Student Training Pharmacy & Nursing

Student Training EMS
Name (Legal name)

First NameLast Name
Email
example@example.com
Scan the QR code or click the link below to complete required training:

(Must be completed by ALL Students & Instructors)
Use this password to login for required regulatory training: WHStudent26
https://rise.articulate.com/share/4Kn3_Dw-Qjvg_1tfZczOWKGOPFK9RjaP
Download the Certificate for required regulatory training here:

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TB Risk Assessment & Symptom Evaluation- please type your full name
Temporary or permanent residence of greater than or equal to 1 month in a country with high TB rate. Any country other that the United States, Australia, New Zealand, Northern or Western Europe.
Current or planned immunosuppression. Including human immunodeficiency virus (HIV) infection, organ transplant recipient, treatment with a TNF-alpha antagonist (e.g. infliximab, etanercept, or other), chronic steroids (equivalent of prednisone greater or equal to 15mg/day for greater or equal to 1 month) or other immunosuppressive medication.
Close contact with someone who has had infectious TB disease since the last TB test.
Productive, persistent cough lasting 2-3 weeks in duration?
Blood in sputum?
Night Sweats?
Weight loss not caused by dieting?
Fatigues, tires easily?
Unexplained fever or shortness of breath?
If "Yes" to any question please explain:
My signature below indicates that my TB Risk Assessment is accurate:
Date

MonthDayYear
Date

Fit Testing
Review the acceptable and unacceptable types of facial hair- This form may be printed for your reference.
Print and complete this form. Download in the box below after completed
Upload completed Respiratory Questionnaire here:

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Student Training EMS