Questions regarding immunizations for nursing school...

  1. 0
    Hi everyone,
    Just trying to decipher the immunization requirements. Any input would be appreciated...

    Tdap- I am to provide documentation of the completed primary serier (at least 5 DPT vaccines) and Tdap booster within the past 10 years. I am pretty sure I don't have this series. How far apart will they space these 6 shots and will I have time to get them all before August?

    Hep B, I will check titer and if negative I need 3 doses of which 2 must be before August 1? How far apart are these supposed to be?

    MMR- will check titer and if neg then 2 vaccinations

    Flu- I thought we don't get flu shot until Fall. Do I get last years dose?

    2 step TB test, one read after 7 days then 2nd test which is then read 48-72 hours later.

    Chest xray with lab report if positive tb test.

    Varicella - titer or 2 vaccinations.

    Boy that sounds like many vaccinations in a short amount of time. Is this normal for other schools?

    I am one that reacts to so many things. I am very nervous about bombarding my body with all of these at once.

    I'd love to hear that others have done these same shots close together without incident. This is a big test of faith for me LOL! Trying to follow my own advice and NOT WORRY! "I can do all things through Christ!"

    Thanks for the replies!
  2. 13 Comments so far...

  3. 0
    That sounds a little excessive.
    I had titers done for MMR, Hep B, and Varicella. I was able to find my childhood immunization record, so if my titers are negative, I don't have to have them all again.

    I did get a Tdap. It had been so long since I'd had a tetanus booster, and I don't think I ever specifically had a Tdap. It was something else when I was a kid.

    Also you probably have to have a boosted TB skin test. Basically, you get the injection, then 48-72 hrs you go back to have it read. Then, 1-3 weeks later you go back and get it again, having it read 48-72 hrs after the injection.

    You might want to call your school for clarification if some of your titers come back negative. You might not have to start everything over if you've been immunized before.

    Good luck!
  4. 0
    Thats pretty normal. I had to order my state records proving I had the MMR vaccine and then I had to get the hep b vaccine, TDap (sucks) and you probably had the first ones unless you weren't born here, and TB test..We also had to have a very basic physical and I did think it was a lot but whatcha gonna do?
  5. 0
    Yep, same things at my school
  6. 0
    I need proof of up to date vaccinations such as MMR, proof of varicella, HIP B is just suggested and so is the flu. I don't have documented HIP B but I remember getting it as well as the chicken pox as a kid though I did get blood work done. I'm half way done my 2 step TB test. I went to the Dr.'s one day, had it read 2 days later, already booked for next week to do the 2nd step. The thing with the TB test is that you may have to wait on the immunizations until you have the TB test done. So get the TB test out of the way first as well as the titters as the results can take a while to come back.
  7. 0
    I had MMR titers drawn and showed proof of immunity so that was all good - never had chicken pox OR the vaccine so I had to get one shot and then 4 weeks later get the other one...

    TB was done one week apart and each shot was read 48 hours afterward

    Hep B I had done in 1994 so that was ok, and I had to get a tetanus shot...

    if your titers are positive (still showing immunity) as well as Varicella then you shouldn't need too many shots...
  8. 0
    sounds like the same list of vaccinations i had to do for my school! and boy was it a pain in the butt!! my nurse practitioner even told me she never saw a list so extensive for shots lol...1st when i got my lab test done they did it qualitative instead of quantitative.. the office refused to redo my test.. i didnt show immunity for titter and Hep B.. so i got my 2nd step tb shot.. MMR and 1st Hep B shot ( there are 3... takes about 6 months to finish ) all in one day. Had to go back for my 2nd Hep B shot ( 3rd one is 5 months after) but the tdap was the worst.. since its a new shot (came out 2006 ) and my primary care physician office claimed they never heard of it... after 2 months of going back and forth i finally just took the shot at the my school paid 56 dollars... and got my blood drawn correctly for my hep b result... lol i guess in other words you should be fine =)
  9. 0
    Sounds about right. I had the Hep B series in 2005 and had a MMR in 2007 because of being a Birth Doula/Lactation Counselor. (I'm 50 and actually had Mumps, Rubella and Chicken Pox but not Measles that I know of) My Tdap is up to date so I only had to get the flu/H1N1 and TB test. Titers were all good. I'm fortunate. Some of the older students had not had those vaccines (they were not even around when we were getting childhood vaccines)
  10. 0
    Quote from pookapooka
    I had titers done for MMR, Hep B, and Varicella. I was able to find my childhood immunization record, so if my titers are negative, I don't have to have them all again.

    I did get a Tdap. It had been so long since I'd had a tetanus booster, and I don't think I ever specifically had a Tdap. It was something else when I was a kid.

    Also you probably have to have a boosted TB skin test. Basically, you get the injection, then 48-72 hrs you go back to have it read. Then, 1-3 weeks later you go back and get it again, having it read 48-72 hrs after the injection.

    You might want to call your school for clarification if some of your titers come back negative. You might not have to start everything over if you've been immunized before.

    Good luck!
    Did someone advise you that if your titers are negative, proof of prior immunization is good enough?

    Negative titer = no proof of immunity, regardless of vaccination history. If you have proof of immunization, and a negative titer won't require a re-vaccination, what's the point of getting titers to begin with?
  11. 0
    Negative titer = needs re-vaccination or a booster shot.

    My Hep B which was positive for immunity for over a decade came back equivocal. I had to get a Hep B booster shot with repeat titer in a month. Fortunately my titer came back positive/immune.

    15+ years ago TDaP (Tetanus, Diphtheria & acellular pertussis) was DTP (Diphtheria, Tetanus, Pertussis) and adult boosters were just TD (Tetanus & Diphtheria). In recent years it was discovered that the pertussis immunization did not carry through to adulthood. Exposed adults were then exposing newborn/young infants to whooping cough with devastating results. Hence now when you are due for a tetanus booster the TDaP is recommended.

    It is also possible to have had varicella as a child and not have positive/immune titers. My siblings and I had chicken pox over a 10 week period. While my chicken pox titer is very highly positive/immune, one of my sisters does not have a positive varicella titer and was required to get a booster before she could work in a school or healthcare setting. (with a titer drawn post vaccination)

    Just because you have your childhood immunization records does not mean that you are immune. If you have your childhood records and your titers are negative for immunity you will still need to be vaccinated again or choose another line of work. Unlike the flu shot certain vaccinations are not optional for entry into nursing school/health care. There has to be a valid medical reason to delay/skip a required immunization. (For example, pregnancy where no live vaccines can be administered.)

    I was required to have proof of immunity for measles, mumps, rubella, chicken pox, hepatitis B, proof of recent (within the past 8 years) vaccination for TD/TDaP, and a two step TB screening. All vaccines & testing were available at low cost from the local health department as not all insurance companies cover adult titers & immunizations. Anyone who could not prove immunity/vaccination without a valid medical reason (such as failure to convert from hepatitis B or pregnancy & unable to get a live vaccine) was prohibited from clinical rotations and thus dismissed from the program. There were no other reasons accepted, if it is against your beliefs to be vaccinated then too bad.


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