Medical facilities around the country have been requiring EMS personnel who do not have proof of a positive titer to the hepatitis B vaccine series be tested prior to clinical rotations. If the titer is <10mlU/ml, those facilities administer an additional dose of vaccine. These costs, which can be significant, are passed on to the EMS providers or their departments.
Read more: CDC Responds to Medical Facilities Requiring EMS Personnel to have Titers