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Immunisations

In order to attend clinical practice placements you must be appropriately immunised against the diseases listed below.

We require all students to be appropriately immunised against measles, mumps, rubella (German measles), and Varicella (chickenpox) diseases for clinical practice placement.

Evidence of immunity

If you know or believe that you have been vaccinated in the past, you still need current evidence of immunity. Please make an appointment to see your GP or the doctor at Student Health Services on campus. The doctor will write a pathology centre referral form for you to attend and have blood taken for serological testing. The blood test will measure your immune response to the vaccination.


You will need to return to see the doctor to discuss the results. Your test results will indicate one of the following:

  • you have immunity;
  • you may be borderline immune; or
  • you have a low or no level of immunity.

The doctor will discuss and plan with you if you need any further vaccination to protect your clients and yourself against risk.

If you know you have not received vaccinations, you will need to make an appointment to see either your GP or the doctor at Student Health Services on campus. They will discuss with you any concerns or risks that you may have and plan a schedule of vaccination with you. The doctor will also discuss with you when you need to return for serological testing to ascertain an adequate immune response.

Only once you have received your serology reports, demonstrating immunity, are you able to present your pre-practicum preparation portfolio as complete and receive your ECU pre-practicum preparation Card.

If you are not immune

Measles, Mumps

You will require a booster of the vaccine if you have low or no immunity, to protect your clients and yourself against risk. This will be discussed and planned with you and your doctor.

Rubella (German Measles)

It is not unusual for women to be properly vaccinated for Rubella but have low levels of immunity. Evidence of original vaccination, serology showing low immunity and a booster vaccination (after the serology report) is sufficient evidence. You will not require a repeat blood test after your booster.

Varicella (Chickenpox)

Vaccination with 2 doses of vaccine may not produce a positive blood test but is effective in confirming immunity. Hence, students with an initial negative blood test for Varicella will need to provide proof of 2 subsequent vaccinations but will not require a repeat blood test.

We require all students to be appropriately immunised against the Hepatitis B disease for clinical practice placement.

Evidence of immunity

If you are in the process of completing your Hepatitis B vaccination program and have had the first 2 vaccines, you may submit your documentation with a covering letter indicating your progress through this immunisation, the date you are booked for your final vaccination and follow up serology test.

You will then be responsible to provide evidence of the completion of your hepatitis B vaccinations plus follow up serology 4 weeks after your third vaccine.

If you have never received vaccinations for Hepatitis B, this needs to be a priority as the full vaccination program takes 6 months to complete.

The vaccination schedule is as follows:

  • First vaccine - At any given time;
  • Second vaccine - At least one month after the first dose;
  • Third vaccine - Six months after the first dose; and
  • Serology 4 weeks after the third vaccine to prove immunity.

If you are not immune

You will require a booster of the vaccine if you have low or no immunity, to protect your clients and yourself against risk. Plus, follow up serology 4 weeks after the booster.

This will be discussed and planned with you by your doctor.

We require all students to be appropriately immunised against the Diphtheria, Tetanus and Pertussis diseases, for clinical practice placement.

Evidence of immunity

Proof of vaccination for Diphtheria, Tetanus and Pertussis is only valid if administered in the last 10 years. If the complete course was given over 10 years ago, a booster is required. You will need to discuss this with your doctor.

Assessment of the need for immunisation will be assisted by a past record of childhood and adolescent immunisations. Documented evidence of a booster adolescent/adult dose of dTpa is a mandatory requirement. Australia introduced a booster dose of Tetanus/Diphtheria/Pertussis for 15 year olds in 2004. The booster dose may appear as dTpa/Boosterix or Adacel on an immunisation record. Vaccination with ADT (adult Diphtheria and Tetanus) DOES NOT cover Pertussis (whooping cough) and therefore does not comply with mandatory immunisation requirements.

The Department of Health Immunisation Record card is ideal as a form of evidence.

BCG is not recommended for routine use in the general population, given the low incidence of TB in Australia. However, some groups are at increased occupational risk of tuberculosis (e.g. Healthcare workers) and BCG may be warranted for this group of people. We require all students to be appropriately immunised against tuberculosis for clinical practice placement.

Evidence of immunity

You are required to provide evidence of immunity from Tuberculosis for clinical practice. Either Quantiferon Tb Gold (blood test) or Mantoux (skin test) may be used in screening for past exposure to TB.

Quantiferon testing

A blood test is available for Tuberculosis screening. This test is called Quantiferon. Quantiferon offers an acceptable option to the Mantoux test. Quantiferon, in contrast to Mantoux testing, requires only a single visit to a pathology collection centre. The cost of a Quantiferon whole-blood test is comparable to that of a Mantoux test. And can be performed at the same time as other blood tests undertaken to confirm immunity to infectious diseases.

Quantiferon testing is only available with a pathology request form from your GP at the major collection centre’s of Western Diagnostic, Clinipath and St John of God Pathology.

This test is also available at the ECU Student Health Service.

Mantoux test

A Mantoux test can be performed by:

  • CliniPath in West Perth; and
  • Western Diagnostic in Myaree, Mounts Bay Road and Joondalup.

Ask the Doctor you are consulting for a pathology form for the centre convenient for you.

There are 2 stages of the test:

  • application of the test dose; and
  • reading of results 2-3 days later.

Exemption from Mantoux

There are medical indications why a Mantoux test should not be performed. If you consider you should not have a Mantoux test, please discuss this with your GP or Student Health Services.

If you are unable to have a Mantoux test, a chest x-ray accompanied by a written report from a GP, stating the film is clear, will be accepted as evidence.Mantoux testing should not be undertaken within four weeks of any vaccinations with a live virus e.g. MMR, Varicella, Yellow Fever.

If you are not immune

A positive Quantiferon Tb Gold or Mantoux test usually requires further medical assessment and a certificate indicating fitness to practice. If there is any doubt with your results, you must make an appointment to see your doctor to discuss this. The outcome will need to be discussed with the nominated person in your school.

We require all students to be appropriately immunised against the Influenza virus for clinical practice placement.

Evidence of immunity

An annual Influenza vaccination is available through your GP or the Student Health Services and is highly recommended for all students. Please be aware that this is a requirement for attendance at some health facilities.

Make an appointment to see your GP or Student Health Services to receive the vaccine. Even though the vaccine is not live, you may have some mild symptoms of the flu after vaccination.

Precautions: Influenza is highly contagious and can have life threatening consequences for some people. Whilst coughing and sneezing you are infectious. Remain away from the vulnerable for this period.

We require all students to be appropriately immunised against the Polio disease, for clinical practice placement.

Evidence of immunity

Polio is no longer required as a vaccine every 10 years. Proof is required that you have received the vaccination once in your lifetime.

Polio can be given on its own or as a combination with Diphtheria, Pertussis and Tetanus.

If you are a domestic of international student with evidence of full childhood vaccinations, you will not need a polio booster unless you are planning on a clinical placement overseas where Polio is recognised as a risk. If you are a domestic or international student with no evidence of full childhood vaccinations, it will be recommended to you that you receive a polio vaccination.

The Department of Health Immunisation Record card is ideal as a form of evidence.

Please note: Polio immunisation is recommended but not compulsory.

What if I am infected or a carrier?

Should any of your results indicate that your immunisation levels are not adequate, you will need to discuss this further with your GP or the Student Health Services at ECU.

Dependent upon the outcome of your discussion, a plan of treatment may be scheduled. The coordinator of clinical placements in your discipline will need to see evidence that you are fit for clinical practice.

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