Health and Safety Requirements

Accepted Applicants

The following items are required only after acceptance into the program. Applicants accepted into the program will be responsible for completing all requirements before the program begins. Applicants accepted into the program are responsible for all costs and must submit copies of all records to Castle Branch. Accepted candidates will be notified of this process. 

  1.  Physical examination (able to meet program requirements as listed on form) completed by a doctor or nurse practitioner (NP) using the SRJC Health Science VN Program Health Evaluation form (distributed with e-mail notification for accepted applicants) within past year. 
  2. Immunization* records (written documentation) for the following:
    • Tuberculosis clearance (negativity) by one of the following: An initial two step tuberculosis skin test (PPD) within past year. The two step PPD means after the first PPD is done, the second PPD must be completed (implanted and read) one to three weeks after the first PPD. If you have a history of positive PPD  – completion of a SRJC Student Health Service Tuberculosis Clearance Form signed by a doctor or nurse practitioner (NP) within past year which includes a chest x-ray within the past year. Form given to accepted applicants by Health Science office.  Note: Annual TB clearance is required after acceptance into VN program as documented by either repeat 1) a single PPD test OR 2) negative for TB symptoms as documented on a TB Clearance form completed by a doctor or NP – no repeat chest x-ray required unless symptomatic. 
    • Immunity to rubella, rubeola and mumps - immunity can be confirmed by an official record of the two vaccines OR proof of rubella, rubeola and mumps positive titer (lab/blood) levels from a clinical laboratory. 
    • Hepatitis B series immunizations (three) OR proof of a positive titer (blood/lab) level from a clinical laboratory. 
    • Tetanus, Diphtheria and Pertussis (TDAP) vaccine (and TD booster if appropriate) within past 10 years. 
    • Seasonal influenza vaccine within the past year. Note must receive this annually during VN program. 
  3. Current CPR certification must be the American Heart Association BLS for the Healthcare Provider certification. include adult, infant, and child CPR and AED. Must maintain currency during VN program. 
  4. Criminal background check, drug testing and fingerprinting clearance by approved VN program agency. A social security number is needed for this process. 

Information on how to obtain these clearances is given to accepted applicants. Accepted applicants must provide the approved VN Program document tracking agency with copies of all the physical documents listed above prior to entry into the program.  The above is required only after acceptance into the program.

*Many immunizations and PPD testing listed under #2 can be obtained at SRJC Health Services (SHS) at no charge. SHS can also provide laboratory requisitions for many of the blood tests.



As required by clinical agency contracts, upon acceptance into the program, the student must complete the following health screening requirements. Applicants will be notified of the process with Castle Branch and the deadline date. It is the student's responsibility to keep these current with Castle Branch. This grid is provided for your convenience. 

Vocational Nursing Immunizations


Approval Guidelines

Additional Information

1. *Measles, Mumps, Rubella (MMR)

Two doses of vaccine since 1980 or a positive titer.

If the titer is negative or equivocal 1 booster is required.


2. Varicella (chicken pox)

One of the following is required:
• Positive antibody titer (lab report required)
• 2 vaccinations

If the titer is negative or equivocal 2 boosters are required one month apart

3. Tetanus, diphtheria, pertussis (TDap)

Documentation of a TDap booster within the last 10 years

Renewal date will be set for 10 years from date of last booster

4. Hepatitis B

One of the following is required:
• 3 vaccinations, OR
• Positive antibody titer (lab report required)

If series in process, approval will be granted and series must be completed. If titer is negative or equivocal series must be repeated

5.**TB Skin Test (2-step)

A 2-step test (1-4 weeks apart) is required initially, then a 1-step renewal is needed each year. 

Renewal date will be set for 1 year from last test BUT not to be repeated if a positive reported

6. Chest X-Ray

If there is a positive ppd the following is required:
Clear chest-x-ray within one year of starting the program. Must be repeated every 5 years. 

7. TB Symptom-Free Form

Needed every year If history of positive ppd. Renewed every year.

8. CPR Certification

Must be approved course: American Heart Assoc. BLS for Healthcare Provider certification card (AHA CPR only - For healthcare professionals).Renew according to renewal date on card.

