[MCOH-EH] #ExtMail# Incompletely Vaccinated HepB & Immunity Titers AND ? requiring Hepatitis B vaccination for employees?

[Savul, Sajjad]

OHSA Standard 29 CFR 1910.1030 requires employers to offer HBV vaccination to employees who may have occupational exposure. I know of at least one hospital which was cited for not being in full compliance.


Sajjad A. Savul, MD, MS, FACOEM
Associate Program Director, Occupational and Environmental Medicine Residency
Assistant Professor, Department of Emergency Medicine, University of Pennsylvania
Medical Director, Occupational Medicine, Penn Presbyterian Hospital

3400 Spruce Street
Ground Floor Ravdin
Philadelphia, PA 19104
Phone: 215-662-4220
Fax: 215-662-7133



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Grubbs, Scott
Sent: Monday, July 09, 2018 3:58 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] #ExtMail# Incompletely Vaccinated HepB & Immunity Titers AND ? requiring Hepatitis B vaccination for employees?

Most of our applicants evidently don't come with records of either.

Which raises a question.  Hepatitis B vaccination is recommended by CDC, but is not required by OSHA, as I understand it.  Do any of your institutions require Hepatitis B vaccination/immunity to hire or continue working?

Scott Grubbs, MD
WorkWell Occupational Health
St. Francis Hospital System
Greenville, SC




From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net]<mailto:[mailto:mcoh-eh-bounces at mylist.net]> On Behalf Of Therese Bovee-McKelvey
Sent: Tuesday, May 08, 2018 3:22 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: #ExtMail# [MCOH-EH] Incompletely Vaccinated HepB & Immunity Titers

Greetings;

CDC states that healthcare workers must have documentation of 3 valid HepB vaccinations followed by titer to determine immunity.

Clinician Consultation Center states " If exposed person is known to be immune (e.g., they were told they had a positive response to a complete HBV vaccine series, indicated by post-vaccination HBsAb titer ...), they are considered to have lifelong immunity and need no hepatitis B testing or post-exposure treatment.


Many healthcare workers come in with no or partial documentation of completing a HBV vaccine series but most have documentation of a positive HBsAb titer.  Does your facility accept documentation of completed HBV series and/or HBsAb titer to confirm immunity?  Or so you require documentation for both?

If worker (History as above) later has exposure to positive HBV source patient how do you follow-up with them?  Do you follow the Clinician Consultation Center Recommendations for Post-Exposure Prophylaxis After HBV Exposure under the category of "Unvaccinated or Incompletely Vaccinated" and follow-up for 6 months ?  Or would you do another HBsAb titer?


Thanks for any responses, it all helps.

Therese
Therese Bovee McKelvey, MN, RN  Sr. Employee Health Nurse - Employee Health
425.899.2278 (P)  |  425.899.2277 (F)  | TMBoveeMcKelvey at evergreenhealth.com<mailto:TMBoveeMcKelvey at evergreenhealth.com>
EvergreenHealth MS-42, 12040 NE 128th St., Kirkland, WA 98034
Follow EvergreenHealth on Facebook<http://www.facebook.com/evergreenhospital.org> and Twitter<http://twitter.com/#!/EvergreenHosp>  |   www.evergreenhealth.com<http://www.evergreenhealth.com/>



________________________________________________________________________________________________________
The information in this communication is intended to be confidential to the Individual(s) and/or Entity to whom it is addressed.
It may contain information of a Privileged and/or Confidential nature, which is subject to Federal and/or State privacy regulations.
In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information
contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). Should
this communication be received in error, please notify the sender immediately either by response e-mail or by phone,
and permanently delete the original e-mail, attachment(s), and any copies.
________________________________________________________________________________________________________
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20180709/efc989ed/attachment.html>