New Employee Health – NON-PATIENT FACING 
However, if you change positions from NON-Patient facing to patient facing, you would be subjected to the immunization requirements for clinical employees.
As non-patient facing, non-exposed employees, please be mindful to follow the Respiratory Wellness policy that indicates to inform your supervisor whenever you are sick and/or contact the Employee Health, as below.
Please contact us at:
Phone (808) 469-4932 I Fax (808) 447-3943 I EmployeeHealth@ucera.org
Visit us on YouTube
New Employee Health – PATIENT FACING 
This webpage will serve as a resource for both incoming and current UHP employees regarding their immunizations and the process of ensuring the acceptance of requested immunization and TB records. Unvaccinated health professionals may not participate in clinical environments that require current vaccination for the safety of patients, other staff, and the public. Missing required vaccination records would impede the timely onboarding of the employee
Required Employee Health requirements (please see below sections for more information):
- Two-Step TB (2) or equivalent such as IGRA or T-Spot. If you are positive for TB, chest x-ray and a completed TB Questionnaire is required.
- Prior to interacting with patients, the employee must have at least the first step in the two-step TB completed with a negative result, as well as the completed TB Questionnaire. Failure to complete the two-step TB within the recommended time frame may result in disciplinary action.
Failure to submit immunization and TB records timely may result in a delay in employee starting. See below for more information
- Flu Shot of the current season (Oct 1 to May 31st). If being hired during the non-Flu season, you are expected to have flu shot once available.
- COVID Immunization. Usually the first series, however, will accept the most recent COVID series or the series approved by your PCP.
- Hepatitis B vaccination – Offered to all patient facing and exposed employees, however, it is not required.
If you do not wish to submit your flu, COVID and/or Hep B information, you may submit a PCP attestation in lieu of the these records. To receive the PCP Attestation form, please emails us at EmployeeHealth@ucera.org.
Please contact us at:
Phone (808) 469-4932 I Fax (808) 447-3943 I EmployeeHealth@ucera.org
Visit us on YouTube
EMPLOYEE IMMUNIZATIONS FREQUENTLY ASKED QUESTIONS:
GENERAL
How do I find my immunization records?
Check with previous schools, hospitals or clinic records
How long does it take to process immunization requests?
7-10 business days from the date of receipt to when the UHP immunization office will review.
What is required to submit my immunization records?
All records should have your name and an identifier (e.g. DOB). Please ensure that you check the file size of your records, if it is blurry or too small we will ask you to resend. We will not accept screenshots of medical records without patient identifying information such as name and date of birth.
Note that all records should be legible and in English to ensure vaccination compliance. Records should originate from US or US territories. If international, please contact Employee Health at employeehealth@ucera.org
List of where you can find prior immunization records (be sure to submit both sides of each document):
- Official State / Country Immunization Records
- Prior medical records or lab records
- Yellow Book / Immunization Cards
- Pharmacy documentation of immunization
Disclaimer: Please note secure documents using ESECURE will automatically be deleted within 14 calendar days
ACCEPTABLE FORMS OF PROOF OF IMMUNIZATION AND/OR VACCINATION
- Legible copy of a school or public health immunization record (i.e. yellow book/immunization card)
- Legible copy of an official health care provider’s record
- Legible copy of an official laboratory test to show evidence of protective serology
- Pharmacy documentation of immunization(s)
Failure to find records of your immunizations will require you to repeat the series of the specific immunization.
Please allow 7-10 business days for processing/review of immunization records. You will be sent confirmation that your records have been received and informed of any additional requirements if needed.
Please contact the Employee Health office for further instructions at employeehealth@ucera.org.
INFLUENZA
Current flu shots can be received any public health clinic or urgent care or any outpatient pharmacy (e.g. CVS, Safeway, Times, Walmart,etc).
Flu records should be of that current flu season (e.g. October to May).
Influenza is required annually. Staff should submit proof of vaccination each year.
Review: TUBERCULOSIS (TB) - Is T Spot okay? + TBQ
TB screening is required annually.
Quantiferon GOLD or T-Spot blood test in lieu of PPD testing? Yes, this is acceptable with submission of test results. The test results must be at most 90 days from start of employment. In addition, this test must be done every 364 days to verify employee is still negative (same as one-step TB). If your Quantiferon or T-Spot result is positive, you will need a current chest x-ray and complete the Annual UHP TB Questionnaire.
For more information, please see IGRA facts.
If TB Screening was positive prior, will I still need to do an annual TB screening? If your follow up chest X-ray is negative or you have completed treatment, you are only required to complete annually the Annual UHP TB Questionnaire. Depending on your answers, you may need to repeat a chest X-ray.
