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• School of Nursing Clinical Criteria

Clinical Criteria

• A one time physical exam by your private physician or health care provider. This form must be completed, signed and on file in Health Services by the beginning of your clinicals. 
• A tuberculin skin test within the past year or a negative chest x-ray and completion of a risk assessment for anyone who is a positive TB skin test reactor. TB skin tests are given at no cost on Mondays and Tuesdays 11 a.m.- 3 p.m. at MSOE Health Services (K250) during the school year from September through March. Please call (414) 277-7590 to schedule an appointment. Documentation from your place of work is acceptable. 
• The following immunizations must be completed and the dates must be recorded:
  
  
  1. Tetanus Diphtheria Booster - within the past 10 years (new 2005 Tdap which includes Acellular Pertussis recommended for update)
  2. Measles, Mumps, Rubella (MMR) - All nursing students born prior to 1/1/1957 must demonstrate immunity to Rubella (German Measles) by proof of one MMR vaccine or a positive Rubella titre per copy of lab report. If born after 1/1/57, immunity to both Rubella and Rubeola (measles) must be demonstrated by proof of two MMR vaccines or positive Rubella and Rubeola titres.
     
     Vaccinations may have been given separately. We must see two dates for measles, two dates for mumps and one date for Rubella. If unable to provide date of vaccinations you must provide laboratory evidence of a positive titer. Titres can be ordered by your doctor.
  3. Hepatitis B - three doses; list all three dates. If not completed, must be in process before Sophomore clinicals begin. 
  4. Varicella - history, positive titre, or two doses of vaccine given at least one month apart if immunized at the age of 13 or older.

Many insurance plans or HMO's cover the cost of immunizations; if this is not available to you, please check out your local public health department for best cost containment. The Hepatitis B series, Meningitis, Tetanus and Influenza vaccines are available via scheduled clinincs on campus, for dates and costs please visit MSOE Health Services Web site; these vaccinations are strongly encouraged. Please consult your personal physician regarding these.

MSOE understands that some students cannot have immunizations due to health or religious reasons. If these pertain to you, please have your physician and or minister document this.

Please return your forms and any attachments to MSOE Health Services, 1025 N. Broadway, Milwaukee, Wis. 53202-3109. If you have questions, please call Health Services at (414) 277-7590.