Clinical Requirements

Immunization Requirements

All students are expected to meet specific immunization requirements. The Immunization Record must be complete. It is strongly recommended that the student retain a personal record of their immunizations for submission to future employers. Unless otherwise specified, actual proof of immunization is required.

Proof includes:

  1. Evidence of the vaccination on an official record such as the Kansas Immunization Record (pink card), school records, or the International Immunization Record (yellow card)
  2. A statement from a physician confirming previous illness
  3. Positive titer results

Vaccinations required are:

  • Tetanus, Diphtheria, Pertussis (Tdap) booster is required every 10 years for health care providers
  • Two doses of Measles, Mumps and Rubella (MMR) Caution: If the student needs to receive the MMR, please complete the two–step skin test before proceeding with the MMR. The MMR could be administered with the second step, but not the first step.
  • Hepatitis B-The first of the three hepatitis B immunizations must be completed before the start of the clinical experience. All three injections should be completed within the year. This immunization is highly recommended but students may sign a refusal form.
  • Varicella (chickenpox)-The student must be immune to varicella (chickenpox) as evidenced by an official record, signed statement from a physician, or positive titer results.  If the student has not had the disease a titer must be done that will indicate immune status. If immunity is not present, the two dose varicella immunization must be obtained. Varicella is given on the same dosing schedule as MMR, with at least 28 days between doses and the 2step TB skin test must be completed prior to the Varicella Vaccine or there is a 28 day waiting period. MMR and Varicella can be given on the same day or there is a 28 day waiting period.
  • Pneumococcal–Pneumococcal vaccine is recommended for persons with a repeat history of pneumonia.
  • Influenza–To reduce student illnesses and absenteeism during the influenza season and to reduce the spread of influenza to and from workers and patients, students are required to be vaccinated in the fall of each year. Students must follow specific clinical requirements. The student must sign a refusal form if not taking the vaccine and have physician documentation of egg allergy. 
  • Two step tuberculosis test–A tuberculosis two-step test must be documented followed by an annual one-step. The PPD Mantoux is the acceptable test. The TB Tine test is not acceptable. The date of the tests, who gave and read it and results in millimeters must be documented in millimeters. For positive reactors, a negative chest x–ray and negative symptoms must be documented. The two–step test is two of the single step skin tests done one to three weeks apart. It is recommended in many health care agencies because of the booster phenomenon. Students with a positive TB skin test and negative x-ray are highly encouraged to complete a nine month course of treatment. This is available free of charge through the Kansas Department of Health and Environment and can be received through Butler College Health Services.