Hi Sue,
It will be interesting to look at the guidance that you produce on Hep B. I
sure that some of the clinicians will disagree with whatever is produced but
it will certainly be useful for the confused majority of us.
The Green book is not as clear as it should be, page 106 is very vague and
leaves itself open to interpretation. I wonder if that is due to oversight
or was deliberate to allow for local interpretation.
Good luck,
Saghir
Northwick Park Hospital.
-----Original Message-----
From: Nick Manthorpe [SMTP:[log in to unmask]]
Sent: 15 September 2003 20:13
To: [log in to unmask]
Subject: Re: Hepatitis B (Yes again sorry) Students Nurses
Dear Glenn and all who asked about HepB,
1. Hep B Vaccine after NSI: currently there is guidance in the
green book about what to do if a health care worker is potentially exposed
through NSI or body fluid contamination at various stages during their
primary course. After this time it is based on risk assessment and previous
information, e.g. last titre level.
2. Although health care workers can refuse any vaccination, under
Health & Safety at work 1974 and COSHH employers and their employees should
ensure that no person is placed at an avoidable risk. This may limit where
they can work if they refuse vaccination, also there are those who do not
respond to Hep b and they also need counselling and advice on safe
practices. but generally all health care workers should be vaccinated.
certainly the first dose should be given as soon as possible If you are
really worried it is possible to give the vaccine very rapidly over weeks
instead of months. EPP workers should be vaccinated before commencing EPP
work( DOH Guidance).
3 there is a lot of information on the DOH website but it would help
if you could obtain a copy of Guidance for Health Care Workers; Protection
against infection with blood-borne viruses.
4. I am part of a working party looking at standardising
immunisations and as said previously I will update you when I can with
current information.
I hope this is helpful. I know it brief but Hep B is a big subject
and I could easily carry on for hours!
Regards
Sue Manthorpe
-----Original Message-----
From: Occupational Health mailing list
[mailto:[log in to unmask]]On Behalf Of Glenn Raybone
Sent: 14 September 2003 20:14
To: [log in to unmask]
Subject: Re: Hepatitis B (Yes again sorry) Students Nurses
Gordy,
whilst it would be ideal to get students (aswell as other
staff) up to date with Hep B cover prior to "playing" it is not practical in
the real world, and regarding student nurses it is not compulsory that they
have the vaccine anyway. Personally I think they need to be covered, but
also need basics like Universal Precautions and handwashing, and whilst I
never judge a book by the cover, some students that I see make me wonder if
they have ever met a bar of soap in their lives!
Glenn
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