UTHSCSA Policies, Procedures, Responsibilities, and Requirements

(taken from the 2001-2003 UTHSCSA Student Guide)

 

Equal Opportunity

Absences on Religious Holy Days

Alcohol Policy for Student Organizations

Animal Use Policy

Change of Address

Clearance to Withdraw

Graduation Procedures

Hazing

Inclement Weather Policy

Invitations to Elected or Appointed Officials

Official Notification Procedure

Personal Emergency Notification

Professional Liability Insurance

UTHSCSA Fraud Policy

UTHSCSA Sexual Harassment Policy

Smoking Policy

Software Copyrights

Student Debts

Financial Responsibilities

Student Publications

Student Role in University Decision Making

Students Serving on Committees

AIDS/HIV/HBV Infection Policies

     UTHSCSA Policy                         

     UT System Policy

Needlestick Policy

Alcohol, Drug, and Chemical Abuse

Student Conduct and Discipline

Privacy Rights

Equal Opportunity

No person shall be excluded from participation in, denied the benefits of, or be subject to discrimination under any program or activity sponsored by The University of Texas Health Science Center at San Antonio on any basis prohibited by applicable law, including but not limited to, race, color, national origin, religion, sex, veteran status, disability, or sexual orientation.

Absences on Religious Holy Days

Students may take an examination or complete an assignment missed during the observance of a religious holy day(s) if they give notification of the planned absence to the instructor(s) no later than the fifteenth day after the first day of the semester.  A “religious holy day” is a day observed by a religion whose place of  worship is exempt from property taxation under Section 11.20 of the Tax Code.  Notification to instructors must be accomplished by the use of a standard form (Notification of Planned Absence ToObserve a Religious Holy Day) available from the Registrar’s Office which, upon completion, will meet the policy requirements of the University regarding absences for observance of a religious holy day. The Notification of Planned Absence To Observe a Religious Holy Day form is initiated by the student and signed and dated by the instructor.  Instructors, upon notification, will stipulate a “reasonable time” in which the student may complete an assignment or take an examination scheduled on the day(s) the student is absent for the purpose of observing a religious holy day. If the student fails to satisfactorily complete assignments or examinations within the stipulated “reasonable time,” loss of credit for work or a failing grade for an examination will result.  This policy will be followed unless it interferes with patient care.

Alcohol Policy for Student Organizations

Approval to serve alcoholic beverages will only be given to official student functions sponsored by the Office of Student Services such as the on-campus individual school picnic’s held at the beginning of the academic year and selected on-campus SGA events. The Assistant Vice President for Student Services shall petition the president’s office for the official designation of selected events.  In implementing a University Policy on the service of alcohol, all Health Science Center student events approved for alcohol must complete the Request for Alcoholic Beverages on  Campus for Student Organizations from the Office of Student Services and comply with the following requirements:

 

1.         Provide designated drivers.

2.         Utilize designated servers who have been certified by the Texas Alcoholic Beverage Commission.

3.         Provide non-alcoholic beverages.

4.         Provide food.

5.         Check picture identifications. Must have birth date.

6.         Have a University faculty advisor or her/his designee present at this event.

7.         Have sufficient University Police Officers based on number of attendees and type of event.

 

Failure to comply with these requirements will result in a loss of privileges regarding use of alcohol on campus.

Animal Use Policy

All animals used for teaching, training, and research, or any other activities by UTHSCSA faculty, staff, and students on this campus or elsewhere, shall be used and cared for in accordance with all applicable provisions of the Animal Welfare Act and other Federal statutes and regulations relating to the humane care and use of laboratory animals. Misuse or abuse of laboratory animals will not be tolerated and should be reported to the Institutional Animal Care and Use Committee.  The HSC offers courses in which laboratory animals are an integral part of the curriculum. Although students are encouraged to take advantage of every educational opportunity offered, they are not required to participate in manipulations involving laboratory animals. In some cases, alternative exercises may be substituted at the discretion of and in consultation with the course director.

Change of Address

A student’s current address and telephone number should be on file with the Registrar at all times. If a student moves, even temporarily, he/she must inform the Registrar.  Often, persons must contact students to relay emergency messages from relatives, the Student Financial Aid Office, Deans’ offices, etc.  Students will be held responsible for official notices from the University mailed to her/his address of record and her/his student mailbox at the HSC. Students are reminded to check mailboxes regularly.

Clearance to Withdraw

 

If a student leaves the HSC through (1) withdrawal, (2) dismissal, or (3) leave of absence, the following procedure should be followed:

 

·                    Inform the Associate Dean of the school who will issue the student an Official University Student Clearance Form. (The Dean then notifies the Registrar’s Office that the student is in the process of clearing.)

 

·                    It is the student’s responsibility to obtain clearance in appropriate areas listed on the form such as the Library, laboratories, University Police, Student Financial Aid, Bursar’s Office, etc.

 

·                    If a student is receiving financial aid or has student financial aid debt, he/she must schedule an Exit Interview with the Student Financial Aid Office to work out repayment schedules, etc.

 

·                    See Financial Aid Process for specific information concerning effects of withdrawal on financial aid received.

It is not always possible to complete the clearance process in one day. Until a student is cleared in all areas, a “Hold” will be in force on her/his official transcript.

Graduation Procedures

Graduation requirements are published in the UTHSCSA Catalog.

 

Candidates for certificates/degrees are required to complete the following procedures:

Complete and return to the Registrar’s Office the University’s Application for Degree and Diploma Name form in the semester before anticipated graduation.

 

Register in the semester the certificate or degree is tobe conferred.

 

Attend an Exit Interview session scheduled by the Student Financial Aid Office for students who have received financial assistance which must be repaid after graduation.

 

Invitations to commencement ceremonies can be ordered through the Bookstore which also makes  arrangements for academic regalia for students and faculty.  The student’s “diploma name” as requested in the Application for Degree and Diploma Name form is printed on her/his diploma, and information provided by the student is used in commencement programs.  Class pictures (a composite of individual photos) of graduating classes in the School of Nursing may be ordered by degree candidates. Individual photographs are taken and order blanks supplied prior to commencement ceremonies. Pictures must be paid for at the Bursar’s Office. The finished product is mailed by the photographer to students who have ordered and paid for class pictures. Group pictures are taken at commencement rehearsals for students in Allied Health Sciences, Nursing, Medical, and Dental schools. Individual photos of each graduate receiving her/his diploma or certificate may also be made at ceremonies.  Students may order copies and pay the photographer who will mail prints to students when they are ready. 

Hazing

According to law, a person can commit a hazing offense not only by engaging in a hazing activity, but also by soliciting, directing, encouraging, aiding, or attempting to aid another in hazing; by intentionally, knowingly, or recklessly allowing hazing to occur; or by failing to report firsthand knowledge that a hazing incident is planned or has occurred in writing to the Assistant Vice President for Student Services. The fact that a person consented to or acquiesced in a hazing activity is not a defense to prosecution for hazing under this law. The UTHSCSA Catalog contains the Hazing Policy.

Inclement Weather Policy

During severe weather, students, faculty, and staff are expected to meet their responsibilities if they can safely travel. Those who are unable to do so are expected to notify (in the case of students) their faculty or program office and any clinical agency if they are involved in rotations or clinicals off campus and cannot travel safely. The President may declare an “extreme weather closure” if conditions are such that the University will remain closed. The local news media usually announces the closure no earlier than 9 p.m. on the evening preceding the closure or no later than 7 a.m. on the day of closure. Tune in for Emergency Information

The following radio and television stations usually carry closing messages from the University:

Radio

WOAI (1200 AM) KTSA (550 AM)

KJ 97FM (97.3 FM) KCYY (100.3 FM)

KTFM (102.7 FM) KCOR (1350 AM)

KKYX (680 AM)

Television

KMOL, channel 4 (3 on cable)

KSAT, channel 12 (13 on cable)

KENS, channel 5 (5 on cable)

Invitations to Elected or Appointed Officials

So that appropriate protocol may be followed, all invitations to elected or appointed officials (City, County, State, or National) to visit the Health Science Center campus shall be coordinated through the President’s Office prior to the invitation being extended.

 

We always welcome elected or appointed officials to our campus and any such visit always receives a high priority. Officials in the President’s Office will be able to assist other offices in matters pertaining to protocol, publicity guidelines (if applicable), and other details that will help insure that the visit meets all expectations. It is not the intention to restrict any such invitation from being extended; rather, it is to facilitate the details that often surround such an occasion and to insure that important protocol and procedural matters are considered.

 

 

Official Notification Procedure

 

Official notifications from faculty and administration are sent to the student’s campus mailbox in most instances. Exceptions are official communications involving issues of promotion status, dismissal proceedings, or disciplinary matters. Such correspondence is sent to the local address the student has given the school and is mailed with a “Return Receipt Requested” notice to the U.S. Postal Office. (A copy also is sent to the student’s campus mailbox.)

 

Personal Emergency Notification

 

During business hours, persons wishing to contact medical or dental students because of an emergency are directed to call the appropriate office of the Associate Dean of Student Affairs. Nursing students may be reached for emergency messages by calling the Nursing Student Information Office; graduate students by calling the student’s department office; and allied health students by calling the office of the program in which the student is enrolled. Office numbers can be found in the UTHSCSA Faculty & Staff Directory on the Web at: http://adminweb.uthscsa.edu/Directory/ After-hours calls should be made to the University Police (210) 567-2800 who will contact the appropriate administrator.

 

Professional Liability Insurance

 

Students enrolled in one of the programs that involves direct patient care activities will be required to purchase professional liability insurance at Registration each semester/ year as a prerequisite to enrollment. This insurance will only cover the student when he/she is participating in approved programs that are part of academic training. Premiums vary from program to program, depending upon the degree of patient contact.

 

UTHSCSA Fraud Policy

 

Management is responsible for establishing internal controls and other systems to prevent or detect fraud. Each manager should be familiar with the types of fraud that might occur within her/his area of responsibility and be alert for any indication of fraud. Detected or suspected fraud must be reported immediately to the Director of Internal Audit who is responsible for coordinating all investigations, both internal and external. Scope The conditions of this policy apply to any fraud, or suspected fraud, involving UTHSCSA faculty, staff, students, vendors, or outside agencies doing business with UTHSCSA.

 

Actions Constituting Fraud As used in this policy, the term “fraud” shall mean any defalcation, misappropriation, and/or other fiscal irregularities that would include but are not limited to: any dishonest or fraudulent act; forgery or alteration of any document or account belonging to the UTHSCSA; forgery or alteration of any check, bank draft, or any other financial document; misappropriation of funds, supplies, or other assets; impropriety in the handling or reporting of money or financial transactions; accepting or seeking anything of material value from vendors or persons providing services/material to the UTHSCSA; destruction or disappearance of records; AND/OR any similar or related irregularity. 

 

Non-Fraud Irregularities It is possible that certain allegations involving fraudulent activities covered by this policy may also involve violations of other University policies, criminal law, or the regulations of various state and federal agencies. When the Director of Internal Audit determines that the allegations relate solely to the violation of other policies, the Director of Internal Audit will refer the matter to the appropriate official with responsibility for other such policies. In cases where the allegations appear to constitute fraud as defined in this policy and violate other regulations, the Director of Internal Audit shall meet with the officials responsible for the other policies and together with management develop a plan for conducting the investigation.

 

Investigation Responsibilities The Director of Internal Audit has the primary responsibility for the investigation and will issue reports to the appropriate senior management personnel. Decisions to prosecute or turn matters over to appropriate law enforcement and/or regulatory agencies for independent investigation will be made in conjunction with University Police and senior management.

 

Confidentiality  The Director of Internal Audit is receptive to receiving relevant information on a confidential basis from a UTHSCSA faculty member, staff, or student who suspects dishonest or fraudulent activity. That individual should contact the Director of Internal Audit immediately, and should not attempt to personally conduct investigations or interviews/interrogations related to suspected fraud.

 

Authorization for Investigating Suspected Fraud In those instances in which the Director of Internal Audit believes it to be in the best interests, members of the Internal Audit Office have the authority and duty, after consulting with appropriate management, to: take control of, and/or gain full access to, all UTHSCSA premises, whether owned or rented; AND examine, copy, and/or remove all or any portion of the contents of files, records, desks, cabinets, and other storage facilities on the premises without prior knowledge or consent of any individual who may use or have custody of any such items or facilities. Reporting Procedure Care must be taken in the investigation of suspected fraud so as to avoid mistaken accusations or alerting suspected individuals that an investigation is under way. An employee who discovers or suspects fraudulent activity should contact the Director of Internal Audit immediately. All inquiries from the suspected individual and her or his attorney or representative should be directed to the Director of Internal Audit. The reporting employee must adhere to the following restrictions: Do not contact the suspected individual in an effort to determine facts or demand restitution. Do not discuss the case, facts, suspicions, or allegations with anyone outside unless specifically asked to do so by the Director of Internal Audit or other authorized University officials. Do not discuss the case with anyone inside other than the Internal Audit Office or other authorized University officials who have a legitimate need to know. 

 

Administration The Director of Internal Audit is responsible for the administration, interpretation, and application of this policy.

 

UTHSCSA Sexual Harassment Policy

 

Any employee, student, or resident who feels he or she has been subjected to sexual harassment has the option of utilizing either the formal or the informal process described in this policy. Informal Process The following persons or offices have been designated as resources to whom individuals who believe they may have been subjected to sexual harassment may seek informal guidance and counseling:

 

For students: Associate Dean for Student Affairs of each school Director, Equal Employment Opportunity/Affirmative Action Office Counseling Service, Office of Student Services

 

For residents: Assistant Dean for Graduate Medical Education Associate Dean for Student Affairs (Associate Dean) Director, Equal Employment Opportunity/Affirmative Action Office

 

For employees: Director, Department of Human Resources Assistant Director, Department of Human Resources Director, Equal Employment Opportunity/Affirmative Action Office

 

Each of the persons listed will be available to provide guidance in the following areas:

 

1.         Help the complainant to understand the definition of sexual harassment and determine if the alleged conduct would, if true, constitute sexual harassment.

