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Health Clearances

Health Requirements for Employment

The New York State Department of Health Code 405.3 mandates that certain requirements be met before employment begins and annually thereafter.

Medical history and physical exam

  • All potential employees will be scheduled with the Employee Health Office for a physical exam and medical history review prior to employment.
  • Incoming residents and volunteers have the option of having their health provider perform the exam (at their expense) to be submitted for review by the Medical Director.
  • Non-employees affiliated with contracted agencies ( ie. travel nurses), or assigned clinical staff may be required to have a physical performed at Employee Health.
  • Affiliating staff and/or temporary personnel will also be required to submit health information. The requirements will be determined by duration of assignment and clinical involvement.

Evidence of Immunity

Documentation of immunity is required.  Complete age appropriate vaccination records must be provided.  If insufficient record, then antibody titers are required.

Proof of immunity to the following is required:

  • Measles
  • Mumps
  • Rubella
  • Varicella
  • Hepatitis B surface antibody along with documentation of a series of 3 vaccinations is recommended for all employees who may be at risk for blood and body fluid exposure.

Tuberculosis (TB) Screening

All employees and affiliates must be screened for active tuberculosis and determined to be disease free.

  • TB screening will be done by placement of a tuberculin skin test (PPD) administered and read at the Health Office unless employee provides documentation of a positive PPD greater the ten millimeters.   A chest x-ray within 12 months of beginning employment is required for all candidates with a prior positive skin test.
  • A second tuberculin skin test is placed in two weeks (two-step testing  is required) unless the candidate can provide documentation of a previous tuberculin skin test within one year. 

Annual Health Assessment

The NYS Department of Health Code (405.3) requires reassessment of the health status of all personnel as frequently as necessary, but no less than annually, to ensure that personnel are free from health impairments which pose potential risk to patients or personnel or which may interfere with the performance of duties. This requires completion of the Annual Health Assessment form, annual screening for tuberculosis, and update of immunizations, when necessary. Routine health maintenance (in the form of a self-report questionnaire) is also addressed. 

Please go to the Employee/Student Health portal  https://eshportal.upstate.edu/ to schedule an appointment and complete the annual health assessment questionaire.

Health Clearance to Begin Employment

The Medical Director will review all pre-employment medical documentation. Clearance to begin employment will then be determined. Clearance is granted if there is no health impairment that would pose a potential risk to patients or personnel, all essential functions of the position can be fulfilled, and all NYS Health Code (405.3) requirements have been met.