Hepatitis B Immunity Requirement - Nursing Students

Nursing students must provide a serology report confirming their immunity to Hepatitis B. To do this, you will need a requisition from your Health Care Provider for blood work. Once you have the requisition, you can visit a lab such as LifeLabs to have the blood work completed.

Important: If you have not received any Hep B vaccinations, do not complete blood work until one month after completing the full vaccination series. As an adult, the series consists of three Hep B vaccinations.

Next Steps Based on Serology Results

1. If your serology reports shows you are reactive (immune): Submit the report - no further action is needed.
2. If your serology reports shows you are non-reactive (not immune): Further steps are required depending on your vaccination history:
   • If you had 2 childhood vaccinations (common in Canadian grade schools):
     • Get a 3rd vaccination.
     • Complete follow-up serology 1 month after that dose.
     • If still non-reactive:
       • Treat this dose as Dose 1 of a new series.
       • Follow with Dose 2 one month later, then Dose 3 six months after Dose 1.
       • Completed another follow-up serology 1 month after Dose 3.
       • Submit proof of all vaccinations and the follow-up serology to Synergy.
     • If you already had 3 vaccinations and are non-reactive:
       • You must restart the full Hep B series (3 new doses).
       • Complete follow-up serology 1 month after the final dose.
       • submit proof of all vaccinations and the updated serology. 

Documentation Reminder:

If completing any of the steps above, ensure you submit:

• Your original serology report showing non-reactive status.
• Documentation for each additional vaccination.
• Any follow-up serology results.