Step 3: Clearance Items

• Date of Birth
  • Enter your date of birth (mm/dd/yyyy) in the "New Value" box.
• Social Security Number
  • Enter your full social security number in the "New Value" box.
  • There is also an option to enter your SSN via the profile section of mCE. You can choose which way you would like to submit it.
  • If you do not have a SSN, please use your home country’s identification number or a combination of other numbers you can remember (9 digits long).
    • No sequential numbers (e.g., 123-45-6789 or 456-78-9101)
    • No numbers that are all the same (e.g., 222-22-2222)
    • May not enter all zeroes (i.e., 000-00-0000)

Enter your local address in the "New Value" box and include the effective date (when you will physically live there).

Enter your mobile phone number (with area code) in the “New Value” box.

Please enter the following in the "New Value" boxes of the following items:

• Name (first and last)
• Phone Number (with area code)
• Relationship to you (mother, father, wife, husband, partner, etc.)

Please submit your driver’s license state and number in the in the "New Value" box in the following format: SC 123456789.

If you do not have a driver’s license, you may use your passport number or an official photo ID number.

• Please submit the background report that was completed during the application process.
• Select "Documentation meets requirements" in the new value dropdown.

Learning Hub is a learning management system (used by all Prisma Health employees, contract workers, students and volunteers) that provides you with important healthcare modules required to begin your role at Prisma Health (HIPAA, infection control, patient rights, etc.). All assigned modules must be completed prior to your rotation start date. Due dates listed in Learning Hub are not relevant for students, faculty, staff or scholars.

Learn More

Epic is the electronic medical record (EMR) system used by Prisma Health. In order to gain access to this program, you must complete modules in Learning Hub. These modules will not automatically be assigned to your account; you must search for and self-assign them. Please note, if you completed a module previously, you will not be required to take it again.

M1 & M2 Students: EPIC Clinical View Only
M3 & M4 Students: EPIC E-Learnings Medical Students 100 and EPIC Ambulatory Physician

• If you you have completed the necessary process to receive official medical interpreter status, upload a copy of your completed “Language Services Bilingual Employee Program Approval Form.”
  • Enter the date the form was signed by Language Services in the “New Value” box.
  • If your assessment is still in progress, select “N/A” until you have the appropriate documentation. You can always update this in the future.
• If you did not complete this process, please select the “N/A” box then click save.

TB (Tuberculosis) Screening:

First Time Students, Faculty, Staff and Scholars (one of the following upon initial clearance):

• QuantiFERON® or T-spot blood tests, drawn within the past year.
  • A positive test indicates TB infection (either active or latent). Chest X-ray and further evaluation will be necessary. Please see the section below on Positive Screenings.
  • If you have received the BCG vaccine, a PPD will likely give a positive result. It is recommended that you obtain a blood test for the most accurate screening results and to prevent the necessity of undergoing additional testing.

• Two-Step TB PPD test (this is a 4 step process - 2 placements and 2 readings), completed within the past year. The following is the standard process for completing a two-step TB PPD test:
  • Visit 1, Day 1: PPD antigen is applied under the skin.
  • Visit 2, Day 3: PPD test is read (within 48-72 hrs. of placement). If positive, it indicates TB infection and a chest x-ray and further evaluation is necessary.
  • Visit 3, Day 7-21: a second PPD skin test is applied (for those that test one was negative)
  • Visit 4, 48-72 hours after placement: the second test is read.
    • A positive 2nd test indicates TB infection in the distant past. Chest X-ray and further evaluation will likely be necessary. Please see the section below on Positive Screenings.

• Annual TB PPD test: An annual test will only be accepted if you have previously received a two-step TB test and have maintained annual 1-step testing each following year. Documentation of the two-step test plus all annual tests since then are mandatory.

• Chest X-ray: Only accepted when a person has a positive TB test. The chest X-ray must be done within 6 months prior to the start of the rotation.
  • A positive test indicates active TB infection. Please see the section below on Positive Screenings.

Positive Screenings

• If you receive a positive blood or PPD screening, you are required to obtain a chest X-ray to determine if you have active Tuberculosis disease. ​
  • Negative Chest X-ray: you will likely be offered optional treatment for latent Tuberculosis disease.
    • If you accept the treatment plan, please email all related documentation to Student.Affairs@PrismaHealth.org.
      • Student Affairs will reach out to confirm you completed the treatment, but no further action will be required for future rotations.
    • If you decline treatment, you will need to email all TB documentation along with a TB Symptom Questionnaire to Student.Affairs@PrismaHealth.org.
      • Symptom questionnaires will be required for subsequent rotations on an annual basis.
  • Positive Chest X-ray: you will be required to report to DHEC and undergo treatment for active Tuberculosis infection.
    • Please email all related documentation to Student.Affairs@PrismaHealth.org. Prisma Health Employee Health will confirm all documentation and provide a date in which you are eligible to start your rotation.
    • Student Affairs will reach out to confirm you completed the scheduled treatment, but no further action will be required for future rotations.

