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HIB vaccine, 3 or 4 doses?

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by jrbl77 jrbl77, RN (Member) Member Nurse

jrbl77 has 41 years experience as a RN and specializes in Med Surg, Parish Nurse, Hospice.

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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?

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aprilmoss has 20 years experience and specializes in School Nurse.

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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.

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OldDude specializes in Pediatrics.

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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."

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ruby_jane has 10 years experience as a BSN, RN and specializes in ICU/community health/school nursing.

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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. 

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NutmeggeRN has 25 years experience as a BSN and specializes in kids.

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

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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!

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NutmeggeRN has 25 years experience as a BSN and specializes in kids.

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

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OldDude specializes in Pediatrics.

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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.

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NutmeggeRN has 25 years experience as a BSN and specializes in kids.

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

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