[MCOH-EH] New question

[Dr Joe Fanucchi]

Good afternoon Curtis,

Thank you for your participation in the MCOH-EH discussion. I approved 
this message for posting, but I have a request: in the future, please 
indicate the subject of your message (such as "Hep B screening for 
employees") rather than just "New question" -- since about half of the 
messages posted to the maillist contain questions, and a generic subject 
line makes it difficult for other users to find a specific thread in the 
list archives.

Thanks,

Joe Fanucchi

-- 
*Joe Fanucchi MD FACOEM*
President and Medical Director
MediTrax / OHS, Inc. <http://www.meditrax.com/>
o:925-820-7758
c:925-368-3367
drjoe at meditrax.com <mailto: drjoe at meditrax.com>
<http://www.meditrax.com/>
/MediTrax software: Everything you need, at a fraction of the cost!/

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On 5/14/2019 3:44 PM, Chow, Curtis - MMCR via MCOH-EH wrote:
> Hello All. Please help refresh my brain regarding Hep B screening of existing and onboarding employees. According to the CDPH regs (see below), we should have proof of series. Along the way, it was interpreted that we need to perform HBsAb testing even w records. I'm requiring our students and staff to be tested for HBsAb but is that too much if they have existing records of a completed series? Based on the CDPH recommendation below what do you do? Our system policy reflects:
>
> Hepatitis B: Must be offered to all HCP who are at risk of occupational exposure to blood or body fluids. All HCP must have valid documentation (vaccination record or laboratory titers). Refer to CDC guidelines for series dosing and serological testing.
>
>
> CDPH Guidelines 2015:
> Hepatitis B vaccine
> All HCP who are at risk for occupational blood or body
> fluid exposure should have documentation of 3 doses of
> hepatitis B vaccine (or a signed declination form). HCP
> who have recently completed the 3-dose series, should
> undergo anti-HBs (immunity) testing. Anti-HBs testing
> should be performed 1-2 months after administration of
> the last dose of the vaccine series.
> HCP with documentation of 3 doses of hepatitis B
> vaccine, but no documentation of immunity may undergo
> anti-HBs testing upon hire or matriculation. Qualitative
> testing is sufficient. This approach is most appropriate for
> settings with HCP-trainees and HCP in occupations with
> higher risk of exposure (e.g., surgeons), and when the
> prevalence of HBV is increased in the patient population
> served. Alternatively, employers may choose to perform
> anti-HBs testing only if such HCP later report a blood or
> body fluid exposure.
>
> Curtis Chow, FNP, PA, MBA
> Employee Health Coordinator
> Employee Health Department
>
> Dignity Health
> Mercy Medical Center Redding
> 2175 Rosaline Ave
> Redding, CA 96001
> 530-225-6194 (O)
> 530-526-5150 (M)
> 530-225-7281 (F)
>
> Curtis.Chow at DignityHealth.Org

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