Student Information on Immunizations, Infectious or Environmental Hazards, And Needle-Stick or Blood-Borne Exposure

Immunization Policy

The CNUCOM immunization policy was developed based on current CDC vaccination guidelines. The following requirements, related to conditions and/or immunizations, must be satisfied for matriculation.

To achieve academic success and be an active advocate for health, students should strive to achieve good physical and mental health themselves. It is expected that all routine medical, dental, and surgical care will be completed prior to matriculation. Students will be required to present proof of vaccinations before matriculation.

Documentation of required immunizations must be completed by a licensed health care provider. A health care provider is defined as a physician licensed to practice (MD or DO), a Licensed Nurse, or a Public Health Official.

Forms for documenting immunization requirements will be provided in the acceptance packet sent to the student. All immunization forms and copies of laboratory reports must be submitted in English.

Translations of documents must be certified. It will be acceptable to have an English translation of the documents certified as accurate by a member of the University community who is fluent in the document’s original language.

Measles Mumps Rubella (MMR):
California Northstate University College of Medicine (CNUCOM) requires written documentation of one of the following:
  • 2 doses of live vaccines MMR/MMRV and positive Rubella titer
  • Laboratory evidence of immunity (positive antibody titers for measles, mumps and rubella)1

CNUCOM requires written documentation of one of the following:
  • 2 doses of Varicella vaccine
  • Laboratory evidence of immunity (positive antibody titer for Varicella)1

Hepatitis B:
CNUCOM requires written documentation of both of the following:
  • Three doses of Hepatitis B vaccine AND laboratory evidence of immunity1
Note: Hepatitis B REQUIRES a positive titer. The vaccination series alone are NOT sufficient.

1Equivocal antibody titers are not considered sufficient to protect from infection and a complete vaccine series will be administered as recommended by the CDC-ACIP.

Documentation of vaccination

Tetanus, diphtheria, pertussis (Tdap):
CNUCOM requires written documentation of the following:
  • One dose of the adult Tdap vaccine is required in the past 10 years, in lieu of Td booster. If current Td booster is less than two years, wait to receive Tdap vaccine.
Meningococcal: One dose of vaccine within five years prior to start date.

Influenza: Annual seasonal influenza vaccine is required for all students with patient contact unless medically contraindicated. It is strongly recommended for all other students.

Tuberculosis (TB) Testing:
CNUCOM requires written documentation that one of the following tests has been performed within the six month period preceding student’s arrival at CNUCOM:
  • Tuberculosis blood (IGRA) test (preferred)
  • A two-step Tuberculosis skin test (PPD)
If the results of the TB test are positive, or if the student has had a positive test in the past, they must provide results (report) from a chest x-ray performed within the 6 month period preceding their arrival at CNUCOM.

Additional vaccines/testing:
Clinical sites where students will be rotating may require additional vaccines. Students will be expected to comply with the clinical site’s policy if it is in addition to what the College of Medicine requires. Immunization status will be monitored by an outside agency that will maintain the student’s medical record and inform the College of Medicine’s registrar if the student enters a non-compliant status.

Students allergic to some vaccines will need to provide medical evidence of that condition. They will then be required to adhere to a very strict protection regimen as required by the clerkship.

The immunization status of students will be maintained and monitored by an outside clinic with which the College of Medicine will have contracted services. Students will be immediately notified of any upcoming dates when their immunizations expire and will be expected to be in full compliance in order to participate in the curriculum.

Exposure to Infectious or Environmental Hazards

Mandatory educational sessions on standard precautions for blood and airborne pathogens are provided during Orientation within the first week of the first year. Students receive additional training in proper blood-drawing techniques and patient-isolation policies prior to the clinical rotations in the third and fourth years of medical school. The appropriate use of personal protective equipment such as gloves, face shields, gowns, masks, and hand washing will also be presented at these times. Additionally, all students will be expected to adhere to California Northstate University College of Medicine’s vaccination policy as described in MS-29 and available in the Student Handbook.

Students must immediately report any occupational exposure incident to their clerkship/elective faculty member or immediate supervisor who will assist them in contacting the appropriate entities to follow the established protocol of that facility regarding occupational exposure incidents. In some circumstances, the costs incurred in dealing with occupational exposure incidents (such as testing) will be covered by the healthcare facility at which the exposure occurred. In some circumstances, the healthcare facility may refuse to bear financial responsibility for the exposure. For these cases, the College of Medicine’s supplemental policy that covers blood and bodily fluid exposure/needle-stick will take effect.

