I am very puzzled by this discussion but share Yvonne's point about the result being recent.
I do not remember in the original documents anything about a 'shelf life' or expiry date for results.
Frequently, agency staff request a new result yearly - I would question the rationale behind this but obviously we would do the test to ensure that this member of staff can continue to work via that agency but I believe to be unnecessary.
Joseph
Joseph Buggy
Specialist Practitioner
Senior Occupational Health Advisor
QEQMH
East Kent Hospitals NHS Trust
01843-234478 Direct
0r 01843-225544 Ext 62301
[log in to unmask]
>>> Occupational Health <[log in to unmask]> 23/02/2010 16:22 >>>
Hi Ann,
Why does their serology need to be recent? If they had had their primary course and a decent level why make them retest to provide a recent serology; the levels will have dropped and then you will need to boost & re-test surely?
We ask for a level of > 100 and evidence of 5 year booster only (we do not have EPP staff)
Yvonne
Yvonne McAlpine
Lead Occupational Health Advisor
St Andrew's Healthcare
Priory Cottage
Billing Road, Northampton, NN1 5DG
T: 01604 616544 ext 6544
Fax: 01604 616565
E: [log in to unmask] W: www.stah.org
________________________________
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Fisher, Ann
Sent: 23 February 2010 16:16
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Hep B status check
When a health worker who will be EPP status comes into our Trust, they have to provide a validated serology report that is no older than a year for their Hep B status either/or antibody and antigen. If they have been in EPP work prior to 2002, that is all they need to provide. If they started EPP work post 2002 but before 2006, they have to also provide evidence of their Hep C status, and after 2006 they have to include HIV.
Any one who has had a full course and their booster need not be re-tested routinely providing that they had a good immune response at the time of the initial course. That is quite often where staff do not know, so we test them, find their level is low, then we start the - do we give them a booster, another course etc, etc.
I agree that the information on line is vague, so it will depend upon your local policy as well as the current information. We do not routinely re-test after the 5 year booster.
Ann
Ann Fisher RGN RSCN PG Dip/OH RNT Cert Ed
Occupational Health Nurse Adviser
Occupational Health Department
B Level
Tel:01256 31 (4730)
Fax: 01256 314738
E-mail: [log in to unmask]<mailto:[log in to unmask]>
________________________________
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Chloe Nightingale
Sent: 23 February 2010 16:04
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Hep B status check
thanks Michael
it still doesn't address the issue though....
what I am trying to find is some documentation which advises and/or states when doctors have to provide proof of their Hep B status (if such a thing exists). If it doesn't then my problem is solved.
I'm not looking at routine course, blood test, booster, blood test but whether routine checking after those have taken place is advised ie after 5 years post booster....
any thoughts most welcome
Chloe
On 23 February 2010 14:59, MICHAEL COCKAYNE <[log in to unmask]<mailto:[log in to unmask]>> wrote:
The 'Green Book' addresses issues of post vaccination immunity. Even has a spiffing table on guidance re. immunity and contamination incidents.
[log in to unmask]" target="_blank">http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@[log in to unmask]
It is all EPP workers, rather than just doctors, that require specific tests such as validated blood samples to prove immune status.
Michael
________________________________
Date: Tue, 23 Feb 2010 13:49:33 +0000
From: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: [OCC-HEALTH] Hep B status check
To: [log in to unmask]<mailto:[log in to unmask]>
Hi Vicky
the DH guidelines below don't address routine testing after vaccination and booster; it is this point which I need to get some clarity on...any ideas?
Chloe
On 23 February 2010 12:39, Vicky Wells <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Hi Tracy
I would start with The DH guidelines entitled Health Clearance for tuberculosis, Hepatitis B, Hepatitis C and HIV. New Healthcare Workers. 2007. Should be downloadable from their website.
Regards
Vicky Wells
OH Nurse Adviser
Hinchingbrooke NHS Trust
Hunitngdon
________________________________
From: [log in to unmask]<mailto:[log in to unmask]> [mailto:[log in to unmask]<mailto:[log in to unmask]>] On Behalf Of Chloe Nightingale
Sent: 23 February 2010 12:31
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: [OCC-HEALTH] Hep B status check
thanks Tracy
is there any document (DoH, NICE etc) with guidelines as to what is required....as always, it seems different hospitals require different things
thanks
Chloe
what I am referring to is:
The management
of health, safety
and welfare issues
for NHS staff
New edition, 2005
There is currently no routine requirement for the testing of healthcare workers other
than doctors for blood-borne viruses. However, if they think they have been exposed,
healthcare workers have a professional duty to seek medical advice on the need to be
tested for blood-borne viruses.
which states doctors have to have routine testing for BBV so what is routine???
Chloe
On 23 February 2010 12:17, Huguenel, Tracy <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Hi Chloe,
for EPP workers, we require evidence within 2 years (UK lab, