor of Nursing, Bachelor of Pharmacy &
Bachelor of Health Science/Bachelor of Medical Radiation Science (Medical Imaging).

Rationale
Australian citizens (National Immunisation Program)
   • Primary immunisation at 2, 4 and 6 months of age with boosters at 4 and 15-17 years.
   • To ensure persistent immunity against pertussis, a single dose of dTpa is now
       recommended for the booster at 15-17 years and in other circumstances described in
       the Australian Immunisation Handbook, including for adults (who have not
       previously received a booster dose of dTpa) working with infants and young children
   • Boosters for tetanus and diphtheria are recommended at the age of 50 years or in
       adults if a high-risk injury occurs where greater than 5 years have elapsed since the
       last booster vaccination. (Where the full primary course has not been completed,
       boosters are recommended every 10 years.)
Australian medical students (Committee of Deans of Australian Medical Schools, 2001)
   • Recommended by all medical schools in Australia
   • Protect non-immune patients from exposure to pertussis from an infected medical
       student
Health Care Workers
   • in NSW (and possibly other jurisdictions in the future) screening is required and
       HCW not immune to pertussis are restricted from working in several clinical areas



CPMC May 2008                                                                    Page 13 of 25
                                University of Tasmania Faculty of Health Science Infectious Disease Policy




       including with paediatric, immunodeficient, respiratory patients and in emergency
       departments and intensive care units.

Acceptable Presumptive Evidence of Immunity (diphtheria, tetanus and pertussis)
Students should provide a history of a completed childhood vaccination (at least 5 doses of
diphtheria/tetanus/pertussis components, at least one of which was administered above the
age of 10 years).

Immunisation (diphtheria, tetanus and pertussis)
If there is a history of not receiving a primary series of vaccines (i.e. the primary course of at
least 3 doses of diphtheria/tetanus/pertussis-combination vaccine), serology is available to
determine immunity. Catch-up vaccination may be considered as currently recommended in
the Australian Immunisation Handbook.

Students who have a history of inadequate childhood immunisation should have a booster
with dTpa (or dT).

Pertussis
Students who have not previously received dTpa should receive the booster in line with the
recommendation for all adults working with infants and children. Note that once a single
booster dose of dTpa has been administered, subsequent booster doses of dTpa to the same
individual should not be given.

Influenza
Recommendation
Annual influenza vaccination is recommended for any student who will undertake a
workplace learning placement in a health care setting involving activities that will bring
them into contact with patients.

This applies to students enrolled in MBBS, Bachelor of Nursing, Bachelor of Pharmacy &
Bachelor of Health Science/Bachelor of Medical Radiation Science (Medical Imaging).

Rationale
Australian citizens (National Immunisation Program)
   • Recommended for all HCW in order to protect high-risk patients
Australian medical students (Committee of Deans of Australian Medical Schools, 2001)
   • Recommended by all medical schools for students involved in clinical activities
Health Care Workers
   • In Tasmania and other jurisdictions, strongly recommended for all staff who have
       contact with clients/patients

Other Immunisations
At present the risk of acquiring Hepatitis A, polio, meningococcal and pneumococcal
infections is considered low in Tasmania, therefore vaccine of non-immune medical students
is not routinely recommend. However, some or all of these vaccinations and others may be
recommended for students who will be undertaking a period of training in areas where these
infections are prevalent. This includes certain Australian communities and many countries
overseas. Students are required to seek advice prior to commencing such periods of training.



CPMC May 2008                                                                      Page 14 of 25
                               University of Tasmania Faculty of Health Science Infectious Disease Policy




Meningococcal vaccination
Since 2003, the National Immunisation Program has recommended that Meningococcal C
conjugate vaccine be given to children at the age of 12 months. In Tasmania, in the period
from 2003 to 30 June 2007, free meningococcal vaccine was available for all children and
adolescents from one to 19 years old (catch-up). It is no longer available as a free vaccine
under this program.

During the period 2001-2002 when an increased incidence of meningococcal Type C disease
was observed in Tasmania, it was advised that the benefits of vaccination of non-immune
individuals “would be highest in students and young adults who live in crowded conditions”.
Vaccination against meningococcal Group C can be obtained at a cost from an immunisation
provider.

