What is Required for My Student Health Program?
Posted: Aug 29th, 2016 at 12:00AM
You may have been prepared for uniforms and textbooks once you were accepted into your health care program, but are you prepared for the vaccines, physical, drug test, and other health services that will be required before you can start your program or clinical work? Most students are not fully prepared and are only made aware of the series of health services required soon before starting their already stressful first semester of classes. You have worked hard to get into your health program, don't let your health services be an added stress!
The list of medical services required before your start classes or clinical work is designed to keep you safe while in a medical setting. Your school may require some or all of the following services
A physical exam is required by some schools and some programs. The school may provide you with a physical exam form, or they may just want a standard physical provided by a specific clinic. Either way, most school physicals are a simple head-to-toe exam including a check of your vital signs, cardiovascular system, respiratory system, ect. Sometimes a vision test is also required, so make sure that you bring your corrective lenses as well as any paperwork that your school has provided you regarding your physical exam requirements.
Practicing proper use of personal protective equipment (PPE) and hand hygiene will provide much needed protection from harmful bacteria and viruses in the healthcare setting. Even so, many diseases can be prevented by receiving a full series of vaccines. Check with your school for which vaccines are required. The most common vaccines will be discussed here.
Hepatitis B is a disease of the liver caused by a virus that is spread through blood and other bodily fluids. The disease can cause mild illness that lasts a few weeks, or can cause a more serious lifelong (chronic) infection. The Centers for Disease Control and Prevention (CDC) estimates that anywhere from 850,000 – 2.2 million people in the United States are infected with chronic Hepatitis B infection and that each year approximately 19,200 new Hepatitis B infections occur. People with chronic infections may not show signs or symptoms for 20-30 years and may not be aware that they have the disease but can still infect others.
Symptoms of acute infection include fever, nausea, loss of appetite, vomiting, joint and abdominal pain, clay-colored stools, dark urine, and jaundice. Chronic Hepatitis B can lead to other serious liver conditions like cirrhosis and liver cancer.
Coming in contact with blood and other bodily fluids in the health care setting can also expose you to other diseases like HIV and Hepatitis C which do not have vaccines, so it is still important to use your PPE, hand hygiene, and other precautions, and always remember that a vaccine will not offer 100% protection from any disease.
Tdap vaccine provides protection against three diseases: tetanus, diphtheria, and pertussis (Whooping Cough) and is needed every ten years. Tetanus is a disease that causes painful tightening (tetany) of the muscles, sometimes making it very difficult to eat and drink when the muscles of the jaw are affected (lockjaw). About 1 in 10 people who are infected with tetanus will die.
Diphtheria is spread through the air, or by touching open sores of an infected person. Severe cases can cause neck swelling and a thick coating in the throat and nose that leads to difficulty breathing, This disease is very rare in the United States, thanks largely to vaccination, although it still occurs in other areas of the world. Healthcare workers could potentially be exposed through travelers.
Pertussis (whooping cough) is a highly contagious respiratory disease caused by bacteria. The bacteria attach to the cilia in the respiratory tract and releases toxins that damage the cilia and cause swelling. The name whooping cough comes from the uncontrollable coughing fits accompanied by a long "whoop" sound when the individual tries to catch their breath after an episode.
Pertussis in adults often times shows few or no symptoms but can still be passed on from person to person through the air. This spread is especially dangerous for newborns where the disease is often times passed on from a family member or caregiver and is especially fatal in this age group.
Varicella (Chickenpox) is a highly contagious disease caused by the varicella-zoster virus (VZV). Once an individual is infected with VZV they develop chickenpox, The telltale fluid-filled blister rash usually starts in the face, back, and chest before spreading to the rest of the body. Before the rash develops, the individual typically has a fever with tiredness, loss of appetite, and headache. During this period, the individual is still contagious. A person who receives the VZV vaccine will most likely not get the chickenpox. However, some individuals may still get the disease, although the rash is typically milder with little to no fever.
