Immunization Tracking System (ITS) Instructions
Pre-Licensure NursingPage 1Western Governors University Initial Form - ITSImmunization Tracking System (ITS) InstructionsNote: The ITS is for Pre-Licensure Nursing, RN-BSN (California), RN-MSN (California) & MSN (California) Students ONLY1. Go to www.wgucompliance.com2. To the left are instructions, to the right are the login button and forms to download.3. Depending on your program of study, download and print the form for your program. This has instructions aboutexactly what Western Governors University requires you to have completed for compliance.4. If you are a student that has never had an ITS Account before:a. Click the ‘Online Registration’ button on the Main Pageb. Click ‘Online Registration’ button on the following pagec. Enter your personal informationd. Please enter your WGU student email address (American DataBank will be sending reminders to that email)e. Passwords are case-sensitive, so be careful with Caps Lock functions on your keyboardf. Pay the 30 month subscription via credit/debit cardg. You will only have to create ONE ITS account as long as you are at WGUNote: Your ITS Account is different than your AMS Account (for your Background Check)5. If you have already created an account:a. Click the ‘Member Login’ button on the Main Pageb. Click ‘Member Login’ button on the following page.c. Your login is your email address, and you selected your password upon creation of the account. If you do notremember your password, be sure to click the ‘Forgot Password?’ link6. Take your documents and scan them into the computer. If you do not have a scanner, frequently you can find one ata local library, or any copy store (FedEx Kinko’s, UPS Store, Office Depot, etc.). You can also use a digital camera orsmart phone to digitally capture your records. Make sure your copies are in grey-scale, and do your best to keep thesizes smaller than 1 Mb per file. This will help later.7. Login to your account and enter in your immunization information for verification. This is required; AmericanDataBank will not enter your information for you. Click one of the ‘Input Date’ buttons to get started.8. Be sure to enter a date of the item, a provider/hospital’s name, the date the item was proven/signed, and any results(if applicable) into the system. You can enter one item, Save AND Confirm, but you must finish the whole line for theitem to save correctly. If the item doesn’t have a ‘provider’, such as a CPR Card, put in the organization or hospital yougot it through. American DataBank will check all entries for accuracy when you submit documentation.9. Take your electronic documents and upload them directly into your profile. The ‘Add a Document’ link is near thebottom of the screen you are putting your dates into. There are help videos in the Help Menu to the left when you login,which will show this entire process start to finish.10. The ITS will only accept certain file types, they are jpg, gif, png, pdf, word, and txt. Most word processing softwarewill actually allow you to save as a Word Document. You can paste any images you have into the document and upload itthat way if you like.11. Click ‘Add a Document’. The screen will re-fresh and you will see a ‘Browse’ button.12. Click ‘Browse’ to add a document. You can add up 5 documents, totally 300 Kb. If your file is bigger, you will needto upload one at a time. Be aware that bigger files take longer to upload.American DataBank LLC – omRevised on 06/28/2012
Pre-Licensure NursingPage 2Western Governors University Initial Form - ITS13. You need to put a name for the file, name it something meaningful. Try to include what is in the file, to ensure it isprocessed accurately.14. Click ‘Add Document’ to upload the document. This might take a while if your file is very large.15. Click ‘Confirm Upload’ if your document is okay. You can click the little picture on the left to verify you uploaded thecorrect item. Once you ‘Confirm’ you will not be able to delete it without emailing American DataBank.16. All uploaded documents will appear immediately in the Supporting Documents section. This is viewable by AmericanDataBank, yourself, and authorized administrators at your school.17. If you were typing in items as well, be sure to ‘Save’, and ‘Confirm’. The ‘Save’ button is at the bottom of the screen.If you have any errors, the screen will refresh with red bars around the error sections and descriptions of the errors ontop of the screen.18. Once you correct any errors, you should see a Confirmation screen. You MUST click ‘Confirm’ to save. If you leavebefore clicking ‘Confirm’, your typewritten data will NOT save.19. Once you save and confirm correctly, your account will appear ‘Modified’ for each item you entered. That is how youknow you have done it right. Any new documents you added will appear as ‘DocReceived’ with your name and the timeyou uploaded them.20. Expect your account to be updated within 1-3 Business Days. American DataBank is not open on the weekend, andis closed on some Federal Holidays.21. Check back into your account, as it will have your most current status. Expirations will appear in the center column,and you will get emails sent automatically as items expire in your account.Expired Item? Be sure to submit new documentation to American DataBank. You might not be able to enter the dates,if the item is more than 60 days from expiration, but ADB will update that for you if you submit the documentation.Either upload it, or fax directly to 720-287-8139.American DataBank LLC – omRevised on 06/28/2012
