Pre-Nursing school immunization catastrophe! - Page 2

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  1. Asst. Admin
    Jul 13, '12 by
    Quote from cally527
    I had my PPD as well as the first in the series of MMR, Varicella and Hep B all done on the same day. My second shot of each was done yesterday which was 29 days after the first visit. what exactly happens when you do not separate MMR and the PPD by 28 days?
    It can affect your response to the PPD giving a false result.
  2. Jul 13, '12 by
    Since my school is affiliated with a large healthcare system, we can go to Employee Health at the hospital and get everything done for free. I'm guessing since I have to have a CXR in lieu of the PPD I'll have to pay for that (my current one was still valid for school admission) when the time comes but I'm thankful that everything else is free.
  3. Guide
    Jul 13, '12 by
    Quote from cally527
    I had my PPD as well as the first in the series of MMR, Varicella and Hep B all done on the same day. My second shot of each was done yesterday which was 29 days after the first visit. what exactly happens when you do not separate MMR and the PPD by 28 days?
    You can give and read the PPD any time before or on the same day as MMR. However, theoretically, if you do it the other way around, the MMR can blunt a positive PPD. This is also true for other live vaccines such as varicella.
  4. Jul 13, '12 by
    I was in the same boat with shot records; I started with PPD and titers drawn on the same day. A month or so later (they scheduled it for me) I went back and was told basically I needed all of it redone except the Hep B, so I had a whole bunch of shots, and then whatever I couldn't tolerate on that day, I went back another month later and had done. By the way, it's really painful to get the tetanus (don't remember if it was dpt together or just tetanus) in one arm and the MMR in the other on the same day. Holy cow. And they gave me the varicella in there somewhere, which is just funny 'cause I remember being sick for two weeks with chickenpox in oh, 1975 but hey, titers said get the shot.

    I'm sorry you had to go through all that and still get an X-ray. But hey, you got in the program right?
    ebailey1218 likes this.
  5. Jul 13, '12 by
    Most of the community college programs in my area have a policy like that. By the first day of school you need ALL immunizations/titers- including all the HepB shots (takes like 6 months).. When I get accepted to my university I was terrified I wouldn't be able to get them all done in time. Luckily- they weren't due until several weeks into the semester, and you only need 2 of the 3 hepb shots. I ended up doing the accelerated hepbs and getting everything done quickly, but if it had been one of the other programs I'd researched, I'd have been SOL.
  6. Jul 13, '12 by
    What about a quantiferon gold blood test for TB? Compare the cost to that of a CXR.
  7. Jul 13, '12 by
    I had my physical done at the Student Health center of the school I will be attending. I did my pre-reqs there as well, so I was a currently registered student, but they said they would have done it anyway since I was accepted to start in the fall - they will apparently do anyones pre-school physical. The MMR and Varicella titers were $35 total. I am shocked at what other places are charging. I was going to go to my primary care physician but they didn't have appointments till the fall. I'm really glad now that I tried student health and it worked out.
    RunnerRN2b2014 likes this.
  8. Jul 13, '12 by
    Quote from Elvish
    I am surprised that people who place PPDs on a regular basis don't know that you have to separate a PPD from an MMR by 28 days. Sorry that happened to you.
    I didn't know this and I used to place PPD's several times a day when I worked in ambulatory care and I was working for the DHS for my city so you'd think they would tell us.
  9. Guide
    Jul 13, '12 by
    Quote from tothepointeLVN
    I didn't know this and I used to place PPD's several times a day when I worked in ambulatory care and I was working for the DHS for my city so you'd think they would tell us.
    I used this book as my 'bible' when it came to immunizations. I wouldn't have known had we not had access to it. Guess my point is that IMO every place who does immunizations should have a copy or know where to find one. Tons of valuable info.


    Amazon.com: Epidemiology and Prevention of Vaccine-Preventable Diseases (CDC, Epidemiology and Prevention of Vaccine-Preventable Diseases) (9780017066091): Centers for Disease Control and Preventi: Books
  10. Jul 13, '12 by
    This is too late to help you, but if anybody else is reading this and in the same situation your high school where you graduated may have your childhood immunization records archived but accessible. I was 30 when I went to NS but got the old records from high school.
    pookyp and michelle24 like this.