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Clinical Preparedness Permit Guideline

Guideline and Critical Information Pertaining to the Clinical Preparedness Permit (CPP)

Please Read Carefully
These Documents Require your Urgent Attention

Dear Student:

  • Welcome to the Health Profession! You are embarking on an exciting career. As with every career there comes the need for health and safety for both the professional and the patient. One way in which you may protect yourself and the patient is by having up- to-date immunization. 

  • Ontario legislation specifies certain surveillance requirements for those entering into a practice setting. The Health, Wellness and Sciences Standards were developed in accordance with the Public Hospitals Act and are based on the Canadian Immunization Guide 7th Edition and Canadian TB Standards. 

  • This is your personal information and as such is confidential. 

    There are costs associated with immunizations, lab tests and certifications. Keep 
receipts for income tax purposes.
  • Please download and print the Clinical Preparedness Permit (CPP). You will need to take 
the permit to your primary care provider/physician for completion of components and 
ordering of titres (lab tests/bloodwork). 

  • The completion of this information is mandatory and is to be completed before you 
begin practicum (second semester). 

  • The agencies and institutions where you will be gaining practicum experience require 
this information. 

  • All supporting documents need to be submitted with your permit; copies of lab results 
(titres) for specified diseases, CPR-HCP certificate, First Aid certificate, Mask Fit certificate, Worker Health and Safety certificate, WHMIS certificate, and vulnerable sector screen.
  • When a student completes their CPP, they need to arrange an appointment with Concise Health Solutions, a third party agency, to have their documents checked and recorded as complete. Contact information can be found, and appointments can be booked online. CPP clearance by Concise Health Solutions is required prior to each clinical semester for updates. There is a cost to the student to have these documents reviewed so ensure everything is in order.
  • For BScN (Bachelor of Science in Nursing) students transitioning to York University between second and third year, this information is to be submitted at your advising meeting which takes place in May/June/July of your transitional year. Once you are at York University this information will need to be updated and submitted each May/June/July period. 

  • It is your responsibility to keep this information up-to-date and safe at all times. Make a photocopy of this permit and all supporting documents after each time it is revised and updated and store in a safe place. 

  • Enter all of your identifying data where specified on your permit including both your College and York student numbers. You will have received both numbers in your acceptance package and/or will receive your York student number within your first year.
  • You must begin completion of this information ASAP (as soon as possible) as some of the components may take weeks, even months. Read through and familiarize yourself with all of the components. If you have any questions contact the Program Assistant, Clinical Placement services. Updated contact information can be found on the main webpage of your Welcome Package. 


Please carefully read the remainder of this document. It includes critical information and instructions for completing each component of the Clinical Prepardness Permit (CPP). 


Components of the Clinical Preparedness Permit

The Clinical Preparedness Permit (CPP) consists of Medical and Non-Medical Requirements. Please carefully read the information below. It includes critical information and instructions for completing each component of the CPP.
Non-medical requirements:
Vulnerable Sector Screening (VSS) Police Record Checks (Required Annually)

  • Prior to having direct contact with patients and other vulnerable persons, community agencies and hospitals require a satisfactory Vulnerable Sector Police Record Check. The police check must be renewed annually and in some agencies it is required to be renewed every 6 months. Please note that depending on the local police service used; this process may take up to 12 weeks or more. Students are required to carry their police reference check to the clinical area. A representative in the agency may ask to see that you have a valid police reference check at any time. 

  • Applicants who apply for registration with the College of Nurses of Ontario (CNO) require a Canadian Police Information Centre Criminal Record Synopsis as part of the registration process. The CPIC check gives evidence that an applicant has met the requirement of registration related to good character and suitability to practice. In the event that the applicant has a criminal record, they will not be permitted to write the provincial exam and thus not become a certified professional. For more information go to: cno.org/docs/reg/faq_cpic.pdf If you have any questions about these registration requirements, please contact CNO at 416.928.0900, or 1.800.387.5526, ext. 6249. 