Spread of the disease is through contact with an infected person and is also airborne. A person who has had a VZV infection may develop Shingles later in life. A person with an active shingles outbreak cannot spread shingles to others, but can spread chickenpox.
MMR vaccine provides protection against three diseases: measles, mumps, and rubella. Measles is a highly contagious virus that is spread through the air. Outbreaks do occur periodically in the United States and are worse among those who are unvaccinated or who have not received the full series of vaccine. Symptoms start with a fever, sore throat, and runny nose before the individual develops a body rash. The individual is contagious from 4 days before that rash appears until 4 days after the rash has cleared.
Mumps is also highly contagious viral infection that is spread through the air. It can also be spread through sharing of utensils and touching infected surfaces. Symptoms include fever, head and muscle ache, loss of appetite, and swollen salivary glands (puffy cheeks). Men who have a severe infection can develop swelling in the testicles and woman can develop swelling of the ovaries which can lead to fertility issues.
Rubella (German Measles) was eliminated in the United States in 2004, but can be brought into the countries through travelers to endemic areas. It is spread through the air. Symptoms of rubella start out as a low-grade fever, headache, pink eye, swollen lymph nodes, cough, and runny nose before the individual develops a body rash. Up to half of all infected individuals may not show any symptoms.
If you believe you have already had a full series of a vaccine but do not have the vaccination record, or if you have been exposed to a vaccine preventable disease, your school may require that you have a blood draw to prove your immunity. This blood draw, called a blood titer, checks your immune status to vaccinations or diseases you may have received in the past. If your titers results are positive, it means that you have adequate immunity to a particular infectious disease. Therefore, you do not need to get that particular vaccine. However, if you results are negative, that means that you do not have enough of the particular antibody in your system to provide adequate immunity against the disease and should restart the vaccine series.
There are a few different ways to test for tuberculosis so it is important to know exactly what type of TB testing your school requires. The simplest form of TB testing is a 1-step TB or PPD test. This test will require you to come into a clinic and have a small amount of fluid injected under the skin on your forearm. This will form a small bump called a wheel. You will need to return to the clinic between 48-72 hours to have the medical staff check your results. If the area where the wheel was injected is not raised, or only raised a certain amount, the test result is negative. If the measurement is over a certain diameter, a chest x-ray is needed to complete the test.
A 2-step TB or PPD test is the same process as above, done twice, at least a week apart. This will require you to return to the clinic a total of four times for two administrations and two "reads" or "checks." Both of these test results needs to be negative, otherwise a chest x-ray is needed.
A quantiferon test is a blood test for tuberculosis and may be used in place of a TB skin test for certain schools. Some schools will also require that a quantiferon blood test be done in place of a TB skin test, so check your school's requirements. The quantiferon is typically more expensive than a TB skin test, but you will not need to return to the clinic for the results. You are also less likely to have false positive results.
If either a 1-step or 2-step TB skin test or a quantiferon result is positive, you will be required to receive a chest x-ray to rule out active tuberculosis. Most schools and clinical sites will require that your TB test, quantiferon blood test, and chest x-ray results be current within the past year, and will require you to have a new test done annually.
Finally, your school or clinical sight may want you to have a drug test before entrance. The drug test is typically a simple urine test, and depending on the school it may look for illicit drugs and prescription drugs. If you are currently taking any prescription drugs, make sure to have the names and dosages available as you may get a call after the drug test to confirm these.
You may or may not get the results of your drug test, depending on your school. If you school provides you with a drug test carbon-copy form or a drug test e-mail with a barcode number to bring into the clinic o0r collection site, the results will most likely be submitted directly to the school for you. Other schools will tell you directly which type of drug test to take, and will have you receive the results and submit them back to them. If you are receiving the results, you may or may not receive them the same day as your test was performed.