 

2.         Explain to the complainant how to file a formal charge, the process which would be followed in the investigation and resolution of the charge, and provide guidance and counseling, as requested by the complainant, during the investigation process.

 

3.         Provide guidance and counseling on possible ways to solve the problem if the complainant does not wish to file a formal charge.

 

Any individual who feels he or she has been the victim of sexual harassment may file a formal complaint which will be investigated in accordance with the following procedure. Although any investigation may begin on the basis of an oral complaint, the complainant is strongly encouraged to file the complaint in writing and provide a description of the facts upon which the complaint is based.

 

Students: If a student wishes to make a formal charge of sexual harassment, such charge should be filed with the Associate Dean as appropriate for each school. The Associate Dean shall then meet with the Director, Equal Employment Opportunity/Affirmative Action Office to discuss the matter and then determine how and by whom the investigation should be conducted. If the accused is an employee, the investigation should be conducted by the head of the employee’s department. If the accused is a student, the investigation should be conducted by the Associate Dean. If the accused is neither a Health Science Center employee nor student (e.g., a patient or employee of an affiliated hospital) the Associate Dean and the Director, Equal Employment Opportunity/Affirmative Action Office, shall determine an appropriate course of action. If for any reason the Associate Dean and the Director, Equal Employment Opportunity/Affirmative Action Office determine that the person assigned responsibility to conduct the investigation should not conduct such investigation, the Dean shall appoint an alternate investigator.

 

Residents: If a resident wishes to make a formal charge of sexual harassment, such charge should be filed with the Assistant Dean for Graduate Medical Education or the Associate Dean for Student Affairs (Associate Dean). The Assistant Dean shall then meet with the Director, Equal Employment Opportunity/Affirmative Action Office to discuss the matter and then determine how and by whom the investigation should be conducted.

 

If the accused is an employee, the investigation should normally be conducted by the head of the employee’s department. If the accused is a resident, the investigation should normally be conducted by the Assistant Dean.

 

If the accused is neither a Health Science Center employee nor a resident (e.g., a patient or employee of an affiliated hospital) the Assistant Dean and the Director, Equal Employment Opportunity/Affirmative Action Office, shall determine an appropriate course of action.

 

If for any reason the Assistant Dean and the Director, Equal Employment Opportunity/Affirmative Action Office determine that the person assigned responsibility to conduct the investigation should not conduct such investigation, the Dean shall appoint an alternate investigator.

 

Employees: If the complainant and the accused are both employees of the same department, the complaint should be filed with the department head, who shall conduct an investigation.

 

If the complaint in any way involves the department head or the alleged failure of the department head to take the appropriate actions to remedy a problem, the complaint may be filed with the appropriate dean or vice president. In such cases, the dean or vice president may conduct the investigation or appoint a person to conduct the investigation and report to the dean or vice president. The Director, Equal Employment Opportunity/Affirmative Action Office shall be informed of all charges. The department head, dean, or vice president should seek the advice of the Director, Equal Employment Opportunity/ Affirmative Action Office, concerning the conduct of the investigation.

 

If the complainant and the respondent are from two separate departments, the charge shall be filed with the Director, Equal Employment Opportunity/Affirmative Action Office, who shall discuss the charge with the department heads, dean(s), and/or vice president(s) responsible for the departments involved and a decision should be made as to who will be responsible for conducting the investigation.

 

Conduct of the Investigation

 

1.         The investigator should first meet with the complainant to determine the charge and to explain the investigation process. If the charge is not in writing, the investigator should prepare a statement of what he or she understands the charge to be and obtain verification of the charge from the complainant.

 

2.         The investigator should interview the accused and other witnesses. It is an obligation of all HSC personnel to cooperate with the investigator.

 

3.         All investigations will be conducted in a timely manner. At the conclusion of the investigation, a written report will be prepared detailing the charge, the investigation process, and the results of the investigation. All reports must be reviewed by the Director, Equal Employment Opportunity/Affirmative Action Office. If the report indicates the need to take action, the report will be referred to the person responsible for taking such action. The Director, Equal Employment Opportunity/Affirmative Action Office shall follow up to verify the appropriate action has been taken.

 

4.         The appropriate department head(s), dean(s), or vice president(s) shall be responsible for ensuring that no retaliation is made against the complainant as a result of the charge.

 

5.         Any disciplinary action against HSC personnel shall be in accordance with applicable HSC policies. Confidentiality The Health Science Center will, to the extent possible, maintain the confidentiality of information received as a result of the charge and investigation. Resources for Persons Affected by Sexual Assault The University’s Sexual Assault Policy is printed in the UTHSCSA Catalog. Several educational and prevention programs and support services address the issue of sexual assault.

 

Phone numbers are provided for additional information.

 

UTHSCSA Counseling Service ....................    567-2648 (individual counseling for all students affected by sexual assault issues addressed in “Gender Relations” workshop referral to other resources workshops on any related topic as requested workshops on date rape, assault)

 

UTHSCSA Student Health Service ..............    567-2500 (individual counseling referral to other resources educational programs)

 

UTHSCSA Police Department ....................                567-2800

 

Emergency Number....................................                  911 (crime prevention presentations which include issues related to assault safety escort service — on request during evening hours; 567-2800 - crime statistics information referral to campus and off-campus services)

 

University Hospital Emergency Center ....... 616-4000 (examination and treatment of sexual assault victims referral to other services)

 

Student Publications

 

A student government association (including classes/class officers) has the right to prepare and distribute newsletters, bulletins, and other forms of publications provided that when taking a position on an issue, the publication shall make clear that it does not speak for the institution. Anonymous publications are prohibited by the Rules and Regulations of the Board of Regents. UPDATE is a newsletter for students produced by the Office of Student Services. UPDATE is generally published monthly, September–May (Web site: http:// studentservices.uthscsa.edu/Publications/publication.html). This Student Guide, the UTHSCSA Catalog, and Applicant Viewbooks for all five schools are Official Student Publications of UTHSCSA. Official student publications, published by the Office of Educational Resources, 567-2250, can be viewed online at:

 

http://oerweb.uthscsa.edu/studentpubs/publicat.html

 

Student Role in University Decision Making.

 

Much of the University decision making is accomplished through the work and recommendations of committees made up of faculty, students, and staff. Students are appointed to University committees which deal with issues that directly affect students. In addition, many school committees have student representatives. Students are appointed to HSC committees upon the recommendation of the Assistant Vice President for Student Services. Those interested in serving on committees make contact with the Associate Dean for Student Affairs of the student’s school. The Assistant Vice President for Student Services shall solicit interested students from all Associate Deans of Student Affairs, and submit committee choices to the President, who then makes committee appointments. The committees’ charges and numbers of students appointed to the committees appears in the Office of Student Services section of this Student Guide. Sexual Assault Crisis and Resource Center...521-7273 rape crisis support group adults molested as children group teenage survivors of sexual assault or abuse group sexual harassment support group male survivors of sexual abuse/assault group referral services Brochures, pamphlets, and other printed material are available from the various campus resources.

 

Smoking Policy.

 

One mission of the HSC is to promote public health. For this reason, the entire campus is smoke free.

 

Software Copyrights.

 

Software piracy is a very serious issue. The following standards apply at UTHSCSA:

 

1.  All software should be used only in accordance with the applicable software license agreements.

 

2. No faculty, staff, or student should make any unauthorized copies of any software under any circumstances.

 

3.  The use of unauthorized copies of software on any University-owned equipment will not be tolerated. If you are aware of any software misuse or infringement of copyright laws, notify the head of your department or the Office of Internal Audit immediately. It is not right to illegally copy software or to use illegal software. In addition to possible legal action by the holder of software copyrights, any faculty, staff, and/or student engaging in software piracy will be subject to University discipline up to and including termination. Details of the UT System and University policies regarding copyrighted materials may be found in the Handbook of Operating Procedures. For additional information, check the UT System’s Office of General Counsel home page at http:// www.utsystem.edu/OGC/Intellectual Property/mono2.htm.

 

Student Debts.

 

The University is not responsible for debts contracted by individual students or student organizations and will not be involved in collection efforts or in arbitrating disputes between students and creditors. Both individual students and organizations are expected to discharge contractual obligations.

                    

Financial Responsibilities.

 

Tuition and Fees Tuition and fees are due and payable at Registration. Arrangements can be made to pay tuition and REQUIRED fees in as many as four installments, with the first installment due at Registration.* HELP Loan recipients must use their disbursement check to pay the balance owed on total tuition, fees, or any other University debt.

 

Penalties for failing to make installments on time include (a) being barred from class until payment is made, (b) withholding of credit if payment is not made by the end of the semester, with the University adjusting its records to reflect the student’s failure to have properly enrolled, © bar against readmission and withholding of grades, degree, and official transcript, and/or (d) other remedies authorized by law. A fee of $15 is assessed for handling installment payments of tuition and fees, and a $10 late fee is assessed for each late payment. A $25 late registration fee is assessed students who register after the close of official Registration.

 

Students Serving on Committees.

 

The President of the Health Science Center appoints students to various University Committees at the beginning of each fall semester. The Assistant Vice President for Student Services recommends to the President students to be considered for committee appointments. The committees which include student members are:

 

Computing Resources Committee 1 Student 20 Faculty/Staff Charge: To work with and assist the Director of Computing Resources in making recommendations to the President regarding Computing Resources practices and procedures. To review and advise in the development of management priorities in the areas that impact on academic efficiency and effectiveness to ensure that the services provided by Computing Resources reflect the needs and interests of the academic community.

 

Educational Resources and Instrumentation Advisory Committee 5 Students* 17 Faculty/Staff Charge: To work with and advise the Executive Director of Educational Resources in developing programs which benefit the education, research, and administrative goals of the campus. To periodically review the policies and services of the Office of Educational Resources to ensure that these policies and services reflect the needs and interests of the academic community.

 

Infection Policy & Education Committee 1 Student 12 Faculty/Staff Charge: To foster in all students, faculty, and staff a heightened awareness of risks, prevention, and treatment of illness caused by exposure to transmissible agents in the workplace and outside the Health Science Center. To develop policies about the responsibilities of students, faculty, and staff of the Health Science Center for risk management, prevention, and treatment of illness caused by exposure to transmissible agents within the Health Science Center and to recommend these policies to the Executive Committee of the Health Science Center for implementation. To develop policies about the responsibilities of the Health Science Center to students, faculty, and staff regarding protection from exposure to infectious diseases in the workplace or classroom and to recommend these policies to the Executive Committee of the Health Science Center for implementation. To maintain a panel of expert advisors to address ad hoc infectious disease-related personnel issues of the Health Science Center and offer recommendations for their resolution. To recommend policies within the Health Science Center to reflect new knowledge or changes in the understanding of infectious disease risk, etiology, prevention, and treatment. Recognizing that infectious diseases are not predictable, it may be necessary for the Committee to draw upon disease-specific and educational expertise as the need arises.

 

International Affairs Committee  1 Student 5 Faculty/Staff Charge: To help in the dissemination and acquisition of information in the health sciences on an international level. To develop, promote and coordinate (where requested) support, and to encourage contact between this Health Science Center and academic institutions in other countries.

 

Library Committee 5 Students* 12 Faculty/Staff Charge: To work with and assist the Director of the Library in making recommendations to the President regarding the Library practices and procedures. To review and advise in the development of management priorities in the areas that impact on academic efficiency and effectiveness to ensure that the services provided by the Library reflect the needs and interests of the academic community.

 

Parking and Traffic Safety Committee 10 Students 15 Faculty/Staff Charge: To recommend rules and regulations for traffic safety and parking and to serve as an avenue of appeal in cases of dispute and exception.

 

Recreational Facilities Committee 5 Students* 14 Faculty/Staff Charge: To recommend policies regarding the use of the recreational facilities as to eligible participants, the kinds of activities allowed, the times of operation, and fees charged; to recommend fund-raising activities in association and cooperation with the Development Board of the Health Science Center; to recommend long-range plans and priorities for growth and expansion of the recreational facilities; and to periodically evaluate the facilities and equipment.

 

Ad Hoc-Arts and Exhibitions Committee 1 Student 10 Faculty/Staff Charge: To select and recommend art exhibits for exhibitions in the Health Science Center.

 

Student Health Advisory Committee 10 Students** 18 Faculty/Staff Charge: To evaluate the health needs of the student body and to recommend to the President and the Assistant Vice President for Student Services policies, procedures, and programs necessary to serve those health needs.

 

UT System Student Advisory Group 3 Students (Third year only) 2 Faculty Charge: To improve communications between the Board of Regents and their constituencies. The University of Texas Health Science Center at San Antonio recognizes its responsibility to protect the rights and privileges of students, employees, patients, and the general public against contact with the spread of infectious diseases.

 

Policy and procedural steps to protect both the rights and well-being of those students who may be infected with HIV.