Students should also be aware that if, in the course of the testing required by occupational exposure incident protocols, they test positive for potentially infectious agents such as AIDS, HIV, or TB, the Occupational Safety and Health Officer is required by law to report this information to the County Health Department.

In the event of an infectious and/or environmental disease or disability, the Director of Student Affairs, Admissions and Outreach will work with the student, on a case-by-case basis, to ensure student wellness and minimize time lost in educational activities.

Needle Stick or Blood-Borne Exposure Policy

In the event of a needle-stick incident or blood-borne exposure, the incident will be reported on an incident report form and to the supervising physician and nursing staff. The student will immediately clean the skin and wound sites with soap and water, then report to the Emergency Department. The Director of Student Affairs, Admissions and Outreach must be informed by the student within 24 hours about the incident.

The Emergency Department staff will evaluate the type and severity of exposure and counsel the student on the risk of transmission to HIV, HBV, and HCV. Post-exposure prophylaxis to HIV and HBV will be recommended in accordance with CDC guidelines.

The follow-up for the exposure will be provided by an appropriate health care provider. The student will then follow up with the Director of Student Affairs, Admissions and Outreach.

Students will be educated on these protocols as described in “c” below. Visiting students will need to complete a required test based on CNUCOM’s preventative techniques and post-exposure protocols before the clinical clerkship begins.

Visiting students will be informed about and will follow the same procedures and precautions as CNUCOM students.

Preventing exposure to infectious diseases and contaminated body fluids, and procedures to be followed in the event of exposure (e.g., universal precautions), will be a part of the Year 1 Orientation. It will then be covered in more detail in the Foundations of Clinical Medicine Course. As applicable, students will receive comprehensive training in laboratory safe practices including exposure to contaminated body fluids and tissues prior to beginning the Self-Directed Student Scholarly Project. Procedures to be followed and appropriate contact numbers in case of accidental exposure will be clearly posted in the research laboratory. Segments of these protocols will be reinforced in the small group Medical Skills sessions. Additionally, these topics will be reviewed with a special emphasis on standard precautions and the exposure protocols during the Introduction to Clerkships session at the beginning of Year 3. Finally, these topics will be reinforced during the clinical clerkships and clinical site orientation activities.

Reporting a Biohazard Exposure Incident

Please use this form attached and file with the Office of Student Affairs upon receiving initial treatment.

Health Care Insurance Requirements

It will be mandatory for students to have medical insurance while enrolled in the program. If a student does not have, or chooses not to secure, private health insurance, California Northstate University College of Medicine will provide such health insurance at cost to the student. The College has obtained an excellent student health insurance policy through Kaiser Permanente with a low group rate for students and their dependents. The fee for this policy is paid directly to the school and is billed on a bi-annual basis. This allows students to have continuous health coverage throughout the year including break periods. Students requiring medical care would need to access the appropriate providers available through their insurance option.

Students are required to sign a waiver indicating that health care insurance coverage will be maintained through the entire Doctor of Medicine program. The waiver form is provided to students who are offered admission to CNUCOM. Students may use their parent’s or spouses insurance, by providing proof of coverage.

Information on other individual health plans in California can be found at:
This list is neither complete nor in any way an endorsement or recommendation by California Northstate University College of Medicine. 

Liability/Malpractice Insurance

All incoming students are enrolled in the California Medical Association and American Medical Association – Student Division at the beginning of the academic year. Enrollment in the associations provides many benefits including group malpractice liability insurance policy. Policy information is available through the CMA and AMA websites and mailed to members after dues are processed. Students are responsible for obtaining additional coverage and monetary limits should they determine this to be necessary. California Northstate University College of Medicine does not guarantee that any insurance hereby provided will be sufficient in every case.

MS27.1-A Kaiser Student Health Insurance Plan

MS27.1-B MPA Participation Agreement II

MS27.1-C MPA Denta Allied Health Brochure

Disability Insurance

The College of Medicine uses the Med Plus Advantage Disability Insurance available through the AMA Insurance Agency. Disability Insurance protects students and provides additional support should they be injured or become ill to the degree of having to exit the program at any time during the 4-year curriculum. Students are informed about this insurance at Year 1 Orientation, and it is available to review in the Office of Student Affairs and online here.

MS 28.1 Disability Insurance

California Northstate University College of Medicine ♦ 9700 West Taron Drive ♦ Elk Grove, CA 95757 ♦ Phone: (916) 686-7300