Sam Houston State University – School of Nursing
Guidelines for Immunization Compliance
Immunizations are required by our clinical partners, may exceed CDC recommendations, and follow the Texas
Administrative Code, Title 25, Part 1, Chapter 97, Subchapter B Rule 97.64 and 97.65. Proof of immunizations and
current TB testing is required to remain in the nursing program. Plan accordingly as some vaccine series, such as
Hepatitis B, may require 4 to 6 months to complete. High school printouts or copy of paid receipts are not acceptable.
Original immunization documentation must include at least:
• Patient information (name and date of birth)
• Immunization administered (lot#, expiration date, injection site recommended)
• Date immunization was administered (month, day and year)
• Stamp/signature of physician, physician designee or public health personnel
o Immunization records generated from an electronic health records system must include clinic contact
information and the provider’s signature/stamp
DUE AFTER ACCEPTANCE PRIOR TO J1 SEMESTER:
• MMR (Measles, Mumps, Rubella) – 2 doses OR copy of original lab report indicating positive IgG titers for
Measles/Mumps/Rubella. Titer results must be quantitative with reference ranges included and ≤ 5 years old.
• Varicella (Chickenpox) – 2 doses OR copy of original lab report indicating positive IgG titer for Varicella.
Titer results must be quantitative with reference ranges included and ≤ 5 years old.
o History of chickenpox disease must be documented with proof of positive IgG titer for Varicella.
• Hepatitis B – 3 dose series OR Heplisav-B 2-dose series
o 3 dose series – Hepatitis B vaccine series requires a minimum of 4 months to complete with intervals of 1
month between dose 1 and 2; 4 months between dose 1 and 3
o 2-dose series – Heplisav-B only; 4 weeks between dose 1 and 2 (immunization record must clearly state
that Heplisav-B was received).
• Positive Hepatitis B Surface Antibody (anti-HBs) – required 1-2 months after last Hep B dose received.
Titer results must be quantitative with reference ranges included and ≤ 5 years old.
o A titer showing non-immunity (non-reactive, negative) following the primary Hep B series will require 1 to 3
repeat doses of Hepatitis B and a repeat titer 1-2 months after the last dose of vaccine.
• Hepatitis C – copy of original lab report showing results of a serologic test for the HCV antibody (Ab) (≤ 1 year old).
• Tdap (Tetanus, Diphtheria, Pertussis) – 1 dose received as an adult after the age of 18.
• COVID-19 – most clinical sites that partner with the SON require nursing students to be fully vaccinated to access
their facility. Full vaccination occurs two weeks after final vaccination dose.
• Influenza – required annually for current/upcoming season (every Fall).
• Tuberculosis (TB) Testing – 2 options (TST OR QuantiFERON Gold):
o Two Mantoux tuberculin skin tests (TST) are required to get a baseline. Tine (4- prong) testing will not
be accepted. SHSU Health Center is recommended for TB testing.
• If the 1
st
TST is negative, a 2
nd
TST is needed 1 to 3 weeks after the 1
st
TST result is read.
• If the 1
st
TST is positive, a medical evaluation, chest x-ray radiology report to specifically rule
out active disease and TST report in “mm” must be submitted. Frequency of repeat chest x-
rays depend on policies of specific assigned clinical sites.
• TST results must include PPD lot # and expiration date and be reported in millimeters
“mm” (not just positive or negative) with the date/time given and signature of provider
and the date/time read with signature of provider.
• TST is required annually every 12 months and must remain current the entire semester.
o QuantiFERON Gold – negative TB blood test; results must be quantitative with reference ranges
Contact SHSU School of Nursing at 936-202-5109 if you have any questions about immunization requirements.
Rev. 10/19/2021
