1. Yearly Physical Form
2. Hepatitis B - Declination Allowed
   1. 3 dose series OR
   2. 2 dose series OR
   3. Positive titer (does not expire) OR
   4. Hepatitis B Declination Form
3. American Heart Association BLS Card
4. Influenza - Medical/Religious exemption allowed but not guaranteed OR Declination allowed
   1. Influenza September 30th annually
      1. Students should get their flu shot between August 1st - September 30th
   2. GHC Nursing Flu Vaccine Form
5. MMR - No exemption/declination allowed
   1. 2 MMR vaccinations (does not expire) OR
   2. Positive titer
      1. If titer is negative - one MMR booster required
6. TDAP - No exemption/declination allowed
   1. One lifetime dose of Tetanus, Diphtheria and Pertussis (TDAP), does not expire
7. Varicella - No exemption/declination allowed
   1. 2 varicella vaccinations (does not expire) OR
   2. Positive titer
      1. If titer is negative - 2 Varicella vaccinations required, 30 days apart. Documented after negative titer. Document history of Varicella not accepted.
8. TB Test - No exemption/declination allowed
   1. QuantiFERON test within 1 year of date of document upload
      1. If positive, negative chest x-ray must be uploaded
9. Covid
   1. Not required but recommended. If vaccinated against Covid, please upload documentation or complete the GA Dept of Public Health Vaccine Declination Form

*The above list may be updated at any time due to CDC, and/or clinical facility, changes in immunization regulations, recommendations, and requirements.

The annual influenza vaccination form is required to be completed and uploaded to ACEMAPP in late August to late September. Students are required to obtain the influenza vaccination prior to beginning his/her educational experience at the clinical facilities during influenza season. Flu season is determined by the state public health office of epidemiology and varies from year to year. The vaccination must occur between August 1st and the September 30th deadline.

This is what the Completed Flu Vaccine Form should look like.

Here is a copy of the GHC Nursing Flu Vaccine Form.

Flu Vaccine Exemptions:

Flu vaccination exemptions are available once you are assigned to a clinical rotation in ACEMAPP. The document will be available under the page for the clinical facility you are assigned to. You will submit the document to the facility and once you have obtained approval, the approval should be uploaded to the vaccination spot in ACEMAPP.

Atrium Health Floyd - exemption available

Advent Health Redmond -No flu exemption available

WellStar Health System - exemption available

Our clinical partners only allow American Heart Association BLS certification. If you are certified in American Red Cross for your BLS it will not be accepted. It is the student’s responsibility to obtain the appropriate BLS certification to meet clinical requirements. If your BLS card expires during a semester (August – December or January – April) you will not receive clinical placement until it is renewed and approved in ACEMAPP.

This is what the appropriate American Heart Association BLS e-card looks like.

Students must upload proof of the following:

Record of either the two or three dose MMR vaccines OR

1. • If you received the two or three dose series make sure all vaccination dates are visible on your upload. If the doses are split between pages all pages must be uploaded.

Positive titers for all three diseases (Measles AND Rubella/Rubeola AND Mumps).

• • If you received an MMR titer showing you are immune, upload that.
    • Titers are blood tests drawn by your doctor or nurse practitioner’s office showing proof of immunity.

Here is an example of an acceptable MMR Vaccination Immunization Form showing all doses.

The health screen requirement form must be signed by a physician or nurse practitioner, your name must be visible on the signed form, and must be uploaded into ACEMAPP. DO NOT upload a different physical form than the one in your program acceptance packet, you must submit the Georgia Highlands Student Health Screen Requirements form.

1. Here is an example of a completed Student Health Screen Requirements form.

Current nursing program students can use these copies for their clinical credentialing:

1. Student Health Screen Requirements

**Traditional & High School Graduate pathway students will renew the Physical form during the summer before NURS 2500 in the second year.

***LPN/Paramedic students typically complete this in October-December before starting the Bridge program, they will need to renew this in June-July after the first semester of the program.

Our clinical credentialing requirements align with Atrium Health Floyd's requirements. Students must have:

1. 1. A QuantiFERON-TB Gold blood test
      1. Here is an example of an acceptable QuantiFERON-TB Gold test result.
      2. Only one QuantiFERON-TB Gold Test is required per year.

Students must have:

1. Received the Tetanus, Diphtheria, Pertussis (Tdap) vaccine within the last 10 years OR
2. Documentation of a Tdap vaccine older than 10 years PLUS a Td booster within the last ten years.

