[MCOH-EH] Required Vaccines for Employees

[Jayme Kasman]

We are a rural California hospital and follow the guidelines/recommendations from the California Department of Public Health. These are based off of the ACIP guidelines for healthcare personnel.
https://www.cdph.ca.gov/programs/immunize/Documents/CDPH_IZ_Recs_CA_HCP.pdf

Jayme Kasman, RN, MSN
Barton Memorial Hospital
Occupational and Employee Health Nurse
530-543-5964
jkasman at bartonhealth.org

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Subject: MCOH-EH Digest, Vol 250, Issue 155

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Today's Topics:

   1. Re:  Required Vaccines for Employees (Belinda D. Mead)
   2. Re:  Vaccination (Swift, Melanie)


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Message: 1
Date: Tue, 3 Nov 2015 17:29:05 +0000
From: "Belinda D. Mead" <bmead at wmed.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Required Vaccines for Employees
Message-ID:
	<F290AF76226669448C188B88B3CB88ED0145E2DE4A at wmcpromsfexc01.WMC.WMED.ORG>
	
Content-Type: text/plain; charset="us-ascii"

Hello:
We are a small community hospital here in middle Tennessee.  The new hire process: TB test, if positive then chest x-ray and referral to public health if 10 or >; Flu immunization, rubella, rubeola titers; HEP B offered if indicated by checking one of the boxes: previously vaccinated, Request; Decline; Tdap is offered to any working with children or high risk areas: CCU, ER, OR, Peds, Peds ER.

Belinda Mead RN, MSN, PLNC
Education Coordinator and Occupational Health Nurse Williamson Medical Center
4321 Carothers Parkway
Franklin TN. 37067
Email: bmead at wmed.org<mailto:bmead at wmed.org>
Phone: 615-435-5128
Fax:    615-435-7403


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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Nicole Linger
Sent: Tuesday, November 03, 2015 8:35 AM
To: 'mcoh-eh at mylist.net'
Subject: [MCOH-EH] Required Vaccines for Employees

I am interested in learning what vaccines and other post-offer (pre-employment) tests/titers are required at  other healthcare organizations and hospitals.    Currently, we require:

Tuberculosis survey and titer
Flu vaccinations
Measles, Mumps and Rubella (MMR) titers
Varicella titer (Unless there is history of Chickenpox) Hepatitis panel TDaP (Tetanus, Diptheria & Pertussis) vaccine - may be declined by employee

Annual requirements:
TB Survey
Flu vaccine

Thank you,
Nicole Linger

[Description: Description: Mon General Hospital Better Together RGB web]
              S. Nicole Linger, PHR
                   Manager, Benefits, Compensation, Employee Health & Wellness
                   Mon General Hospital
                   1200 J.D. Anderson Dr.
                   Morgantown, WV  26505
                   304-598-1587 fax: 304-598-1306


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Message: 2
Date: Tue, 3 Nov 2015 18:20:37 +0000
From: "Swift, Melanie" <melanie.swift at Vanderbilt.Edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Vaccination
Message-ID:
	<984BE23843F0DE4EBE652D6EE07600BE2EFCAB7A at ITS-HCWNEM104.ds.vanderbilt.edu>
	
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http://jid.oxfordjournals.org/content/197/7/950.long

Actually 26% negative for mumps alone.
Rate is much greater if you include indeterminants.

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Kumar, Bindu, MD
Sent: Tuesday, November 03, 2015 9:59 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Vaccination

Dr. Swift,
Do you have the reference for the 20% negative/indeterminate statistic you mention below? We are currently reviewing our processes in this regard.  Also, can I ask whether your institution has looked at making Tdap mandatory as a one time adult dose, if no documentation provided?   Thank you in advance for your expertise and response.

Bindu Kumar MD, CCBOM, MRO
Associate Medical Director
Occupational and Travel Health
Main Line Health
484-476-2881
Fax: 484-476-2158

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Friday, September 18, 2015 12:53 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Vaccination

We follow CDC recommendations and require proof of immunity to measles, mumps and rubella.

Proof of immunity for measles and mumps can be met by date of birth before 1957.

We accept documentation of vaccine, or positive immunity tests. If they do not have proof of immunity for measles and mumps, we offer vaccination.
We do not perform screening for immunity in lieu of vaccination, the exemption being people born prior to 1957 who only need rubella vaccination.

Individuals may elect to have lab testing done (at their own expense) with our warning that approximately 20% of adults will have negative or indeterminate results on at least 1 of the 3 tests so would need an MMR in that event.

Post-vaccination serology is not recommended.

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces+melanie.swift=vanderbilt.edu at mylist.net] On Behalf Of Kuschel-Rapaski, Betty
Sent: Friday, September 18, 2015 11:40 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Vaccination

Good afternoon

Does anyone mandate the MMR vaccination if the employees titers are negative?

If yes, would you be willing to talk with me on how you accomplished this mandate?  Also, would you share your policy with me?

Thank you, your support and sharing is always appreciated.

________________________________

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