Immunizations

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Hi everyone,

How do you handle parents that insist on no vaccines? I had a parent who stated that there is no policy. However the policy does state that the child will be up to date per AAP and CDC recommendations. He then replies see it doesn't say required on AAP website only recommend for that age. Well they can't require you that's why its a recommendation but we do require you and any other school that your child will attend. The only waivers we have are religious and/or medical/allergy. Or they can bring in a note from the doctor stating they are on the delayed schedule. Any advice?

Specializes in ED, School Nurse.

Our school district's immunization declination form covers medical, religious and philosophical reasons, which pretty much covers any reason not to get immunized. Our state has a policy on immunizations for children who attend school, maybe search your state's .gov web site for a policy?

What state are you in? Every state has immunization requirements for school attendance, and most local entities have board policies that reference those state requirements.

Specializes in school nursing, ortho, trauma.

What state are you in? I believe (but may be wrong so don't take me as gospel!) that most states have some sort of vaccine requirements to attend school. Like Ohiobobcat said, check your state website to be sure of what your state laws are - they will either give you more leverage against this parent or allow you to honor his wishes to have an unvaccinated child.

I'm in NC and under the military SOPs as well. Which is a whole 'nother ball park at times.

Also to add its a daycare center so we are responsible for all immunizations from birth until 5.

Thank you so much for your responses.

I am in NY and we allow parents so time to get up to date or to present proof of a medical or religious exemption. If they do not do any of these things we will exclude the child from attending school. Check out your state's law it should help guide you on what to do.

Good Luck!

NC DPH, WCH: Immunization: Family: Immunizations for Children

All children in North Carolina are required to be vaccinated against:

And again -

GS_130A-155

(a) No child shall attend a school (pre K-12), whether public, private or religious, a child care facility as defined in G.S. 110-86(3), unless a certificate of immunization indicating that the child has received the immunizations required by G.S. 130A-152 is presented to the school or facility.

However -

GS_130A-157

If the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements contained in this Chapter, the adult or the child shall be exempt from the requirements. Upon submission of a written statement of the bona fide religious beliefs and opposition to the immunization requirements, the person may attend the college, university, school or facility without presenting a certificate of immunization.

There you go, state law for NC. But your company policy may allow for you to exclude any child without immunizations if you are a private company - check with your employer.

Specializes in kids.

fetch covered it! also get support of your administrator~

Thanks Fetch that's exactly what I found.

And NutmeggeRN they are onboard with us so hopefully things go smoothly.

Specializes in kids.

I have found that once you push them for A) the vaccine or B) the form for exemption (NH only recognizes religious and medical) and give them an exact exclusion date, they will comply, one way or the other. It is amazing how fast the paper work comes in then!

IF they get an exemption, it then becomes your responsibility to notify them of a suspected or confirmed outbreak and they will need to keep their child home in order to protect them). I keep a list on my desktop for easy access and I update and review it on a regular basis.

I have the exemption :). Parents are aware that in the event of an outbreak the child will not be able to be in care.

Thanks again for the advice.

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