Jan 22, 2025
CARING FOR THE BODY, MIND & SPIRIT SINCE 1869
Please complete and sign the following sections of the Pre-Placement Health Assessment form and submit to OHSS for review. Once you submit the form you will receive a confirmation email to your SJHC work account with a PDF attachment of your submission. Please retain a copy for your records. You will receive a second notification after OHSS has reviewed and approved it.
Please provide proof of immunity to or receipt of the vaccinations listed as applicable (yellow immunization cards, immigration records, notes from a physician’s office, copies of laboratory reports (titer levels), health unit records and/or other hospital electronic immunization records). You may need to consult your Attending Physician or reach out to your previous employer or school to obtain immunization records and/or laboratory (serology) results for the Required Immunizations part of the form. If you don’t have your own records, take this form to your physician or Public Health unit to complete it in full, and sign.
Please send completed and signed forms, along with proof of vaccination or immunity to:You require two (2) doses of measles vaccine with the first dose being given on or after your first birthday and the second dose given at least four (4) weeks from the first dose OR provide laboratory evidence of your immunity. Immunization is required for those without immunity.
You require one (1) dose of rubella vaccine, given on or after your first birthday OR provide laboratory evidence of your immunity. Immunization is required for those without immunity.
You require two (2) doses of mumps vaccine with the first dose being given on or after your first birthday and the second dose given at least four (4) weeks from the first dose OR provide laboratory evidence of your immunity. Immunization is required for those without immunity.
You require two (2) doses of varicella vaccine (e.g. physician’s certificate or vaccination record) OR provide laboratory evidence of your immunity or laboratory confirmation of disease. Immunization is required for those without immunity.
You are required to have a baseline two (2) step TB skin test regardless of Bacillus Calmette–Guérin (BCG) unless you have documented results of a prior two-step test which can include two (2) individual skin tests done at least one (1) week apart. A single step TB skin test is required if the second step of your last TB skin test was more than 12 months ago, or if there are indications of travel to an area known for high levels of TB or an exposure to someone known or suspected of having TB or symptoms of TB.
The two (2) step TB skin test is normally given as a series of two (2) single TB skin tests repeated between one to four (1-4) weeks apart. However, two (2) individual TB skin tests performed four (4) to 52 weeks apart are also considered acceptable (Canadian Thoracic Society & the Public Health Agency of Canada, 2013).
Tuberculin skin testing should be administered and read before immunization or delayed for at least four (4) weeks after vaccination. Vaccination with COVID-19 vaccines may take place at any time after all steps of tuberculin skin testing have been completed.
PLEASE NOTE: If you have had a live vaccine (Measles, Mumps, Rubella, Chickenpox, Shingles) within four (4) weeks prior to needing a TB skin test, you will not be eligible. A TB skin test may be given on the same day as a live vaccine, but otherwise may not be administered until at least four (4) weeks have elapsed. A delay in the administration of the test will delay your start date.
Tuberculosis Testing Schedule
Occupational Health at St Joseph's will provide TB skin test if you do not have proof. You must be available to come back for the follow-up read or test.
One (1) Step Process
Two (2) Step Process
Individuals with Positive TB Skin Tests
You must provide Occupational Health with documentation of chest X-ray taken after the positive TB skin test. If you have a history of a confirmed positive TB test and you have already received counseling or advice concerning prophylactic treatment (Isoniazid), you should provide a copy of your consultation note. Another chest X-ray may be taken if clinically indicated. Chest X-rays will be arranged through Occupational Health.
Vaccination for COVID-19 is recommended for all new hospital employees, volunteers and students. The vaccine is offered via local pharmacies including retail pharmacies at St. Joseph’s.
Occupational Health follows the National Advisory Committee on Immunization recommendations for the administration of COVID-19 vaccine.
TB skin testing should be delayed for at least four (4) weeks after COVID-19 vaccine or live vaccines such as MMR, Varicella, and Yellow Fever. Aside from the COVID-19 vaccine, a TB skin test may be administered on the same day as all other vaccines or within four (4) weeks of a previous non-live vaccine.
It is recommended that all health care workers to receive a course of Hepatitis B vaccine. For your protection, it is important to obtain a Hepatitis B titer test following immunization to ensure that you are adequately protected. If you have been vaccinated, please provide laboratory evidence of immunity.
It is recommended that you receive a primary series of Tetanus/Diphtheria vaccine in childhood followed by a routine booster every ten (10) years. You can also receive a one (1) time dose of Tdap, especially if you are providing care to pregnant women and/or children. If you have not already received a primary Tetanus/Diphtheria series, then you require three doses as part of adult primary immunizations. Contact your family physician or Public Health Unit in order to complete your primary series.
It is recommended that you receive the vaccination annually. If you have not received your influenza vaccination, and your start date is occurring during the times of the year when influenza vaccine is offered, (approximately October to March), you can receive influenza vaccination while at work. If you received influenza vaccination in the community during the months of October to March, you must submit proof of influenza vaccination to Occupational Health and Safety.