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I missed my second PPD shot reading please Help I need advice

qowpel qowpel (New) New

Hello, so I have gotten into middlesex county college's nursing program... Here is what happened.

The program starts as soon as September begins. and THIS is what happened........ SO....

Monday the 4th of August I got my first PPD shot at 11 am........ then Wednesday I had a reading, also at 11 oclock. From there I was told I need ANOTHER shot as in PPD tests it is needed that you get another shot. She said shots needed to be a week apart. I said ok.........

So That means that two days ago on Monday the 11th, I got my Second shot.......... However, today, today I was supposed to be read and MISSED due to obscene circumstances.................. I know the readings are very very sensitive and she will not be in until this upcoming monday, the 18th. So because of this I have a very specific question and need a DIRECT answer please.........

Does this mean that I need to start the FIRST and the SECOND reading over? If so, then I will just have to wait until next week on Monday.......

OR if that last sentence I wrote is NOT the case..... Would it be possible that I go to the medical clinic near my house tomorrow and just go ahead and GET another shot, to then have it read at the same place on Saturday at the same time????????????? OR is the case such that, because I HAD an actual shot on Monday the 11th, that the only way for me to go ahead and get any other shot would be Monday the 18th? Would me having an unread shot that I had from Monday the 11th, cancel out my ability (due to possibility of a distorted reading) to actually go ahead and get another shot tomorrow and get it read thursday?

JustBeachyNurse, RN

Specializes in Complex pediatrics turned LTC/subacute geriatrics.

You need to check with the physician or clinic for their procedure. You can also get PPD testing done at the local health department. In theory as long as you have documentation if the first test, you should only have to repeat the 2nd step. Some protocols permit the second step to be done 2-4 weeks later.

meanmaryjean, DNP, RN

Specializes in NICU, ICU, PICU, Academia.

Take a deep breath. Now, close your eyes and count to ten. . . . Open your eyes and read this:

It's just a screening TB test. You can get the second one done next week. Call the school and tell them what happened. You're not the first and certainly won't be the last that this has happened to. It's ok.

I have never heard of needing the first one redone

JustBeachyNurse, RN

Specializes in Complex pediatrics turned LTC/subacute geriatrics.

The only time both have had to be repeated that I've ever seen is if it's more than a year since the last PPD.

studentnursemon86

Specializes in ER/Emergency Behavioral Health....

I don't know if it is an option, but would your school allow the quantiferon gold tb test?

My PPD was positive for the last 6 years, so my school allowed me to do the blood test instead. Unfortunately for me, that was positive too, so I get a year of isoniazid :(

Relax don't worry. What's going to happen is your nursing program will require you to get a chest x-ray to rule out any active disease. Once you get that you will start the program. Your PCP might make you take meds depending on your condition.

IrishIzCPNP, MSN, RN, APRN, NP

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.

I would just get a second placement and get it read and call it a day.

JustBeachyNurse, RN

Specializes in Complex pediatrics turned LTC/subacute geriatrics.

Relax don't worry. What's going to happen is your nursing program will require you to get a chest x-ray to rule out any active disease. Once you get that you will start the program. Your PCP might make you take meds depending on your condition.

Chest X-ray is only indicated for a positive PPD or previous positive skin test. The OP did not have a positive PPD just a delayed reading of the 2nd of a two step PPD ( therefore the 2nd step was invalid)

OP needs to repeat the second step of the PPD and move on.

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