 

In recognition of human immunodeficiency virus (HIV) as a serious public health threat, UTHSCSA has adopted a policy and procedural steps to protect both the rights and well-being of those students who may be infected with HIV as well as to prevent the spread of HIV infection. No individual with HIV infection will be discriminated against in employment, admission to academic programs, health benefits, or access to facilities. Students with HIV infection may attend all classes without restriction as long as they are physically and mentally able to participate and perform assigned work and pose no health risks to others. Any modification of the clinical training, working conditions, or privileges of HIV-infected students, faculty, staff, or employees will be determined on a case-by-case basis, taking into account the nature of the clinical activity, the technical expertise of the infected person and the risks posed by HIV-infection, attendant functional disabilities, and the transmissibility of simultaneously carried infectious agents. The confidentiality of all information regarding the medical status of UTHSCSA faculty, staff, and students will be maintained in accordance with applicable statutes. A complete copy of the UTHSCSA Policy and Guidelines on AIDS, HIV Infection, and Hepatitis B Virus follows. This policy is applicable to all students of UTHSCSA as they pursue their academic (and clinical) endeavors. Several informational brochures on AIDS are available in Student Services. The following faculty are available to officially interact with students identified as HIV positive: Dental School ....................(to be announced) Graduate School of Biomedical Sciences .......... Dr. Terry Mikiten Medical School ..................Dr. Leonard Lawrence School of Allied Health .... Dr. Douglas Murphy School of Nursing ..............Dr. Carol Binzer UTHSCSA Policy on the Acquired Immune Deficiency Syndrome

 

I.          Statement of Purpose

 

The acquired immune deficiency syndrome (AIDS) has reached epidemic proportions since the first reported cases in 1981. AIDS and human immunodeficiency virus (HIV)-related disorders have presented the health care professions with numerous issues of an ethical and moral nature related to the care and treatment of patients infected with HIV. No cure for AIDS exists, nor has a vaccine been developed to prevent HIV infection. Because of these circumstances, fear, prejudice, and misinformation about the disease have not only developed among the population at large, but also within the health professions. It is well recognized that AIDS patients and HIV-infected individuals are entitled to competent medical care that reflects compassion and respect for human dignity as well as concern for safeguarding individual confidences within the constraints of the law. One of the objectives of this Health Science Center is to prepare men and women for a career in the practice of a health profession. These future health care providers should be prepared for a lifetime of service to the ill which demands adherence to the highest standards of professional conduct and behavior. Furthermore, no person shall be excluded from participation in, denied the benefits of, or be subject to discrimination under any program or activity sponsored or conducted by The University of Texas Health Science Center at San Antonio on any basis prohibited by applicable law, including, but not limited to, race, color, national origin, religion, handicap, or sex. It is within this frame of reference that the following Health Science Center policies on AIDS were developed.

 

II.        Admission of Health Professions Students with AIDS or HIV Infection; Hiring Employees with AIDS or HIV Infection.

 

The Health Science Center shall not inquire about the HIV status of any applicant for admission to or employment at the Health Science Center unless it has been determined that the condition of being infected is grounds for denial of admission or HIVinfected applicant can only be denied on the basis of such infection if the institution concluded, on the basis of sound medical and scientific evidence, that the applicant’s infected status would prevent her or him from completing essential degree requirements or essential duties of employment and that no reasonable accommodation could be made that would enable the applicant to do so.

 

III.       Screening for HIV-1 Infection.

 

The Health Science Center will not initiate mandatory HIV screening of students, faculty, staff, or employees unless justified by evidence of significant risk to patients. The Health Science Center encourages students, faculty, staff, and employees who believe they are at risk of HIV infection to seek testing and counseling. The Health Science Center shall provide information about the availability of confidential and anonymous testing programs. In addition, the Health Science Center shall provide information and/or access to counseling for students, faculty, staff, employees, and others about the implications of positive or negative testing for career and future health.

 

IV.       Management of Students, Faculty, Staff, and Employees of the Health Science Center with Positive Antibody to HIV-1 or Clinically Manifest AIDS or AIDS-Related Complex.

 

The Health Science Center encourages HIV-infected students, faculty, staff, and employees to discuss their situation with a designated official. The designated official for each administrative component of the Health Science Center shall be named by the Executive Committee of the Health Science Center in consultation with the Dean of each school. Any modification of the clinical training, working conditions, or privileges of HIV-infected students, faculty, staff, or employees will be determined on a case-by-case basis, taking into account the nature of the clinical activity, the technical expertise of the infected person, and the risks posed by HIV-infection, attendant functional disabilities, and the transmissibility of simultaneously carried infectious agents. The Health Science Center may legitimately monitor the clinical activities of students, faculty, staff, or employees who are believed to pose an unwarranted risk to patients. The Health Science Center shall cooperate with the HIV-infected person, her or his personal physician, and other medical experts as appropriate in identifying and implementing special precautions and program modifications to safeguard the personal health and safety of such persons. The Health Science Center adheres to the Universal Precautions for Prevention of Transmission of Human Immunodeficiency Virus, Hepatitis B Virus, and Other Bloodborne Pathogens in Health Care Settings (MMWR 38:377-388, 1988) established by the Centers for Disease Control. HIV-infected students, faculty, staff, and employees shall be provided counseling about access to expert medical care and about prevention of further spread of infection. The Health Science Center does not pay for the provision of health care to HIV-infected individuals. Students, faculty, staff, and employees are strongly encouraged to obtain adequate hospital and outpatient insurance coverage during their entire association with the Health Science Center.

 

V.        Confidentiality and HIV-Infection.

 

It is expected that all students, faculty, staff, and employees will be bound to the principle of strict confidentiality in all patient and healthcare related activities. As stated in Policies III and IV, the Health Science Center encourages students, faculty, staff, and employees who believe they are at risk of HIV-infection to seek testing and counseling. The Health Science Center shall provide counseling about access to confidential and anonymous HIV-antibody testing, about the implications of positive or negative results for career and personal health, about the availability of expert medical care, and about the prevention of further spread of infection. Individuals seeking care within the health care facilities of the Health Science Center (i.e., the Medical School and Dental School, and not including its affiliated health care institutions University Hospital, the V.A. Hospital, and University Health Center-Downtown) shall be made aware that all HIV-related data become part of the individual’s medical record.

 

VI.       Student, Faculty, and Health Care Staff Interaction with Patients with AIDS or HIV-Infection.

 

Entry into the health care professions is a privilege offered to those who are prepared for a lifetime of service to the ill. Students, faculty, and health care staff have a fundamental responsibility to provide care to all patients assigned to them, regardless of diagnosis. A failure to accept this responsibility violates a basic tenet of the medical profession—to place the patient’s interests and welfare first. Individuals who feel that their activities within the Health Science Center pose a special risk to their health because of exposure to HIV-infected patients, working conditions presenting a risk of exposure to HIV organisms, or the presence of HIV infection in the individual herself or himself, should seek the assistance of their immediate supervisor. The Health Science Center has established a University AIDS Committee which exists as a resource to address issues related to HIV infection on a case-by-case basis in the Health Science Center. The Committee serves as an advisory body to the Executive Committee of the Health Science Center and may arbitrate concerns or provide recommendations for the resolution of HIV infection-related issues.

 

VII.     Education of Students, Faculty, and Employees of the Health Science Center about AIDS and its Prevention.

 

As stated in Policy IV, the Health Science Center adheres to the Universal Precautions for the Prevention of Transmission of Human Immunodeficiency Virus, Hepatitis B Virus, and Other Bloodborne Pathogens in Health Care Settings published by the Centers for Disease Control. Consistent with the early education of students, staff, and employees in these and other pertinent data relevant to HIV infection, the following approach will be taken: Each school will provide a program on prevention of exposure to infectious organisms in professional and personal situations early in the student’s educational experience and at the beginning of clinical rotations. Each administrative division of the Health Science Center will provide an educational program for staff and employees to take place early in the employment and to focus upon prevention of exposure to infectious organisms in the workplace as warranted by the risk presented by the work setting based on guidelines generated by the AIDS Committee of the Health Science Center. The content of this educational program shall be based upon instructional objectives developed by the Educational Subcommittee of the University AIDS Committee. Policies, Procedures, Responsibilities, and Requirements 51 At the conclusion of any University educational programs/ curriculum on AIDS, the participant should be able to:

 

a.         Have a basic understanding of AIDS as a viral disease and its natural history.

b.         Recognize how the virus is transmitted and contacts that do not transmit the virus.

c.         Recognize the symptoms of AIDS and the degrees/ stages of the illness.

d.         Identify precautions one must take in one’s own area of practice or work regarding the AIDS virus.

e.         Recognize the personal and psychosocial impact of the disease on patients, families, friends, and caregivers.

f.          Familiarize oneself with institutional policies about AIDS wherever working (Universal Precautions).

g.         Recognize one’s own role in alleviation of anxiety and misinformation.

h.         Be aware of local policies regarding testing and referral information.

i.          Identify legal and ethical issues that impact AIDS patients and caregivers.

 

The University of Texas System Policy and Guidelines on Acquired Immune Deficiency Syndrome, Human Immunodeficiency Virus Infection, and Hepatitis B Virus.

 

1.         General.

 

The University of Texas System recognizes Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) as serious public health threats and is committed to encouraging an informed and educated response to issues and questions concerning these infections. The guidelines for Health Care Workers outlined in this document are based on the following statements from the recommendations issued by the Centers for Disease Control (CDC) on July 12, 1991:

 

a.         Infected Health Care Workers who adhere to universal precautions and who do not perform invasive procedures pose no risk for transmitting HIV or HBV to patients.

 

b.         Infected Health Care Workers who adhere to universal precautions and who perform certain exposure-prone procedures may pose a small risk for transmitting HBV to patients.

 

c.         HIV is transmitted much less readily than HBV. There are 20 published studies that indicate a total of more than 300 patients who were infected with HBV in association with treatment by an HBV-infected Health Care Worker. These studies concluded that a combination of risk factors accounted for transmission of HBV from Health Care Workers to patients. Of the Health Care Workers whose Hepatitis Be antigen (HBeAg) status was determined, all were HBeAg positive. The presence of HBeAg in blood serum is associated with higher levels of circulating virus and therefore with greater infectivity of Hepatitis- B positive individuals; the risk of HBV transmission to Health Care Workers after a percutaneous (i.e., puncture through the skin) exposure to HBeAgpositive blood is approximately 30%. The risk of HIV transmission to a Health Care Worker after percutaneous exposure to HIVinfected blood is considerably lower than the risk of HBV transmission after percutaneous exposure to HBeAg-positive blood (0.3% versus approximately 30%). Thus, the risk of transmission of HIV from an infected Health Care Worker to a patient during an invasive procedure is likely to be proportionately lower than the risk of HBV transmission from an HBeAgpositive Health Care Worker to a patient during the same procedure. Unlike HBV infection, however, there is currently no readily available laboratory test for increased HIV infectivity. Investigation of incidents of HIV infections among patients in the practice of one dentist with acquired immunodeficiency syndrome (AIDS) strongly suggested that HIV was transmitted to five of the approximately 850 patients evaluated through June 1991. The investigation indicates that HIV transmission occurred during dental care, although the precise mechanisms of transmission have not been determined. In two other studies, when patients who had been treated by a general surgeon and surgical resident who had AIDS were tested, all patients tested were negative for HIV infection. In another study, patients treated by a dental student with HIV infection and who were later tested were all negative for HIV infection. Another investigation of patients whose surgical procedures had been performed by a general surgeon within seven years before the surgeon was diagnosed as having AIDS failed to document transmission of HIV from the surgeon to the patients.

 

2.         Purpose, Scope, and Definitions.

 

The purpose of this policy is to provide guidance for The U.T. System and its component institutions in complying with statutes concerning acquired immune deficiency syndrome, human immunodeficiency virus, and Hepatitis B virus. In addition, the medical, educational, legal, administrative, and ethical issues related to specific situations involving persons with HIV or HBV infections in the following areas are addressed:

 

(a)        Administrative policies;

(b)        Residence life;

(c)        Health education;

(d)        Testing for HIV or HBV infection; 52 UTHSCSA Student Guide 2001–2003

(e)        Confidentiality of information related to persons with AIDS, HIV, or HBV infection;

(f)         Patient care. 2.02        

 

This policy is applicable to students, faculty, and employees of The UT System and its component institutions and shall be made available to students, faculty, and staff members of each component institution by its inclusion in the student, faculty, and personnel guides if practicable, or by any other method.

 

2.03     Definitions:

 

(a)        Invasive Procedure: Surgical entry into tissues, cavities, or organs; repair of major traumatic injuries; cardiac catheterization and angiographic procedures; a vaginal or cesarean delivery or other invasive obstetric procedure during which bleeding may occur; or the manipulation, cutting, or removal of any oral or perioral tissues, including tooth structure, during which bleeding occurs or the potential for bleeding exists.

 

(b)        Exposure-Prone Procedure: A procedure involving the contact of a Health Care Worker’s finger with a needle tip in a body cavity or the simultaneous presence of the Health Care Worker’s fingers and a needle or other sharp instrument or object in a poorly visualized or highly confined area of the body. Such procedures pose a recognized risk of injury to the Health Care Worker that is likely to result in the Health Care Worker’s blood contacting the patient’s body cavity, subcutaneous tissues, or mucous membranes.

 

(c)        Health Care Worker: A person who provides direct patient health care services pursuant to authorization of a license, certificate, or registration, or in the course of a training or education program.

 

(d)        Institutional Committee: A task force or institution- wide committee appointed by The UT System component institution to oversee the development and implementation of educational programs related to HIV and HBV, and to advise the administration on policies regarding HIV and HBV. It is suggested that the Committee include, as a minimum, representation from the faculty, the student body, and administrative areas such as housing services, health services, counseling services, and food services.

 

(e)        Component Expert Review Panel: A panel appointed by the Chief Administrative Officer of the component institution to review instances of HIV or HBV infection in Health Care Workers and to identify exposure-procedures and to determine those circumstances, if any, under which a Health Care Worker who is infected with HIV or is HBeAg positive may perform such procedures. The panel should be composed of experts who provide a balanced perspective and might include: (1) Health Care Worker’s personal physician(s); (2) an infectious disease specialist with expertise in the epidemiology of HIV and HBV transmission; (3) a health professional with expertise in the procedures performed by the affected Health Care Worker; (4) a member of the component institution’s infection-control committee, preferably a hospital epidemiologist; and (5) an occupational health specialist.

 

(f)         System Review Panel: A panel responsible for reviewing the actions of each Component Expert Review Panel to assure uniform and consistent compliance with these guidelines and applicable statutes and regulations. The panel shall be composed of an expert in blood-borne infections (including HIV and HBV) from each health component institution appointed by the Chief Administrative Officer and representatives from The UT System Office of Health Affairs, Office of Academic Affairs, and Office of General Counsel.

