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

[Tara Dockery]

I find when I have a series vaccination record but no titer, and I test them, some of them do not have immunity to Hepatitis B. Therefore I take the vaccination dates but always run a titer, and don't consider them completed in my charts unless they have a positive titer or a declination signed, and if they are negative I offer the series again.


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Grubbs, Scott
Sent: Monday, July 09, 2018 12:58 PM
To: MCOH/EH <mcoh-eh at mylist.net>
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] 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/>



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