Nursing School Immunization & Titer Requirements
Program Health Requirements
Content last reviewed 2026-09-12 · Educational information — not medical advice
Quick answer
Standard stack: MMR titer, varicella titer, hepatitis B titer (or vaccine series), Tdap, flu shot, plus TB screening. Titers prove IMMUNITY — vaccines alone rarely satisfy clinical contracts.
Who this covers
Why titers instead of vaccine records
Rotation contracts want laboratory PROOF of immunity. Childhood vaccines fade for a minority of people, and 'my mom says I had chickenpox' satisfies nobody's compliance office.
The core titer panel
- MMR IgG — measles, mumps, rubella immunity in one draw
- Varicella IgG — chickenpox immunity
- Hepatitis B surface antibody (quantitative) — requires ≥10 mIU/mL; non-reactive results trigger a revaccination series then re-titer
Common extras
Tdap within 10 years, annual influenza, meningococcal for some programs, and occasionally hepatitis C antibody screening.
The hepatitis-B non-responder path
Roughly 5–10% of people don't seroconvert after the standard series. Programs handle it via repeat series ± higher-dose formulation, then documentation of antigen-negative status — budget time for this if your first titer comes back negative.
Order the required tests
Direct-access laboratory testing — no doctor visit needed. Results arrive as forwardable PDFs that satisfy most compliance offices.
We may earn a commission when you order through partner links. This guide is educational and never replaces advice from your program office, employer, or healthcare provider.
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Frequently asked questions
Can one blood draw cover everything?
Yes — MMR, varicella, and hep-B titers run off a single venipuncture. Ask the lab to batch them; it saves a needle and usually costs less than separate orders.
What if my titer shows no immunity?
Normal outcome — get the booster/vaccine series, wait the recommended interval (usually 4–8 weeks), re-titer. Start early enough to absorb this loop.