 

(g)        HBeAg: That portion of the Hepatitis B virus, whose presence in the blood of a person correlates with higher levels of circulating virus and therefore with greater infectivity of that person’s blood; the presence of HBeAg in blood can be detected by appropriate testing.

 

3.       General Policies

 

3.01     Admissions to Schools — The existence of HIV or HBV infection should not be considered in admissions decisions unless current scientific information indicates required academic activities will likely expose others to risk of transmission.

 

3.02     Residential Housing — Residential housing staff will not exclude HIV-infected or HBV-infected students from University housing and will not inform other students that a person with HIV or HBV infection lives in University housing.

 

3.03     Employment — The existence of HIV or HBV infection will not be used to determine suitability for employment by any UT component institution or UT System Administration unless the position requires performance of exposure-prone procedures as identified by the Component Expert Review Panel.

 

3.04     Class Attendance A student with HIV or HBV infection should be allowed to attend all classes without restrictions, as long as the student is physically and mentally able to participate, perform assigned work, and poses no health risk to others.

 

3.05     Health Care Workers and Students Assigned to Work Within Clinical Settings (Health Care Workers) — Current information from investigations of HIV and HBV transmission from Health Care Workers to patients indicates that when Health Care Workers adhere to recommended infection-control procedures the risk Policies, Procedures, Responsibilities, and Requirements 53 of transmitting HBV from an infected Health Care Worker to a patient is small, and the risk of transmitting HIV is likely to be even smaller; however, the likelihood of exposure of the patient to a Health Care Worker’s blood is greater for certain invasive procedures designated as exposure-prone. Performance of exposure-prone procedures presents a recognized risk of percutaneous injury to the Health Care Worker, and— if such an injury occurs—the Health Care Worker’s blood is likely to contact the patient’s body cavity, subcutaneous tissues, and/or mucous membranes.

 

To minimize the risk of HIV or HBV transmission from an infected Health Care Worker to a patient, the following measures will be followed:

 

(a)        All Health Care Workers must adhere to universal infection control precautions, including the appropriate use of hand washing, protective barriers, and care in the use and disposal of needles and other sharp instruments. Health Care Workers who have exudative (oozing) lesions or weeping dermatitis (oozing inflammation of the skin) must refrain from all direct patient care and from handling patient-care equipment and devices used in performing invasive procedures until the condition resolves. Health Care Workers will also comply with current guidelines for disinfection and sterilization of reusable devices used in the invasive procedures. All component institutions that provide health care shall establish procedures for monitoring compliance with universal precautions.

 

(b)        Currently available data provide no basis for recommendations to restrict the practice of Health Care Workers infected with HIV or HBV who perform invasive procedures not identified as exposure-prone, provided the infected Health Care Workers practice recommended surgical or dental technique and comply with universal infection for sterilization/disinfection.

 

(c)        Exposure-prone procedures will be identified at each component institution by the Component Expert Review Panel.

 

(d)        Health Care Workers who perform exposureprone procedures should know their HIV and HBV status. Those infected with HBV also should know their HBeAg status.

 

(e)        All Health Care Workers providing direct patient care should have a complete series of Hepatitis B vaccine prior to the start of direct patient care or complete the series as rapidly as is medically feasible, or should be able to show serologic confirmation of immunity to Hepatitis B virus.

 

(f)         A Health Care Worker who is infected with HIV or HBV (and is HBeAg positive) may not perform or engage in activities that might require her or him to perform exposure-prone procedures unless the Component Expert Review Panel has counseled the Health Care Worker and has prescribed the circumstances under which such procedures may be performed. Continued performance of such procedures must include notifying a prospective patient or person legally authorized to consent for an incompetent patient that the Health Care Worker is infected with HIV or HBV and obtaining consent to perform a procedure before the patient undergoes an exposure-prone procedure. Such notification is not required in a medical emergency when there is insufficient time to locate another Health Care Worker to perform the exposure- prone procedure and to obtain consent without endangering the patient’s health. A Health Care Worker infected with HIV or HBV who performs invasive, but not exposureprone procedures as identified by the Component Expert Review Panel shall not have his or her practice restricted solely on the basis of HIV or HBV infection provided he or she adheres to the universal precautions for infection control. The actions and recommendations of the Component Expert Review Panel shall be reported to the Chief Administrative Officer and to the appropriate Executive Vice Chancellor and shall be presented to the System Review Panel. Academic institutions without the human resources to establish Component Expert Review Panels may seek assistance from UT System Administration or a UT health component.

 

(g)        To permit the continued use of the talents, knowledge, and skills of a Health Care Worker whose practice is modified due to infection with HIV or HBV, the worker should: (1) be offered opportunities to continue appropriate patient care activities, if practicable; (2) receive career counseling and job retraining; or (3) to the extent reasonable and practicable, be counseled to enter an alternative curriculum, if the Health Care Worker is a student.

 

(h)        A Health Care Worker whose practice is modified because of HBV infection may request periodic redetermination by the Component Expert Review Panel based upon change in the worker’s HBeAg status due to resolution of infection or an a result of treatment.

 

(i)         All health Care Workers should be advised that failure to comply with Section 3.05 will subject them to disciplinary procedures by their licensing entities, as well as by the component institution.

 

3.06     Access To Facilities — A person with HIV or HBV infection should not be denied access to any U.T.  facility because of HIV or HBV infection.

 

3.07     Testing for HIV and HBV Infection

 

(a)        Mandatory Testing — No programs for mandatory HIV or HBV testing of employees, students, or patients will be undertaken without their consent unless authorized or required by law, court order, or as specified in this Subsection 3.07(a) or Subsection 3.07(g).

 

A patient may be required to undergo HIV testing if the patient is scheduled for a medical procedure that the Texas Board of Health has determined may expose health care personnel to AIDS or HIV infection if there is sufficient time to receive the test results before the procedure is conducted. A person may be required to undergo HIV testing to screen blood, blood products, body fluids, organs, or tissues to determine suitability for donation.

 

(b)        Voluntary Testing for HIV and Counseling — Component health institutions and student health centers should offer or refer students, faculty, and staff members for confidential or anonymous HIV counseling and testing services. All testing conducted by a component institution will include counseling before and after the test. Unless required by law, test results should be revealed to the person tested only when the opportunity is provided for immediate, individual, face-to-face counseling about: (1) the meaning of the test result; (2) the possible need for additional testing; (3) measures to prevent the transmission of HIV; (4) the availability of appropriate health care services, including mental health care, and appropriate social and support services in the geographic area of the person’s residence; (5) the benefits of partner notification; and (6) the availability of partner notification programs. If a person with a positive HIV test result requests that her/his partner(s) be made aware of the possibility of exposure through a partner notification program, the post-test counselor will have the HIV-infected person sign a statement requesting assistance of a partner notification program. This statement will be made a permanent part of the person’s medical record. A representative of the health institution or student health center will then request the local health department to contact the partner(s) identified by the HIV-infected person.

 

(c)        Informed Consent for HIV Testing — (1) Unless otherwise authorized or required by law, no HIV test should be performed without informed consent of the person to be tested. (2) Consent will be written on a separate form, or the medical record will document that the test has been explained and consent has been obtained. The consent form will state that post-test counseling will be offered or the medical record will note that the patient has been informed that post-test counseling will be offered.

 

(d)        Reporting of Test Results — HIV and HBV test results will be reported in compliance with all applicable statutory requirements, including the Communicable Disease Prevention and Control Act, Texas Health and Safety Code. §81.001.

 

(e)        Conditions of HIV Testing of Employees at Institution’s Expense — Employees will be informed that they may request HIV testing and counseling at the institution’s expense, if: (1) The employee documents possible exposure to HIV while performing duties of employment; and (2) The employee was exposed to HIV in a manner that is capable of transmitting the infection as determined by guidelines developed in accordance with statements of the Texas Department of Health (TDH) and Centers for Disease Control (CDC).

 

(f)         Qualifying for Workers’ Compensation Benefits State law requires that an employee who bases a workers’ compensation claim on a workrelated exposure to HIV must provide a written statement of the date and circumstances of the exposure and document that within ten (10) days after the exposure, the employee had a test result that indicated absence of HIV infection. An employee who may have been exposed to HIV while performing duties of employment may not be required to be tested, but refusal to be tested may jeopardize Workers’ Compensation benefits.

 

(g)        Testing Following Potential Exposure to HIV or HBV — Each component institution should develop guidelines and protocols for employees and students who have been exposed to material that has a potential for transmitting HIV or HBV as a result of employment or educational assignments. Testing of employees or students exposed to such material should be done within ten (10) days after exposure and should be repeated after one (1) month. Testing for HIV also should be done after three (3) and six (6) months. These guidelines should follow TDH, U.S. Public Health Service, and CDC guidelines. In cases of exposure of an employee or student to another individual’s (“Individual” in this paragraph) blood or body fluid, a component institution, at the institution’s expense, may test that Individual for HIV and HBV infection with or without the Individual’s consent, provided that the test is performed under approved institutional guidelines and procedures that provide criteria for testing and that respect the rights of the person being tested. This includes post-test counseling as specified in Section 3.07(b). If the Policies, Procedures, Responsibilities, and Requirements 55 test is done without the Individual’s consent, the guidelines must ensure that any identifying information concerning the Individual’s test will be destroyed as soon as the testing is complete and the person who may have been exposed is notified of the result. Test results will be reported in compliance with all applicable statutory requirements, as specified in Section 3.07(d).

 

3.08     Confidentiality of Records Except where release is required or authorized by law, information concerning the HIV status of students, employees, or patients and any portion of a medical record will be kept confidential and will not be released without written consent. HIV status in personnel files and Workers’ Compensation files is to remain confidential and have the confidentiality status of medical records.

 

3.09     Education and Safety Precautions for Health Care Workers — Each component institution shall develop guidelines for Health Care Workers and students in the health professions concerning prevention of transmission of HIV and HBV and concerning Health Care Workers who have HIV and HBV infection. All Health Care Workers shall be provided instruction on universal infection control precautions. Each Health Care Worker who is involved in direct patient care should complete an educational course about HIV and HBV infection based on the model education program and workplace guidelines developed by the TDH and the guidelines of this policy.

 

3.10     Education

 

(a)        General Employee Educational Pamphlet — Component institutions should provide each employee an educational pamphlet about methods of transmission and prevention of HIV infection. The pamphlet will be the TDH educational pamphlet or a pamphlet based on the model developed by the TDH. The pamphlet should be provided to new employees on the first day of employment and to all employees annually.

 

(b)        Information On Prevention Provided To Students — (1)            Each component institution should routinely offer students programs based on the model HIV education and prevention program developed by the TDH and tailored to the students’ cultural, educational, language, and developmental needs. (2) Each student health center should provide information on prevention of HIV infection including: (a) the value of abstinence and long-term mutual monogamy, (b) information on the efficacy and use of condoms, and (c) state laws relating to the transmission of HIV and to conduct that may result in such transmission. (3) The employee educational pamphlet will be available to students on request. (c)           Guidelines For Laboratory Courses — Component institutions that offer laboratory courses requiring exposure to material that has potential for transmitting HIV or HBV should adopt safety guidelines for handling such material and distribute these guidelines to students and staff prior to their coming in contact with such material. (d) Education Of Students Entering Health Professions Those component institutions offering medical, dental, nursing, allied health, counseling, and social work degree programs should include within the program curricula information about: (1)           methods of transmission and methods of prevention of HIV and HBV infection, including universal infection control precautions; (2)  federal and state laws, rules, and regulations concerning HIV infection and AIDS; and (3)     the physical, emotional and psychological stress associated with the care of patients with terminal illnesses.

 

3.11     Unemployment Compensation Benefits — Each component institution will inform employees via employee and faculty guidelines or other appropriate methods that state law provides that an individual will be disqualified for unemployment compensation benefits: (a) if the Texas Employment Commission (TEC) finds that the employee left work voluntarily rather than provide services included within the course and scope of employment to an individual infected with a communicable disease, including HIV. This disqualification applies if the employer provided facilities, equipment, training, and supplies necessary to take reasonable precautions against infection; or (b) if the TEC finds that the employee has been discharged from employment based on a refusal to provide services included within the course and scope of employment to an individual infected with a communicable disease, including HIV. This disqualification applies if the employer provided facilities, equipment, training, and supplies necessary to take reasonable precautions against infection.

 

3.12     Health Benefits — No student or employees will be denied benefits or provided reduced benefits under a health plan offered through The UT System on the basis of a positive HIV test result.

 

Needlestick Policy.

           

The following procedures apply to students who have had significant contact from a contaminated needle or who have had contamination to an open wound or mucous membrane. These procedures apply whether or not the contamination was received on-site or off-site.

 

1. Significant Contact from:

 

a. contaminated needle with puncture of skin surface

b. any wound secondary to a contaminated object

c. contamination of any open wound or mucous membrane by saliva, blood or any body fluid.

 

2. Insignificant Contact: exposure of unbroken skin by blood or saliva or other body fluids.

 

3. Procedure:

 

a. Cleanse wound thoroughly with soap and water, or appropriate substance for tissue cleaning.

 

b. Report incident to appropriate person for documentation. Complete the appropriate institutional incident report. Send a copy of the incident report to the Student Health Service.

 

c. Obtain patient’s (source of exposure) permission for blood sample to be drawn for Hepatitis B Surface Antigen (HBsAg), Hepatitis C Antibody (Anti-HCV), and Antibody to Human Immunodeficiency virus (Anti-HIV). Sample should be submitted to lab using appropriate paperwork and usual process for the facility (e.g., at University Hospital, Anti-HIV lab slip will need to be signed by a physician and the patient). Be certain you understand how this information can be retrieved.

