[MCOH-EH] [EXTERNAL] MCOH-EH Digest, Vol 254, Issue 146

[Darlene Sims]

I sincerely apologize and thank you for posting.
 I actually thought I had done so and edited it to include. I had submitted it over a week ago; however, I redid it this week because it did not post. I copied and pasted in another request after deciding I had some internet issues due to location and weather which was delaying emails.
I guess I did not go back and edit that portion the second attempt.
Again, I do apologize

Darlene Sims, MSN, FNP-C
Director, Infirmary Employee Health Services
251-435-3377

> On May 14, 2019, at 6:11 PM, "mcoh-eh-request at mylist.net" <mcoh-eh-request at mylist.net> wrote:
>
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> Today's Topics:
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>   1. Re:  New question (Dr Joe Fanucchi)
>   2. Re:  New question (Erika Sweet)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Tue, 14 May 2019 15:50:33 -0700
> From: Dr Joe Fanucchi <drjoe at meditrax.com>
> To: "Chow, Curtis - MMCR via MCOH-EH" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] New question
> Message-ID: <e611af3c-e2ea-fece-c820-267278311cce at meditrax.com>
> Content-Type: text/plain; charset="utf-8"; Format="flowed"
>
> 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!/
>
> ------------------------------------------------------------------------
>> 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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> ------------------------------
>
> Message: 2
> Date: Tue, 14 May 2019 23:10:54 +0000
> From: Erika Sweet <esweet at dhs.lacounty.gov>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Cc: "Chow, Curtis - MMCR" <Curtis.Chow at DignityHealth.org>
> Subject: Re: [MCOH-EH] New question
> Message-ID:
>    <MW2PR0901MB3738E1FA25D087A9EC5E0966F9080 at MW2PR0901MB3738.namprd09.prod.outlook.com>
>
> Content-Type: text/plain; charset="us-ascii"
>
> 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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> ------------------------------
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> End of MCOH-EH Digest, Vol 254, Issue 146
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