BSN New Student Immunization Requirements George Barajaz, MSN,

BSN New Student Immunization Requirements George Barajaz, MSN, APRN, FNP-BC

Required immunization documentation must be entered in Castlebranch prior to enrolling for Nursing classes Required Immunizations Hepatitis B Measles, Mumps, and Rubella (MMR) Tetanus, Diphtheria, and Pertussis (Tdap) Varicella (Chicken Pox) Influenza (Flu) Required documentation includes proof of immunization and/or titers

What is a Titer? A titer is a blood test that measures your immunity to a disease. Get quantitative, IgG (NOT IgM) titers. Upload lab report.

Hepatitis B Do you have proof of prior completion of entire Hep B vaccination series? If Yes – Get a titer drawn at least 1 month after the last dose in the vaccine series If titer is positive - Submit lab report & proof of vaccine completion If titer is negative – Repeat vaccine series (2 options available) 2-dose series of Heplisav-B (doses one month apart) OR 3-dose series of Energix-B (doses at 0, 1 & 6 months) Heplisav-B option has limited availability – stocked at University Health Clinic Repeat titer one month after final dose *Your provider must order a Hep B titer as Hepatitis B Surface Antibody, Quantitative (Anti-HBs)

Hepatitis B Titer Sample Lab Report

Hepatitis B (Non-Responder) If you have received 2 complete sets of Hep B series vaccines and titers remain negative, you are considered a “non-responder” No need to receive further Hep B vaccination Obtain letter from medical provider of “nonresponder” status

Measles, Mumps, & Rubella (MMR) Submit proof of prior completion of vaccine series (2 doses) OR positive titer for all three diseases (MMR). IF no proof of prior vaccination, get a titer drawn and if all 3 (MMR) are positive, submit titer report. IF titer results for any of the 3 diseases (MMR) are negative, completion of vaccine series (2 doses), one month apart is required. Submit proof of vaccine series completion. *Your provider must order an MMR titer as MMR Immunity IgG profile

Tetanus, Diphtheria, & Pertussis (Tdap) Submit proof of initial Tdap vaccination if within last 10 years OR Proof of Td or Tdap booster vaccination within the past 10 years

Varicella (Chicken Pox) Submit proof of prior vaccine series completion (2 doses, 28 days apart) OR Diagnosis/verification of history of varicella or herpes zoster (shingles) by a healthcare provider OR Positive titer result. Titer is recommended only if no proof of vaccine completion or verification of disease in the past (If titer result is negative, must complete vaccine series and submit proof of vaccination and no subsequent titer needed) *Your provider must order Varicella Titer as VZV IgG Antibody

Submit documentation of Flu vaccine every year by November 1st Vaccine is usually available at the beginning of October every year Influenza (Flu) If you start nursing school in a Spring semester (January) submit documentation of flu vaccine during current flu season (October – March) If you start nursing school in Summer or Fall semesters you will not need to submit proof of flu vaccination to enroll in courses for Summer or Fall semesters BUT once vaccine becomes available in October, you are required to get it and submit proof by Nov. 1st

Other Requirements Tuberculosis Screening (see next slide) CPR– Submit your current CPR certification. Must be the American Heart Association Healthcare Provider course Board of Nursing (BON) background check Must submit BON Blue card or declaratory letter which confirms criminal background completed. Normally, students receive their blue card 4-6 weeks after completing their fingerprint requirement Health Insurance - Submit a copy of your current insurance card or proof of coverage

Tuberculosis (TB) Screening (Annual Requirement) Must provide proof of negative PPD Mantoux tuberculin skin test (TST) OR negative blood assay done within the last year 2 available blood assays (QuantiFERON Gold or T-Spot) IF you are getting screened for first time or last TST was done over a year ago - then must provide EITHER of the following: Proof of a 2-step TST (2 TST tests completed at least 1 week apart but no more than 12 months apart) OR a single blood assay test TST current within the last year: only a single TST is required History of BCG vaccination: must get a single blood assay not a TST History of positive TST, blood assay or prior TB treatment Must follow-up with a healthcare provider for further requirements

Complete and detailed information about UT Tyler Immunization Requirements can be found at the following link: https://www.uttyler.edu/nursing/files/policies/2.3-immunizations-and-documentation-requirements.pdf Or simply Google UT Tyler Immunization Requirements and this link will be the first one listed Information about Healthcare Personnel Immunization Recommendations by the CDC and Immunization Action Coalition can be found at the following link: https://www.immunize.org/catg.d/p2017.pdf Thank You!