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Please refer to the Center for Disease Control (CDC) for more information: https://www.cdc.gov/tb/publications/factsheets/testing/skintesting.htm
Results of a TUBERCULIN SKIN TEST (PPD) and/or Chest X-ray performed within three months prior to matriculation in accordance with Hawaii state regulations:
- An initial two-step PPD is required. At minimum, the first step of the two-step PPD with a negative result is REQUIRED PRIOR TO START OF TREATING PATIENTS. 1st and 2nd step are placed not less than one week and not more than three weeks apart if the initial PPD is negative. *Annually thereafter, a one-step placed within 364 days of the last negative PPD; OR
- A chest Xray if the initial PPD is positive; OR
- If there is a history of a positive PPD, documentation of a follow-up chest X-ray, and TB Questionnaire, if applicable.
COVID-19 Positive
If you are confirmed positive for COVID, please inform your supervisor as soon as possible to make arrangements.
Respiratory Infection Extension Policy
Please send a written request to employeehealth@ucera.org to receive the most updated version of the policy.
REMOVE: SEROLOGIES -- Replace with HEP B info?
Healthcare personnel that are going to be in a setting that poses a high risk for transmission should complete the full series of vaccinations.
- Serologies must include patient name, date of results, name and address of performing lab, and reference ranges. Screenshots and flowsheets are not acceptable documentation.
- Some elective sites may have strict serology requirements that could preclude the student from participation.
- If serologies are negative, non-immune/reactive or equivocal you must get re-immunized, following another serology.
- Example: if your MMR (Measles, Mumps, Rubella) were negative you must get 2 MMR immunizations, following a serology one month after the second shot.
- Note: 2nd shot must be taken 28 days after first shot was taken.
- Varicella: must get 2 varicella immunizations and serology one month after second immunization shot.
- Hepatitis B: must repeat series of 3 (see below)
- 2nd shot taken one month after 1st
- 3rd shot taken 6months after 2nd
- Serology taken 1 month after completing 3rd
- 2-dose Hepislav-B series may also be administered as long as you have documentation of the first 3 childhood Hepatitis B vaccinations.
Note that matriculation is not affected if documentation of the first immunization is submitted by July 1st. You will still be responsible to complete the series.
Initial completion of a series of immunizations followed by a negative serology. Then a completion of a 2nd set of immunizations followed by another serology that is negative.
Talk to your healthcare provider if a 3rd set of immunizations would be necessary.
REMOVE: AWAY ROTATIONS AND PREPARING FOR CLERKSHIPS
We will gladly assist in completing your forms upon request. Please understand that processing and sign-off may take up to 10 business days after we have received the requirements below.
We will need the following before we submit your forms for signature:
- Complete demographic portion of the AAMC Standardized Immunization Form.
- Confirm your demographic information (address, phone number, etc)
- Quantitative Hep B Serology (ex 10 mIu/mL) or additional labs based on Hep B status (i.e. non-responder or chronic active)
- Your immunization and serologies on file may be sufficient for AAMC submission
- Please submit any additional required immunizations, boosters, or serology updates.
- For further information please review our AAMC Powerpoint.
Note: Skin test or IGRA results should not expire during proposed elective rotation dates or must be updated with the receiving institution prior to rotation.
Your immunization records must be sent to the facility coordinator, depending on which facility you will be attending:
- You or your JABSOM coordinator must submit an email request to UHP at JABSOMMR@ucera.org. Please include the name of the facility and the name and contact information of the facility coordinator.
- UHP will not sign off on forms that require a physical or fitness for duty exam unless you complete this with your PCP first and send us the letter/record.
- UHP will not forward your records to any JABSOM coordinator
- UHP will not forward your records to Tripler Army Medical Center (TAMC)
- Each facility will have their own unique immunizations requirements beyond what JABSOM requires.
We will gladly assist in completing the immunizations portion of your form upon request from either clerkship coordinators or students.
We will need the following filled out by either the clerkship coordinator or student:
- Page 1: 1st table, Learner Information, Emergency Contact Information, and Insurance Information
- Date of Annual Fit Test
- N95s Cleared to Use
- Date of BLS Provider Expiration
Note: Skin test or IGRA results should not expire during proposed elective rotation dates or must be updated with the receiving institution prior to rotation.
You will need to request the specific lab order from either an MD, DO, or APRN to write you a lab order. Please make an appointment with your healthcare provider.
Depending on your insurance it may be possible to have a repeat serology ordered at a Minute Clinic or Urgent care. It is unlikely that insurance will cover the cost.