Screening for Tuberculosis (Mantoux Testing)
Recommendation
Mantoux testing is recommended for any student who will undertake a workplace learning
placement in a health care setting involving activities that will bring them into contact with
patients unless there is documentation of a positive Mantoux test or prior history of TB.
Mantoux-negative students should be re-tested following any subsequent exposure to TB,
including an elective in a country with a high prevalence of TB.

This applies to students enrolled in MBBS, Bachelor of Nursing, Bachelor of Pharmacy &
Bachelor of Health Science/Bachelor of Medical Radiation Science (Medical Imaging).

Rationale
Australian medical students (Committee of Deans of Australian Medical Schools, 2001)
   • Recommended for all medical students
Health Care Workers
   • In Tasmania screening is performed for all over-seas trained HCW from high risk
       areas who have contact with clients/patients
Recommended testing
Mantoux testing will be offered to all medical and nursing students through the RHH
Respiratory Clinic. Prior to testing, students would be required to agree that should the
Mantoux test be positive, they consent to returning to the clinic for advice regarding
appropriate assessment and management. Screening and follow-up through the RHH
Respiratory Clinic is provided at no cost to the student.

Alternatively, Mantoux testing may be provided by the student’s general practitioner.

Exposure to blood and body fluids during clinical
placements/rotations
Under the Australian Government Department of Health and Aging Infection Control
Guidelines for the Prevention of transmission of Infectious Diseases in the Health Care
Setting (section 3, chapters 23 & 24), ‘Health care establishments must have protocols for
dealing with needle stick and other blood or body fluid incidents involving either patients or
health care workers’ within their Occupational Health and Safety policy and procedures.




CPMC May 2008                                                                     Page 15 of 25
                               University of Tasmania Faculty of Health Science Infectious Disease Policy




Students who undertake clinical placements/rotations are subject to and covered by the
individual health care establishment/agency’s Occupational Exposure to Blood and Body
Fluids Policy. Students must become familiar with such policies and act in accordance with
the procedures if exposure occurs.

Students who suspect that they may have been infected with a blood-borne virus at any time
during their course have an ethical duty to seek testing and counseling. Academic, personal
and career counseling is available through the University’s Student Counseling Service.


7.     Administration of the Policy
In relation to this policy, each School within the FHS will identify which students are
required to comply with this policy (or components of the policy), provide information for
them and develop procedures to support its implementation within the School.

Student compliance will be sought prior to commencement of any placement in the health
care setting.

The coordinator of the program within each School is responsible for ensuring and
monitoring implementation and compliance with the policy.

Students will be required to attend a consultation with a medical practitioner and/or
immunisation provider to obtain documented evidence of compliance with the Infectious
Disease Policy. Data collected by the service provider is confidential material and is stored in
a secure manner by the service provider. Documentation of compliance is retained in a secure
and confidential manner within the relevant School.

Schools will record within SPMS the receipt of evidence of compliance with the Infectious
Disease Policy.

Each School will ensure that academic, personal and career counseling is available to
students with infectious diseases and blood-borne viruses. Students are encouraged to meet
with the Course Coordinator and/or a UTAS Student Counselor to discuss the implications
for progress within the course and for their future career.

The FHS abides by the University’s grievance/appeal procedures as part of the Infectious
Disease Policy and related programs.




CPMC May 2008                                                                     Page 16 of 25
                                  University of Tasmania Faculty of Health Science Infectious Disease Policy




         Policy The Head of School is responsible for implementation within each School of the FHS
 Implementation

                                    School of Human Life Sciences

                     Bachelor of Biomedical Science
                     Vaccination against Hepatitis B is strongly recommended for all students within the School of
                     Human Life Science who participate in workplace learning placements health care settings
                     involved with provision of laboratory services working with human blood, tissue and/or organs.

                     Bachelor of Health Science
                     The need for students to be vaccinated against Hepatitis B varies depending on specific units
                     of study and advice should be sought from the Unit Coordinator for clinical units.
                     Bachelor of Health Science/Bachelor of Medical Radiation Science (Medical Imaging)
                     Students are required by Charles Sturt University (CSU) to satisfy the Occupational Screening
                     and Vaccination against Infectious Diseases requirements stipulated by the NSW Health
                     Department. Students must complete an Adult Vaccination Record Card (obtainable from the
                     School) and will be required to supply the verified record prior to placements and at
                     commencement at CSU. see http://www.health.nsw.gov.au/ohs_vaccination/

                     Documentation of Compliance for relevant students recorded on SPMS
                     Coordinator of the Program: Ms Jane Pittaway, Dr Denis Visentin
                     Student contact for further information: Ms Jane Pittaway, Ms Merran Rogers
                     Student Information available at School of Human Life Sciences.


