Seneca Medical Device Reprocessing
Download the Medical Form
Download the Workplace Insurance Student Declaration
Download the Release of Information Form
You will be required to present this form completed and physician signed upon entry to each of your clinical placements. This means you need to ensure your documentation is up to date prior to each clinical term. Some of the documentation will require updating on a yearly basis so it is recommended you create a file to keep your paperwork in order.
Follow these recommended steps below for ensuring timely completion of required documentation.
Step 1 (Two months prior to clinical start date)
Visit your Health Care Provider
Your Health Care Provider is an essential source of information about your health records and current immunization status. If you do not have records of your past immunizations or vaccinations your Health Care Provider will request blood work in order to determine your current levels of immunization. If these lab reports determine that you do not have the necessary levels of immunity the doctor will then start a schedule of immunizations, which may need to be applied over two months. This process will take time, so it is imperative you schedule your initial visit with your health care provider as soon as possible.
During your visit, make sure that your Health Care Provider has completed and signed each shaded area and has stamped and signed the Health Care Provider page in your Medical Form. Ask your doctor's office for a copy of your Hep B, MMR and Varicella titres lab report and include this with your CPP. If your Mantoux skin test is positive make sure that you have included a chest x-ray report and a doctor's note stating that you are "free of signs and symptoms of active tuberculosis."
How To: Make an appointment with your family doctor and bring your Medical Form form so that they can complete the necessary signatures.
Frequency: Prior to each clinical term if any components have expired
Vulnerable Sector Police Record Check (VSS)
Prior to having direct contact with patients and other vulnerable persons, community agencies and hospitals require a satisfactory Vulnerable Sector Police Record Check. You need to successfully pass a police background check called a Vulnerable Sector Police Record Check (VSS).
How to: Visit How to obtain a Vulnerable Sector Screening (VSS) for instructions and links to GTO police departments.
Frequency: Your VSS must be updated yearly and be valid for the entire clinical placement.
Immunization and Medical Records
You must have up-to-date immunization records in compliance with the Public Hospitals Act.
How to: If you have not previously received immunization you will need to arrange this through your family doctor or walk-in clinic. Pay attention to the schedule of immunization, some require multiple shots over a period of time and if you do not start early enough you will not complete it in time.
You are responsible for confirming immunity through lab results (titres) to the following:
Measles, Mumps & Rubella (MMR)
Varicella (Chicken Pox)
Medical records from your family doctor must include completion of the following immunizations:
Tetanus, Diptheria, Pertusis
Frequency: Medical must be valid for the entire clinical placement and updated annually.
Mantoux Testing for Tuberculosis (TB)
Documentation of a Baseline Two-Step Mantoux skin test is required for all students. If you have received a BCG vaccination you are not exempt from Mantoux testing.
How To: Mantoux testing can be done by your family doctor. The results of the Mantoux skin test must be complete including Date Given, Date Read and Induration (mm).
Frequency: Once you have had the Baseline Two-Step Mantoux Test and tested negative, a One Step Mantoux skin test will then be required annually.
What happens if I have a positive Mantoux Screening?
What does this mean?
If you have a positive reaction to the TB test, your doctor will schedule a chest x-ray. Depending on what is read on your X-ray, you may also be required to have your phlegm (extracted through coughing) tested. If you have latent TB infection, you may need to take medicine to keep from developing active TB disease. If you have a positive Mantoux screening you will not need to have any further Mantoux testing.
What do I need to include in my Medical Form?
A copy of the chest x-ray report from this year and a physician must sign the section that reads "free from signs and symptoms of active tuberculosis."
Frequency: A chest x-ray is required every two years if you have ever had a positive Mantoux Test.
A doctor's note stating that you are free of signs and symptoms of active TB is required annually if you have tested positive for TB. If you have tested negative for TB you will require an annual TB skin test.
Annual Influenza Immunization
Regular flu shots are encouraged. Should there be an outbreak in the clinical setting and you have not received the flu vaccination you will be removed from your clinical placement which could jeopardize the successful completion of the clinical course.
How To: Flu vaccination will be available at Public Health clinics, your physician's office and some pharmacies in October or November. Please note that the flu season is from October to May. If you received your flu shot in the spring, you will still need to get a flu shot in October or November to be vaccinated for the current flu season.
Frequency: Yearly, during flu season.
Step 2 (One month prior to clinical placement start)
Standard First Aid CPR-C
Complete a Standard First Aid CPR-C two-day course.
How To: Register for a Standard First Aid CPR-C course.
Frequency: Standard First Aid is valid for three years.
WHMIS and Health and Safety E-learning Modules.
How To: Complete the online E-learning module Worker Health and Safety Awareness in 4 Steps. When you have finished print your certification of completion and add it to your Medical Form.
Complete the online E-learning module Workplace Hazardous Materials Information System (WHMIS) Training. You will require an 80% to pass. When you have finished, print your certificate of completion and add it to your Medical Form.
Frequency: Worker Health and Safety Awareness and WHMIS Training need to be completed prior to your first clinical placement.
Workplace Insurance Student Declaration and Release of Information Form
How To: Download and fill out the Workplace Insurance Student Declaration Form and the Release of Information Form.
Mask Fit Test
How To: Register for a Mask Fit Test with Concise Health Solutions.
Frequency: Mask fit test is required every two years.
Book Your Clearance Review Appointment With Concise Health Solutions
Ensure your Medical Form is complete by reviewing it with our Registered Nurses.
How To: Book your Clearance Review appointment with Concise Health Solutions
Frequency: Prior to your clinical placement if any documents have been renewed.