University of Wisconsin–Madison

Compliance

Nursing Student Compliance Program

The School of Nursing is committed to ensuring all nursing students are compliant with national and state http://www.castlebranch.comguidelines for personnel providing nursing care, as well as additional/specific requirements mandated by the school’s clinical affiliates. All nursing students are required to be in full adherence to the school’s compliance program while enrolled in the nursing program as an essential part of their professional responsibility for patient safety.  These requirements include immunizations (MMR, Varicella, Hepatitis B, Tetanus, influenza), trainings (CPR, HIPAA, OSHA), contracts (Confidentiality and Social Media), as well as a tuberculosis test and a background check.  We utilize CastleBranch to track student compliance.  When accepted to the program, you will receive further information about signing up for an account.

The School of Nursing partners with CastleBranch to manage student health compliance documents. This management system allows students to order their own background checks online and store all required documentation. There is a one-time Castle Branch subscription fee ($35) that is paid by the student, as well as a cost for the background check ($58).  Once the subscription fee is paid, students will have permanent access to their account.  Background checks expire after four years.  If there is any change in the individual’s background while enrolled in the program that results in a change of the caregiver report, it is the responsibility of the student to notify the School of Nursing and another full background check is required.

For more information, please click on the tab for the specific requirement.  If you have any questions or concerns, please contact our compliance staff at compliance@nursing.wisc.edu.

One of the following is required with NEGATIVE results:

  • Documentation of a one-step PPD skin test within the past 12 months with a negative result, OR
  • Documentation of a two-step PPD skin test. The two-step test requires an initial injection and reading by a healthcare professional and a second injection and reading by a healthcare professional within 1–3 weeks of the first; OR
  • Documentation of a negative QuantiFERON Gold -TB blood test

The renewal will be set for 1 year for negative results. Students with negative two-steps must submit documentation of annual testing yearly after initial screening to maintain compliance. The renewal options are:

  • A one-step skin test, OR
  • A negative QuantiFERON Gold -TB blood test
  • If you have previously submitted two consecutive annual negative TB skin tests OR a negative QuantiFERON Gold blood test only a Tuberculosis Risk Assessment Form is required upon renewal, but an updated one-step skin test or QuantiFERON Gold test will also be accepted.***

If POSITIVE results, a QuantiFERON Gold -TB test is required.

  • If the QuantiFERON Gold -TB test is negative, submit both of the following:
    • negative QuantiFERON Gold test AND
    • TB Symptom Risk Assessment form reviewed and signed by a healthcare professional/clinician.
  • If the QuantiFERON Gold -TB test is positive, submit all of the following:
    • positive QuantiFERON Gold test AND
    • a post-positive chest x-ray report AND
    • physician clearance documented on letterhead AND
    • a symptom risk assessment form reviewed and signed by a healthcare professional/clinician.

The renewal will be set for 1 year for positive results. Upon renewal a new TB Symptom Risk Assessment form reviewed and signed by a healthcare professional/clinician is required.

Submit a three vaccination series of Hepatitis B. If the third vaccination was administered less than eight weeks ago, a positive IGG titer is required. A titer cannot be done before 4 weeks of the last dose. If the series is in the process, submit where you are and additional alerts will be created for you to complete the series. If the 1st titer is negative or equivocal, new alerts will be created for you to receive one booster and a 2nd titer. If the 2nd titer is negative or equivocal, receive remaining two vaccines to complete the series and a 3rd titer. If the 3rd titer is negative or equivocal, complete the Hepatitis B Non-Responder form attached to this requirement.

One of the following is required:

  • 2 vaccines OR
  • a positive antibody titer for all 3 components (lab report or physician verification of results required)

If titer is negative or equivocal and you have documentation of 2 vaccinations, no further action is required. If titer is negative or equivocal and you do NOT have documentation of 2 vaccines, additional alerts will be created for you to complete the vaccination series. If series is in process, submit where you are and additional alerts will be created for you to complete the series.

One of the following is required:

  • 2 vaccines OR
  • a positive antibody titer (lab report or physician verification of results required)

If titer is negative or equivocal and you have documentation of 2 vaccinations, no further action is required. If titer is negative or equivocal and you do NOT have documentation of 2 vaccines, additional alerts will be created for you to complete the vaccination series. If series is in process, submit where you are and additional alerts will be created for you to complete the series.

Submit a Tdap administered within the past 10 years. The date of renewal will be set 10 years from the administered date of the vaccine at which time a TD booster is required every 10 years.

Submit documentation of one of the following:

  • a flu shot administered during the current flu season (09/01 – 11/01) OR
  • declination on the Flu Declination Form available for download from this requirement.

Documentation does not need to include batch information.  The renewal will be set for 11/01 of the following flu season.

Submit your CPR certification. Must be for one of the following courses:

Advanced Professional Healthcare Education provides acceptable American Heart Association courses.

The UW-Madison police department offers the BLS skills testing of the American Heart Association CPR classes. Links to their upcoming classes are listed below.

The University of Wisconsin Madison Recreational Sports offers American Red Cross CPR/FA/AED for Professional Rescuer Courses throughout the school year that satisfy the School of Nursing requirement. Click here to register through Rec Sports.

Electronic certification copy of your card will also be accepted for completed CPR course. Temporary certificates or letters from providers will be accepted and temporarily approved for 30 days by which time the permanent documentation must be uploaded.

OSHA training is done through UW Health.  To complete the training, click here to access the training website, create an account, select the Safety and Infection Control course, and select “Direct Patient Care.”  If you have difficulty with the training, contact the UWHC Help Desk at 265-7777 or ehealth@uwhealth.org.  Please be sure to carefully follow the instructions when uploading your certificate to CastleBranch. Click here for step-by-step instructions.

The University of Wisconsin-Madison HIPAA training will allow for self-registration, through the Office of Talent Management course catalog. HIPAA Training 2018-19 is the current online training course required of all faculty, staff, students, and volunteers at UW-Madison who work or train in areas where they have access to PHI (Protected Health Information).  Click here to self-register and complete the training. The course is estimated to take you approximately 20-25 minutes.

*IMPORTANT* If you have not yet activated your UW Madison Net ID, you will need to do so in order to register for this HIPAA training. Please click here for instructions on activating your Net ID.

Please contact the School of Nursing Privacy Coordinator, Staci Lowe (slowe@wisc.edu) with any questions about accessibility or content of the training course. If you require technical assistance, contact the DoIT Help Desk at 264-HELP (4357).

Click here for step-by-step instructions on registering for HIPAA and what to upload to CastleBranch.

When entering the School of Nursing, all students are required to access and sign both a Confidentiality Agreement and a Social Media Contract.  This is a one-time step to ensure students are aware of confidentiality procedures and social media rules regarding patient data.

Consequences of Non-Compliance

Students who are not in compliance as of the first day of the semester, or who fall out of compliance during the semester, are not allowed to participate in classroom or clinical experiences, including practicum or research experiences in a clinical or other care setting.  Students may return to classes once they complete the compliance requirement(s) or are able to provide evidence of a future appointment/registration to update the immunization or training requirement. Students may return to clinical settings (including practicum or research experiences) only after the appropriate immunization or training has been completed and the documentation submitted.

Students who are out of compliance will have a hold placed on their university record, which will suspend the student’s ability to add courses; the hold will be lifted once the student is in compliance.

Compliance Support Staff

compliance@nursing.wisc.edu

Ann: 608-263-5329 | Emily: 608-263-5167