At e7 Health, we can perform the entire above mentioned student health services in our offices. We have some of the fastest lab turn-around times available and can take care of most of your needs same or next day with short wait times so that your long list of health services won't be a hassle. Our knowledgeable staff can also help you schedule all follow up appointments including complicated vaccine and TB test schedules. Give us a call or book your appointment online to get these important student services checked off your list.
E7 is very fast, there electronic appt system and EMR are easy to use and they work well with my employer for all of the tests, vaccines, and...Read More
Very professional and fast!!Read More
Excellent and professional costumer service. I was in and out. The best part is the best reasonable pricing I found in all Clark County👍Read More
They were very professional, organized, and caring!Read More
The staff an nurses were very polite and informative about my shots I was getting. I recommend this place to everyone. Again thank u .Read More
The staff it’s very efficient and well educated, both times I been at this location has been a great experience.Read More
The customer service is always superb! The nurses, doctors and administrators are very thorough in their steps they are about to take. The best...Read More
great servicesRead More
Excellent staff and highly proficient/gentle booster/immunization administerer!Read More
Went here for vaccine for a trip to S. Africa. Staff friendly, knowledgeable and the wait time is minimal. Only thing they won't bill your...Read More
Very knowledgeable and professional! Appointment at 1:45 pm and they were ready, no waiting. Was in and out in less than 30 minutes. Great job by..Read More
Very Courteous, warm, friendly environment.Read More
Everyone was friendly, organized and very professional.Read More
The staff was very friendly and professional. I definitely recommend them to anyone who needs their services!Read More
There was no waiting, e7 had all vaccines that I needed for my trip and they were fast!Read More
very professional staff. All worked quickly to get me taken care of.Read More
Professional with quick results.Read More
The dr was very nice and staff was very friendly I was in and out pretty quickRead More
It’s simple, fast, and self-explanatory for plenty health needs!Read More
Very Clean Professional staff and Great Place to Get Testing done 👍Read More
Super time efficient, friendly and thorough with patient educationRead More
Very friendly staff, clean organized environment, appointment was easy to make and they sent reminders. Our test results are all on their online...Read More
Very quick & easy visit! The staff are very friendlyRead More
My doc put together a Very comprehensive discussion of where I might be at risk in South Africa over a 24 day itinerary and what vaccines to take..Read More
I like how easy it was to schedule the appointment, fill out the paperwork ahead of time online, being professionally greeted and treated, how the.Read More
The staff at the Rainbow location are AWESOME! I've never had a bad experience. I highly recommend the e7 Health Rainbow location.Read More
Always pleasant staff at the front desk and the medical folks are professional and courteousRead More
Courteous, efficient and the MA assisting me was kind and patient to his learner that was shadowing him.Read More
Quick, easy and very professionalRead More
Personable, friendly, quick. I had an appointment.Read More
1)I was scheduled for a two step tb test and up to that point they were great, reminded me of my upcoming appointment and everything. They took theRead More
I went to get vaccinated before my overseas trip. They are not cheap if you don't have insurance but well worth the visit. The staff is friendly...Read More
I came in to have blood drawn. The location is clean. The staff is very intelligent and helps you right away. My nurse was Alison. She drew two...Read More
I don’t write reviews, with that being said, Karen (phlebotomist) deserves all the praise in the world. Not only was she patient with me, she...Read More
Very fast and confidently.Read More
I really like the online portal e7 has so I can view documents and upcoming appointments. I've never spent over an hour at the Rainbow location...Read More
WONDERFUL EXPERIENCE, THE STAFF IS VERY NICE AND PROFESSIONALRead More
LOVE this place!! Upon getting a flu shot, I received amazing customer service and was in and out within 10-15 minutes!! They were very informativeRead More
Great experience!! Quick and easy process!! Received a flu shot and was in and out within 10 minutes or less!! Staff was so friendly and caring...Read More
QUICK EFFICIENT. FRIENDLY. PROFESSIONAL. .FROM. BEGINNING TO THE END. THANKZ. FOR THE SERVICE. .Read More
