HIB vaccine, 3 or 4 doses?

I'm a med surg nurse with no peds experience. I'm learning things I never thought I would! I have been reviewing immunization records for a day care. My question is regarding the HIB vaccine. When I check sources on how many doses a child is to receive, it says it depends on the brand used by the health care practitioner. Of course, none of that info is on the record I get, just the date. I have sent several children to get another dose of the HIB only to be told they don't need it. 

I have no communication with the parents or the health care providers. I report my findings to the director and she takes it from there. She agrees this is a concern. 

This day care is in a very poor area and health care can be received from many different places. Has any one else had this problem or concern?

HIB vaccines come in both three and four dose varieties.  Normal times are 2, 4, and 6 months and then a booster at 12-15.     So if it's the 6 month shot they're missing, it may be that it was the vaccine that doesn't require it.    I'd be real leary if the booster was missing.

In Texas..."A complete HIB series is two doses plus a booster dose on or after 12 months of age (three doses total). If a child receives the first dose of HIB vaccine at 12-14 months of age, only one additional dose is required (two doses total). Any child who has received a single dose of HIB on or after 15-59 months of age is in compliance with these specified vaccine requirements. Children 60 months of age and older are not required to receive HIB vaccine."

Also in TX we have a handy-dandy sheet from DSHS that's updated yearly. It reflects what Old Dude wrote. Does your state have such a thing? Because the HIB requirement for daycare/PreK is a state requirement.

As an aside, as Aprilmoss also wrote - this is some tricky stuff. Even when I was a vaccine nurse I had to study the HIB really hard to figure it out. 

Not required in NH, Live free or die, baby!  

I’m from Illinois and I’m fairly certain a sheet as indicated earlier is not available. Plus we are near ST Louis Mo and some kids receive care in that state. I’ll check the dates more closely. Thanks!

17 minutes ago, jrbl77 said:

I’m from Illinois and I’m fairly certain a sheet as indicated earlier is not available. Plus we are near ST Louis Mo and some kids receive care in that state. I’ll check the dates more closely. Thanks!

http://dph.illinois.gov/sites/default/files/publications/publicationsohpminimum-immunization-requirements-2018.pdf

Also, here's a vaccination schedule for your state

 

https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf

14 hours ago, NutmeggeRN said:

Not required in NH, Live free or die, baby!  

HIB IS required in NH for preschool prior to age 5.

https://www.dhhs.nh.gov/dphs/immunization/documents/schools18-19.pdf

Well there you go!  I never look at those!!! As I am in HS! thx!!

2 hours ago, NutmeggeRN said:

Well there you go!  I never look at those!!! As I am in HS! thx!!

That is the only advantage I can think of for HS school nursing...few immunizations to deal with.

There are many, many reasons to hang out in HS!!