  • If the applicant has a criminal record or obtains a criminal record during undergraduate education it is highly recommended that a pardon be obtained. You must begin the Pardon process to have your criminal record pardoned. More information re beginning the process can be found at pardonservicescanada.com. If you do have a criminal record, the placement agencies will not allow you to practice in their institution. It is their right to deny access. If your VSS is positive for criminal charges than you are to contact your Clinical Coordinator for advisement. 

  • VSS Police Record Checks are available through your local police service only. 

  • Please check with your local police service for the form that is required for your 
jurisdiction. Police forms and additional information are located on the website. 

  • Toronto Jurisdiction (if your postal code starts with an M): the Toronto Police Service 
use a specific form that students must complete. King students must pick up the form from the Clinical Practicum Office, room GH1110 at King Campus. Ensure you bring your OneCard. 


Basic Cardiac Life Support (BCLS) for Health Care Providers (HCP) 


  • CPR at the Health Care Provider Level (CPR-HCP) also known as Basic Cardiac Life Support (BCLS) at the Health Care Provider Level is required yearly, regardless of the expiry date on the card.

Standard First Aid

  • Standard First Aid is required upon entry into the program for students in collaborative program only.

The following companies offer CPR-HCP and Standard First Aid training: Action First Aid; Canadian Red Cross; Concise Health Solutions; Heart and Stroke Foundation of Canada; St. John Ambulance. Most will provide a student discount with proof of student status.

Respirator Mask Fit Testing

  • Students are required to be fit tested for an N95 respirator. Re-fitting must be done every two years. 

  • It is your responsibility to arrange and obtain a respirator mask fit test at your own expense. You can book your test online when you book your CPP clearance appointment with Concise Health Solutions.
  • Please note that if you lose/gain a significant amount of facial weight or experience changes in your facial shape, i.e. trauma or surgery, fit-testing should be repeated earlier. All facial hair must be removed prior to the test. 


Ministry of Labour’s Worker Health and Safety Awareness Certification 


This certification is available on the Ministry of Labour website via a free eLearning module. Students must access the eLearning module from any computer (home for instance), complete the training and print the certificate of completion. It is crucial you print your own certificate at the time of completion because the Ministry does not maintain a database. It is also worth pointing out that you need to complete the module in a single sitting, it is not possible to stop part way through and resume at a later time/date. The website indicates that the module takes 45-60 minutes to complete. Students must complete this component upon entry to the program and upon entry to York University.


Instructions to access the eLearning module :

  1. Use a computer with audio and a printer (you are welcome to use a computer in the computer/library commons. The staff at the service desk can provide you with headphones) 

  2. Visit this training website.  

  3. Select the link titled Access the eLearning Module.
  4. Complete the eLearning module. 
Print your certificate of completion. 

  5. Keep your printed certificate of completion with your CPP and bring it to clinical on your 
first day.

WHMIS (Worker Health and Safety Information System)

The WHMIS module is available through this link:

portal.mycampus.ca/mycampusfiles/dc/fieldplacement/WHMIS/story.html.

Students require a minimum grade of 80% to pass. Please print your certificate following completion of the module remembering to select Seneca College so it appears on the certificate.

Medical Requirements

The Medical Requirements section of the CPP must be completed by your Health Care Provider (Nurse Practitioner, Medical Physician or Registered Nurse). Copies of lab results (titres) for specified diseases must be presented with your permit.

Mantoux Testing:

  • Tuberculosis (TB) is an infectious disease spread through air by coughing, sneezing or spitting. Classic symptoms are a chronic cough with blood-tinged sputum, fever, night sweats and weight loss. 

  • Please indicate any living, travel or work history in which you may have been at risk for tuberculosis. 

  • It is ideal for students to have their Step 2 7-28 days after their Step 1, but the interval can be up to a year and still be acceptable. Students who have received a BCG vaccination are not exempt from Mantoux testing. 

  • Mantoux testing should be completed within 4-6 weeks from administration of live vaccine including oral polio, MMR, yellow fever, polio and cholera. 

  • Students who have had a previously documented positive Mantoux test should not receive further Mantoux testing. 

