The Lion's Pride Volume 10 (Spring 2018) | Page 51

application. The clinical portion of the program is conducted onsite at a skilled nursing healthcare facility. Students, along with any worker, are covered under the healthcare workers vaccination protocol as mandated by the United States of America’s Department of Health Services. Through the process of reviewing and collecting the immunization records I noticed a tetanus, diphtheria, and pertussis (TDaP) vaccine as a requirement. I was not worried about the extra effort in providing a physician note for the aforementioned warning about the tetanus vaccine. However, I wouldn’t be immune to the D and the P. Was diphtheria still an active disease? I knew pertussis was active because of the recent outbreak in the state of Washington. I did not think it was a big deal. As it turns out, it is a really big deal, and to work in any healthcare facility they would require a definitive answer on my tetanus status if I wanted to ever provide direct patient care without wearing a procedure mask. Regardless of the absence of symptoms, I could be a carrier of pertussis which is a highly contagious infection of the respiratory tract, otherwise known as whooping cough. The Department of Health’s Center for Disease Control (CDC) has carefully researched vaccinations and deemed that the pertussis antigens are activated by the tetanus antigens and together boost the body’s immune system against both diseases. Because one cannot have one antigen with lasting effects without the other, the pertussis became my priority. A combination benefit with the prick of one needle.