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Health Services Staff Immunisation Requirements Query

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  • #75678
    Sue Gonelli
    Participant

    Author:
    Sue Gonelli

    Position:
    Manager- Infection Prevention and Control Unit

    Organisation:
    Peninsula Health

    State:

    #75680
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    #75682
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    1. Does anyone ever accept statutory declarations as evidence of immunisation? Yes but only for dTpa. We see quite a few staff that have had their dTpa whilst in hospital when they had children- but it is very difficult for them to get these records. If we all used the AIR it wouldn’t be a problem.

    2. For Category A Healthcare Workers (HCW) – direct patient care / potential contact with blood and body fluids

    a. Do you require serology as well as vaccination evidence for Measles, and for Mumps and Rubella? Prefer to have the documented vaccines as well.

    b. Do you require evidence of Hepatitis B vaccination course or is documented positive surface antibodies post course sufficient? Prefer to have the documented vaccines as well.

    c. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough? No, history of disease is not enough, as can’t be sure, vast majority have no documentation of this. Serology is also not great as I know it doesn’t actually accurately give evidence of immunity- but it’s the best we have.

    d. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    3. For Category B HCW – Non direct patient contact / e.g. ward clerks, food services, social work etc.

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?

    c. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    4. For Category C HCW

    a. Do you require serology as well as vaccination evidence for Measles? No

    b. Do you require any other vaccination evidence? If yes please specify Request influenza

    5. Do you conduct TB screening for all staff or just subgroups? If subgroups which ones Yes for all staff except category C- must be carried out prior to commencing (rationale: we now have quite a few staff with latent TB, and are seeing more inpatients from high burden countries), and be within the last 12 months, TST or Quantiferon gold. If from a high burden country or recent work in a high risk area, the test must be after leaving that zone.

    Kelly
    I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Aboriginal people, and Elders past and present.

    [cid:image001.png@01D3593E.B14EC410]

    Kelly Barton
    Infection Prevention & Control Officer
    RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser.
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.

    Hi All,

    I am benchmarking what other Health Services are requesting / requiring of their staff in terms of immunisation evidence and would be very appreciative of any information you can provide for the following questions

    1. Does anyone ever accept statutory declarations as evidence of immunisation?

    2. For Category A Healthcare Workers (HCW) – direct patient care / potential contact with blood and body fluids

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require evidence of Hepatitis B vaccination course or is documented positive surface antibodies post course sufficient?

    c. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?

    d. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    3. For Category B HCW – Non direct patient contact / e.g. ward clerks, food services, social work etc.

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?

    c. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    4. For Category C HCW

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require any other vaccination evidence? If yes please specify

    5. Do you conduct TB screening for all staff or just subgroups? If subgroups which ones

    Thanking you in advance for you time

    Kind Regards

    Sue Gonelli CNC – Pre Employment Immunisation Coordinator
    Employee Exposure Management and Immunisation Service – PO Box 52, Frankston Vic 3199
    Direct 9788 1747 Fax 9784 2347 Switchboard 03 9784 7777
    immunisations@phcn.vic.gov.au
    [cid:image004.jpg@01D4AE3C.09D546B0]

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    #75683
    Kerry Addlem
    Participant

    Author:
    Kerry Addlem

    Position:

    Organisation:

    State:

    Hi Sue
    Our processes are highlighted below,

    1. Does anyone ever accept statutory declarations as evidence of immunisation? Influenza only.

    2. For Category A Healthcare Workers (HCW) direct patient care / potential contact with blood and body fluids

    a. Do you require serology as well as vaccination evidence for Measles? Either

    b. Do you require evidence of Hepatitis B vaccination course or is documented positive surface antibodies post course sufficient?

    c. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough? Either. If unsure of history or only evidence of one vaccination we do serology.

    d. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    3. For Category B HCW Non direct patient contact / e.g. ward clerks, food services, social work etc.

    a. Do you require serology as well as vaccination evidence for Measles? Either

    b. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough? Either. If unsure of history or only evidence of one vaccination we do serology.

    c. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    4. For Category C HCW

    a. Do you require serology as well as vaccination evidence for Measles? Either

    b. Do you require any other vaccination evidence? If yes please specify. Same as for Cat B HCW including Influenza immunisation.

    5. Do you conduct TB screening for all staff or just subgroups? If subgroups which ones- We do a Risk Assessment for all staff which may lead onto a Quantiferon Gold Assay test especially for staff who are from a high burden TB area or worked in high risk areas. The QFG test is requested prior to employment if required.

    Regards Kerry

    [[image]]

    Kerry Addlem
    Infection Control Coordinator
    Charlton Campus
    PO Box 159, Charlton, Victoria 3525
    Phone : 5477 6867 Mobile : 0419 534 673 Fax : 5491 2010
    Email : kerry.addlem@ewhs.org.au
    Web : ewhs.org.au

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    Thank you for your cooperation.

    From: ACIPC Infexion Connexion On Behalf Of Susan Gonelli
    Sent: Tuesday, 6 August 2019 12:38 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Health Services Staff Immunisation Requirements Query

    Hi All,

    I am benchmarking what other Health Services are requesting / requiring of their staff in terms of immunisation evidence and would be very appreciative of any information you can provide for the following questions

    1. Does anyone ever accept statutory declarations as evidence of immunisation?

    2. For Category A Healthcare Workers (HCW) direct patient care / potential contact with blood and body fluids

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require evidence of Hepatitis B vaccination course or is documented positive surface antibodies post course sufficient?

    c. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?

    d. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    3. For Category B HCW Non direct patient contact / e.g. ward clerks, food services, social work etc.