                                             School of Medicine

                        MBBS
                        Medical students are required to comply with this all aspects of this policy including
                             • Testing for Blood-borne Viruses
                             • Immunisations and
                             • Screening for Tuberculosis
                        Documentation of compliance is required prior to allocation to and student participation in
                        learning placements and clinical rotations in health care settings.

                        Documentation of Compliance:
                            •    Student Declaration Form
                            •    Heath Care Provider Form
                            •    Screening for Tuberculosis Form
                            •    Compliance recorded in SPMS

                        Coordinator of the Program: Associate Head of Student Affairs
                        Student contact for further information: Administration Officer Student Affairs
                        Student Information available at
                        http://www.medicine.utas.edu.au/policies/infectious_diseases/index.html




CPMC May 2008                                                                           Page 17 of 25
                          University of Tasmania Faculty of Health Science Infectious Disease Policy




                           School of Nursing and Midwifery
                Bachelor of Nursing
                Nursing students are required to comply with this all aspects of this policy including
                     • Testing for Blood-borne Viruses
                     • Immunisations and
                     • Screening for Tuberculosis
                Documentation of compliance is required prior to allocation to and student participation in
                learning placements in health care settings.

                Documentation of Compliance:
                    •    Student Declaration Form
                    •    Health Care Provider Declaration Form
                    •    Screening for Tuberculosis Form
                    •    Compliance recorded in SPMS

                Coordinator of the Program: Clinical Placement Officer
                School Monitoring and Evaluation: SNM Teaching and Learning Committee
                Student contact for further information: Clinical Placement Officer
                Student information available at: http://www.snm.utas.edu.au/policies/immunisation/


                                    School of Pharmacy
                Bachelor of Pharmacy
                As pharmacy students do not undertake exposure prone procedures, testing for blood
                borne viruses is not required. However, pharmacy students are required to comply with the
                requirements and recommendations for
                     • Immunisations and
                     • Screening for Tuberculosis
                Documentation of compliance is required prior to allocation to and student participation in
                learning placements in health care settings involved with the provision of patient care and/or
                services.

                Documentation of Compliance
                    •    Student Declaration Form
                    •    Health Care Provider Declaration Form
                    •    Screening for Tuberculosis Form
                    •    Compliance recorded in SPMS


                Coordinator of the Program: Academic Placement Coordinator
                Student contact for further information: Administrative Placement Coordinator
                Information available at http://www.pharmacy.utas.edu.au/immunisation.htm




CPMC May 2008                                                                   Page 18 of 25
                                                                                               University of Tasmania Faculty of Health Science Infectious Diseases Policy



8.      Tabulated Summary of the Infectious Disease Policy
Cost of the Program: Students are responsible for the cost of the required serological testing and immunisations. The cost of screening for tuberculosis and follow-up is
provided at no cost to the student if this is performed through the RHH Respiratory Clinic.
Evidence: Students are advised that sources of a documented history of vaccination in Tasmania may be available through Child Health Records/Book provided to parents
or through recognized immunisation providers such as the student’s relevant local council or GP (who may provide a record or letter confirming administration of a
childhood/previous vaccination) or any relevant Immunisation Register.

