Health Review Requirements
In order to fulfill the terms and conditions of your employment offer, the following information must be provided to Occupational Health and Safety Services no later than 7 business days prior to your start date. INCOMPLETE FORMS AND LATE SUBMISSIONS WILL DELAY YOUR START DATE.
Click on this link to print the Health Review Form. The information below provides the list of all immunization/testing requirements.
1. Red Measles
You require 2 doses of measles vaccine with the first dose being given on or after your 1st birthday and the second dose given at least 4 weeks from the first dose OR provide laboratory evidence of your immunity. Immunization is required for those without immunity.
You require 1 dose of rubella vaccine, given on or after your 1st birthday OR provide laboratory evidence of your immunity. Immunization is required for those without immunity.
You require 2 doses of mumps vaccine with the first dose being given on or after your 1st birthday and the second dose given at least 4 weeks from the first dose OR provide laboratory evidence of your immunity. Immunization is required for those without immunity.
4. Varicella (Chicken pox)
You require 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.
5. Tuberculosis (TB) Surveillance
You are required to have a baseline two-step TST regardless of BGC unless you have: documented results of a prior two-step test which can include: 2 individual skin tests done at least one week a part *. A single step is required if the last of the 2nd step 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-step TB skin test is normally given as a series of two single TB skin tests repeated between 1-4 weeks apart. However, two individual TB skin tests performed 4-52 weeks apart are also considered an acceptable "two-step TB skin test" - 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 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 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 4 weeks have elapsed. A delay in administration of the test will delay your start date.
Tuberculosis Testing Schedule:
Contact your doctor or Occupational Health at St Joseph's to discuss your TB skin test requirements at least 2 weeks before your start date. You must be available to come back for the follow-up read or test.
A. One step process
B. 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 consult note. Another chest X-ray may be taken if clinically indicated.
Vaccination for COVID-19 is highly recommended for all hospital employees, professional staff, residents and clinical fellows, and is offered via local COVID-19 Vaccination Clinic Sites.
Important information about COVID-19 vaccination and timing of other vaccinations and TB skin test:
7. Hepatitis B
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 titre test following immunization to ensure that you are adequately protected. If you have been vaccinated, please provide laboratory evidence of immunity.
8. Tetanus/Diphtheria or Tetanus/Diphtheria/Pertusis (Tdap)
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-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 strongly advised that you receive the vaccination yearly. 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.To update any/all vaccinations and get blood work done:
In the London Area you can get TB skin test through the following:
1. Some family doctors' offices or walk-in clinics may provide this service. We suggest you call ahead.
2. Western Student Health Services (Western students by appointment) Room UCC 11, 519-661-3030
3. Fanshawe Student Health Services (Fanshawe students only, walk-in) Room SC 1001, 519-452-4230
4. Hyde Park Medical Walk-In Clinic (walk-in) 640 Hyde Park Rd., 519-641-3627
5. Oxford Medical Walk-In Clinic (walk-in) 140 Oxford St East, Unit 102, 519-433-4999
6. Bayshore Home Health (by appointment) 595 Bradley Avenue, 2nd Floor, 519-680-0849
7. Care Partners:
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