Pre-Licensure Nursing Immunization Requirements
Page Revision: March 2020- Make sure to use the most recent information available when applying to the BSN Program.
BSN Program Immunization Requirements
Submitting my Documentation
Documentation should be submitted upon acceptance into the upper division Nursing Program. Instructions will be provided in the acceptance email.
Documentation of 3 Hep B immunizations AND Surface Anitbody titer (Anit-HBs, HBsAB) lab report showing immunity
Surface Anitbody titer (Anit-HBs, HBsAB) lab report showing immunity
Documentation of 2 full series of immunizations followed by 1 Surface Anitbody titer showing not immune status PLUS Hepatitis B Non-Responder Form
2 doses of Hepatitis A
Antibody titer lab report showing immunity
2 doses of MMR
Quantitiave lab report showing immunity to each of the 3 diseases
2 doses of varicella vaccination
Quantitiave lab report showing immunity
1 dose of Tdap within the past 10 years
Annual flu vaccination provided in Fall/Winter each year
2 Step PPD (2 PPDs taken 1-3 weeks apart)
Proof of annual PPD (2 PPDs within 12 months)
Quantiferon or T-Spot blood test
* Required annually
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.
- You must submit a copy of the laboratory report on all titers.
- All titers must be a minimum of 28 days after a dose of the vaccine.
- Your uploaded documentation must be legible.
- We recommend that students keep a personal copy of their immunizations and titers for future needs.
- MMR and Varicella are live vaccines. These must be completed at the same time otherwise you must wait at least 28 days until you can receive the next vaccine. These live vaccines can cause false positive results with TB testing, so 28 days is required between a receiving a live vaccine and a TB test.
- Healthcare Providers may not be aware of the requirements for student nurses. Approval can be secured by sending your documents for review: use the email address below, under "Contact Us."
- Students working in healthcare should note that requirements for employees often differ from requirements for student nurses.
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.
Program Coordinators – BSNImmunizations@uta.eduIn your email please include your student ID number and when you are planning to start the program.
Hepatitis B Series
How long does it take to complete the Hepatitis B Series?
A series for Hepatitis B requires one of the following options:
- Traditional Dosing: 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. The minimum interval between the first two doses is 4 weeks, and the minimum interval between the second and third doses is 8 weeks. However, the first and third doses should be separated by no less than 16 weeks.
- Heplisav-B: 2 shots administered with 28 days between them
- Travel "Accelerated" Dosing: 4 shots administered over a period of approximately 12 months (schedule of 0, 7, and 21–30 days) with a booster 12 months after the last dose to promote long-term immunity and to complete the series.
What if my titer shows that I am not immune? What do I do if I have to repeat the series?
If you do not show immunity to Hepatitis B, you must:
- Take one dose of Hepatitis B, wait 28 days and retiter.
- If you still showing no/low immunity after a challenge/booster dose you must complete the series and retiter.
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.
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).
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.
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.
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.
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.
Can I use a Chest X-ray for TB clearance?
A chest x-ray is only accepted with documentation of a positive TB skin test or positive/indeterminate blood test. If you do not have documentation of a positive test you cannot use a chest x-ray for clearance.
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.