Clinical Profile Checklist

Each student is responsible to ensure that adequate documentation of the following requirements are provided. Documentation is required to ensure the health and safety of students and clients in healthcare agencies that provide clinical learning experiences. Download this checklist as a PDF file.

RequirementDocumentation
Measles, Mumps, & RubellaONE of the following is required:
  • 2 vaccinations

  • — OR —
  • a positive Antibody Titer for Measles, Mumps and Rubella (Lab Report or Physician Verification of results required).

  • If any titer is Negative or Equivocal student must receive 1 booster shot and provide a second titer.
    VaricellaONE of the following is required:
  • 2 vaccinations

  • — OR —
  • Positive Antibody Titer (Lab report or physician verification of results required)

  • — OR —
  • Medically documented History of Disease.

  • If titer is negative or equivocal, student must receive 1 booster vaccination and provide a 2nd titer.
    Hepatitis BBOTH of the following are required:
  • 3 vaccinations

  • — AND —
  • A Positive Antibody Titer (Lab Report OR Physician verification of results required).

  • Declination waivers are accepted. If titer is negative or equivocal, student must repeat series and provide a 2nd Titer.
    TB Skin TestONE of the following is required:
  • 2 step TB skin test (1-3 weeks apart)
    — OR —
  • QuantiFERON Gold Blood Test

  • — OR —
  • If positive results, provide a clear chest x-ray (Lab Report or physician verification of results required).
  • Tetanus, Diphtheria & Pertussis (Tdap)Documentation of a Tdap booster within the past 10 years.
    CPR CertificationMust be the American Heart Association Healthcare Provider course. Copy must be front and back of the card and the card must be signed (Satisfied by AHE 120 previously HPRO 105).
    Blood borne Pathogens/HIV/AIDS TrainingWashington State 7-hour training program in Blood borne Pathogens/HIV/AIDS as required by RCW 70.24.310 (Satisfied by AHE 120 previously HPRO 105).
    Health InsuranceProvide a copy of your current Health insurance card or proof of coverage.
    Influenza or DeclinationONE of the following is required:
  • Documentation of a flu shot administered during the current flu season.

  • — OR —
  • A declination waiver.
  • Certified Background CheckCompletion of National Criminal Background Check and Washington State Patrol Background Check through Certified Background.
    Drug Screen (Optional)Some clinical sites may require that students complete a drug screen test.

    Last Updated May 8, 2023