1 | Page TARRANT COUNTY COLLEGE AAS Degree in Nursing ...

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have ever taken the State Board Test Pool Examination, National Council Licensure Examination forRegistered Nurses, or the Canadian Nurses Association Testing Service Examination. If so, I will need topetition in writing, and provide requested documents to the Board of Nurse Examiners for the State ofTexas in order to be eligible to take the NCLEX-RN examination. This review and eligibility approval maytake 12-24 months to obtain from the Board of Nurse Examiners for the State of Texas who will assess afee to the individual for review. Board of Nurse Examiners for the State of Texas approval is requiredprior to acceptance into the Nursing Program.____________________________________Applicant Signature___________________Date8 | P a g e
TARRANT COUNTY COLLEGENURSING DEPARTMENTPHYSICAL EXAMINATION AND IMMUNIZATION REQUIREMENTSIn order to comply with the Texas Administrative Code (Title 25 Health Services, Rules 97.61-97.72)regarding immunization records for students enrolled in health-related programs, the followingguidelines are now in force for applicants to the Tarrant County College Nursing Program. Nursingprogram applicants must present the following documentation.IMPORTANT NOTE: Failure to submit the completed Tarrant County College Nursing Department’s*physical examination form, immunization records, and a photocopy of the required American HeartAssociation CPR certification card will result in the applicant’s disqualification from entering thenursing program.I. Physical Examination and Immunization RecordThe completed physical form (*distributed after selection and acceptance) verified by a physician ornurse practitioner will document:□ The applicant’s physical examination results which must be dated less than nine (9) months priorto the applicant’s anticipated entry to the health occupations program; and,□The date of each required immunization and/or date of a positive titer result for each.NOTE: If immunization records have been recorded on separate documentation such as ahospital printout, health department card, office call invoice, etc., a clear photocopy of thatdocumentation may be attached to the Physical Examination and Immunization Record form.A. Physical ExaminationThe physical examination form must be completed by a physician or nurse practitioner and mustdocument the applicant’s medical history, health questionnaire, and results of a physical examination.B. Tuberculosis ScreeningAn intradermal PPD (Mantoux) “skin” test is required for all applicants. The PPD must be currentwithin twelve (12) months of the applicant’s anticipated entry into a health occupations program.When accepted to a health occupations program, a student must be current on the screening andrepeat the PPD every twelve (12) months for the duration of his/her enrollment in the program.If the PPD indicates a positive reaction, documentation must indicate the induration of the test siteand the applicant must also obtain a chest x-ray verifying the absence of active disease. The chest x-ray must be current within one (1) year of program entry. The chest x-ray will then be valid for two(2) years while the student is enrolled in the program. Individuals who have received the BCGinjection or who have a history of tuberculosis or a positive PPD result should obtain a chest x-rayrather than the PPD.9 | P a g e
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1 | Page TARRANT COUNTY COLLEGE AAS Degree in Nursing ...

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