9. Flu Shot

Provide documentation every year. Every year by October 15.

10. Health Evaluation

Medical evaluation from MD, DO, or FNP stating that no medical reason not to be in program. One-time form submission.

11. Drug and Background Screen

Castle Branch

*If MMR immunization is needed, take AFTER two-step PPD is completed. Combined MMR is acceptable. 
** PPD for health professionals is a two-step process for the first PPD then annually after that. TB 2-Step (PPD) testing is to give the first Mantoux test (PPD) and have the test read in 48-72 hours or 2-3 days. If the test is negative, repeat the PPD in one week and again have the repeat test read in 48-72 hours or 2-3 days. If the second PPD is negative, the baseline TB 2-Step test is negative and the student or staff is given annual PPD's as recommended by SRJC program requirements. 
• • Many of the vaccines listed above may be available in Student Health Services for little or no cost. Student health can also provide lab slips to obtain titers if needed. 
• Information on how to obtain these clearances is given to accepted applicants. 
Accepted applicants must provide the approved VN Program document tracking agency with copies of all the physical documents listed above prior to entry into the program.

Eligibility for the Nursing Program

Because of area hospital policies, students who are provisionally accepted are required to have a cleared background check, fingerprinting and drug screening prior to acceptance into the program. Hospitals have the right to refuse students with criminal convictions and/or substance abuse. Students who are restricted from area hospitals and clinical agencies will not be accepted into the VN program because course and program objectives cannot be met. Note an additional background screening, Department of Justice and Fingerprinting is required by the BVNPT prior to licensure. 


Background Clearance/Conviction Information

Background checks are commonly completed on health care personnel, including students and volunteers. Current and prospective vocational nursing students must at all times meet applicable hospital security standards for placement in mandatory clinical rotations at selected hospitals. Every student offered space in the program will be required to submit to a background screening prior to beginning clinical rotations as part of their clinical requirements for admission. To complete a background check the applicant must have a valid social security card. 

A history of felony conviction(s) or any bar, exclusion or other ineligibility for federal program participation could render a student ineligible for clinical placement, as determined by the clinical agencies. 

If a student cannot obtain background clearance from the clinical agencies, it will not be possible to place the student in the clinical areas, which is a required component of the program. In the event that a student cannot obtain a background clearance, the space will be forfeited. Students who are found to be ineligible for clinical placement by the clinical agency after admission to the nursing program shall be subject to dismissal from the program, as they will be unable to complete mandatory clinical rotations. 

The following information was provided by Kaiser Hospitals of Northern California. These restrictions prevent a student from being at any of their facilities. Other hospitals evaluate background checks on a case by case basis and may exclude convictions not listed here. 
A student with a background check that indicates any of the following felony and/or misdemeanor convictions within the last 7 years anywhere in the United States is not eligible for an initial clinical placement. 

  • Violent crimes such as murder, rape, sexual assault, kidnapping, attempted murder, assault with deadly weapons. 
  • Crimes involving theft, embezzlement, burglary, forgery, fraud, arson, identity theft. 
  • Sex crimes including sexual molestation, and sex crimes against children, or any conviction for which a candidate is required to register as a sex offender with a state or federal agency. 
  • Drug related crimes such as drug theft, sales, distribution, manufacturing and possession of controlled substances. 
  • Multiple convictions (more than one conviction for same or different crime). 
  • Name posted on any government sanctioned or debarred list.

Mandatory Drug Screening Requirement for Students

The Joint Commission requires that all staff members, students, instructors and volunteers meet new standards relating to criminal background and freedom from drugs. Clinical agencies hold students to the same standards as they use for their employees; therefore, in order to be placed in clinical students will be required to clear a urine drug screen test. 

Any student with a positive result will not be allowed to participate in clinical training at contracted facilities that require drug testing. Since all students rotate through these facilities and clinical is a required element of each semester in the program, students will not be allowed to continue in the program.

Refusal to participate in the drug-screen portion of the requirement shall be interpreted as the student's unwillingness to complete the checklist of requirements and therefore that student will not be allowed to participate in clinical courses and will be dismissed from the program.