Student Verification Pack 2019
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1 Student Verification Pack 2019 Important Start this Now Page 1
2 Clinical Placements in NSW Health facilities require students to complete a verification process to ensure the safety of themselves, other staff and the patients in their care. Illawarra Shoalhaven Local Health District (ISLHD) staff will be attending your university/college early in your course to undertake this process. Please refer to your Education Provider for details of the verification session applicable to you. In order to be prepared, you will need to start now to collect documentation as follows (please note: some documents may take a number of weeks to source): Student ID card (issued by current Education Provider) National Police Check (see below) Overseas Police check / Statutory Declaration (for Overseas students ONLY) Fully completed vaccination record card Evidence of immunisation compliance (see next page) Completed NSW Health Forms Code of Conduct, PD2018_009 Attachment 6 & Attachment 7 (all included in this pack) How to source an Australian National Police Check Apply online at present confirmation page and proof of identification at police station and pay appropriate fee (currently $57.20). This document is acceptable for 3 years from issue date. OR Apply for an online police check from any approved ACIC accredited broker (list available from Please be aware that these checks need to be verifiable online and many of these companies purge the data after 3 months (check the fine print) meaning that you need to present the certificate within 3 months of issue date. Once verified online by ISLHD staff, the check remains acceptable for 3 years from issue date. International Students: Please speak to your Education Provider about sourcing additional police check requirements. Statutory Declaration forms are available from them if required. Page 2
3 Sources of Evidence for Childhood / Adult Vaccinations Childhood vaccinations documentation can be sourced from: Your Blue Book or childhood vaccination book from your state or country (records presented in a foreign language must be translated using the vaccine translation website ( or using a local translation service. Immunisation summary / list from your Local Doctor an-immunisation-register NSW Health employees only: Staff vaccination record see Staff Health department at your Local Health District For school vaccination program records, follow link below for contact details for your local Public Health Unit (where you went to school): Contact other relevant Australian, state and territory government health authorities: ntent/7491d f818ca257d4d0024fbdc/$file/appendix-1-contactdetails.pdf Vaccination Record Card The Vaccination Record Card for Health Care Workers and Students will be provided to you by your Education Provider. This card should be completed in full and correctly by a GP or Immunisation Nurse. Please see examples overleaf. Please bring ALL of your original documents PLUS a photocopied set of all originals when attending any student verification session Page 3
4 EXAMPLE OF CARD ONE Copies of all serology results required Page 4
5 EXAMPLE OF CARD TWO Copies of all serology results required Page 5
6 CHECKLIST FOR VERIFICATION APPOINTMENT Original and photocopy of education provider-issued student photo ID card Original and photocopy of current Police Check from Australia (in exactly the same name as student photo ID card) and Original and copy of overseas Police Check OR statutory declaration stating no charges or convictions in country of origin for international students only Original and copy of Clinical Placement Card if any disclosable outcomes on police check Original and copy of signed Code of Conduct for NSW Health Attachment 6 Undertaking/Declaration form AND originals with copies of documented evidence of vaccinations and serology records (printed blood test results) as follows: dtpa (diphtheria, tetanus, pertussis) at least one documented dose in last 10 years MMR (measles, mumps, rubella) 2 documented doses at least one month apart OR positive serology for measles mumps and rubella OR born before 1966 Varicella 2 documented doses at least one month apart OR 1 dose of varicella received before age 14 OR positive serology for varicella Hepatitis B at least first dose documented for temporary compliance only OR completed full age appropriate course AND positive serology taken at least 4 weeks after last dose for full compliance (if all attempts fail to obtain documented evidence of full age appropriate course of Hepatitis B vaccination, then fully completed statutory declaration AND positive serology result may be presented) Note: Hepatitis B compliance pathway is attached Attachment 7 Tuberculosis risk form A completed risk assessment form will be required for this assessment. No further screening tests are required prior to this session. Those students needing further screening will be advised of their follow up plan and can be made temporarily compliant. Page 6
7 Hepatitis B Compliance Information for Students Primary course Hepatitis B Pathway Paediatric course of x3/4 doses (<20 years of age) OR Adolescent course of x2 doses (11-15 years of age) at school Note Childhood/Adult hepatitis B vaccine schedule Dose 1 Dose 2 (minimum 1 month after dose 1) Dose 3 (minimum 2 months after dose 2 AND 4 months after dose 1) NO ACCELERATED COURSE WILL BE ACCEPTED OR Adult course of x3 doses(>20 years of age) Pathology ( Blood test) Hepatitis B surface antibody blood test 4-8 weeks after 3 rd dose Additional Dose 1st dose Pathology ( Blood test) Hepatitis B surface antibody, Hepatitis B surface antigen, Hepatitis B core antibody 4 weeks after vaccination Additional Doses 2 nd dose If Hepatitis B surface antibody level <10 miu/ml proceed with 1 st additional dose If Hepatitis B surface antibody level <10 miu/ml proceed with additional doses If Hepatitis B surface antigen or Hepatitis B core antibody positive natural immunity, no further doses required. Please consult your local doctor Doses are given 1 month apart 3 rd dose Pathology ( Blood test) Hepatitis B surface antibody: 4 weeks after 3rd dose If Hepatitis B surface antibody level <10 miu/ml considered a non-responder pathway and consult your local doctor *Refer to the 10 th Ed. The Australian Immunisation Handbook, 2013* Page 7
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