 

d. The student should have her/his blood drawn at the University Hospital as soon as possible for HBsAg, Antibody to Hepatitis B Surface Antigen (Anti-HBs), Hepatitis C Antibody, and Anti- HIV. If the student has had a documented seroconversion following a Hepatitis B vaccination series, the HBsAg and Anti-HBs are not needed. Identify yourself as a student and state that you have a needlestick.

 

e. The primary purpose of the initial visit is to document the incident and offer prophylactic therapy for HIV exposure. The remaining steps of this procedure (counseling, blood collection for serologic testing, and Hepatitis B and Hepatitis C prophylaxis) may be done either during this initial visit or during the follow-up visit in the Student Health Service.

 

f. For exposures that occur off-campus and the off-campus facility will not cover the cost of this testing, the student has the option of either paying for the testing herself/himself or returning to the Student Health Service within 72 hours of exposure for the testing. A student with an exposure incident should be informed about the risk for HIV infection by the physician attending her/him during the initial visit. The student should be offered HIV prophylaxis. Prophylaxis should begin within approximately two hours after the incident. The student will be informed about the possible adverse reactions to therapy. The care provider will then schedule follow-up clinical evaluations and blood tests.

 

g. If the source is Anti-HIV negative, further follow up is at the discretion of the student and the student’s physician. If the patient to whom the student was exposed is shown to be Anti-HIV positive, repeat student testing at 6 weeks, 3, 6, 9, and 12 months from initial exposure is recommended.

 

h. Any student who seroconverts her/his Anti-HIV or HBsAg will be referred by the Clinical Director of the Student Health Service for appropriate follow-up care. Texas law mandates that results of the Anti-HIV test remain confidential; only the student, her/his physician and the Clinical Director of the Student Health Service will know the test results. The student’s physician or the Student Health Service Clinical Director may inform others of the student’s Anti-HIV test result only after counseling and obtaining written permission from the student.

 

i. If the patient to whom the student was exposed is shown to be HBsAg negative, no further Hepatitis B testing or therapy is needed. If the patient to whom the student was exposed is shown to be HBsAg positive but the student is also HBsAg positive or the student is Anti-HBs positive (either from prior disease or as a result of a Hepatitis B vaccination series), no further Hepatitis B testing or therapy is needed. If the patient to whom the student was exposed is shown to be HBsAg positive and the student is both HBsAg negative and Anti-HBs negative, the student should receive one dose of Hepatitis B Immune Globulin (.06 ml/kg intramuscularly) as soon as possible within 72 hours after exposure, and begin a Hepatitis B vaccination series within seven days. If the student has already received Hepatitis B vaccination but has a negative Anti- HBs test result, the student should receive HBIG and one dose of Hepatitis B vaccine.

 

j. In accidental exposure to blood from a patient with Hepatitis C, Immune Globulin (0.06 ml/ kg) may be useful in preventing HCV infection, but results of studies evaluating prophylactic efficacy have been equivocal. The student should have follow-up Hepatitis C serology at 6 weeks, 3 months, 6 months, and 1 year.

 

k. Prophylaxis has been utilized by needlestick recipients in an attempt to decrease their risk of development of HIV infection. Before the student utilizes this form of therapy, several points should be considered: 1. This risk of transmission of HIV per episode of percutaneous exposure to HIV-infected blood is, on the average, approximately 0.4%. 2. Anti-HIV seroconversion in a needlestick recipient has been documented despite use of prophylaxis. 3. Drugs used for HIV prophylaxis are expensive. This cost is the responsibility of the student.

 

l. If the student voluntarily elects to seek independent evaluation for any incidence related to a needlestick outside the confines of the Student Health Service, these costs will be the responsibility of the student. Guidelines for Needlestick and Body-Fluid Exposures for UTHSCSA Students It is recommended that you receive treatment within 2 hours of a needlestick or body-fluid exposure. You are encouraged to seek counseling at the Student Health Clinic so that your degree of exposure can be assessed and to assure appropriate data is collected on the source patient. With this necessary counseling, you will be in a better position to manage both your exposure and the related costs. 1.          If you sustain an injury with a needle or other sharp object that has been exposed to a patient’s body fluids, or if you splash a patient’s body fluid onto broken skin or mucous membranes, you may be at risk to contract infection with human immunodeficiency virus (HIV), the causative agent of AIDS. 2.  If this occurs, treatment is available that can substantially reduce the risk of acquiring HIV infection. The US Centers for Disease Control and Prevention recommends that for maximum protection, you should receive treatment within two hours of exposure. 3.        

 

The following are guidelines for what to do if you sustain a needlestick injury or body-fluid exposure.

 

For Exposures During Normal Weekday Day-Time Working Hours in San Antonio Area If the exposure occurs during working hours (8:30 a.m.–4:30 p.m.), care may be obtained from the UTHSCSA Student Health Clinic. However, to avoid delays in treatment, CALL before going to the Student Health Clinic to be sure the Student Health Service is open and that staff is present. The telephone number is (210) 592-0157. If you are more than 30–45 minutes away from the Student Health Clinic, we recommend that you seek care from the nearest emergency room or health care facility. If the Student Health Clinic is closed, go to the University Hospital Emergency Room. Report to the Student Health Clinic on the next (nonholiday) weekday. Contact the ER triage nurse at 358-2488 to expedite your care. If you are more than 30–45 minutes from the University Hospital Emergency Room, we recommend that you seek care from the nearest emergency room or health care facility. Report to the Student Health Clinic on the next (nonholiday) weekday. For Exposures After Normal Working Hours in the San Antonio Area If the exposure occurs after working hours, care may be obtained from the University Hospital Emergency Room. Contact the ER triage nurse at 358- 2488 to expedite your care. However: If you are more than 30–45 minutes away from the University Hospital Emergency Room, we recommend that you seek care from the nearest emergency room or health care facility. Report to the Student Health Clinic on the next (nonholiday) weekday following the exposure. If health care providers at another facility have questions about appropriate care, they can call the national HIV Post-Exposure Prophylaxis Hot-Line for Clinicians at 1-888-HIV-4911, which is open 24 hours per day.

 

For Exposures Outside the San Antonio Area If the exposure occurs outside the San Antonio area, it is recommend that the student seek medical care from the nearest emergency room or health care facility. If health care providers at the facility have questions about appropriate care, they can call the national HIV Post-Exposure Prophylaxis Hot- Line for Clinicians at 1-888-HIV-4911, which is open 24 hours per day. Contact the Student Health Clinic by phone on the next (non-holiday) weekday.

 

4.         Incident Reports.

 

Regardless of location, complete an incident report in the facility in which the incident occurred. The report should include information identifying the person whose body fluid was the source of exposure and a contact person at the institution for follow-up. Bring a copy of the incident report to the Student Health Clinic.

 

5.         Cost.

 

If the above protocol is followed, costs of services received at the Student Health Clinic for needle or body-fluid exposures will be paid by UTHSCSA, up to $500. The cost of emergency care at another facility will also be paid by UTHSCSA, but only for services received on the date of exposure, and only until further care can be obtained from the Student Health Clinic, up to a maximum of $500. 6.    In order to be eligible to receive the Needlestick policy benefit, each HSC student must comply with the following requirements: 58 UTHSCSA Student Guide 2001–2003 Each student must consult the Student Health Clinic at (210) 592-0157 immediately. Each student must initiate reimbursement from UTHSCSA within 30 days of the occurrence of the needlestick. If applicable, each student must concurrently seek reimbursement from their private insurance. Each student must provide the Student Health Clinic with an incident report prior to making any request for reimbursement which would include time, date, and location of incident. The incident must relate to your clinical duties as a registered student at UTHSCSA. 7.      These guidelines are subject to revision and modification by the Student Health Advisory Committee and the Assistant Vice President for Student Services and supersedes previous needlestick policies.

 

Recommendations of Student Health Advisory Committee Regarding Post Exposure Prophylaxis for Needlestick or Percutaneous Fluid Exposure

 

1.         For required courses, students be sent only to locations where the individual schools (medical, dental, nursing, allied health, & graduate school) have confirmed that resources are available to provide care in the event a student sustains an infectious exposure. Post exposure prophylaxis (PEP) for HIV, as recommended by the current CDC guidelines, should consist of medical counseling, lab work, and antiviral medications within the recommended time frame. These sites would need to be periodically reviewed to confirm that the appropriate policies and procedures are in effect, possibly as part of the annual affiliation agreements. Departments will confirm that appropriate policies and procedures are in effect before students are sent to remote locations. This information will also be included in affiliation agreements. For elective rotations in under served areas, students will be notified that PEP may not be available as recommended by CDC guidelines. When possible, students will be given information as to the nearest facility where this level of care can be obtained. Administration may consider asking legal counsel to develop an informed consent/release form to be signed by students acknowledging their understanding that PEP may not be immediately available to them on a chosen elective.

 

2.         All UTHSCSA students will be provided adequate education regarding universal precautions for infectious exposure and PEP procedures prior to any clinical rotations. Course directors/faculty must demonstrate that teaching and clinical application of the correct use of universal precautions occurs on clinical rotations.

 

3.         Provide educational support to remote clinical sites, primarily in South Texas, to help bring their policies and procedures up to date regarding treatment of infectious exposures. UTHSCSA will cooperate in providing information to assist in making the needed drug therapy available at these remote sites. Prior to the placement of a student in a preceptorship, the School of enrollment will by letter of agreement with the preceptor develop information regarding post exposure prophylaxis, including the nearest facility where this level of care can be obtained. Students will be informed by letter of this same information. The School will inform the administrators of the preceptorship programs of the need for this information prior to student placement with a preceptor and will work with the administrators of the preceptorship program to identify the location of the nearest facility to each matched preceptor where the PEP can be obtained.

 

4.         Continuation of current financial compensation for our students who follow our needlestick protocol and are treated after an injury in a remote location. Students will follow procedures as outlined in “needlestick policy,” which is given to each student at registration, available in the student handbook and on the Web page. Reimbursement will be for covered expenses. Approved by the Health Science Center’s Executive Committee, May 18, 1999 Policies, Procedures, Responsibilities, and Requirements

 

Policy on Alcohol, Drug, and Chemical Abuse Policy

 

The purpose of this statement is to comply with the federal Drug-Free Schools and Communities Act Amendment of 1989 and the Drug-Free Workplace Act of 1988. The statements provided below also represent Health Science Center policy with regard to the abuse and/or distribution of alcohol, drugs, and chemicals by faculty, staff, and students. Standards of Conduct

 

1.         The illegal possession or use of alcoholic beverages, drugs, or chemicals on any property and in buildings and facilities under the control of the Health Science Center is expressly prohibited.

 

2.         Alcoholic beverages on Health Science Center property are permissible only by prior written Presidential approval for specific events.

 

3.         These standards of conduct apply to ALL persons connected with the institution either as employees or students. a. Employees: The use or possession of alcohol or drugs (chemicals) by an employee on Health Science Center premises is defined as misconduct by The University of Texas System “Policies and Procedures for Discipline and Dismissal of Employees.” The unlawful use, possession, or distribution of illicit drugs or alcohol by an employee is prohibited by The University of Texas System “Policy on Drugs and Alcohol.” State law provides that no salary payments be made to an employee who uses alcoholic beverages while on active duty. Any employee who is found guilty (including a plea of no contest) or has a sentence, fine, or other penalty imposed by a court of competent jurisdiction under a criminal statute for an offense involving a controlled substance that occurred in or on premises controlled by The University shall report such action to the Director of Human Resources within five (5) days. b. Students: Subsection 3.21 of Chapter VI, Part One of the Rules and Regulations of the Board of Regents of The University of Texas System provides for disciplinary action against any student who engages in conduct that is prohibited by state, federal, or local law. This includes those laws prohibiting the use, possession, or distribution of drugs and alcohol.

 

4. Violations of this Policy. a.    Employees: The unlawful use, possession, or distribution of alcohol or drugs will result in a penalty of disciplinary probation, suspension without pay, or dismissal from employment, depending upon the circumstances. b. Students: The Health Science Center will impose a minimum disciplinary penalty of suspension for a specified period of time or suspension of rights and privileges, or both, for conduct related to the use, possession, or distribution of drugs that are prohibited by state, federal, or local law. Other penalties that may be imposed for conduct related to the unlawful use, possession, or distribution of drugs or alcohol include disciplinary probation, payment for damages to or misappropriation of property, suspension of rights and privileges, suspension for a specified period of time, expulsion, or such other penalty as may be deemed appropriate under the circumstances.

 

Health Risks of Alcohol, Drugs, and Chemicals

 

Alcohol. Health hazards associated with the excessive use of alcohol or with alcohol dependency include dramatic behavioral changes, retardation of motor skills, and impairment of reasoning and rational thinking. These factors result in a higher incidence of injury and accidental death for such persons than for nonusers of alcohol. Nutrition also suffers and vitamin and mineral deficiencies are frequent. Prolonged alcohol abuse causes bleeding from the intestinal tract, damage to nerves and the brain, psychotic behavior, loss of memory and coordination, damage to the liver often resulting in cirrhosis, impotence, severe inflammation of the pancreas, and damage to the bone marrow, heart, testes, ovaries, and muscles. Cancer is the second leading cause of death in alcoholics and is ten (10) times more frequent than in non-alcoholics. Sudden withdrawal of alcohol from persons dependent on it may cause serious physical withdrawal symptoms.

