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Placement Health Review Requirements

The placement health review is a required process for selected job positions at Duke University based on federal, state and University regulations and policies. The basic requirements are described below by job group. This listing is not exhaustive nor does it preclude additional interventions based on individual and job exposure variation. Placement health review information is maintained confidentially and separate from personnel and other Duke medical records.

Please bring all required documentation (see below) to your health review.  Failure to provide documentation may result in a delay in start date.

  • If you have questions or need clarification, please contact EOHW at 919-684-3136, option 2
  • If you have a sensitive health issue to discuss contact the Director of EOHW at 919-684-3136, option 2

Faculty and Staff with Patient Contact

  • Health history review — Job pertinent health history information is collected
  • Substance Abuse Screening — All Health System employees will be screened for substance abuse. Must bring picture ID for this
  • Respiratory Clearance Health Form — Respirator health history information is collected.
    • Respiratory fit testing is required of selected job positions
  • Color Blind Screen
    • All clinic staff (MD, PA, NP, RN, MLPN, CNA, Lab Tech) who might do point of care testing are required to have a color blind screen. Documentation of prior testing is acceptable
  • Tuberculosis screening
    • Official Documentation of your TB status:
      • Documentation of TST (mm induration) or IGRA - within 1 year prior to beginning assignment at Duke. (Note: Individuals who are 55 years or older, have previous equivocal TB testing results, have a history of BCG, or are from TB endemic areas will be required to show proof of a two-step TST), or
      • Documentation of previous positive results for the TST or IGRA will be accepted 
    • Those who have positive TST or IGRA results will also need:
      • Chest x-ray
      • New tuberculin or IGRA positive results requires a current Chest x-ray.   
      • Prior positives requires a chest x-ray two years or more after initial TST or IGRA conversion
      • TB Questionnaire- to be completed at in person health review
  • Vaccine/Immunity Status
    • Official Documentation of your measles immunity:
      • Two doses of measles vaccine or 2 (MMR) vaccines or
      • A positive blood test (titer) for measles
    • Official Documentation of your mumps immunity:
      • Two doses of mumps vaccine or 2 (MMR) vaccines or
      • A positive blood test(titer) for mumps or
    • Official Documentation of your rubella immunity:
      • One dose of rubella vaccine or (MMR) vaccine or
      • A positive blood test (titer) for rubella
    • Official Documentation of your varicella zoster immunity:
      • Two doses of varicella vaccine or
      • A positive blood test for varicella
    • Official Documentation of pertussis immunity is required if providing care to children 18 months of age or younger as well as in certain designated work areas*                  
      • Tdap Vaccine within past 10 years - Adult booster must be received  age 18 years or older 
      • *For all others, vaccination with acellular pertussis vaccine (Tdap) is recommended
    • Official Documentation of influenza immunity
      • Documentation of influenza vaccine during current flu season. Requests for exemptions must be made through Employee Occupational Health.     
      • Annual influenza vaccination is required for your employment at Duke.
    • Documentation of polio immunity:
      • History of receiving polio vaccine is acceptable for all persons 18 years of age and older
    • Hepatitis B Vaccination and Post Vaccination Antibody Titer –Vaccine series is strongly recommended. Provide record of vaccination and/or Hepatitis B Antibody results. Healthcare workers without proof of Hepatitis B antibody titer after vaccine series are strongly encouraged to obtain a titer prior to placement appointment

New Hires to the Health System with No Patient Contact

  • Health history review — Job pertinent health history information is collected
  • Substance Abuse Screening — All Health System employees will be screened for substance abuse. Must bring picture ID for this

Faculty and Staff Working with Research Animals

  • Health history review for Animal Handlers — This can be completed and submitted online at Health Review for Animal Handlers. Job pertinent health history information is collected.
  • Those working with non-human primates must have tuberculosis screening and immunity to measles
  • Tuberculosis screening
    • Official Documentation of your TB status:
      • Documentation of TST (mm induration) or IGRA - within 1 year prior to beginning assignment at Duke. (Note: Individuals who are 55 years or older, have previous equivocal TB testing results, have a history of BCG, or are from TB endemic areas will be required to show proof of a two-step TST), or
      • Documentation of previous positive results for the TST or IGRA will be accepted 
    • Those who have positive TST or IGRA results will also need:
      • Chest x-ray
      • New tuberculin or IGRA positive results requires a current Chest x-ray.   
      • Prior positives requires a chest x-ray two years or more after initial TST or IGRA conversion
      • TB Questionnaire- to be completed at in person health review
  • Immunity to Measles
    • Official documentation of one of the following:
      • Two doses of measles vaccine or 2 (MMR) vaccines or
      • A positive blood test (titer) for measles

 

Health & Wellness