Pre-Licensure NursingPage 3Western Governors University Initial Form - ITSNursing Health Requirements Important: Submit lab reports for items: 1 through 4.Submit documentation for items: 5 through 11**Student should scan and upload lab reports & documents into the ITS, or Fax to 720-287-8139**Submit Lab Reports on Items 1-41. MMR (Measles, Mumps and Rubella) Vaccines or Titer: One TimeYou must submit either a or b for each disease:a) Proof of a 2-shot MMR series (or the equivalent shots for each disease) ORb) Immune Antibody IGG Titer for Measles, Mumps and Rubella.2. TDap (Tetanus, Diphtheria, and acelluar pertussis): Every Ten YearsYou must have a Tetanus, Diphtheria, and acellular pertussis (Tdap) vaccination within the last ten years forcompliance. If you are unable to provide appropriate documentation to prove you have had a vaccination, youmust get another vaccination.3. Varicella Vaccines or Titer: One TimeYou must submit either a or b:a) Proof of a 2-shot Varicella series ORb) Immune Antibody IGG Titer for Varicella.4. Hepatitis B: One TimeYou must have either a or b:a) Proof of the 3 shot series for Hepatitis B (or in the process of receiving the series) ORb) Immune Antibody IGG Titer for VaricellaSubmit Documentation on Items 5-115. TB Testing (PPD): One TimeYou must submit documentation of a current PPD.**If you have never had a PPD you must have documentation of a 2 step PPD (with PPD #2 given no less than 5days after PPD 1 but no further than 10 days after PPD #1).*If you have a Positive PPD:You must submit proof of a Chest X-Ray (Every Two Years) AND a TB Screening Report (Annual—SEE PAGE 5)from your provider. The report must state that you, the patient, are ‘negative for signs and symptoms oftuberculosis’. This report must be submitted annually, with the newest within 12 months of admission to WGU.6. Seasonal Flu Vaccination: AnnualA seasonal flu vaccination is required on an annual basis. Declining the flu shot may preclude you from beingable to attend clinical.7. CPR Certification: Expires every Two YearsYou must have a CPR Certification from the American Heart Association (AHA) on file before the beginning ofyour first clinical nursing course. It is your responsibility to remain current in your CPR certification during theprogram, any student not certified through the American Heart Association will not be allowed to attend clinical.Please enter the date issued, and type of card (as the ‘Provider’) in the system, send a copy of the front and backof your CPR card.American DataBank LLC – omRevised on 06/28/2012
Pre-Licensure NursingPage 4Western Governors University Initial Form - ITS8. Health Insurance: AnnualYou must show evidence of health insurance coverage prior to your first lab at WGU and annually thereafter.9. Physical Examination: One TimeYou must show proof of a physical examination within the last year utilizing the WGU form provided for you.Have your provider sign the form, checking off that you are/are not recommended for clinical experiences. Seepg. 6 for the Physical Exam Form.10. Healthcare Provider Attestation Form: One TimeYou must have your provider complete the Healthcare Provider Attestation Form. See pg. 7.11. Student Attestation Form: One TimeYou must complete the Student Attestation Form and enter the completed date in the system. See pg. 8 for theform**Contact your State Director of Nursing via email with questions or concerns**I hereby authorize the release of my medical records to American DataBank to meet the requirements set by the Western Governors University. I do thiswith the understanding that my personal information will not be disseminated for any other purpose than those specified by my educational institution.By affixing my signature, I grant my full consent for the duration of my enrollment with Western Governors. I understand that I can revoke myconsent, in writing, at any time.Student Signature:Signed Date: (M) (D) (Y)Student Name (Print): Student ID:**Student should scan and upload documents into the ITS, or Fax to 720-287-8139**Select Your Region:WGU - CaliforniaWGU - FloridaAmerican DataBank LLC – www.wgucompliance.comWGU - IndianaWGU – Texassupportits@americandatabank.comWGU - UtahRevised on 06/28/2012
