Re: Immunisation guidelines for work experience students

[Makejev, Delma]

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

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

Please consider the environment before printing this email

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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[Michael Wishart]

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
Please consider the environment before printing this email

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

[Description: Description: http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

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
Please consider the environment before printing this email

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

DISCLAIMER This email and any files transmitted with it

may be confidential and intended solely for the use of the

individual or entity to whom they are addressed. If you have

received this email in error please notify the sender immediately

by return email and delete or destroy this message and its

attachments. While this email and any attachments have

been cleared by Mercy Health’s virus protection systems, recipients

should use their own systems to detect computer viruses or other

materials that may corrupt files or systems. Find out more about

Mercy Health at http://www.mercyhealth.com.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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________________________________
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This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.

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