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

Follow EvergreenHealth on Facebook and Twitter  |   www.evergreenhealth.com

 

 


________________________________________________________________________________________________________
The information in this communication is intended to be confidential to the Individual(s) and/or Entity to whom it is addressed.
It may contain information of a Privileged and/or Confidential nature, which is subject to Federal and/or State privacy regulations.
In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information
contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). Should
this communication be received in error, please notify the sender immediately either by response e-mail or by phone,
and permanently delete the original e-mail, attachment(s), and any copies.
________________________________________________________________________________________________________