Western Governors University Initial Form - ITSPre-Licensure NursingPage 5Western Governors University Annual TB Screening FormAnnual Health Screening Questionnaire for History of Positive TB Skin TestInstructions: Annual symptom screening is required for all students who have a history of a positivetuberculosis skin test (PPD skin test). Students are required to complete this form yearly only if they have ahistory of a positive TB skin test.When did you convert to a positive PPD?What is the date of your last chest x-ray?Result:Do you CURRENTLY have symptoms of:Weight loss (unrelated to dieting)Loss of appetite for 2 weeksBloody sputumNight sweats/feverUnusual fatigue for 2 weeksPersistent cough 2 weeksYES NO Answering “yes” to any of the above questions constitutes a positive screening evaluation and requiresfurther follow-up with your Health Care Provider.I am aware that misrepresentation of health information may result in dismissal from the program. I declarethat my answers and statements are correctly recorded, complete, and true to the best of my knowledge.Student Print Name DateStudent SignatureAmerican DataBank LLC – omRevised on 06/28/2012
Pre-Licensure NursingPage 6Western Governors University Initial Form - ITSWestern Governors UniversityPhysical Examination FormEach nursing student must have a licensed M.D., N.P., C.N.M., or P.A. complete the form below and document that youare able to fulfill the ESSENTIAL JOB FUNCTIONS of an R.N. listed on page two.Student Name: Birth Date: SS#Gender: Male Female HeightVital Signs: B/P /WeightPulse Respiratory rate TemperatureVision OS: OD: OU: Hearing R: L:Function urologicalIntegumentMusculoskeletalImmune systemEndocrineMental HealthAbility to PerformFunctionYesNoCommentAble to work standing, sitting, bending, liftingAble to use all physical sensesAble to perform fine motor skillsAble to coordinate physical and mental activities to performtasks or skills safelyAble to communicate effectively in EnglishPossess sound mental healthDoes not have any disability that would interfere withcognitive, physical, or sensate ability to function safely inpatient care situationsOffice/Clinic StampProvider’s Signature:Print Name:Date:American DataBank LLC – omRevised on 06/28/2012
Pre-Licensure NursingPage 7Western Governors University Initial Form - ITSWestern Governors UniversityHealth Care Provider Attestation FormDear Health Care Provider,Below is a list of essential job functions that the student MUST be able to execute in order toperform successfully in the role of a registered nurse. By signing below you acknowledge that to the best ofyour knowledge, there are no reasons you are aware that would prohibit a student from accomplishing any ofthe following functions within normal expectations. Attach comments if any. Thank you.Student Name:Work hours:1. Must be able to work at various clinical sits, including the hospital, at least 8-12 hours per day two days per week.2. Must be able to attend the nursing and other college theory classes on additional 1-3 days per week.3. Must be able to take theory and clinical classes lasting as much as 12 hours per day.Physical demands:1. Must be medically cleared to complete all physical demands required of a registered nurse in a health care setting.2. Must be able to use all physical senses, i.e., seeing hearing, feeling, smelling in a manner that allows the nurse to be able toaccurately assess the patient and clinical situation.3. Must be able to use fine motor skills of the hands to carry out clinical procedures accurately and safely.4. Must be able to operate carried medical equipment.5. Must be able to perform such duties as, but not limited to:a. Transfer patients of various sizes and weights into onto and out of bed, chairs, stretchers and other surfaces.b. Lifting at least 20 pounds.c. Maneuvering, pulling, pushing, lifting and turning of patients in awkward positions.d. Performing related tasks which require the use of hands, arms, shoulders, legs and feet.e. Participating in work related activities that require extensive bending, kneeling, and crouching, stooping, standingand critical movements.Work Environment:1. Must be able to recognize potential risks in health care settings which require the wearing of safety equipment such asmasks, head coverings, glasses, latex or non-latex gloves, shoe coverings, etc.2. Must be able to meet hospital and college performance standards3. Must be able to travel to and from academic and clinical training sites.Cognitive Abilities:1. Must be able to understand and work from written and verbal orders.2. Must possess problem solving skills3. Must possess effective verbal and written communication skills in English sufficient to safely work in academic and clinicalsettings.4. Must possess technical competency.5. Must be in a functional state of mental health.6. Must not have any disability that would interfere with cognitive, physical or sensate ability to function safely in patient care(nursing) situations.7. Must possess the ability to adapt quickly to changes renascent of the health care environment.Health Care Provider (Print Name): Date:Health Care Provider Signature:American DataBank LLC – omRevised on 06/28/2012
