Student Verification Pack 2020 - IMPORTANT START THIS TODAY Version 3 - UOW
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Student
Verification Pack
2020
Version 3
IMPORTANT
START THIS TODAY
1
Version 3 October 2019
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 (required for all tertiary students 18yrs and over)
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)
This Student Verification Pack contains:
A Checklist, which you should use, to ensure you have all your
documentation well ahead of your appointment
Information to assist you to collect required documentation
A letter to take to your local doctor explaining vaccination requirements
and evidence required for clinical placements
Copies of NSW Health Forms required to be completed ahead of your
appointment
(Please note: Attachment 7 may need to be completed again at a later
date, as it must be presented within 4 months of first clinical placement)
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Version 3 October 2019
CHECKLIST FOR VERIFICATION APPOINTMENT
□ Original and photocopy of education provider-issued student photo ID card
□ Original and photocopy of current Police Check from Australia with no disclosable
outcomes, in exactly the same name as student photo ID card (not required for
secondary students, students under 18 years) and
□ Original and copy of overseas Police Check OR statutory declaration stating
no charges or convictions in country of origin for international students only (in
addition to Australian police check requirements above)
□ Have applied to Employment Screening and Review Unit (ESRU) if any disclosable
outcomes on police check
□ Original and copy of signed Code of Conduct for NSW Health
□ Attachment 6 Undertaking/Declaration form (check you have ticked the boxes
correctly) 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
the 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.
□ Blood Borne Virus form (Medicine, Midwifery, Paramedicine, Dentistry, Oral
Health students ONLY)
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Version 3 October 2019
How to source an Australian National Police Check
Apply online at www.police.nsw.gov.au, present confirmation page and proof of
identification at police station and pay appropriate fee (currently $58.60).
Certificates are then mailed to your address. Newly purchased police checks first
presented after 14th January 2019 remain current for 5 years from issue date (subject
to additional requirements for aged care work or NDIS work).
OR
Apply for an online police check from any approved ACIC accredited broker (list
available from www.acic.gov.au). 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 current for 5 years
from issue date.
OR
Current NSW Health employees can apply to have their police check status entered
directly into ClinConnect by HETI by contacting heti-
clinicalplacements@health.nsw.gov.au. These students may still be required to
obtain a police check if attending placements providing Aged Care or NDIS work.
OR
Students with charges or convictions listed on their police check, or have charges or
convictions since the issuing of their current police check are required to have a risk
assessment performed by the Employment Screening and Review Unit (ESRU),
HealthShare NSW. Please see details at https://www.heti.nsw.gov.au/Placements-
Scholarships-Grants/clinical-placements/student-compliance (open Australian
National Police Check, then click on link “apply for a risk assessment”.
International Students: Please speak to your Education Provider about
sourcing additional police check requirements. Statutory Declaration forms
are available from them if required.
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Version 3 October 2019
Sources of Evidence for Childhood / Adult 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 (http://www.immunize.org/vis/vis_english.asp) or using a local
translation service.
Immunisation summary list from your Local Doctor
Australian Immunisation Register (Medicare):
https://www.humanservices.gov.au/individuals/services/medicare/australian-
immunisation-register
The Vaccination Record for Health Care Workers and Students should be
completed in full and correctly by a GP or Immunisation Nurse
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 (in the area you went to school):
http://www.health.nsw.gov.au/Infectious/Pages/phus.aspx
Contact other relevant Australian, state and territory government health authorities:
http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/
7491D3986306F818CA257D4D0024FBDC/$File/Appendix-1-Contact-details.pdf
Resources:
https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2018_009.pdf
https://immunisationhandbook.health.gov.au/
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 ISLHD Doctors
Letter and example cards overleaf.
Please bring ALL of your original documents PLUS a photocopied set
of all originals when attending your verification appointment
5
Version 3 October 2019Dear Doctor,
The NSW Ministry of Health requires all students studying within Health disciplines to be immunisation
compliant before they are able to attend clinical placement during their course. The evidence that
must be provided is:
1. Adult dose of dTpa vaccine (NOT ADT) within the last 10 years.
2. 2 doses of MMR vaccine one month apart OR a positive serology (blood test) for Measles,
Mumps and Rubella (an equivocal result is not acceptable and will require MMR
vaccination) OR birth date before 1966 is considered protected (no vaccinations or blood
tests required)
3. 2 doses of Varicella vaccine one month apart OR 1 dose of Varicella vaccine received
before the age 14 OR a positive serology (blood test).
Please note –MMR and Varicella vaccinations MUST be given on the same day OR 28 days
apart. A history of childhood disease is not accepted.
4. Evidence of an age appropriate Hepatitis B vaccination course AND a positive serology
(blood test) collected a minimum of 28 days after the last Hepatitis B vaccine.
Current age appropriate Hepatitis B vaccination course recommendations:
An accelerated course is NOT accepted.
11-15 year old( School Based Program): 2 doses of hepatitis B vaccine (given 6 months
apart)
Under 20 years of age: 3 doses of hepatitis B vaccine (given over 4-6 months minimum)
Over 20 years of age: 3 doses of an adult formulation Hepatitis B vaccine (given over 4-
6 months minimum)
5. No TB screening tests are required prior to an initial assessment by ISLHD staff. Students
who require further TB screening i.e. TB skin test (Mantoux) or IGRA (blood test), will be
notified at their initial assessment. Whilst the IGRA can be arranged by a general
practitioner, the TB skin test (Mantoux) can only be provided by the NSW Health Chest
clinic in the student’s local area.
6. The influenza vaccination is highly recommended for all students during the influenza
season May-September.
Each entry on this Adult Vaccination Card must be verified with the batch number (if available) of
the vaccine, the date of vaccination, the signature of the vaccinator/ transcribing authorised
immuniser and the practice stamp.
If you have any queries or concerns regarding the above advice, please contact the Student
Verification Team at Wollongong Hospital.
Student Verification Team
Wollongong Hospital
Tel. 0436921059 | ISLHD-StudentVerification@health.nsw.gov.au
6
Version 3 October 2019EXAMPLE OF CARD ONE
Copies of all serology results required
7
Version 3 October 2019EXAMPLE OF CARD TWO
Copies of all serology results required
8
Version 3 October 2019Hepatitis B Compliance Information for Students
Hepatitis B Pathway Note
Primary course Childhood/Adult hepatitis B vaccine schedule
Paediatric course of x3/4 doses (20 years of
age)
Pathology ( Blood test)
Hepatitis B surface antibody blood test If Hepatitis B surface antibody level10 Version 3 October 2019
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