                  Evidence of immunity / Testing* required          Notes
Screening for     HIV antibody                                      Students enrolled in MBBS and Bachelor of Nursing must be aware of their status:
blood-borne       HBsAg (+/- HBeAg, HBV DNA if positive)                 • actual results remain confidential to student and
viruses           HCV antibody (+/- HCV RNA if positive)                 • compliance is recorded by acknowledgement of receipt of Health Care Provider Form.
                                                                    If positive, the student will be able to complete their degree but the student must not perform EPPs
                                                                    and must seek counseling regarding the implications of their future career.
Immunisations                                                       Students enrolled in MBBS and Bachelors of Nursing, Pharmacy, Health Science/ Medical
                                                                    Radiation Science (Medical Imaging). (& Biomedical Science-HBV only)
                                                                         • actual results remain confidential to student and
                                                                         • compliance is recorded by acknowledgement of receipt of Health Care Provider Form.
          HBV     anti-HBs ≥10mIU/ml                                Non-immune students to be vaccinated (3 doses at 0,1 and 6 months) and seroconversion
                                                                    documented. Persistent non-responders to be referred to an infectious diseases physician.
         MMR      Documented history of 2 doses of MMR              Students unable to meet criteria to be vaccinated (i.e. complete 2 doses of MMR vaccine)
                  OR documented immunity (by serology*)
      Varicella   History of chicken pox or shingles                Students unable to meet criteria to be vaccinated (2 doses one month apart)
                  OR documented immunity (by serology*)
          DTP     History of completed childhood vaccination (at      Students not receiving the primary course of at least 3 doses of DTPa, consider serology* and
                  least 5 doses of diphtheria /tetanus/pertussis      catch-up vaccination as currently recommended in the Australian Immunisation Handbook.
                  components, at least one of which was               Students who have a history of inadequate childhood immunisation or who have not received a
                  administered ≥ 10 years).                           booster in the last 10 years, should have a booster with dTpa (or dT).
                                                                      Pertussis Students who have not previously received dTpa should receive the booster in line with
                                                                      the current recommendation for all adults working with infants and children. Note that once a
                                                                      single booster dose of dTpa has been administered, subsequent booster doses of dTpa to the same
                                                                      individual should not be given.
      Influenza                                                       Annual influenza vaccination recommended
TB Screening                                                          Mantoux testing offered to students enrolled in MBBS and Bachelor(s) of Nursing, Pharmacy
                                                                      Student to agree to testing and follow-up by the respiratory clinic.
*With the exception of screening for blood-borne viruses and anti-HBs, the FHS does not prescribe requirements for serological testing to establish immunity to these
infections and recognizes that in providing catch-up immunisation in a cost-effective manner, additional doses of vaccines to HBV, MMR, and varicella are rarely
associated with significant adverse side effects in adults or in immune individuals.



SPMCMay2008                                                                              Page 19 of 25
                               University of Tasmania Faculty of Health Science Infectious Diseases Policy




9.     Compliance with Infectious Disease Policy: Forms
Student Declaration Form

I agree that I have read, understand and accept the Infectious Disease Policy and agree to
comply with the student responsibility requirements as documented in the policy.

I understand that in relation to testing of blood-borne viruses
    • there is no requirement for me to disclose my status to the Faculty of Health Science
       or School and that I retain the right of confidentiality;
    • that if positive, I will seek counseling regarding the implications for my future career;
    • that, if positive, I will not undertake any exposure-prone procedures during my
       training.

I understand that I will be required to provide documentation of compliance with the policy,
to be completed by the health care provider, to the School.



Student Name:________________________                            Student ID:       _______________



Student Signature: ___________________________________________________________




NOTE:
This form must be completed before students will be permitted to commence patient contact
or clinical placements/rotations within the course. Students who do not feel that they can
comply with the policy are required to discuss their objections with the Head of School or
nominated representative of.

RETURN:
Please return the signed declaration to




SPMCMay2008                                                                        Page 20 of 25
                                   University of Tasmania Faculty of Health Science Infectious Diseases Policy




Compliance with Faculty of Health Science Infectious Disease Policy
Health Care Provider Form
                                             Student Name: ___________________________________
                                             Student ID:       ___________________________________
Testing for Blood-borne Viruses (HIV, Hepatitis B, Hepatitis C viruses)
Medical and Nursing students only
The student has recently been tested for blood-borne viruses to determine infectivity status
                                                   Date of testing
  HIV antibody
  Hepatitis B surface antigen (HBsAg)
  Hepatitis C antibody
   • If positive for Hepatitis B or C, further tests to determine the level of infectivity are recommended
       (although optional) including HBeAg and HBVDNA or HCVRNA respectively.
   • Students who know they are or who test positive for HIV, Hepatitis B and/or Hepatitis C are to be
       referred for appropriate personal, professional and career counseling.