Quick and friendly staff. Very professional and efficient!Read More
Very courteous, professional, friendly and efficientRead More
Well-organized, fast service, staffs are very helpful !Read More
Everyone was very friendly and the customer service was impeccable!! Their professionalism and warm inviting environment made me feel comfortable..Read More
Super quick and easy process! They let you fill out paperwork before the appointment to expedite the appointment. So smart. They were also very...Read More
Staff was friendly, especially Melissa at the front desk and Lindy who handled most of my appointment (the blood work, etc.). The process was easy.Read More
Quick, friendly and professional - I didn't even have an appointment and was in and out in about 1/2 hour - got my results the following day...Read More
Great staff. Everyone was knowledgeable and friendly. I highly recommend e7 Health.Read More
E7 Health when I got to have a TB Test done for my other job I go there all the employees are friendly and polite there facilities are cleanRead More
Very professional, knowledgeable, and kind employees!!!Read More
Quick service and friendly staff.....Read More
My experience with E7 was fantastic and I highly recommend them. The clinic was clean, and the staff was very professional and curtious.Read More
Very fast and simple to register as a patient on line and make appointments. I was able to make a same day appointment and even change it to an...Read More
Pleasant, timely, and efficient. The travel doctor I talked to was helpful and dedicated to prepairing me for my trip. I'd highly recommend this...Read More
I went in for an employer-mandated drug test, and was impressed by this site...I was served with alacrity, and the process was seamless. If I ever.Read More
They staff and Doctors at so professional. They are very welcoming answer all your questions.Read More
Great place to go for vaccinations if you are uninsured!!! Quick and friendly service!!!Read More
I set my account up online which sped things up quite a bit when I came in. There wasn't much of a wait. Everyone was very professional and polite.Read More
Outstanding doctors office. The staff are cordial and treat patients like customers (as opposed to inconveniences, which I have experienced...Read More
Very friendly and professional staffRead More
Easy and quick experience. Staff were all very friendly!Read More
If you are in need of flushots, vaccinations etc. for work or travel this place has friendly employees and almost no wait times.Read More
Great customer service and timelyRead More
Very secure, place is super clean and fast serviceRead More
Definitely recommend this place. Fast service and efficiency. Excellent environment very clean. Affordable prices. Very friendly work team.Read More
This is my 2nd time coming here and I've always had a good experience. The staff is very courteous and friendly and the service was fast and easy..Read More
Very quick service and pleasant staffRead More
Completely incompetent staff. Spoke to an agent on the phone about making a vaccination appointment for my daughter and specified her age on the...Read More
Friendly and FastRead More
Friendly service and minimal wait time! Definitely, recommend!Read More
The services at e7 Health are excellent from scheduling an appointment to the office visits.Read More
After accepting a teaching job, I needed. TB rest. I walked in and was greeted right away. I was directed to fill out the form which was easy and..Read More
I have been here 3 times already, going through TB tests and a physical, and I have never been more impressed with both speed and quality of...Read More
They we're very friendly and professional. They also squeezed me in for a physical without an appointment. I was in from out of town so I really...Read More
The staff was very nice. Ms Sidney was wonderful. She explained the process effectively and efficiently.Read More
I had a great experience here. Easy appointment booking, was taken right on time. Everyone was extremely friendly, and all of the options were...Read More
Stuff was very knowledgeable and kind. I reccommend this location, every experience I had here was a good one.Read More
Loved it!Read More
Pain free intake process. I called and was able to make a next day morning appointment. The paperwork was emailed to me so it was filled out...Read More
There’s a variety of services, the receptionist is helpful and welcoming, and the prices of the services are affordable. I went in for a tb test.Read More
Very professional and conscientiousRead More
I love everything e7 health I recommend for everybodyRead More
Friendly staff and efficient service; Elizabeth at Horizon Ridge location, Henderson, was awesome!Read More
Awesome place! Good people, Great service!Read More