New Employees

In the interest of safeguarding the health of patients, all new medical school employees, non appointees, volunteers, and visitors are required to participate in a new employee evaluation. This evaluation will include required or recommended immunizations, as dictated by the conditions of the applicant’s position. This usually is initiated during the new employee orientation sponsored by Human Resources. Employees who don’t attend the new employee orientation can make an appointment by contacting Occupational Health Services at (314) 362-3528

When attending new employee orientation or coming to Occupational Health for a new employee evaluation, employees should complete and bring the Occupational health history form along with copies of immunization records as indicated. All employees, regardless of job duties, have 10 business days after hire to participate in a new employee evaluation from Occupational Health and initiate employee testing/immunization requirements. 

New employee evaluation

Generally, new employees will be assessed for:

  • Tuberculosis (TB) skin testing/ IGRA testing (blood test for TB). The office of Occupational Health and Safety (OSHA) requires that all newly hired employees who have patient or human research subject contact participate in “two-tep” TB testing. This means that employees are required to provide proof of two TB tests placed and read in millimeters in the last 12 months. If the employee has had a positive test in the past, they must provide proof of the positive TB test and last chest x-ray report. The Bacillus Calmette–Guérin (BCG)  vaccine is not a contraindication to testing; often our office can provide IGRA testing which is able to differentiate between BCG vaccination and latent TB infection
  • Hepatitis B immunity. The Hepatitis B vaccine is strongly encouraged for those who may be exposed to blood, body fluid, human tissue or human cell lines. There is no charge for this vaccine for eligible staff. Employees who choose to decline this vaccination must sign a statement to that effect. Occupational Health also encourages that all employees who work with human blood and body fluids provide evidence of a positive Hepatitis B antibody titer.
  • Measles, Mumps, and Rubella immunity. WUSM requires employees working with patients in emergency medicine, infectious disease, obstetrics, oncology, pediatrics, radiation oncology, the Siteman Cancer Center, or with children must provide authentic documentation of two doses of measles, mumps and rubella (MMR) vaccines (with the first dose given after the first year of life) or titer results showing immunity. (Authentic documentation is defined as actual records from either a health care provider or childhood caregiver.) All dialysis technicians, medical doctors, medical assistants, nurse anesthetists, nurse practitioners, occupational and physical therapists, physician assistants, polysomnographic, echo, vascular and ultrasound technicians, registered nurses, respiratory therapists, and social workers (regardless of department) must provide this information as well.
  • Varicella (Chickenpox) immunity. WUSM requires employees working with patients in emergency medicine, infectious disease, obstetrics, oncology, pediatrics, radiation oncology, the Siteman Cancer Center, or with children must written “authentic” documentation of 2 doses of varicella vaccine, OR laboratory evidence of immunity OR diagnosis or verification of a history of varicella disease by a health-care provider, OR diagnosis or verification of a history of Herpes Zoster by a health-care provider. All dialysis technicians, medical doctors, medical assistants, nurse anesthetists, nurse practitioners, occupational and physical therapists, physician assistants, polysomnographic, echo, vascular and ultrasound technicians, registered nurses, respiratory therapists, and social workers (regardless of department) must provide this information as well.
  • Tetanus, Diphtheria, Pertussis (Tdap) vaccine. Tdap vaccine is offered to all medical personal (medical doctors, nurses and medical assistants) working in a health care setting.
  • Seasonal Influenza vaccine. The influenza vaccine is strongly encouraged for all employees.  For certain employees (including health care workers) it is mandatory from October 1 to March 31. Please see the Flu Visitor Policy for more details.