  • If a previously documented positive Mantoux Two-Step screening and has received investigation, the student must include the following in this package: 

    • A chest x-ray report every 2 years, and; 

    • A yearly note from their doctor indicating that the “student is free from signs and 
symptoms of active tuberculosis”
  • The responsibility for follow-up lies with the physician as per OHA/OMA Communicable 
Disease Surveillance Protocols. 

  • A student who had a two-step in the past 12 months and tested negative must complete a one-step annually.


MMR (Measles, Mumps, Rubella) and Varicella (Chicken Pox) 


  • Lab results (titres) which show immunity to measles, mumps, rubella and varicella must be provided. 

  • Additional immunization can be discussed with your health care provider. If a booster is required due to having no immunity or indeterminate results for MMR, titres are not required after booster.

Measles

Is a viral disease resulting in rash, high fever, cough, runny nose and watery eyes. It also leads to middle ear infection, pneumonia (lung infection) and inflammation of the brain, hearing loss, brain damage and death.

Mumps

Is a viral disease resulting in fever, headache, earache, painful swelling of the glands in the mouth and neck and can cause inflammation of the brain. It can also cause temporary and permanent deafness, as well as swelling of the ovaries in women and testes in men, possibly leading to sterility.

Rubella (German Measles)

Is a viral disease resulting in fever, rash, and swelling of the neck glands and painful swelling of the joints. It can also cause bruising and bleeding. If a pregnant woman acquires rubella, it is very dangerous for the unborn baby.

Varicella (Chicken Pox)
Is a viral disease resulting in scarring of the skin, skin infections, pneumonia, inflammation of the brain and death. It can also cause “shingles” a painful rash later in life.

Polio

  • If immunization required, 3 doses are recommended: the first 2, 4 to 8 weeks apart and the third dose should be 6 to 12 months later. The first one immediately, the second one, one month after the first and the third one 6 to 12 months later.

Polio (Poliomyelitis)
Is a viral disease affecting nerve cells in the spinal cord, and causes paralysis, inflammation of the brain and death.

Tetanus/Diphtheria (TD)/ Pertussis

  • A Tetanus/Diphtheria booster within the last 10 years is required. 

  • One dose of Adacel is recommended if booster has not been administered within last 10 
years. There is a cost associated with receiving Adacel. 

  • If previously unimmunized, 3 doses are recommended. The first one immediately, the 
second one, one month after the first and the third one 6 to 12 months later. 

  • If immunization is required have Tetanus/Diphtheria and Pertussis.


Tetanus (Lockjaw)


It is caused by bacteria and spores in the soil, which can infect wounds and causes painful muscle spasms, breathing failure and death. 
Diphtheria 
Is a bacterial infection that can cause breathing problems, heart failure, paralysis and death. 
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Clinical Preparedness Permit Guideline 2017/2018

Pertussis (Whooping Cough)

Is a bacterial disease with whooping inspirations and coughing followed by vomiting. Adolescents and adults with untreated pertussis are the most common source of infection for young unimmunized or partially immunized infants.

Hepatitis B

Is a viral disease that can cause serious liver problems such as liver failure and liver cancer. The vaccine is free to Grade 7 students in Ontario and since 2000 has been a two dose schedule

  • Once you have completed the vaccination series, a titre is required. The titre is done at least 1-6 months after your 3rd vaccination or final vaccine. 

  • Students may enter clinical placements as long as they have had their 2nd Hep. B vaccine. 

  • For non-responders, additional doses, up to another complete series of three, can be done, with testing for response after each dose. 

  • Persons who fail to respond to three additional doses of vaccine are unlikely to benefit from further immunization. 


Influenza 


Is a viral infection of the nose, throat and lungs and causes cough, high fever chills, headaches and muscle pain.

Influenza is highly contagious and can be life-threatening. The severity of this infection varies from year to year depending on the strain. Anyone over 6 months of age can get the vaccine each year. 


This is an annual immunization vaccine, only available during flu season (October/November).


Students who have not received the vaccination may be removed from clinical placement as most of our placement partners require that students receive influenza immunization and show proof. Any student without the vaccination will be denied access to the facility in an outbreak thereby jeopardizing successful completion of the clinical/practicum course.