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?

    c. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    4. For Category C HCW

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require any other vaccination evidence? If yes please specify

    5. Do you conduct TB screening for all staff or just subgroups? If subgroups which ones

    Thanking you in advance for you time

    Kind Regards

    Sue Gonelli CNC Pre Employment Immunisation Coordinator
    Employee Exposure Management and Immunisation Service PO Box 52, Frankston Vic 3199
    Direct 9788 1747 Fax 9784 2347 Switchboard 03 9784 7777
    immunisations@phcn.vic.gov.au
    [cid:image004.jpg@01D4AE3C.09D546B0]

    The information contained in this e-mail and its attachments is intended only for the private and confidential use of the recipient named above and may be subject to legal privilege. If you are not the intended recipient and/or you have received this e-mail in error, you must notify the sender immediately and delete the e-mail. You are hereby notified that any dissemination, misuse, copying or disclosure of this information is strictly prohibited.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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    #75689
    Infection Control
    Participant

    Author:
    Infection Control

    Position:

    Organisation:

    State:

    Hi Sue,

    We are an 85 bed sub acute private hospital in NSW. I see that you are in Victoria, so the not the same Health Service.
    Our Staff Health requirements are strongly aligned with the NSW Health PD 2018_009 Occupational Assessment, Screening and Vaccination Against Specified Infectious Diseases: https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2018_009.pdf
    Whilst not mandatory for Private Hospitals, we use it as guidance material.
    To answer your questions below:

    1. Stat Declarations are accepted as evidence for age appropriate Hep B and must be accompanied by positive serology. We use Attachment 6 Undertaking/ Declaration from the PD above.
    2. Cat A
    * Measles evidence positive serology or 2 doses MMR at least 1 month apart. Also acceptable is birth year before 1966. We also require the Mumps & Rubella evidence
    * Hep B vaccination/ Stat Dec plus Serology Anti- HBs of 10 IU/mL or more
    * History of disease no longer acceptable evidence for VZV we require positive serology or 2 doses VZV at least 1 month apart
    * Evidence of dTpa adult dose within the last 10 years for all staff as we dont have many staff who do not have direct contact with patients at some point
    3. Cat B are not required to undergo screening / vaccination
    4. Cat C not a category in the 2018 PD
    5. TB Screening All Cat A staff are required to complete Attachment 7 TB Assessment Tool to determine whether they require screening. Its largely based on country of birth and/or cumulative travel to high risk countries link to the list here file:///C:/Users/InfectionControl/Desktop/TB%20High%20Risk%20countries-incidence.pdf

    Attachment 4 Checklist: Evidence required from Cat A Applicants is helpful in spelling out what is required when staff apply for a position. There is also a section in the PD for existing workers.

    Hope this helps,

    Susan

    Susan Farrugia
    Infection Control Coordinator
    Arcadia Pittwater Private Hospital
    4 Daydream St, Warriewood NSW 2102
    Email: infectioncontrol @arcadiapittwater.com.au
    Website: http://www.arcadiapittwater.com.au
    [cid:image001.jpg@01D3437A.E62CC080][cid:image001.jpg@01D46175.E0DEE940]

    Sent from Mail for Windows 10

    ________________________________
    From: ACIPC Infexion Connexion on behalf of Susan Gonelli
    Sent: Tuesday, August 6, 2019 12:37:36 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Health Services Staff Immunisation Requirements Query

    Hi All,

    I am benchmarking what other Health Services are requesting / requiring of their staff in terms of immunisation evidence and would be very appreciative of any information you can provide for the following questions

    1. Does anyone ever accept statutory declarations as evidence of immunisation?

    2. For Category A Healthcare Workers (HCW) direct patient care / potential contact with blood and body fluids

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require evidence of Hepatitis B vaccination course or is documented positive surface antibodies post course sufficient?

    c. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?

    d. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    3. For Category B HCW Non direct patient contact / e.g. ward clerks, food services, social work etc.

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?

    c. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?

    4. For Category C HCW

    a. Do you require serology as well as vaccination evidence for Measles?

    b. Do you require any other vaccination evidence? If yes please specify

    5. Do you conduct TB screening for all staff or just subgroups? If subgroups which ones

    Thanking you in advance for you time

    Kind Regards

    Sue Gonelli CNC Pre Employment Immunisation Coordinator
    Employee Exposure Management and Immunisation Service PO Box 52, Frankston Vic 3199
    Direct 9788 1747 Fax 9784 2347 Switchboard 03 9784 7777
    immunisations@phcn.vic.gov.au
    [cid:image004.jpg@01D4AE3C.09D546B0]

    The information contained in this e-mail and its attachments is intended only for the private and confidential use of the recipient named above and may be subject to legal privilege. If you are not the intended recipient and/or you have received this e-mail in error, you must notify the sender immediately and delete the e-mail. You are hereby notified that any dissemination, misuse, copying or disclosure of this information is strictly prohibited.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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