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I) Proof of an mrmual skin rest ([ntraderm~,l PPD) is on f~le with the School a_nd must show the date of the test and the results. Proof shai1 be faro/shed on a physician's letterhead, lab form, or a form with a physician's (or person authorized by a physician) signature. If the student/instructor is known to be PPD positive (skin test positive for tuberculosis) a ,x'r'/nen statement from a physic/an vefi~ing a rgcent negative chest-x-ray and completion of a Tuberculosis Questionn~re is required. Thereafter, the studenffinsu'uctor is required to complete annually the Tuberculosis Health Quesiormalre enclosed. 2) Proof of antibodies or irrkmumty ro rubella and rubeola or a vaccination is on file with the School. Results must l~e a physician's statement ofirnmunity.- on physician's letterhead, lab form. or form with physician's (or personnel authorized by a physician signature. Verbal screening for Varicella is requkred. Serological evidence of immumry for those without a strong history, is recommended. 3) Compliance with OSHA Regulation 29 CFR, Part 1910.1030 (Bloodbome pathogen exposure): OSI4..~, has made a de~crmination that health cmre workers f-ace a significant health risk as the result of occupational exposure to blood and other potentially infectious mater/als, because they may contain blood borne pathogens, including Hepatitis B and human immunodeficiency v/ms. It is therefore h'nperative that students and Clinical Instructors participate in a training pro,am, provided by the nursing school. to reduce their exposure to blood and other infectious materials. We recommend that students and Clinical Instructors also be advised to obtain Hepatitis B vaccination. Axffiliating faculty is responsible for infon-ning students of, and ensur/ng participation in, Alameda Coun~ Medical Center's exposure control program. 3