Tdap vaccines or Tdap vaccines with Td boosters older than ten years must be updated before uploading proof to ACEMAPP.

Here is an example of an acceptable TDAP Vaccination Immunization Form.

Students must have two varicella vaccines OR proof of a positive Varicella titer. Your GRITS form can show serologic immunity with a date.

Here is an example of a positive Varicella titer showing immunity.

Here is an example of the full Varicella Vaccination Immunization Form.

Please see #1 on the Nursing FAQ regarding official University System of Georgia statements about the Covid-19 vaccines.

COVID vaccine requirement-

• Two (2) doses in a 2-dose vaccine series such as the Pfizer, Moderna, or Novavax vaccines; or
• One (1) dose in a single-dose vaccine, such as Johnson and Johnson’s Janssen vaccine; or
• One (1) dose of bivalent COVID vaccine such as Pfizer or Moderna (Started fall 2022)

Here is an example of the completed Covid-19 vaccination card.

Covid Vaccine Exemptions:

Atrium Health Floyd - no longer required, however, if you have received the covid vaccine you still need to upload proof to ACEMAPP for their records.

Advent Health Redmond -no longer required, however, if you have received the covid vaccine you still need to upload proof to ACEMAPP for their records.

WellStar Health System - no longer required, however, if you have received the covid vaccine you still need to upload proof to ACEMAPP for their records.

Piedmont Cartersville - no longer required, however, if you have received the covid vaccine you still need to upload proof to ACEMAPP for their records.

Students must have verification of at least two Hep B shots if you are in the process of completing the series AND a positive/reactive Hep B Surface Antibody titer. Students will be required to upload a titer after the completion of the two or three shot series. The titer is drawn from blood work in your doctor’s office, it is not the vaccination shot series.

For students who complete the Hep B shot series and do not show immunity OR are in the process of starting the series upon entering the program, a declination form is available in ACEMAPP once students are assigned to a clinical rotation.

Here is an example of a full Hepatitis B Vaccination Immunization Form series.

Here is an example of a Hepatitis B postitive titer showing immunity.

Traditional (June)

*Traditional & full-time pathway high school students will complete the background check and drug screen in June-July before their first fall semester in the program. Both will need to be redone the following June-July between the spring and second fall semester in the program to get through the second academic year.

Bridge (November & June)

*Bridge students will complete the background check and drug screen October-December before starting the nursing program, and again in June-July between the spring and fall semesters to align themselves with the next academic year.

The Credentialing Packet that students receive will also include step by step instructions for creating an Advantage Students account and MOST IMPORTANTLY how to link their Advantage Students account to their ACEMAPP account. Students will share their background check and drug screen with Georgia Highlands College. Once clinical rotations are set, students will receive requests to share their background check and drug screen with the appropriate facility(ies) for their assigned clinical rotations so it is important to monitor the messages in their Advantage Students account for these requests.

Linking the two accounts is the biggest problem students run into, so plan to set this up right away to avoid delays in clinical placement. If a student receives a dilute drug screen result, they MUST reschedule for another screening immediately. A dilute result will not allow clinical clearance and a student will not receive clinical placement until a negative result is received.

When uploading documents to ACEMAPP, the completion date is the date your vaccination was completed (DO NOT use the date you upload the document as the completion date unless the vaccination was the same day).

If you are struggling with ACEMAPP or Advantage Student/Infomart issues, please reach out to their customer service lines or submit a help ticket for assistance. These entities are both separate from the Atrium Health Floyd Department of Nursing, and their customer service representatives are best able to assist you:

ACEMAPP:

Phone Support: 517-347-8093 or 844-223-4292

Email: support@acemapp.org

Advantage Students InfoMart:

Phone Support: 1-800-800-3774

Email: advstu@infomart-usa.com

Helpful Credentialing Instructions

Below are links to helpful instructions for ACEMAPP and Advantage Students InfoMart:

1. ACEMAPP Getting Started
2. Profile Creation
3. Uploading Your ACEMAPP Requirements
4. Advantage Students & Info Mart
   1. Covers account creation and how to link to ACEMAPP
5. Infomart Background Check & Drug Screen
6. Uploading Your ACEMAPP Requirements
7. Uploading Tiered Requirements
8. Article Tips & Tricks Managing Compliance (For Students) ACEMAPP

Helpful guide from Atrium Health Floyd: Atrium Health Floyd Student Quick Start Guide