Pre-Licensure NursingWestern Governors University Initial FormWestern Governors UniversityStudent Attestation FormDear Student,Below is a list of essential job functions that you MUST be able to execute in order toperform successfully in the role of a registered nurse. By signing below you acknowledge there are no reasonsyou are aware of that would prohibit you from accomplishing any of the following functions within normalexpectations.Student Name:Work hours:1. Must be able to work at various clinical sites, including the hospital, at least 8-12 hours per day two days per week.2. Must be able to attend the nursing and other college theory classes on additional 1-3 days per week.3. Must be able to take theory and clinical classes lasting as much as 12 hours per day.Physical demands:1. Must be medically cleared to complete all physical demands required of a registered nurse in a health care setting.2. Must be able to use all physical senses, i.e., seeing hearing, feeling, smelling in a manner that allows the nurse to be able toaccurately assess the patient and clinical situation.3. Must be able to use fine motor skills of the hands to carry out clinical procedures accurately and safely.4. Must be able to operate carried medical equipment.5. Must be able to perform such duties as, but not limited to:a. Transfer patients of various sizes and weights into onto and out of bed, chairs, stretchers and other surfaces.b. Lifting at least 20 pounds.c. Maneuvering, pulling, pushing, lifting and turning of patients in awkward positions.d. Performing related tasks which require the use of hands, arms, shoulders, legs and feet.e. Participating in work related activities that require extensive bending, kneeling, and crouching, stooping, standingand critical movements.Work Environment:1. Must be able to recognize potential risks in health care settings which require the wearing of safety equipment such asmasks, head coverings, glasses, latex or non-latex gloves, shoe coverings, etc.2. Must be able to meet hospital and college performance standards3. Must be able to travel to and from academic and clinical training sites.Cognitive Abilities:1. Must be able to understand and work from written and verbal orders.2. Must possess problem solving skills3. Must possess effective verbal and written communication skills in English sufficient to safely work in academic and clinicalsettings.4. Must possess technical competency.5. Must be in a functional state of mental health.6. Must not have any disability that would interfere with cognitive, physical or sensate ability to function safely in patient care(nursing) situations.7. Must possess the ability to adapt quickly to changes renascent of the health care environment.Student Name (Print Name): Date:Student Signature:American DataBank LLC – omRevised on 07/25/2014
Pre-Licensure Nursing Page 4 8. Health Insurance: Annual You must show evidence of health insurance coverage prior to your first lab at WGU and annually thereafter. 9. Physical Examination: One Time You must show proof of a physical examination within the last year utilizing the WGU form provided for you.
and Influenza Immunization Summit (NAIIS) is pleased to announce the recipients of the 2016 Immunization Excellence Awards. There are six categories of recognition: overall influenza season activities, influencer, "immunization neighborhood" champion, corpo-rate campaign, adult immunization champion, and adult immunization publication award.
The Kentucky Immunization Registry is an IIS Statewide Immunization Information System (IIS) Information system that houses immunization data on Kentucky residents across-the-lifespan record keeping (birth to death) Allows providers the ability to access and retrieve immunization records prior to or at the time of a scheduled appointment.
immunization against α-syn can occur in one of two forms, active or passive immunity [18]. Active immunization involves stimulating the immune system to produce anti-bodies against toxic α-syn conformations, while passive immunization involves administering anti- α-syn antibodies to the patient, which confers temporary protection against the .
Immunization for Adult SOT Alberta Immunization Policy Special Situations for Immunization 2021 Government of Alberta Revision Date: July 14, 2021 Published August 2021 Page 2 of 6 Vaccine Series Comments
Describe the Advisory Committee on Immunization Practices General Best Practice Guidelines on Immunization. Describe an emerging immunization issue. For each vaccine -preventable disease, identify those for whom routine immunization is recommended. For each vaccine -preventable disease, describe characteristics of the vaccine used
Object tracking is the process of nding any object of interest in the video to get the useful information by keeping tracking track of its orientation, motion and occlusion etc. Detail description of object tracking methods which are discussed below. Commonly used object tracking methods are point tracking, kernel tracking and silhouette .
ALERT IIS Comma Delimited (csv) File Transfer Specification 3 of 21 Introduction Thank you for your interest in electronic data exchange with the Oregon ALERT Immunization Information System (IIS). Getting timely and accurate immunization data into ALERT IIS is important for your clinic and for the individuals you serve.
Animal tracking, pallet level tracking Item / Case level tracking Item / Case level tracking, pallet tracking 2.1.2 Active RFID Tags Active RFID tags possess their own internal power source that enables them to have extremely long read ranges. Typically, active RFID tags are powered by a battery which lasts a few years depending on the use case.