Returning Students, Faculty, Staff and Scholars:

• Prisma Health does not require annual TB screening for students, faculty, staff and scholars in subsequent rotations unless there is a break between rotations of over one year.  In this case, you must obtain initial testing as described above (2-step PPD or TB blood test).

​Note: TB PPD (skin) tests cannot be administered within 30 days of MMR or Varicella vaccine; live vaccines may cause a false positive for the TB PPD (skin) test. 

How to complete the compliance checklist:

• Upload all TB documentation from your health care provider stating the date(s) and result(s) of the test(s) to mCE.
  • PPD documentation must show the placed and read dates along with the results of both tests.
• Select the appropriate statement from the new value dropdown:
  • Test(s) were negative for TB
  • Test(s) were positive for TB, but negative chest Xray 
  • Test(s) were positive for TB, and received TB treatment
    • This option should be selected for those who obtained both mandatory and optional treatment

• What’s Required:
  • Documentation of two vaccinations or positive titers.
    – In cases of partial negative titers:
    • If only the rubella is negative, you need to receive one MMR vaccine.
    • If either the measles or mumps titer is negative, you must receive 2 MMR vaccines.
    • Equivocal titer results are considered negative.
  • Please note: MMR vaccines are given 30 days apart 

• How to complete the compliance checklist:
  • Submit documentation from a health care provider stating the dates of your two vaccinations or positive titer results.
  • Select "Documentation meets requirements" from the new value dropdown.

• What’s Required:
  • Documentation of two vaccinations or a positive titer.
    • Equivocal titer results are considered negative.

• How to complete the compliance checklist:
  • Submit documentation from your health care provider stating the dates of your two vaccinations or your positive titer results.
  • Select "Documentation meets requirements" in the new value dropdown.

​Note: Prisma Health does NOT accept “history of having the chicken pox” as proof of immunity. You must have either two varicella vaccinations or a positive titer.

What’s Required:

• Documentation of a QUANTITATIVE Hep B Surface Antibody titer preferably (but not required) to be drawn 4-8 weeks after the 3^rd vaccination (or after the 2^nd vaccination if you received the 2-series Dynavax Heplisav vaccine)
  • ​If your titer result is positive (showing immunity), there is nothing more to do.
  • If your titer result is negative (showing non-immunity), you must show proof of an initial Hep B series along with your negative titer results.
    • The 2-series Heplisav vaccine must be obtained after school has started from USC Health Services. A second titer should be drawn after series completion to test for immune status. Please inquire with USC Health Services for more information.
    • Please note: documentation must include the brand of the vaccine in order to identify it as the 2-series version. If no brand is present on documentation, it will be assumed that it is a 3-series vaccine.

How to complete the compliance checklist:

• If your Hep B titer was positive:
  • Upload documentation of your titer.
  • Select "Received positive Hep B titer" in the new value dropdown.
• If your titer was negative:
  • Upload documentation of your completed Hep B series as well as your negative titer result. 
    • Select "Received initial Hep B series, but negative titer" in the new value dropdown.
  • After the booster series is completed and a second titer has been drawn, upload all related documentation and choose the appropriate statement in the dropdown menu.
    • "Received positive Hep B titer"
    • "Non-responder" (for a negative titer result after the booster series)

What’s required:

• Tdap (not TD) vaccine administered after the age of 18

How to complete the compliance checklist:

• Upload documentation of a Tdap vaccine administered after the age of 18. 
• Tdap vaccinations are valid for 10 years after administration. Please select the appropriate statement from the new value dropdown:
  • "Received Tdap vaccine after the age of 18, will NOT expire within the next 4 years"
  • "Received Tdap vaccine after the age of 18, WILL expire within the next 4 years"

What’s required:

• Documentation from your health care provider stating the date of your CURRENT SEASON flu vaccination. Make sure your name is clearly visible on the documentation.
  • A current version of the flu vaccine will be provided by UofSC Student Health Services in the fall of each year.
• You may request a medical or religious exemption to the influenza vaccination:
  • To complete a medical exemption request, email the completed Influenza Vaccine Medical Exemption Request form to Student.Affairs@PrismaHealth.org. Student Affairs will submit your form to Employee Health for their review on your behalf.
  • To complete a religious exemption request, complete the Religious Exemption Request form, and upload it to your myClinicalExchange (mCE) compliance checklist.

