Course Access
Hi Delma
What I was quoting is the Australian Guidelines for the Prevention and Control of Infection in Healthcare (2010) which has a table on page 206 (Table C2.1) of risk categorisation for staff, which is based on a NSW Health policy PD 2007_006 (not sure if this has since been revised). I merely was using this as a platform for discussion rather than definitive policy, but as the national standard I would consider this a minimum standard to be considered. Yes, it is important to follow state based legislation that is applicable to your facility.
I do understand most would have completed the national vaccination schedule, which includes Hepatitis B vaccine, and have evidence available for that but what if the prospective student had not been vaccinated due to parental concern or simply missed opportunity? Do we exclude them from patient contact? Sign a waiver?
Cheers
Michael
Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Makejev, Delma
Sent: Wednesday, 13 March 2013 12:19 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Immunisation guidelines for work experience students
Michael and Marie,
Each states has differing requirements for staff vaccination requirements, hence if the student was attending a NNSW health facility and having contact with patients they are considered category A not B as Michael has stated which I presume is Queensland requirements.
For school work experience in our Local Health District we ask that student show evidence of all vaccinations as per the Australian childhood vaccination schedule. Therefore they should be able to provide dTpa as adolescent, hep B x2 as adolescent or early childhood schedule, MMR x2 as infant, varicella x1 as Adolescent. Places to obtain records are ACIR register apply through Medicare for record or Baby health record book, Local GP record of vaccination or school based vaccination record.
Regards
Delma
Delma Makejev
Clinical Nurse Specialist | Staff Clinic, Infection Control Unit
Lismore Base Hospital
Tel 02 6620 2516 | Delma.Makejev@ncahs.health.nsw.gov.au
Staff Clinic open for appointments Monday to Friday
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 13 March 2013 12:16 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Immunisation guidelines for work experience students
Hi Marie
I think this is both a legal and a moral question, myself. Legally, you have to ensure you meet a reasonable duty of care for these work experience students whilst they are in your facility. As the current Australia guidelines do not require mandatory Hepatitis B vaccinations for these types of contacts in healthcare (see pg 206), you could avoid the need to collect this information. However, as they would be having some patient contact, they would be considered category B, and you should seek information about MMR, pertussis, varicella and influenza status.
My personal view for Hep B would be based on what the facility has decided for staff regarding Hep B vaccination. Is it offered to all groups regardless of risk of exposure? Is it recommended that all staff, or only specific groups, are aware of their status in regard to Hep B? Based on these I would then treat work experience students as staff and ask them to provide evidence accordingly.
Just my thoughts, anyway.
Cheers
Michael
Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
Sent: Wednesday, 13 March 2013 8:36 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Immunisation guidelines for work experience students
Dear colleagues,
I would like to know what immunisation guidelines other health services specify for work experience students.
Our work experience students are required to complete an immunisation questionnaire similar to clinical staff. I am currently reviewing this. Their role is mostly observational but may change 1 or 2 nappies, cuddle a baby, take vital signs or palpate an abdomen. .
Most of these year 10 students are fully immunised as per NIP but some are not.
Do any services decline an application for work experience based on the students immunisation history?
In relation to Hepatitis B vaccination: should the same expectations apply to these students when they are unlikely to handle blood or body fluids? Or should we take the view that, by the very fact they are in a health care service, places them at risk of exposure.
Thankyou
Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
163 Studley Road
Heidelberg 3084
Phone: 8458 4759
Mob: 0408 789 798
Fax: 8458 4751
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