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Nursing Assistant Immunizations

All Documentation must be completed prior to entering HOC 118

Documentation for winter 2015 is due on January 30, 2015.

Required Immunizations:

TB Skin Test

-There must be documentation of one of the following:

· 2 step TB Skin test

· If positive results, provide a clear Chest X-Ray (lab report required)

Hepatitis B

-There must be documentation of one of the following:

· 3 vaccinations OR a positive antibody titer (lab report OR physician verification of titer results OR status of Immune required) (Series in progress is accepted)

· Declination waiver

Measles, Mumps & Rubella (MMR)

-There must be documentation of one of the following:

· 2 vaccinations

· Positive antibody titers for all 3 components (lab report OR physician verification of titer results OR status of Immune required)

Tetanus, Diphtheria & Pertussis (Tdap)

-There must be documentation of a Tdap booster within the past 10 years.

Varicella (Chicken Pox)

-There must be documentation of one of the following:

· 2 vaccinations

· Positive antibody titer (lab report OR physician verification of titer results OR status of Immune required)

Influenza

-There must be documentation of one of the following:

· A flu shot administered during the current flu season

· Declination waiver: Declination waiver must be completed on school form and signed by a healthcare provider.