Should I get Varicella titer, MMR titer, Flu shot, Tdap shot in one day?? - page 3

by karenonp

11,694 Views | 26 Comments

Hi everyone, my nursing program requires me to get the Varicella titer, MMR titer, Flu shot, and Tdap shot before the program begins, and I schedule an appointment with a clinic to have all four shots given to me on one day. ... Read More


  1. 0
    Quote from melmarie23
    I am kinda shocked that hospitals are still "requiring" the flu shot personally, or that schools are using the hospitals/clinical sites as excuses. I just recently had my physical at employee health and the flu shot at my hospital is optional (though strongly encouraged).

    If you are against this vacc, then look into your state laws and cite them as reason for declination.

    This is the first semester it was required at my school. The hospital just started doing it this Flu season. Unlike the other shots they allowed a few exceptions.
  2. 0
    Quote from CuriousMe
    The hospital could require it....it would be staff intensive to enforce (unlike with nursing students where all your information goes to the hospital via the school of nursing)....but they could require it.

    The point is there's no law that stops them, what would stop them from requiring all visitors are logistical factors.

    Obviously there are further requirements of nursing students than there are for hospital visitors, not just vaccinations, but also BLS, HIPAA training, training on their computer systems, etc.
    I am aware that there are certain requirements of students while in school-I am all too fresh out of school myself. I think that most students follow them no problem-its not really worth the fight IMO. But of someone wanted to actually fight this issue, they'd have my support, especially if there are state laws protecting employees on this matter. I know that students are not employees and I admit that I am ignorant about labor laws in general, but are not students essentially free labor when in the clinical setting? There are after all taking over nurses duties under the premise of learning. I would hope that because of this, there would be some sort of loophole to protect students under the law.

    I remember in 2009 during the huge H1N1 scare, my school strongly encouraged use to get the vacc (as well as the regular flu shot). It still wasnt required. No hospital in my area required this of their employees, although again, it was highly encouraged. If you didnt get it, then you had to wear a mask, which IMO was a fair alternative. Many of my peers in fact opted to decline and wore the mask.
  3. 0
    Quote from melmarie23
    I am aware that there are certain requirements of students while in school-I am all too fresh out of school myself. I think that most students follow them no problem-its not really worth the fight IMO. But of someone wanted to actually fight this issue, they'd have my support, especially if there are state laws protecting employees on this matter. I know that students are not employees and I admit that I am ignorant about labor laws in general, but are not students essentially free labor when in the clinical setting? There are after all taking over nurses duties under the premise of learning. I would hope that because of this, there would be some sort of loophole to protect students under the law.

    I remember in 2009 during the huge H1N1 scare, my school strongly encouraged use to get the vacc (as well as the regular flu shot). It still wasnt required. No hospital in my area required this of their employees, although again, it was highly encouraged. If you didnt get it, then you had to wear a mask, which IMO was a fair alternative. Many of my peers in fact opted to decline and wore the mask.
    They're not considered free labor, because they don't replace a licensed nurse. No matter that the student nurse is doing some of the work of an RN (even if they're a senior and doing all of the work of an RN), it's the RN that still has the responsibility for it....so, it's not like the RN could take more patients because they have a student. Students are not, in any way, considered employees and do not fall under labor laws.
  4. 0
    I don't see why you could not have them done in the same day. The titers are a blood draw, the others are vaccines...as has been point out. The military gives several different shots in one day to their forces all the time. When we went to Korea I had to have a PPD, Typhoid, Td, and flu all the same day. I can remember my husband being a human pin cushion before deployments.


    I just had blood draw for MMR & Varicella titers.... and a PPD. I'm 50 so have actually had Rubella,(3 day measles or German measles) mumps, and varicella. Not Measles however. I've had a MMR vaccine and Td when I began doulaing in 2007 and I've had the full Hep B series. I'm not sure yet if we can wait until fall for the newest flu vaccine or not. I'm not crazy about being forced to take the H1N1 after talking with Dr. Bob Sears at the DONA Conference in 2009.... but there is no choice if I want to remain in my program.
    Last edit by FLDoula on Apr 5, '11 : Reason: Correcting facts
  5. 0
    Quote from crunchymama
    and again, no...they may scare people with the word required but in reality there are laws to protect those that refuse.

    state vaccine requirements – national vaccine information center
    the laws in my state, according to your link, do not protect all who refuse. it protects only those who have a religious or medical reason for refusal. if i was an anti-vax crusader, i have no medical reason to refuse. i'm also an atheist, so i wouldn't have any religious reason to refuse.

    i just briefly looked at the graphic of the states that have laws for refusals on the books. it looks like 18 states protect refusals on solely philosophical grounds.

    i know one girl who refused on religious grounds. she talked to a number of priests about her refusal. most declined to give her a letter in support of her refusal. she did eventually find one that provided the letter. it was not based on doctrine, e.g. jw's who refuse blood products on religious grounds. it was based on "examination of conscience." in essence, the priest was supporting her in that he felt she had thought it through, when in reality she was convinced of the evils of vaccinations through the "examination of googling."
    Last edit by dudette10 on Apr 5, '11
  6. 0
    Quote from CrunchyMama
    Sure, the school can do whatever they want. But since there are laws protecting those who refuse, the student can turn around and sue the school. Same goes for the clinical site. Laws are there for a reason and if these places don't comply, then they can be sued. Just like if my kids were denied entry to school because they don't have certain vaccines, I can sue. I know this kind of thing isn't common knowledge and all I'm trying to do it give the other side.
    In my state, the law says that your kids could be kept out of school for noncompliance and you, as the parent, could also be cited, UNLESS you have medical or religious grounds for refusal, which requires documentation from a medical or religious authority.

    Your state may indeed allow philosophical refusals, but your interpretation cannot be generalized to 49 add'l states.
  7. 0
    I know people have their own reasons for wanting to refuse immunizations, but I personally want the immunizations. I would not want to risk catching any of these viruses. For what it is worth, here is my shot sequence so far:

    Day 1 - Titer test (single blood draw) for varicella, mumps, measles, rubella, and hepatitis B. I received two shots - Flu and DTaP. I also did the first of two required TB tests.
    Day 3 - read TB test (48-72 hours after given).
    Day 5 - titer results are back and I'm too low on everything. I went in for three more shots - MMR, Hepatitis B, and Varicella (this one is hard to find as it apparently can't be stored very long and it is expensive).

    The hepatitis series is typically three shots and I just read that the varicella is usually two shots. I also read that we should wait six weeks after immunization for additional titer testing. Getting multiple shots together is fine. You might be a bit sore, but I didn't think it was too bad.


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