How to complete the compliance checklist:

• Vaccinations
  • Enter the renewal date of NEXT flu season (11/01/2023) in the “New Value” box of mCE.
  • Upload documentation of your fall 2022 flu vaccination.
• Approved Medical Exemption
  • Upload the approved exemption request form after it has been completed by Employee Health.
  • Enter the renewal date of NEXT flu season (11/01/2023) in the “New Value” box of mCE.
• Religious Exemption
  • Upload the completed religious exemption request form. Please note, if your documentation does not include all requirements, it will be declined.
  • Enter the renewal date of NEXT flu season (11/01/2023) in the “New Value” box of mCE.

What's required:

• Select your COVID-19 vaccination status in the dropdown box.
  • Select “Fully Vaccinated” if you have received a complete dose of the COVID-19 vaccine (2 vaccinations for Moderna and Pfizer, 1 vaccination for J&J/Janssen).
  • Select “Medical Exemption” if you have a Prisma Health-approved medical exemption from receiving the COVID-19 vaccine.
  • Select “Religious Exemption” if you have a Prisma Health-approved religious exemption from receiving the COVID-19 vaccine.
• Please note, the status chosen in this item must match the documentation uploaded in the COVID Vaccination/Exemption Documentation item below. 

What's Required:

• A complete dose of COVID-19 vaccine (2-series Pfizer or Moderna, 1 vaccine Jannsen/J&J)
• You may request a medical or religious exemption to the COVID-19 vaccination:
  • To request a medical exemption, email the completed COVID Vaccine Medical Exemption Request form to Student.Affairs@PrismaHealth.org. Student Affairs will submit your form to Employee Health for their review on your behalf.
  • To request a religious exemption, complete the Religious Exemption Request form, and upload it to your myClinicalExchange (mCE) compliance checklist.
  • Please note, if you are a Prisma Health Team Member, you will upload your approved Team Member exemption to mCE. Please do not submit a second exemption request for your student and/or instructor role.
• Please note, you may not begin your experience with Prisma Health until you have completed your vaccination series or your exemption request has been approved.

How to complete the compliance checklist:

• For those who answered "Fully Vaccinated” or "Fully Vaccinated + 1 (or 2) booster(s)" in the COVID-19 Vaccination Status section, enter the date you received your most recent COVID-19 vaccination in the New Value box, and upload your vaccination documentation.
  • Please note, documentation for this item must match the status selected in the "COVID-19 Vaccination Status" item above.
• For those who answered “Medical Exemption” in the COVID-19 Vaccination Status section, enter the date your request was approved by Employee Health in the New Value box, and submit the approved exemption document.
• For those who answered “Religious Exemption” in the COVID-19 Vaccination Status section, enter today's date in the New Value box, and submit the exemption document for review. Please note, if your documentation does not include all requirements, it will be declined.

Resources for Obtaining Immunizations/Tests

If you are lacking any of the requirements above, the following locations may be able to administer the immunizations or titers you need:

• The student health center at your home university/college
• Your doctor’s office or an urgent/convenience care center like MD360
• Flu Shots and PPD/TB tests are available at CVS, Walgreens and other family pharmacy/drug stores
• Titers are available at commercial labs like Any Lab Test Now or Labcorp
• Prisma Health Center for Health and Occupational Services (CHOS), 1020 Grove Road Greenville, SC 29605, 864-455-2300
• Prisma Health Occupational Health Services Columbia, 1301 Taylor St., Suite 2H, Columbia, SC 29201, 803-296-3500
• Prisma Health Occupational Health Services Seneca, 105 Omni Dr., Seneca, SC 29672, 1-833-890-2109
• Prisma Health Occupational Health Services Sumter, 250 W. Wesmark Blvd., Sumter, SC 29150, 803-774-8842

Typical immunization/test costs (for comparison only, prices are subject to change)

• Tuberculosis (TB) Testing
  • 1-Step TB PPD: $25-$28
  • 2-Step TB PPD: $50-$56
  • QuantiFERON Gold blood test: $80 + $4 venipuncture fee
• Measles, Mumps & Rubella (MMR) Vaccination: $62-$73 + $25 administration fee
• Hepatitis B Vaccination (2-dose Heplisav): $115 + $25 administration fee per vaccination
• Varicella Vaccination: $113-$124 + $25 administration fee
• Flu Vaccination: $33-$35
• Titers: There is a $4 venipuncture fee for all lab draws, but you will only be charged once if multiple titers are done on the same day.
  • Measles: $25
  • Mumps: $25
  • Rubella: $28
  • Hepatitis: $21-$30
  • Varicella: $25-$45