FACULTY OF HEALTH SCIENCES: SCHOOL OF NURSING POLICY - IMMUNIZATION SCREENING PROCESS
For students entering their first year of Nursing at Queen’s University, this documentation is required for registration in the program. It is the responsibility of each student to maintain their health records.
For all students, the absence of documentation will result in the student being deemed ineligible for clinical placements.
Exception: The influenza vaccination is not usually available until October and takes two weeks to become effective. An annual influenza vaccination should be done as soon as the vaccine becomes available.
Students are advised to visit their Family Physician, Student Wellness Services, or the Public Health Unit to have their immunization schedule reviewed. Contact your Family Physician if you need serology, as Public Health does not do any serology for immunizations. Immunizations or serology testing occurs at the student’s cost.
Documents that will be accepted as proof of immunization include the Provincial Immunization Record, documentation signed by a healthcare provider, and/or laboratory evidence of natural disease or immunity.
Students may access Queen’s University: Student Health Services at 613-533-2506
- HEPATITIS B - Vaccine and Serology (Required)
For the Hepatitis B vaccine, documentation of the following is required:
- Receipt of all doses (a series) by a healthcare professional, AND
- Laboratory evidence of immunity (ie. positive serology for antibody to Hepatitis B -Anti-HBs) completed at least one month after receipt of a valid immunization series
It is understood that Hepatitis B immunization may not be complete at registration; however, all tests and immunizations must be completed by the first clinical placement.
- For students who are anti-HBs positive, no further action is required.
- Students who are anti-HBs negative must be screened for Hepatitis B surface antigen (HBsAg). Students who are negative for anti-HBs despite receiving a complete Hepatitis B vaccine series and who are HBsAg negative are required to:
- Complete a second series of Hepatitis B vaccination, and
- Submit the results of a second anti-HBs one month after the completion of the second series of vaccination
- Students who continue to be non-immune after a second series of Hepatitis B vaccine are considered to be “non-responders” and will be referred for counselling. If the result of any HBsAg test is positive, the student will be referred for counselling by the Director of the School of Nursing. They will also need HBeAg, anti-HBe, and Hepatitis B DNA levels.
Students infected with Hepatitis B will undergo an assessment of their potential to transmit Hepatitis B. This assessment could restrict or modify your participation in some aspects of the curriculum.
- INFLUENZA (FLU) - Vaccine (Recommended)
The influenza vaccine is strongly recommended. If a student decides NOT to be vaccinated, in the event of a flu outbreak, he/she will be removed from placement. Some agencies do not permit students to do their clinical placement if they do not have the flu vaccine. Influenza immunization is not usually available until October and takes 2 weeks to become effective. An annual influenza immunization should be done as soon as the vaccine becomes available.
- MEASLES, MUMPS, RUBELLA (MMR) - Vaccine (Required)
Students show proof of immunity in one of two ways:
- Two vaccinations after the first birthday, OR
- Blood work (serology) showing immunity
If there is no immunity, students need to receive 2 doses of MMR vaccine.
- MENINGOCOCCAL - Vaccine [Men-C-C or Men-C-ACYW-135]: (Recommended)
Either Men-C-C or Men-C-ACYW-135 vaccine (depending on local epidemiology and programmatic considerations) is recommended for adolescents (given routinely at 12 years of age) and young adults, even if previously vaccinated as an infant or toddler.
For the Men-C-ACYW-135 vaccine, a booster dose is recommended every 5 years if individuals in these groups remain at ongoing risk.
- POLIO - Vaccine (Required)
Students are required to provide documentation of a complete polio vaccination series. The polio vaccine series consists of:
- Five (5) doses for children up to 6 years of age
- Three (3) doses if primary series started after the age of 7 (adult dose)
A four (4) dose series is acceptable if the last dose is given between 4 and 6 years of age.
If no evidence of complete vaccinations is provided, students who only need polio protection should receive two doses of IPV-containing vaccine given 4 to 8 weeks apart, followed by a third dose 6 to 12 months after the second dose.
- TETANUS/DIPHTHERIA/PERTUSSIS (Tdap) - Vaccine (Required)
After receiving a Tdap at ages 14 to 16, everyone over the age of 18 still requires 1 dose of Tdap (or TD-IPV-see polio). A Td or Tdp booster (see polio) is required every 10 years after that.
Students must provide proof of Tdap booster (Adacel/Boostrix) within the last 10 years. Students are responsible for ensuring that these boosters remain up-to-date after admittance to the School of Nursing.
- TUBERCULOSIS - Tuberculin Skin Test (TST) [i] (Required)
An initial baseline two-step TST should be completed prior to the first placement. The second step should be completed one to four weeks after the first step. Documentation of the 2-step TST must be provided with this form.
Then, a 1-step TST is required annually.
If a 2-step TST was completed previously, and documentation can be provided, a single-step TST should be completed. If more than 12 months have elapsed since a negative baseline two-step, or last single-step TST, a single-step TST will be required.
A 10 mm or greater induration is a positive result (or 5 mm or more for those infected with HIV, or in recent close contact with active TB, or with chest X-ray indicating healed TB). If any TST is positive, this must be reported to the School of Nursing. The student will require medical follow-up with a chest X-ray and symptom check to rule out active TB prior to starting placement. An annual chest x-ray and assessment are not required but the student should seek medical attention promptly if they develop symptoms of active TB disease.
Previous BCG vaccination is not a contraindication to TB skin testing unless the individual has a documented positive TST.
- VARICELLA Vaccine [ii] (Required)
A student must provide proof of immunity to Varicella, which includes either:
- Documentation of receipt of 2 doses of Varicella-containing vaccine given at least 4 weeks apart, on or after the individual’s first birthday, OR
- Laboratory evidence of immunity
Non-immune students who have a contraindication to receiving the Varicella vaccine must inform the School of Nursing upon registration and will be referred to the Director of the School of Nursing for advice.
[i] A TST must be completed prior to receiving MMR/Varicella vaccinations.
[ii] MMR & Varicella vaccinations can be given on the same day. If not, they must be administered 4 weeks apart.
The Immunization Form can be downloaded here.
Only electronic submission of the immunization form will be accepted via:
Accessing the Nursing Undergraduate Portal using your NetID at http://onq.queensu.ca
Contact the Nursing Lab Manager with any questions.
Phone: 613-533-6000 ext. 74121