Associate Degree Nursing


Associate Degree Nursing students must comply with the clinical facility requirements related to immunizations and testing.  Students should not delay in collecting their immunization documentation. Students will not be allowed to participate in clinical programs without documentation of completed program immunization requirements.  The verification of immunizations and the documentation form must be completed and submitted by the required deadline.

  • Students applying to the Associate Degree Nursing (ADN) program will be required to submit documentation of the non-time sensitive immunizations at the time of application.  

Titers offer the most objective documentation and protection for the student and institution; therefore; immunity must be documented by serum quantitative titers (with numerical values). Titers can be obtained at a clinical laboratory through a written order by a primary care provider. Titer results don't expire.

Quantitative titers have a numerical value. Qualitative titers simply indicate "immune vs. non-immune" (with no numerical value). Qualitative titers will not be accepted by the Health Sciences Division.

  • Students should ensure that they receive IgG titers. DO NOT get labs for IgM titers.
  • The appropriate titer for documentation of immunity for the Hepatitis B clinical requirement is the Hep B Surface AB (antibody) titer, NOT the Hep B AG (antigen) titer.
Note:  Titers will require a physician order taken to a clinical laboratory.  A student's insurance may or may not cover these titers.  Should the student need to pay for the lab titers, there are several companies that facilitate titer processing.  This titer price comparison​ sheet may assist students in deciding on which company to use.  Prices are subject to change.


Students must complete the Immunization Requirements Checklist form showing dates and values of titers with the original titer reports attached to the form.   All information will be verified by the Health Sciences division staff.

All titers must show patient name/information, lab/doctor's information, date of collection, name of test, the numerical values used in interpreting the results, and the results.

Be sure to start early;

if vaccination is required, some vaccination series can take up to 6 months.​

Non-Time Sensitive Clinical Requirements

  1. Measles (Rubeola​), Mumps, and Rubella (MMR) - Serum quantitative titer showing proof of immunity

  2. Hepatitis B - Serum quantitative titer for Hepatits B Surface Antibody (IgG) showing proof of immunity

  3. Varicella - Serum quantitative titer showing proof of immunity​​

  4. Tetanus, Diphtheria and Pertussis (TDaP)  A TDaP vaccination (which includes vaccination for Pertussis) needs to be administered one time as an adult. Students who have not had a TDaP as an adult are required to obtain one prior to enrollment (even if a TD booster has been received within the 7 -10 year timeframe for subsequent boosters).
In the event a complete vaccination series is required, start the series right away as it can take up to 6 months.  The following are the minimum timelines for each vaccination series:
  • Hepatitis B - Three (3) dose series administered over a 4 to 6 month period, depending on your primary care provider's preference with a repeat titer 1-2 months after finishing the series
    • ​​​​​​CDC standard recommendations are for the series to be given at 0, 1, and 6 months.
    • CDC minimum requirements allow for the series to be given at 0, 1, and 4 months.  There must be a minimum of 8 weeks between the second & third doses and a minimum of 16 weeks between first & third doses.​
  • Varicella - Two (2) dose series administered at least 4 weeks apart​
  • MMR - Two (2) dose series of MMR vaccine administered at least 4-8 weeks apart

​​Annually Required Immunization

Influenza — one dose annually (notification of due date to be sent via email to enrolled students). The Public Health Department of both Shasta County and Tehama County have mandated that all healthcare workers must receive an annual influenza vaccine.  In addition, most of the health care facilities in which we contract for clinical assignments require students to have the vaccine prior to being assigned to patient care.