 

Drugs and Chemicals. The use of illicit drugs and chemicals may cause the same general type of physiological and mental changes seen with alcohol, though frequently those changes are more severe and more sudden. Death or coma resulting from overdose of drugs and chemicals is more frequent than from alcohol, but unlike alcohol, abstinence can lead to reversal of most physical problems associated with drug use. There are also health risks resulting from intravenous drug use. In addition to the adverse effects associated with the use of a specific drug, intravenous drug users who use unsterilized needles or who share needles with other drug users can develop AIDS, hepatitis, tetanus (lock jaw), and infections in the heart. Manufacture or delivery of controlled substances (drugs) Confinement in the Texas Department of Corrections (TDC) for a term of not more than 2 years or less than 180 days, and a fine not to exceed $10,000. Confinement TDC for life or for a term of not more than 99 years or less than 10 years, and a fine not to exceed $100,000. Possession of controlled substances (drugs) Confinement in jail for a term of not more than 180 days, and a fine not to exceed $2,000. Confinement in TDC for life or for a term of not more than 99 years or less than 5 years, and a fine not to exceed $50,000. Delivery of Marijuana Confinement in jail for a term not to exceed 180 days, and a fine not to exceed $2,000. Confinement in TDC for life or for a term of not more than 99 years or less than 10 years, and a fine not to exceed $100,000. Possession of Marijuana Confinement in jail for a term not to exceed 180 days, and a fine not to exceed $2,000. Confinement in TDC for life or for a term of not more than 99 years or less than 5 years, and a fine not to exceed $50,000. Driving While Intoxicated (includes intoxication from alcohol, drugs, or both) Confinement in jail for a term of not more than 180 days or less than 72 hours, and a fine of not more than $2,000. Confinement in jail for a term of not more than two years or less than 30 days, or confinement in TDC for a term of not more than 5 years or less than 60 days, and a fine of not more than $2,000 or less than $500. Public Intoxication A fine not to exceed $500. Purchase of alcohol by a minor; Consumption of alcohol by a minor; Possession of alcohol by a minor Fine of not more than $500. Alcohol awareness class, community service, suspend driver’s license for 30 days. For a subsequent offense, a fine of not less than $250 nor more than $2,000. Jail not to exceed 180 days. Driver’s license suspension 180 days. Sale of Alcohol to a Minor Fine not to exceed $4,000; jail not to exceed 1 year, or both. II. FEDERAL LAW OFFENSE MINIMUM PUNISHMENT MAXIMUM PUNISHMENT Manufacture, distribution, or dispensing of drugs (includes marijuana) A term of imprisonment not more than one year, and a minimum fine of $1,000. Loss of scholarships and grants; 0–6months prison; $500 fine. A term of life imprisonment without release (no eligibility for parole, and a fine not to exceed $8,000,000 (for an individual) or $20,000,000 (if other than an individual). Possession of drugs (including marijuana) 1 year prison, fine not less than $1,000 (max. $100,000). Civil penalty of $10,000 possible. Imprisonment for not more than 20 years or not less than 5 years, a fine of not less than $5,000 plus costs of investigation and prosecution. Operation of a common carrier under the influence of alcohol or drugs Imprisonment for up to 15 years and a fine not to exceed $250,000. 62 UTHSCSA Student Guide 2001–2003 damage may also result. Chemicals, which include solvent inhalants and aromatic hydrocarbons, such as glue, lacquers, and plastic cement, also present health risks. Fumes from these substances cause symptoms similar to alcohol. Hallucinations and permanent brain damage may occur. TABLE 1 on page 60, excerpts of which were taken from the Federal Register, provides a summary of illicit drugs and their effects.

 

Assistance for Employees and Students Employees and students of the Health Science Center in need of assistance with an alcohol or drug abuse problem may take advantage of professional referral programs. Employees. The Department of Psychiatry maintains a Substance Abuse Treatment Clinic, which is located on the third floor of the University Clinic. This Clinic provides comprehensive evaluation and treatment for persons who have alcohol, drug, and other chemical dependency problems. Many private community organizations also are involved in rehabilitation programs for alcohol and drug impairment. Students. The Counseling Service and its Substance Abuse Prevention Program in the Office of Student Services provides evaluation, referral, consultation, and education. All service and records are confidential. Counseling Service records are professional health records which are confidential. Counseling Service records are not a part of the student’s university record. Students may request to review the record. Counseling Service records or summaries of service are provided only with the written authorization of the student. Seeking consultation or receiving treatment for alcohol or drug abuse is not an impediment to making progress in a student’s academic program. Alcohol on Campus The use of intoxicating beverages is prohibited in classroom buildings, laboratories, auditoriums, library buildings, faculty and administrative offices, intramural athletic facilities, and other public campus areas. With the prior consent of the President, the foregoing provisions may be waived with respect to a specific affair which is sponsored by the University. However, with respect to the possession and consumption of alcoholic beverages, state law will be strictly enforced at all times on property controlled by The University of Texas System and its component institutions. (See “Alcohol Policy for Student Organizations.”) Controlled Substances on Campus The Health Science Center will impose at least a minimum disciplinary penalty of suspension for a specified period of time or suspension of rights and privileges, or both, for conduct related to the use, possession, or distribution of drugs that are prohibited by state, federal, or local law. Other penalties that may be imposed for conduct related to the unlawful use, possession, or distribution of drugs or alcohol include disciplinary probation, payment for damages to or misappropriation of property, suspension of rights and privileges, suspension for a specified period of time, expulsion, or such other penalty as may be deemed appropriate under the circumstances. Students can avail themselves of professional referral programs. The Counseling Service in the Office of Student Services, along with the various deans’ offices, provide support measures for impaired health professions students. Other private organizations involved in rehabilitation programs for impaired health professional students can be identified upon request. The UTHSCSA Student Government Association (SGA) supports the University policy on alcohol, drug, and chemical abuse as outlined in the Student Guide through the use of the following procedures at SGA functions: (1) providing designated drivers; (2) utilizing designated servers; (3) providing nonalcoholic beverages; (4) providing food; and (5)requiring picture identification to insure compliance with the Texas Alcoholic Beverage Commission policies. (See “Procedures and Regulations Governing Student Conduct and Discipline.”) Policies, Procedures, Responsibilities, and Requirements 63 Student Conduct and Discipline Students are responsible for knowing and observing the University’s “Procedures and Regulations Governing Student Conduct and Discipline.” In summary, the procedures and regulations provide that the person acting as Associate Dean of Student Affairs of each school shall have direct responsibility for the administration of the disciplinary process in cases concerning scholastic dishonesty and professional misconduct. The Assistant Vice President for Student Services has direct responsibility for the administration of the disciplinary process in areas not directly related to the academic or professional training of the student. If after investigation of an alleged violation of the “Procedures and Regulations Governing Student Conduct and Discipline,” the Associate Dean of Student Affairs or the Assistant Vice President for Student Services determines the allegations are not unfounded, he/she will prepare a written statement of charges and a summary statement of the evidence and present the statements to the accused student. If the accused does not dispute the facts and waives a hearing, the Assistant Vice President for Student Services or the person acting as Associate Dean of Student Affairs assesses a penalty consistent with those outlined in the regulations. If the student disputes the facts, a hearing officer will be selected to hear evidence, to adjudicate guilt or innocence, to render a written decision, and to impose a penalty if one is due. The decision may be appealed to the HSC President. Penalties which may be imposed include a warning, probation, a financial penalty when property damage is involved, suspension of rights and privileges deriving in whole or part from the University, suspension of eligibility for office or honor, loss of credit for scholastic work, reduction of the grade in an assigned course, a failing examination grade, a failing grade in the course, suspension from the University, expulsion, withholding of grades, official transcripts or degrees, or other penalty imposed by the hearing officer/committee, the Assistant Vice President for Student Services, or the Associate Dean of Student Affairs. The full text of the regulations should be consulted in reference to questions concerning conduct and discipline. A copy of a document, “A Student Discipline for Scholastic Dishonesty: A Guide for Administration, Faculty, and Hearing Officers,” is available for review in the Office of the Associate Dean for Student Affairs of each school, the office of the Assistant Vice President for Student Services, and the Library. This document describes specific procedures used in cases of alleged scholastic dishonesty.

              

Student Conduct and Discipline

 

Sec. 1. General Provisions.

 

1.1       These policies and regulations apply to all component institutions of the System and shall be implemented appropriately in the Handbook of Operating Procedures for each institution.

 

1.2       When the designation “chief student affairs officer” appears in this Chapter, reference is made to the administrative officer or officers directly responsible for student affairs at each component institution. The designation “Dean of Students” or “Dean” in the context of this Chapter shall refer to the administrative officer or officers responsible for the administration of the disciplinary process at each component institution.

 

1.3       All authority held and exercised by a chief student affairs officer is delegated to that officer by the chief administrative officer. Any action taken by the chief student affairs officer is subject to review by the component president.

 

1.4       The chief student affairs officer shall be the administrative officer primarily responsible for the development and administration of policies relating to students, for the development and implementation of services to students, and for the initial preparation of institutional regulations that will implement the policies and regulations set forth in this Chapter.

 

1.5       Any individual student, group of students, or student organization may petition the Board on any matter relating to these policies and regulations (other than a disciplinary action) through the chief student affairs officer, the component president, the appropriate Executive Vice Chancellor, and the Chancellor.

 

1.6       Student Advisory Council.—At the discretion of the Chairman of the Board of Regents and the Chancellor, a student advisory council representing component institutions in the U.T. System may be formed to facilitate the flow of ideas and information between and among the Board of Regents, the System Administration, and the component institutions. The Chairman and Chancellor will promulgate guidelines for the selection of student advisory council representatives. Representatives of the student advisory council may from time to time address the Board at meetings of the Board and may recommend action to the Board through the Chancellor. At least once each year, a meeting will be arranged between the student advisory council executive committee and the Board.

 

Sec. 2. Definitions.

 

2.1       Student.—The following persons shall be considered students for purposes of these policies and regulations:

 

2.11     A person currently enrolled at a component institution of the System.

 

2.12     A person accepted for admission or readmission to a component institution of the System.

 

2.13     A person who has been enrolled at a component institution of the System in a prior semester or summer session and is eligible to continue enrollment in the semester or summer session that immediately follows.

 

2.14     A person who engaged in prohibited conduct at a time when he or she met the criteria of Subdivisions 2.11, 2.12, or 2.13.

 

2.2       Campus.—The campus consists of all real property, buildings or facilities owned or controlled by the component institution.

 

2.3       Hearing Officer.—An individual selected in accordance with procedures adopted by the component institution to hear disciplinary charges, make findings of fact and, upon a finding of guilt, impose an appropriate sanction(s).

 

2.4       Weekday.—Monday through Friday, excluding any day that is an official holiday of the component institution.

 

2.5       Day.—A calendar day.

 

Sec. 3. Student Conduct and Discipline.

 

3.1       The component institutions shall adopt rules and regulations concerning student conduct and discipline. Such rules shall be in compliance with the Regents’ Rules and Regulations and shall become effective upon review and approval by the Executive Vice Chancellor for Health Affairs or the Vice Chancellor for Academic Affairs. Each student is responsible for notice of and compliance with the provisions of the Regents’ Rules and Regulations and the rules of the component institution.

 

3.2       All students are expected and required to obey federal, state, and local laws, to comply with the Regents’ Rules and Regulations, with System and institutional rules and regulations, with directives issued by an administrative official of the System or component institution in the course of his or her authorized duties, and to observe standards of conduct appropriate for an academic institution.

 

3.21     Any student who engages in conduct that violates the Regents’ Rules and Regulations, the System or institutional rules and regulations, specific instructions issued by an administrative official of the institution or the System acting in the course of his or her authorized duties, or federal, state, or local laws is subject to discipline whether such conduct takes place on or off campus or whether civil or criminal penalties are also imposed for such conduct.

 

3.22     Any student who commits an act of scholastic dishonesty is subject to discipline. Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, the submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts.

 

3.23     Any student who is guilty of the illegal use, possession and/or sale of a drug or narcotic on the campus of a component institution is subject to discipline. If a student is found guilty of the illegal use, possession, and/or sale of a drug or narcotic on campus, the minimum penalty shall be suspension from the institution for a specified period of time and/or suspension of rights and privileges.

 

3.24     Any student who engages in conduct that endangers the health or safety of any person on the campus of a component institution or on any property, or in any building, or facility owned or controlled by the System or component institution is subject to discipline.

 

3.25     Any student who, acting singly or in concert with others, obstructs, disrupts or interferes with any teaching, educational, research, administrative, disciplinary, public service, or other activity or public performance authorized to be held or conducted on campus or on property or in a building or facility owned or controlled by the System or component institution is subject to discipline. Obstruction or disruption includes but is not limited to any act that interrupts, modifies or damages utility service or equipment, communication service or equipment, university computers, computer programs, computer records or computer networks accessible through the university’s computer resources.

 

3.26     Any student who engages in speech, either orally or in writing, that is directed to inciting or producing imminent lawless action and is likely to incite or produce such action is subject to discipline.

 

3.27     Any student who engages in the unauthorized use of property, equipment, supplies, buildings, or facilities owned or controlled by the System or component institution is subject to discipline.

 

3.28     Any student who, acting singly or in concert with others, engages in hazing is subject to discipline. Hazing in state educational institutions is prohibited by state law (Section 51.936, Policies, Procedures, Responsibilities, and Requirements 65 Texas Education Code). Hazing with or without the consent of a student whether on or off campus is prohibited, and a violation of that prohibition renders both the person inflicting the hazing and the person submitting to the hazing subject to discipline. Initiations or activities of organizations may include no feature which is dangerous, harmful, or degrading to the student, and a violation of this prohibition renders both the organization and participating individuals subject to discipline.

 

3.29     A student who alters or assists in the altering of any official record of the System or component institution or who submits false information or omits requested information that is required for or related to an application for admission, the award of a degree, or any official record of the System or institution is subject to discipline. A former student who engages in such conduct is subject to bar against readmission, revocation of degree and withdrawal of diploma. 3.2(10) Any student who defaces, mutilates, destroys or takes unauthorized possession of any property, equipment, supplies, buildings, or facilities owned or controlled by a component institution or the System is subject to discipline. 3.2(11) A student is subject to discipline for prohibited conduct that occurs while participating in off-campus activities sponsored by a component institution or the System including field trips, internships, rotations or clinical assignments. 3.2(12) Unless authorized by federal, state, or local laws, a student who possesses or uses any type of explosive, firearm, imitation firearm, ammunition, hazardous chemical, or weapon as defined by state or federal law, while on campus or on any property or in any building or facility owned or controlled by the System or component institution, is subject to discipline. 3.2(13) A student who receives a period of suspension as a disciplinary penalty is subject to further disciplinary action for prohibited conduct that takes place on campus during the period of suspension.

