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@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@mylist.net] On Behalf Of Therese Bovee-McKelvey
Sent: Tuesday, May 08, 2018 3:22 PM
To: mcoh-eh@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@evergreenhealth.com

EvergreenHealth MS-42, 12040 NE 128th St., Kirkland, WA 98034

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