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Touching Lives. Transforming Health Care.

Pre-Licensure Nursing Immunization Requirements

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Requirement Checklist

Click or tap here to download the Pre-Licensure BSN Checklist.

Immunization Requirements

Hepatitis B

Documentation of 3 Hep B immunizations

AND

Surface Anitbody Quanititave lab report showing immunity

OR

Documentation of 6 Hep B immunizations followed by 1 Surface Anitbody titer showing not immune status PLUS Hepatitis B Non-Responder Form

Hepatitis A

2 doses of Hepatitis A

OR

Quantitiave lab report showing immunity

Measles, Mumps, Rubella (MMR)

2 doses of MMR

OR

Quantitiave lab report showing immunity to each of the 3 diseases

Varicella

2 doses of varicella vaccination

OR

Quantitiave lab report showing immunity

Tetanus, Diphtheria, Acellular Pertussis (Tdap)

1 dose of Tdap within the past 10 years

Influenza (Flu) *

Annual flu vaccination provided in Fall/Winter each year

Tuberculosis Testing *

2 Step PPD (2 PPDs taken 1-3 weeks apart)

OR

Proof of annual PPD (2 PPDs within 12 months)

OR

Quantiferon or T-Spot blood test

OR

Chest x-ray

* Required annually

Acceptable Documentation

Acceptable documentation of immunizations includes ONE of the following:

  • A completed immunization form that is signed by your health care provider.
  • Documentation of vaccines administered that includes the signature or stamp of the physician or his/her designee, or public health personnel.
  • An official immunization record generated from a state or local health authority, such as a county health department.

Please Note:

  • You must submit a copy of the laboratory report on all titers.
  • Please submit your immunization record only when you have uploaded ALL of the required documents.
  • Your uploaded documentation must be legible.
  • We recommend that students keep a personal copy of their immunizations and titers for future needs.

All immunizations must be good for the entire semester. This means that your TB and/or Tdap may not expire before May for a Spring semester, December for a Fall semester or August for a Summer semester.

Contact Us

Campus Based BSN Program – Holly Woods, hwoods@uta.edu

AO BSN Program – Elizabeth Webb, ewebb@uta.edu

In your email please include your student ID number and when you are planning to start the program.

Vaccination Information

Hepatitis B Series

How long does it take to complete the Hepatitis B Series?

Full immunization for Hepatitis B requires a series of 3 shots administered over a period of approximately 6 months (schedule of 0,1,6 months). The second shot is due 1-2 months after the first, and the third shot is due 5-6 months after the second.

What do I do if I have to repeat the series?

If you do not show immunity to Hepatitis B, you must:

  1. Begin repeating the entire Hepatitis B series.
  2. Upload the lab report to the immunization portal.
  3. Upload the vaccinations to the immunization portal.
  4. Fill out the Repeating Hepatitis B Series form and upload it to the immunization portal.
Hepatitis B Titer

What is a titer?
A titer is a laboratory test that measures the presence and amount of antibodies in blood. A titer may be used to prove immunity to disease. A blood sample is taken and tested. If the test is positive (above a particular known value) the individual has immunity. This is not the same as a vaccination. Any titers submitted must be quantitative.

A fuller explanation is available on this PDF (click or tap to download).

What if my titer shows that I am not immune?
If you do not show immunity, you must:

  1. Begin repeating the entire Hepatitis B series.
  2. Upload the lab report to the immunization portal.
  3. Upload the vaccinations to the immunization portal.
  4. Fill out the Repeating Hepatitis B Series and upload it to the immunization portal.

What if my 2nd titer shows that I am not immune?
Students who have had 2 complete Hepatitis B series and 2 titers showing non-immune must complete the Hepatitis B Vaccine Risk Waiver. Upload the completed form to the immunization portal.

Measles, Mumps, Rubella (MMR)

How long does it take to complete the 2 MMR shots?
MMR shots are given 4 weeks apart.

Do I have to have a titer for MMR?
You are not required to provide a titer for MMR. 2 vaccinations of MMR will meet the requirement.

What do I do if I cannot find my vaccination records for MMR?
If you know you have had the 2 vaccinations in the past, you can have these titers drawn. Please make sure your titer includes measles, mumps and rubella. Titers must be quantitative and IgG (not IgM).

A fuller explanation is available on this PDF (click or tap to download).

What if my MMR titer comes back as negative or equivocal?

If you cannot prove immunity through titer for Measles, Mumps and/or Rubella, you must have additional vaccinations. Mumps and/or Measles require 2 vaccinations, Rubella requires only 1 vaccination. MMR vaccinations are given 4 weeks apart.

Varicella

If I have had chicken pox in the past, will that meet the varicella requirement?
A history of chicken pox is not proof of immunity. Only a titer can be used as proof of immunity. If you have had chicken pox in the past, you can get an IgG quantitative titer drawn.

A fuller explanation is available on this PDF (click or tap to download).

Do I have to have a titer for Varicella?
You are not required to provide a titer for Varicella. 2 vaccinations of Varicella will meet the requirement.

What if my Varicella titer comes back as negative/equivocal?
If you cannot prove immunity through titer, you must have 2 vaccinations for varicella. Varicella vaccinations are given 4 weeks apart.

Tetanus, Diptheria, Acellular Pertussis (Tdap)

I had Td/DPT/DtaP in the past. Will this meet the requirement?
Only the Tdap vaccination will meet the requirement. Td/DPT/DtaP will not meet this requirement.

What is the expiration date for Tdap?
If your Tdap was taken more than 10 years ago, you must receive an updated vaccine.

Tuberculosis Testing

How is the Tuberculin Skin Test administered?
The tuberculin skin test (TST) is performed by injecting 0.1 ml of tuberculin purified protein derivative (PPD) into the inner surface of the forearm. The skin test reaction should be read between 48 and 72 hours after administration. If it is not read within 72 hours will need to be rescheduled for another skin test. You can read more about the test on the CDC website.

What do I do if I have tested positive in the past to a PPD?
You will need to submit documentation of the positive test and receive a chest x-ray to prove that you do not currently have tuberculosis.

What is a 2 Step PPD and why do we need to receive a 2 Step?
A 2 step PPD is 2 skin tests taken 1-3 weeks apart. Two-step testing is useful for the initial skin testing of adults who are going to be retested periodically, such as health care workers. This two-step approach can reduce the likelihood that a boosted reaction to a subsequent TST will be misinterpreted as a recent infection. You can read more about the booster phenomenon on the Official Website of the Executive Office of Health and Human Services.

I was told my tuberculosis screening was good for two years. Do I have to get screened again this year?
Any screening for tuberculosis expires after 1 year. This includes all forms of screening. If you received a skin test, x-ray, or blood test, it will expire in our system after exactly 1 year and you will need to provide updated documentation.

What if I get a TB blood test?

You may opt to receive a TB blood test, Quantiferon Gold or T-Spot, instead of the 2 step PPD testing.  If you choose to go with the blood test you will receive only 1 test which will be good for 1 year.

Influenza

The flu vaccination is not available this time of year and I have not had it within the last year. What do I do?
You will not be penalized for missing the flu vaccination requirement unless it is the appropriate time of year and you have not had it. As soon as the flu vaccination is offered, you will need to be vaccinated and upload documentation to the immunization portal. You will need to receive the flu vaccination every year around September or October.

Submitting my Documentation

Documentation should be submitted upon acceptance into the upper division Nursing Program. Instructions will be provided by Program Coordinator.

Frequently Asked Questions

Click or tap here to open the FAQ.