 

3.3       A former student who has been suspended or expelled for disciplinary reasons is prohibited from being on the campus of any component institution during the period of such suspension or expulsion without prior written approval of the chief student affairs officer of the institution at which the suspended or expelled student wishes to be present.

 

3.4       The Dean of Students shall have primary authority and responsibility for the administration of student discipline at each component institution. It shall be the Dean’s duty to investigate allegations that a student has engaged in conduct that violates the Regents’ Rules and Regulations, the rules and regulations of the institution or the System, specific instructions issued by an administrative official of the institution or the System in the course of his or her authorized duties, or any provisions of federal, state, and/or local laws. The Dean may proceed with the investigation and with the disciplinary process, notwithstanding any action taken by other authorities.

 

3.41     A student may be summoned by written request of the Dean for a meeting to discuss the allegations. The written request shall specify a place for the meeting and a time at least three (3) weekdays after the date of the written request. The written request may be mailed to the address appearing in the records of the registrar or may be hand delivered to the student. If a student fails to appear without good cause, as determined by the Dean, the Dean may bar or cancel the student’s enrollment or otherwise alter the status of the student until the student complies with the summons, or the Dean may proceed to implement the disciplinary procedures provided for in Subsection 3.5. The refusal of a student to accept delivery of the notice or the failure to maintain a current address with the registrar shall not be good cause for the failure to respond to a summons.

 

3.42     Pending a hearing or other disposition of the allegations against a student, the Dean may take such immediate interim disciplinary action as is appropriate to the circumstances, including: (a) suspension and bar from the campus when it reasonably appears to the Dean from the circumstances that the continuing presence of the student poses a potential danger to persons or property or a potential threat for disrupting any activity authorized by the institution; or (b) the withholding of grades, degree or official transcript when such action is in the best interest of the institution.

 

3.43     When interim disciplinary action has been taken by the Dean under Subdivision 3.42, a hearing of the charges against the student will be held under the procedures specified in Subsection 3.5, but will be held within ten (10) days after the interim disciplinary action was taken unless the student agrees in writing to a hearing at a later time or unless the student waives a hearing and accepts the decision of the Dean in accordance with Subdivision 3.44.

 

3.44     In any case where the accused student does not dispute the facts upon which the charges are based and executes a written waiver of the hearing procedures specified in Subsection 66 UTHSCSA Student Guide 2001–2003 3.5, the Dean shall assess one or more of the penalties specified in Subsection 3.6 that is appropriate to the charges and inform the student of such action in writing. The minimum penalty that the Dean may assess when a student admits illegal use, possession, and/ or sale of a drug or narcotic on campus is the penalty prescribed in Subdivision 3.23 of this Section. The decision of the Dean on penalty only may be appealed to the chief administrative officer.

 

3.5       In those cases in which the accused student disputes the facts upon which the charges are based, such charges shall be heard and determined by a fair and impartial Hearing Officer.

 

3.51     Except in those cases where immediate interim disciplinary action has been taken, the accused student shall be given at least ten (10) days written notice of the date, time, and place for such hearing and the name of the Hearing Officer. The notice shall include a statement of the charge(s) and a summary statement of the evidence supporting such charge(s). The notice shall be delivered in person to the student or mailed to the student at the address appearing in the registrar’s records. A notice sent by mail will be considered to have been received on the third day after the date of mailing, excluding any intervening Sunday. The date for a hearing may be postponed by the Hearing Officer for good cause or by agreement of the student and Dean.

 

3.52     The accused student may challenge the impartiality of the Hearing Officer. The challenge must be in writing, state the reasons for the challenge, and be submitted to the Hearing Officer through the Office of the Dean at least three (3) days prior to the hearing. The Hearing Officer shall be the sole judge of whether he or she can serve with fairness and objectivity. In the event the Hearing Officer disqualifies himself or herself, a substitute will be chosen in accordance with procedures of the institution.

 

3.53     Upon a hearing of the charges, the Dean or other institutional representative has the burden of going forward with the evidence and has the burden of proving the charges by the greater weight of the credible evidence.

 

3.54     The Hearing Officer is responsible for conducting the hearing in an orderly manner and controlling the conduct of the witnesses and participants in the hearing. The Hearing Officer shall rule on all procedural matters and on objections regarding exhibits and testimony of witnesses, may question witnesses, and is entitled to have the advice and assistance of legal counsel from the Office of General Counsel of the System. The Hearing Officer shall render and send to the Dean and the accused student a written decision that contains findings of fact and a conclusion as to the guilt or innocence of the accused student. Upon a conclusion of guilt the Hearing Officer shall assess a penalty or penalties specified in Subsection 3.6. Guilt of the illegal use, possession, or sale of a drug or narcotic on campus requires the assessment of a minimum penalty provided in Subdivision 3.23.

 

3.55     The hearing shall be conducted in accordance with procedures adopted by the component institution that assure the institutional representative and the accused student the following minimal rights: (1) Each party shall provide the other party a list of witnesses, a brief summary of the testimony to be given by each, and a copy of documents to be introduced at the hearing at least five (5) days prior to the hearing. (2) Each party shall have the right to appear, present testimony of witnesses and documentary evidence, cross-examine witnesses and be assisted by an advisor of choice. The advisor may be an attorney. If the accused student’s advisor is an attorney, the Dean’s advisor may be an attorney from the Office of General Counsel of the System. An advisor may confer with and advise the Dean or accused student, but shall not be permitted to question witnesses, introduce evidence, make objections, or present argument to the Hearing Officer. (3) The Dean may recommend a penalty to be assessed by the Hearing Officer. The recommendation may be based upon past practice of the component institution for violations of a similar nature, the past disciplinary record of the student, or other factors deemed relevant by the Dean. The accused student shall be entitled to respond to the recommendation of the Dean. (4) The hearing will be recorded. If either party desires to appeal the decision of the Hearing Officer, the official record will consist of the recording of the hearing, the documents received in evidence, and the decision of the Hearing Officer. At the request of the chief administrative officer the recording of the hearing will be transcribed and both parties will be furnished a copy of the transcript.

 

3.6       The following penalties may be assessed by the Dean pursuant to Subdivision 3.44 or by the Hearing Officer after a hearing in accordance with the procedures specified in Subdivision 3.55: Policies, Procedures, Responsibilities, and Requirements 67

 

3.61     Disciplinary probation.

 

3.62     Withholding of grades, official transcript and/ or degree.

 

3.63     Bar against readmission.

 

3.64     Restitution or reimbursement for damage to or misappropriation of institutional or System property.

 

3.65     Suspension of rights and privileges, including participation in athletic or extracurricular activities.

 

3.66     Failing grade for an examination or assignment or for a course and/or cancellation of all or any portion of prior course credit.

 

3.67     Denial of degree.

 

3.68     Suspension from the institution for a specified period of time.

 

3.69     Expulsion (permanent separation from the institution). 3.6(10) Revocation of degree and withdrawal of diploma. 3.6(11) Other penalty as deemed appropriate under the circumstances.

 

3.7       Appeal Procedures.—A student may appeal a disciplinary penalty assessed by the Dean in accordance with Subdivision 3.44. Either the Dean or the student may appeal the decision of the Hearing Officer. An appeal shall be in accordance with the following procedures:

 

3.71 Written notice of appeal must be delivered to the chief administrative officer of the component institution within fourteen (14) days after the appealing party has been notified of the penalty assessed by the Dean or the decision of the Hearing Officer. If the notice of penalty assessed by the Dean or the decision of the Hearing Officer is sent by mail, the date the notice or decision is mailed initiates the fourteen (14) day period for giving notice of appeal. An appeal of the penalty assessed by the Dean in accordance with Subdivision 3.44 will be reviewed solely on the basis of the written argument of the student and the Dean. The appeal of the decision of the Hearing Officer will be reviewed solely on the basis of the record from the hearing. In order for the appeal to be considered, all the necessary documentation to be filed by the appealing party, including written argument, must be filed with the chief administrative officer within fourteen (14) days after notice of appeal is given. At the discretion of the chief administrative officer, both parties may present oral argument in an appeal from the decision of the Hearing Officer.

 

3.72     The chief administrative officer may approve, reject, or modify the decision in question or may require that the original hearing be reopened for the presentation of additional evidence and reconsideration of the decision. It is provided, however, that if the finding as to guilt is upheld in a case involving the illegal use, possession, and/or sale of a drug or narcotic on campus, the penalty may not be reduced below the minimum penalty prescribed by Subdivision 3.23 of this Section. 3.73            The action of the chief administrative officer shall be communicated in writing to the student and the Dean within thirty (30) days after the appeal and related documents have been received. The decision of the chief administrative officer is the final appellate review. 3.8    Each component institution shall maintain a permanent written disciplinary record for every student assessed a penalty of suspension, expulsion, denial or revocation of degree and/or withdrawal of diploma. A record of scholastic dishonesty shall be maintained for at least five years unless the record is permanent in conjunction with the above stated penalties. A disciplinary record shall reflect the nature of the charge, the disposition of the charge, the penalty assessed and any other pertinent information. This disciplinary record shall be maintained separately from the student’s academic record, shall be treated as confidential, and shall not be accessible to or used by anyone other than the Dean, except upon written authorization of the student or in accordance with applicable state or federal laws or court order or subpoena. Due Process Students accused of violations of the “Procedures and Regulations Concerning Student Conduct and Discipline” shall have the rights of due process: The right to know the charges and the evidence; The right to confront and examine witnesses; The right to be represented by a person of her/his choice; The right to be heard by an impartial body or officer; and The right to an appeal process.

 

Guidelines for Professional Conduct HSC students are expected to conduct themselves in a professional manner, not only in interaction with patients, but also with peers, faculty, and staff of the HSC and the community in general. In addition to conventional academic tests and measurement criteria for assessment, students will be evaluated on issues relating to their professional conduct/judgment according to the previously defined standards of the school, program, and profession for which they are in training. The specific professional discipline/school in which the student is enrolled may have additional and more specific codes of conduct. See individual school sections in this Student Guide for details.

 

Privacy Rights

 