Immunisation Record:
The student has provided me with either evidence of immunity to, or appropriate
immunisation against, the following infectious diseases (as indicated in the following table)
                                                                                                    YES/NO
  Hepatitis B virus             anti-HBs ≥10mIU/ml1 or equivalent2
  Measles/Mumps/Rubella         Documented history of at least 2 doses of MMR vaccine
                                or immunity confirmed serologically
  Varicella                     Past history of chicken pox/shingles or
                                immunity to VZV confirmed serologically or
                                documented vaccination according to NIP3
  Diphtheria/Tetanus/Pertussis History of completed childhood vaccinations including dose at 15-
                                17 years or other documented vaccination according to NIP3 for
                                students who require
                                     • a catch-up primary course of vaccination;
                                     • a booster if they have not received one in last 10 yrs; or a
                                     • pertussis booster (dTpa) if not previously received one
                                         (as recommended for adults working with children).
   1. Students who are non-responders to vaccination should undergo further vaccination as recommended in
       the National Immunisation Program (2008) and/or be referred to an Infectious Diseases Physician for
       further advice and management and receive appropriate personal, professional and career advice.
   2. Some laboratories including the RHH report anti-HBs as “detected” or “not detected”
   3. NIP: National Immunisation Program schedule (2008) in current Australian Immunisation Handbook
       (available on line at www.immunise.gov.au )

I confirm that this student has provided me with evidence satisfying the above requirements.

Signature:                                                   Address or Stamp:


Name            _______________________

Date            _______________________


This record is confidential and is not released without the written consent of the student.
Please return signed forms to:


SPMCMay2008                                                                             Page 21 of 25
                                        University of Tasmania Faculty of Health Science Infectious Diseases Policy




Health Care Provider Form continued:
Instructions for the Student                                   Information for Health Care Providers
In preparing to visit your health care provider, ensure
that you have done the following: (PLEASE TICK)                Further information: The Faculty of Health Science
                                                               Infectious Disease Policy is available at
I have read the policy                                         http://www.medicine.utas.edu.au/policies/infectious_dise
                                                               ases/index.html
I have checked sources of documentation (see below)
and (if existing) will provide the following                   Cost of the Program: Students are responsible for the
information for the doctor                                     cost of the required serological testing and
                                                               immunisations.
    1.   Evidence of Hepatitis B vaccination
         Bring documentation of 2-3 doses (if you have         Required serological testing:
         recently left school this will most likely have       The following serology is required:
         been provided during adolescence in                         o HIV antibody
         Australia2. You will still need a blood test to             o Hepatitis B virus: HBsAg* and anti-HBs
         check for immunity but the documentation will               o Hepatitis C virus: HCV antibody*
         assist the doctor to interpret the results.)          (*follow-up serology is recommended if positive)

    2.   Evidence       of       vaccinations     against      Serological testing/evidence may be sought to establish
         measles/mumps/rubella                                 immunity to the stated other infections (as indicated in
         Bring documentation of TWO DOSES of                   the table on page 1 of the Health Care Provider Form),
         measles/mumps/rubella vaccinations. (if you           however the Faculty of Health Science does not prescribe
         are a school leaver, these have most likely been      these as absolute requirements and recognizes that in
         provided in infancy aged 1 and 4-5 years1,3.          providing catch-up immunisation in a cost-effective
         Some people may have received a second                manner, additional doses of vaccines to HBV, MMR, and
         ‘catch-up’ dose later in adolescence2, early          varicella are rarely associated with significant adverse
         adulthood3).                                          side effects in adults or in immune individuals.

    3.   Evidence of immunity to varicella                     Evidence of immunity to the stated infectious diseases:
         Bring dates of past history of chicken pox or         Different levels of evidence are required to establish
         shingles (check with parents/care giver)              immunity to the stated infectious diseases (as provided in
                                                               the table on page 1 of the Health Care Provider Form).
         OR
                                                               Time frame for completion of the program and return
         Bring documentation of varicella vaccination          of the Health Care Provider Form:
         (A government-funded ‘catch-up’ vaccination           For students who require vaccinations to meet the
         program with 2 doses of vaccine at age 12-13          requirements of the program the Faculty of Health
         has existed in Australia since November 2005          Science recognizes that, depending on the relevant
         but if you are a school leaver you may well           vaccination schedule, there may be significant delays in
         have missed this program2, 3).                        returning the form. Students are asked to return the form
                                                               by NO LATER THAN the commencement of their
    4.   Evidence          of         immunity           to    first workplace/clinical placement.
         diphtheria/tetanus/pertussis
         Bring evidence of childhood immunisations (3          Referral:
         doses in infancy1, 3 and 2 booster doses; the last    The following students should be referred for further
         dose at age 15-172, 3).                               assessment and/or counseling:
                                                                     o Students who know they are or who test
Students are advised that sources of a documented                    positive for HIV, Hepatitis B and/or Hepatitis C
history of vaccination in Tasmania may be available                  should be referred for appropriate personal,
through Child Health Records/Book1 provided to parents               professional and career counseling.
or through recognized immunisation providers such as                 o Persistent non-responders to Hepatitis B
the local council of the student’s high school where                 vaccination should be referred to an infectious
vaccination programs may have been provided2 or                      diseases physician for further assessment and
General Practitioner3 (who may provide a record or letter            management including consideration for intra-
confirming administration of a childhood/previous                    dermal vaccination.
vaccination) or any relevant Immunisation Register.                  o Students who do not undertake the
                                                                     immunisation program should be referred to an
When making the appointment for the doctor, I have                   infectious diseases or occupational health
notified the receptionist that the appointment is for                physician for advice on protecting themselves and
checking my immunisation status to comply with the                   their    patients   from    infectious   diseases.
UTAS Faculty of Health Science Infectious Disease
Policy




