VDH requires all Health-Care Personnel (HCP) to provide documentation of immunization or evidence of immunity to the following: hepatitis B, measles, mumps, rubella, and varicella; a one-time dose of tetanus, diphtheria, and pertussis (Tdap) vaccine regardless of the interval since the last dose of tetanus-diphtheria (Td) vaccine was administered (Td or Tdap boosters shall be received every 10 years); and the current year's seasonal influenza vaccination. Performs physical examinations, orders diagnostic tests, prescribes controlled substances, may directly perform or direct others to perform nursing assessments, may perform lab tests, take measurements, develop and implement care plans, including the administration of medication and case management.