Which immunizations are necessary for residency?

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anon-y-mouse

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I'm asking this on behalf of my cousin, who's British and has completed her internship there and is coming over here to try to apply for residency. She can get all her shots free courtesy of the UK's National Health Service.

Which immunizations does she absolutely need to work at a hospital? She had HepB about 5 years ago, does she need a booster? I know with stuff like polio, a booster isn't required, but are there any others that might require a higher serum antibody level?
 
anon-y-mouse said:
I'm asking this on behalf of my cousin, who's British and has completed her internship there and is coming over here to try to apply for residency. She can get all her shots free courtesy of the UK's National Health Service.

Which immunizations does she absolutely need to work at a hospital? She had HepB about 5 years ago, does she need a booster? I know with stuff like polio, a booster isn't required, but are there any others that might require a higher serum antibody level?

If she gets a residency and, as a UK national, goes through the application process for a US work visa, the visa application will provide guidelines as to what immunizations need to be caught up on. They will make sure that she gets a medical examination and has everything she needs for entering the US before issuing the visa.

My husband just did this. I would not waste time pre-emptively getting any immunizations before actually starting the visa application process, as the US Embassy requires its own medical exam and will scrutinize your immunization record on their own. For medical practice in the US, you do not need any "additional" immunizations -- you just need to be caught up on your immunizations according to US national guidelines applicable to your age group.

The HepB vaccine -- I'm not entirely clear on this, but I think whether a booster is needed depends on how you had it administered. Usually it should be at 1, 2, and 6 months; my husband got an "accelerated" dosing at 1, 2, and 3 months in the UK which apparently does require him to get one additional booster later on.
 
jennyboo said:
If she gets a residency and, as a UK national, goes through the application process for a US work visa, the visa application will provide guidelines as to what immunizations need to be caught up on. They will make sure that she gets a medical examination and has everything she needs for entering the US before issuing the visa.

My husband just did this. I would not waste time pre-emptively getting any immunizations before actually starting the visa application process, as the US Embassy requires its own medical exam and will scrutinize your immunization record on their own. For medical practice in the US, you do not need any "additional" immunizations -- you just need to be caught up on your immunizations according to US national guidelines applicable to your age group.

The HepB vaccine -- I'm not entirely clear on this, but I think whether a booster is needed depends on how you had it administered. Usually it should be at 1, 2, and 6 months; my husband got an "accelerated" dosing at 1, 2, and 3 months in the UK which apparently does require him to get one additional booster later on.


Sorry, I should have mentioned, she's also a US citizen (dual), so she won't need to apply for a visa. (She was born in New York but moved when she was about 4). Are there any particular immunization requirements for hospitals per se? For example, I don't think HepB is "required" for the general population of America but is most certainly required for working in a hospital.
 
anon-y-mouse said:
I don't think HepB is "required" for the general population of America but is most certainly required for working in a hospital.

correct
 
anon-y-mouse said:
Sorry, I should have mentioned, she's also a US citizen (dual), so she won't need to apply for a visa. (She was born in New York but moved when she was about 4). Are there any particular immunization requirements for hospitals per se? For example, I don't think HepB is "required" for the general population of America but is most certainly required for working in a hospital.


Yes they will ask for proof of immunizations, immunity proved by serum, or history of disease in some instances. Hep B(3 dose series), MMR (2doses), Tetnus, Varicella, PPD, and Polio. Thats all my program asked about. MMR is a live vaccine so it will interfere with the timing of the others so plan accordingly.

The big item is the PPD. Since she has grown up in europe she may have recieved the BCG vaccine.

They should send this info out with her contract.
 
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