SPMCMay2008                                                                                    Page 22 of 25
                              University of Tasmania Faculty of Health Science Infectious Diseases Policy




Compliance with Faculty of Health Science Infectious Disease Policy
Screening for Tuberculosis Form

Student Name:         ___________________________

Student ID:           ___________________________

Student Declaration:
I agree to be screened for tuberculosis by tuberculin skin testing (Mantoux test) and, should
the test be positive, agree to return to the health care provider for follow-up for advice
regarding appropriate assessment and management.

Name:           _______________________________

Signature:      _______________________________

Address:        _______________________________

                _______________________________

                _______________________________

Health Care Provider:
The student has been screened for tuberculosis by tuberculin skin testing and, if tested
positive, has received advice regarding appropriate assessment and further management.

Name:           _______________________________

Signature:      _______________________________

Address:        _______________________________

                _______________________________

Date            _______________________________



    Screening and immunisation records of students remain confidential and are not
             released unless the written consent of the student is obtained.

RETURN: Please return the signed for to;




SPMCMay2008                                                                       Page 23 of 25
                               University of Tasmania Faculty of Health Science Infectious Diseases Policy




Compliance with Faculty of Health Science Infectious Disease Policy

Form for Period of Elective Study

Student Name:          ___________________________
Student ID:            ___________________________

Student Declaration:
Details of proposed elective period of study including destination, health care facilities,
anticipated learning experiences and dutes, departure date and duration of stay.




I have sought advice regarding potential infectious diseases and risks associated with travel
and my learning/work experiences during the elective period of study

Signature:      _______________________________



Health Care Provider Declaration:
The student has sought and received appropriate advice regarding potential infectious
diseases and risks associated with travel and the intended learning/work experiences during
the elective period of study

Name:           _______________________________


Signature:      _______________________________

Address or Stamp:




Date            _______________________________

RETURN: Please return the signed for to;



SPMCMay2008                                                                        Page 24 of 25
                                University of Tasmania Faculty of Health Science Infectious Diseases Policy




Compliance with Faculty of Health Science Infectious Disease Policy
Opting Out Form

Student Name:                   ______________________________________________

Student ID:                     ______________________________________________

Course:                         ______________________________________________

Head of School
I consent to the following student ____________________________________ opting out of
requirements and recommendations of the FHS Infectious Diseases Policy including (please
tick);

         Testing for blood borne viruses (HIV, Hepatitis B and Hepatitis C)
         Immunisation against Hepatitis B
         Immunisations (other than Hepatitis B) as required/recommended in this policy

Signature of Head of School or delegate:



Name:                    _______________________________

School:                  _______________________________

Date                     _______________________________

Student Declaration:
I declare that, by opting out of the FHS Infectious Diseases Policy requirements for testing
for blood borne viruses (HIV, Hepatitis B and Hepatitis C) and/or immunization against
Hepatitis B, I will not undertake or participate in any exposure-prone procedures.


Signature:       _______________________________

I understand that, by opting out of the FHS Infectious Diseases Policy immunisation
requirements and recommendations, I am at risk of exposure to or transmission of infectious
diseases within the health care setting and that as a consequence I have sought and received
advice from an appropriate person (medical practitioner, infectious diseases specialist,
occupational health physician) to protect myself and patients from infectious diseases.


Signature:       _______________________________

RETURN: Please return the signed form to:



SPMCMay2008                                                                         Page 25 of 25