Health & Safety Requirements
All prospective students must have a Positive TITER report for the following:
- Hepatitis B
- Rubella (MMR)
NOTE: EMR/EMT/Paramedic students will be given information on their specific Health and Safety Requirements within the first week of class
What is a Titer?
A titer is a blood test taken to determine immunity to various diseases. Please click here to view a resource guide for Titers, provided by Accesa Labs. View a to see a sample titer report
All positive titer requirements must be completed by each program's deadline date! Candidates will receive specific dates upon acceptance. In addition, a Tdap (Tetanus-Diphtheria and Pertussis) booster shot is required within the last eight years before program entry date.
If you plan on applying to any Health Occupation program, now is the time to consult with your healthcare provider to obtain your blood tests/titers. In the event of negative titers, booster shots according to CDC dosing schedules and new titers are required.
Prospective ADN, LVN and Respiratory Care students
You will be required to turn in your titers at application. If you have negative titers, we need to know you are in the process of obtaining immunity. This entails boosters or shot series. Please include this proof with your application.
What to Do if You Have a Negative Titer
*Measles, Mumps and Rubella (MMR): Depending on your vaccination history and how low your immunity level is – you may need up to 2 MMR boosters spaced 28 days (4 weeks) apart. A subsequent titer is required a minimum of 28 days (4 weeks) after the final booster.
*Varicella: Depending on your vaccination history and how low your immunity level is – you may need up to 2 Varicella boosters spaced 28 days (4 weeks) apart. A subsequent titer is required a minimum of 28 days (4 weeks) after the final booster.
*Hepatitis B Surface Antibody test: If no Adult series of Hepatitis B vaccinations has ever been started, you must complete the adult series of 3 vaccinations, spaced at 0, 1 and 6 months. A subsequent titer is required at least 4 weeks but no more than 8 weeks after 3rd shot. If you have begun the series, continue the series at the proper timing and the subsequent titer is required at least 4 weeks but no later than 8 weeks after 3rd shot.
Contact Cindy Miller at email@example.com if you have any questions about titers.
Please note: To obtain a positive Hep B titer result could take up to 9 months. Please be proactive and get started on your titers early!
Other requirement dates will be given upon acceptance.
Each student is responsible for maintaining current health requirements for their respective program. Students are also responsible for keeping original records of their titers, physical, TB, flu, etc. Please submit copies only.
Prospective students who do not meet the below requirements and do not submit the proper documentation will not be considered for enrollment. If you choose to send screenshots, they MUST include your name and medical source.
Download a health and safety packet
Females should not be given the Varicella vaccine if pregnant or if there is any reason to suspect pregnancy. Because a risk to the fetus from administration of live virus vaccines cannot be excluded for theoretical reasons, women should be counseled to avoid becoming pregnant for 28 days after vaccination.
Females should not be given the MMR vaccine if pregnant or if there is any reason to suspect pregnancy. Because a risk to the fetus from administration of these live virus vaccines cannot be excluded for theoretical reasons, women should be counseled to avoid becoming pregnant for 28 days after vaccination with measles or mumps vaccines or MMR or other rubella-containing vaccines.
Negative PPD skin test, annually, each August (for Fall program start); December (for Spring program start) . Do not get TB test
See below for more information.
Annually every September/October
No more than 6 months prior to start of program. Physical must be completed on NVC Physical Assessment forms (unless using the Student Health Center). Note: Physical not required for EMT/Paramedic programs as they have already fulfilled this requirement.
MUST BE AMERICAN HEART ASSOCIATION- BASIC LIFE SUPPORT FOR HEALTHCARE PROVIDER CARD. Scroll below for more information.
If possible, please submit COVID Card or the Smart Health Card.
In Health & Safety Packet
**If TB test is or has ever been positive: Do not be retested – a chest x-ray is required. For positive TB skin test, provide the date of the test, any treatment received, and documentation of a negative chest x-ray report within the last 12 months. If you have a record of positive PPD, you must provide a chest x-ray report with no abnormalities and submit an Annual Symptom Review (ASR)- Must be the Napa Valley College Student Health Center Annual Symptom Review document. The Student Health Center provide this service at no cost. An ASR will also be due annually for anyone with a negative chest x-ray.
Chest x-ray will need to be repeated every two years while in the program, or - you may submit a negative QuantiFERON-TB Gold test. This will be accepted every two years with an annual symptom review (ASR). Tine test is not acceptable
***Along with the above health requirements, you must have an current CPR card (American Heart Association BLS for Healthcare Provider ONLY). See sample card below... Any other CPR card will not be accepted. If you do not currently hold AHA CPR certification for your place of employment, please wait to obtain your CPR certification for June or July (for Fall start date) and December or January (for Spring start date), not before. CPR certification must not expire during program duration. Classes are available at www.napacpr.com, but not required to be taken at this facility.
Note: Paramedics- ACLS/PALS certification also required prior to Field Internship.
Our Student Health Center offers physicals, TB tests and certain immunizations at low or no cost.
In addition, you will be notified by your Program Coordinator/Instructor due dates for the following items:
- Fit testing (ADN, LVN, and RC)- Please wait until notified by your instructor.
- HealthStream (ADN,LVN, and RC)
- Background/Drug Screen (ADN, LVN and RC)
- Fingerprint Clearance (PTEC)
- Drug Screen (PTEC)
Cindy Miller, Administrative Assistant
Health Occupations Department