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? 0 Share this post Link to post Share on other sites
Feb 20 by aprilmoss aprilmoss has 20 years experience and specializes in School Nurse. 258 Posts; 2,004 Profile Views 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. 1 Share this post Link to post Share on other sites
Feb 20 by OldDude OldDude specializes in Pediatrics. 7 Followers; 1 Article; 4,782 Posts; 30,054 Profile Views 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." 4 Share this post Link to post Share on other sites
Feb 20 by ruby_jane, BSN, RN ruby_jane has 10 years experience as a BSN, RN and specializes in ICU/community health/school nursing. 3 Followers; 2,564 Posts; 10,217 Profile Views 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. 1 Share this post Link to post Share on other sites
Feb 20 by NutmeggeRN, BSN NutmeggeRN has 25 years experience as a BSN and specializes in kids. 2 Followers; 6 Articles; 3,885 Posts; 42,935 Profile Views Not required in NH, Live free or die, baby! 2 Share this post Link to post Share on other sites
Feb 20 by jrbl77, RN jrbl77 has 41 years experience as a RN and specializes in Med Surg, Parish Nurse, Hospice. 247 Posts; 8,740 Profile Views 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! 1 Share this post Link to post Share on other sites
Feb 20 by CanIcallmymom CanIcallmymom has 4 years experience. 281 Posts; 936 Profile Views 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 4 Share this post Link to post Share on other sites
Feb 20 by KeeperOfTheIceRN, ADN KeeperOfTheIceRN has 4 years experience as a ADN. 1 Follower; 602 Posts; 7,470 Profile Views Also, here's a vaccination schedule for your state https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf 2 Share this post Link to post Share on other sites
Feb 21 by NRSKarenRN, BSN, RN NRSKarenRN has 40 years experience as a BSN, RN and specializes in Vents, Telemetry, Home Care, Home infusion. 5 Followers; 10 Articles; 14,621 Posts; 161,293 Profile Views 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 0 Share this post Link to post Share on other sites
Feb 21 by NutmeggeRN, BSN NutmeggeRN has 25 years experience as a BSN and specializes in kids. 2 Followers; 6 Articles; 3,885 Posts; 42,935 Profile Views Well there you go! I never look at those!!! As I am in HS! thx!! 2 Share this post Link to post Share on other sites
Feb 21 by OldDude OldDude specializes in Pediatrics. 7 Followers; 1 Article; 4,782 Posts; 30,054 Profile Views 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. 2 Share this post Link to post Share on other sites
Feb 21 by NutmeggeRN, BSN NutmeggeRN has 25 years experience as a BSN and specializes in kids. 2 Followers; 6 Articles; 3,885 Posts; 42,935 Profile Views There are many, many reasons to hang out in HS!! 2 Share this post Link to post Share on other sites
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