Students’ academic records and personal information must be kept confidential by the University under federal law. (See “Family Educational Rights and Privacy Act” below.) Only certain University personnel, officials of other institutions to which a student may be seeking admission, persons or organizations providing financial aid, accrediting agencies, persons with a judicial order, individuals attempting to protect the health or safety of others, or organizations conducting studies for specified educational purposes are permitted access to a student’s records without her/his consent. Directory information is published information and may contain a student’s name, school and class, address, E-mail address, telephone number, date and place of birth, degrees and awards received, and the most recent previous educational institution attended. Students may withhold all or part of the directory information except first and last name, middle initial, school, and class by notifying the Registrar in writing within 12 days after the first day of class for the fall semester. This procedure must be continued each year, if the student wishes to continue to withhold directory information. A student has the right to inspect her/his educational records and to challenge the contents. To review records, a student must make a request in writing to the Custodian of those records. (See “Custodians of Records” below.) Some documents in a student’s file such as (1) confidential letters/ recommendations, (2) parents’ financial records, and (3) documents pertaining to more than one student will not be made available to the requestor. If a student wishes to challenge or amend information in her/his files, the student may appeal in writing to the Assistant Vice President for Student Services. For full procedures, see the “Family Educational Rights and Privacy Act” on this page. Custodians of Records Registrar Director of Student Financial Aid Director of Student Health Service Director of Counseling Service Associate Deans Family Educational Rights and Privacy Act The Family Educational Rights and Privacy Act of 1974 is a Federal law which states (a) that a written institutional policy must be established and (b) that a statement of adopted procedures covering the privacy rights of students by made available. The law provides that the institution will maintain the confidentiality of student education records. The UTHSCSA accords all the rights under the law to students who are declared independent. No one outside the institution shall have access to nor will the institution disclose any information from students’ education records without the written consent of students except to appropriate personnel within the institution; to officials of other institutions in which students seek to enroll; to persons or organizations providing students financial aid; to accrediting agencies carrying out their accreditation function; to persons in compliance with judicial order; to persons in an emergency in order to protect the health or safety of students or other persons; to federal, state, or local officials or agencies authorized by law; to the parents of a dependent student, as defined in section 152 of Internal Revenue Code of 1954, provided a reasonable effort is made to notify the student in advance; and to an alleged victim of any crime of violence, the results of the alleged perpetrator’s disciplinary proceeding may be released. All these exceptions are permitted under the Act. A record of requests for disclosure and such disclosure of personally identifiable information from student education records shall be maintained by the Assistant Vice President for Student Services for each student and will also be made available for inspection pursuant to this policy. If the institution discovers that a third party who has received student records from the institution has released or failed to destroy such records in violation of this policy, it will prohibit access to educational records for five (5) years. Respective records no longer subject to audit nor presently under request for access may be purged according to regular schedules. Within The UTHSCSA community, only those members, individually or collectively, acting in the students’ educational interest are allowed access to student education records. These include personnel in the offices of the Registrar, Student Financial Aid, Deans and President, the student’s faculty advisor, and academic personnel within the limitations of their need. At its discretion, the institution may provide Directory Information in accordance with the provisions of the Act to include: student name, school and class, address, E-mail address, telephone number, date and place of birth, dates of attendance, degrees and awards received, major field of study, classification, date of graduation, class schedules, and the most recent previous educational agency or institution attended by the student. Students may withhold Directory Information by notifying the Registrar in writing within 12 days after the first day of class for the fall semester. Students requesting that all Directory Information be withheld will have only their first and last name, middle initial, school, and class listed in the Directory. The law provides students with their right to inspect and review information contained in their education records, to challenge the contents of their education records, to have a Policies, Procedures, Responsibilities, and Requirements 69 hearing if the outcome of the challenge is unsatisfactory, and to submit explanatory statements for inclusion in their files if they feel the decisions of the hearing panels to be unacceptable. The Assistant Vice President for Student Services has been designated by the institution to coordinate the inspection and review procedures for student education records, which include admissions, personal, academic, financial, and disciplinary records. Students wishing to review their education records must make written requests to the custodian of records (see Directory of Records) listing item or items of interest. Only records covered by the act will be made available within 45 days of the request. Students may have copies made of their records with certain exceptions (e.g., an official copy of the academic, record for which a financial “hold” exists, or a transcript of an original or source document which exists elsewhere). These copies would be made at the students’ expense at prevailing rates which are listed with the Directory of Records. Education records do not include records of instructional, administrative, and educational personnel which are the sole possession of the maker and are not accessible or revealed to any individual except a temporary substitute, records of the law enforcement unit, student thesis or research papers, student health records, student counseling records, employment records, or alumni records. Health records, however, may be reviewed by physicians of a student’s choosing. Students may not inspect and review the following as outlined by the Act: financial information submitted by their parents; confidential letters and recommendations associated with admissions, employment, or job placement; honors to which they have waived their rights of inspection and review; or education records containing information about more than one student, in which case the institution will permit access only to that part of the record which pertains to the inquiring student. The institution is not required to permit students to inspect and review confidential letters and recommendations placed in their files prior to January 1, 1975, provided those letters were collected under established policies of confidentiality and were used only for the purposes for which they were collected. Students who believe that their education records contain information that is inaccurate or misleading, or is otherwise in violation of their privacy or other rights may discuss their problems informally with the Assistant Vice President for Student Services. If the decisions are in agreement with the student’s requests, the appropriate records will be amended. If not, the student will be notified within a reasonable period of time that the records will not be amended; and they will be informed by the Assistant Vice President for Student Services of their right to a formal hearing. Student requests for a formal hearing must be made in writing to the Vice President for Business Affairs who, within a reasonable period of time after receiving such requests, will inform students of the date, place, and the time of the hearing. Students may present evidence relevant to the issues raised and may be assisted or represented at the hearings by one or more persons of their choice, including attorneys, at the student’s expense. The hearing panels which will adjudicate such challenges will be the Vice President for Business Affairs and two faculty members appointed by the President. Decisions of the hearing panels will be final, will be based solely on the evidence presented at the hearing, and will consist of written statements summarizing the evidence and stating the reasons for the decisions, and will be delivered to all parties concerned. The education records will be corrected or amended in accordance with the decisions of the hearing panels, if the decisions are in favor of the students. If the decisions are unsatisfactory to the students, the students may place with the education records statements commenting on the information in the records, or statements setting forth any reasons for disagreeing with the decisions of the hearing panels. The statements will be placed in the educations records, maintained as part of the students’ records, and released whenever the records in question are disclosed. Students who believe that the adjudications of their challenges were unfair, or not in keeping with the provisions of the Act may request in writing, assistance from the President of the institution. Further, students who believe that their rights have been abridged, may file complaints with The Family Educational Rights and Privacy Act Office (FERPA), Department of Education, Washington, D.C. 20201, concerning the alleged failures of The University of Texas Health Science Center at San Antonio to comply with the Act. Students may have copies of their education records and this policy. These copies will be made at the student’s expense at rates authorized in the Texas Public Information Act except that official transcripts will be $10.00. Official copies of academic records or transcripts will not be released for students who have a delinquent financial obligation or financial “hold” at the University. Revisions and clarifications will be published as experience with the law and institution’s policy warrants. Deceased Students: Records of deceased students, current or former, will be reviewed within 90 days after death and purged of all documents except the barest essentials such as transcript. Directory of Records Academic Records Office of the Registrar, Room 319.L James Peak, Senior Director of Student Services and Registrar Financial Aid Records Office of Student Financial Aid, Room 318.L Bob Lawson, Director of Student Financial Aid Counseling Records Office of Counseling Services, Room 101.F Dr. Joseph Kobos, Director of Counseling Service (Institutional policy prohibits academic and administrative personnel from inspecting individual records.) 70 UTHSCSA Student Guide 2001–2003 Student Health Records Student Health Clinic, 4647 Medical Drive Tim Jones, MD Medical Director of Student Health Clinic Disciplinary Records Associate Dean for Student Affairs in each school Additional Records Associate Dean for Student Affairs in each school Dr. Theresa Chiang, Assistant Vice President for Student Services Posting of Grades Course grades of individual students may not be posted or made available in any public manner by name, initials, social security number, unique assigned student identification number, or other personal identifier except when the student has signed an authorization. Before a student’s grade can be posted, he/she will be asked to sign a consent form and be assigned a random number as a personal identifier. Generally, each individual faculty member who posts grades will go through the procedure to obtain consent and assign a number. (Some course instructors do not post grades.) In some schools, consent forms are processed by the Dean’s Office. It is a student’s right to decline to sign a consent form, in which case the student’s grades will not be posted. Policies, Procedures, Responsibilities, and Requirements 71 Mumps Prior to registration, all students must submit one of the following: 1) signed physician’s record documenting mumps illness, 2)     signed physician’s record documenting mumps immunization on or after the student’s first birthday, or 3) laboratory report of immune mumps antibody titer. Rubella Prior to registration, all students must submit one of the following: 1)signed physician’s record documenting rubella immunization on or after the student’s first birthday, or 2)laboratory report of immune rubella antibody titer. Chicken Pox (Varicella) Prior to registration, all students must submit one of the following: 1) signed physician’s record documenting chicken pox illness, 2)signed physician’s record documenting two chicken pox immunizations administered on or after the student’s first birthday and at least 30 days apart, or 3) laboratory report of immune chicken pox antibody titer. Students who arrive on campus without documentation of immunity will be required to receive the varicella vaccine prior to starting school. The student is responsible for payment of the vaccine and follow-up charges. The Board of Regents may require immunizations against additional diseases for some students. Further immunizations may be required by the Board of Regents in times of emergency or epidemic. The cost of all immunizations, other than Hepatitis B, will be the responsibility of the student and/or dependent. Prior to Registration, all students are required to have completed the immunizations outlined below. Hepatitis B All Allied Health, Dental, Medical, Nursing, and certain Graduate students, specifically those students having direct patient care or those students who come in contact with human biological fluids/tissue, are required to complete the series of three Hepatitis B immunizations or show proof of immunity. Tuberculosis A skin test for tuberculosis is required of all students within 12 months prior to registration. All students are required to be tested on a yearly basis. Students who have not been tested within the last year are restricted from registration. Students testing positive for tuberculosis are required to undergo further medical evaluation which may include retesting, chest X-ray, liver function tests, anti-tuberculin drug therapy, and/or other tests as indicated. Tetanus-Diphtheria Proof of a tetanus-diphtheria toxoid immunization within the past 10 years is required prior to registration. Polio All students under the age of 18 are required to show proof of polio vaccination. Measles (Rubeola) Prior to registration, all students must submit one of the following: 1) Signed physician’s record documenting measles illness, 2) Signed physician’s record documenting two measles immunizations administered on or after the student’s first birthday and at least 30 days apart, or 3) Laboratory report of immune measles antibody titer. Immunization Requirements 72 UTHSCSA Student Guide 2001–2003 TB Screening, Prevention, and Management UTHSCSA Tuberculosis Screening Program for Students The Texas Department of Health recommends yearly tuberculosis screening for all health care personnel. Some of the students at The University of Texas Health Science Center at San Antonio are at high risk for tuberculosis exposure. With the increasing rate in the country of TB cases, the Student Health Service in conjunction with the Student Health Advisory Committee and the Executive Board of the University, has decided to take an active role in protecting our students. The policy is as follows, effective June 8, 1993. 1. All students, including those with a history of Bacillus of Calmette and Guerin (BCG) vaccination, will have a PPD [purified protein derivative] test done within one year prior to initial registration as a student at UTHSCSA unless a previously positive reaction, completion of adequate prevention therapy, or adequate therapy for active disease can be documented. Anyone not tested prior to registration will have a PPD placed by the Student Health Service at the time of the initial registration. If the student has a history of a previous positive PPD, a yearly chest X-ray may be performed after medical evaluation (at no cost to the student). 2.       All students will be screened on a yearly basis. 3. Any student can come to the Student Health Service to be screened for TB during regular clinic hours, except Thursdays, Monday through Friday. 4. Students who have a PPD test done at another institution within the prior 12 months will need to show proof of test results to the Student Health Service. 5. A student with a previous positive skin test will not be retested. This student will be examined yearly and given the option of a yearly chest X-ray at no cost to the student. If the student has no signs or symptoms of tuberculosis, a chest X-ray will be optional. 6. The cost of TB screening is covered in the Student Health Service fee, effective June 8, 1993. There will be no separate charge to the student at any time during her/his enrollment in the University. TB testing prior to enrollment is offered at Registration for $5.00. 7. If students have not been TB tested within the last year, they WILL NOT be allowed to register. The Student Health Service places the student’s registration on “hold” until he/she is in compliance with the policy. 8. Documentation of a negative or positive test is available to the student who returns to the Student Health Service within 72 hours of the test to have the results read by the clinic nurses. This documentation can be used as evidence of testing for clinical rotations. Compliance and Academic Enrollment Students who fail to comply with the Tuberculosis and Immunization Policies will not be permitted to register for the upcoming year until they are in compliance. The Health Science Center’s Role There has been an increase in the number of tuberculosis (TB) cases in Texas and the United States since 1989. Although the increase in Texas appears to be more in the areas of The Valley and Houston, the Bexar County area is taking a proactive role in the screening and prevention of tuberculosis. The University of Texas Health Science Center at San Antonio has initiated mandatory yearly tuberculosis screening for all students involved in any form of patient care. This screening is in compliance with the recommendations by the Centers for Disease Control (CDC) and the Bexar County Hospital District for the screening and prevention of tuberculosis infection in high-risk populations. Screening for Tuberculosis Infection Tuberculosis transmission is a recognized risk in health care settings. The greatest risk for health care workers is exposure to patients with unsuspected tuberculosis. Screening is by Mantoux technique (intradermal injection of purified protein derivative [PPD]). This test is offered on a yearly basis by the Student Health Service and on an asneeded basis for any student who might be exposed to an infectious case of tuberculosis, at no cost to the student. All students are required on admission to the University to have a TB skin test. If the student has a history of previous positive PPD, a medical evaluation will be required at the Student Health Service. This evaluation may include retesting, a CXR, liver function tests, antituberculine drug therapy, and/or other tests as indicated. UTHSCSA Policy on Management of Students with Positive TB Skin Tests Students may have their skin tests evaluated in the Student Health Service at 48 and/or 72 hours after injection of the PPD, and they can receive documentation of their test results. Documentation of a negative result can be obtained only by having the skin test result evaluated in the Student Health Service within 72 hours after the test. All students with any swelling or redness of the site must come to the clinic within 72 hours for further evaluation. These students are medically evaluated, have a chest X-ray performed, and have blood drawn for liver function testing. If the student is without evidence of active tuberculosis, the chest X-ray is determined to be negative, and the liver test is normal, the student may be counseled at the Student Health Service on prophylactic treatment (at no charge to the student), or referred to the City Chest Clinic for further evaluation. Policies, Procedures, Responsibilities, and Requirements 73 The student should start on prophylactic medication as soon as possible. The usual prophylactic regimen is isoniazid. The recommended duration of treatment is a minimum of six months. Because of the hepato-toxicity of isoniazid, students will be monitored with liver function testing on a monthly basis. The student who has a positive skin test, a negative chest X-ray, and a normal exam, and who is otherwise healthy and receiving preventive treatment for tuberculosis infection, can return to all aspects of clinical care. The student who cannot take or does not accept a complete course of preventive therapy will have her/his work situation evaluated by the Associate Dean for Student Affairs of that student’s school to determine whether reassignment is indicated. All students with a positive skin test or an active case of tuberculosis should be encouraged to have HIV testing. Management of Students with Active Tuberculosis Students with current pulmonary or laryngeal tuberculosis pose a risk to patients and other personnel while they are infectious. They will be excluded from school until adequate treatment is instituted for at least three weeks, cough is resolved, and sputum is free of bacilli on three consecutive smears. Students with current tuberculosis at sites other than the lung or larynx usually do not need to be excluded from school, if concurrent pulmonary tuberculosis has been ruled out. Students who discontinue treatment before the recommended course of therapy has been completed will not be allowed to have patient contact until treatment is resumed, an adequate response to therapy is documented, and they have negative sputum smears on three consecutive days. Confidentiality and TB Screening Results The Health Science Center requires every TB-infected student and every student with a recent skin-test conversion to report her/his situation to the Associate Dean for Student Affairs of the student’s school within one week of diagnosis. Tuberculosis infection will be reported in compliance with all applicable statutory requirements, including the Communicable Disease Prevention and Control Act, of the Texas Health and Safety Code. Data on the occurrence of tuberculosis among students and skin-test conversions among students will be collected and analyzed by the Student Health Service to determine the risk of tuberculosis transmission in the facility and to evaluate the effectiveness of infection-control and screening practices. The incidence of conversion of skin testing of students is important in determining the risk of acquiring new infection to all health care personnel. When it is in the interest of prevention of exposure of other health care providers (and/or patients), the Student Health Service Director may discuss the recent skin test conversion or TB infection of any student with the Associate Dean for Student Affairs of that student’s school. Students who fail to comply with either treatment of active disease or preventive treatment will be reported by the Student Health Service Director to the Associate Dean for Student Affairs of the student’s school.