[MCOH-EH] New question

[Erika Sweet]

I find the attached CDC FAQ very helpful.

Documentation of completed series and + HBsAb equals immunity for the HCW.

Thanks, Erika


Erika Sweet, RN, MSN, NP, COHN-S
Director of Employee Health Services 
Los Angeles County Department of Health Services
NOTE: New Office Number: (424) 306-4060


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Chow, Curtis - MMCR via MCOH-EH
Sent: Tuesday, May 14, 2019 3:44 PM
To: mcoh-eh at mylist.net
Cc: Chow, Curtis - MMCR <Curtis.Chow at DignityHealth.org>
Subject: [MCOH-EH] New question

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

Caution: This email is both proprietary and confidential, and not intended for transmission to or receipt by any unauthorized persons. If you believe that it has been received by you in error, do not read any attachments. Instead, kindly reply to the sender stating that you have received the message in error. Then destroy it and any attachments. Thank you.uesti

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