Dear all,
Can I start another trail of discussion. I'm invovled in paper screening agency nurses who are placed in the NHS, to ensure vaccinations etc are up-to-date. My question relates to the level of evidence that NHS colleagues accept as a positive result for Hep B.
At present, the standards from the agency are that I have to see either a laboratory report or other official report from GP/OH dept with a titre level over 100, but it must be dated within 5 years. (Some of you may already be aware of this through contact with these nurses asking for copy of results). However I am also aware that some Hospital/Trusts are taking an alternative view - providing a positive responspe has been seen then no further levels are needed. I have been directed towards the DOH guidelines as well. The latest date for reissue of the'green' book is June, so the bible is unhelpful.
Basically, my question is - what do you do, and where do you source your best practice from? I can discuss changing standards with the agency but need to be able to justify the change.
Many Thanks
Kim
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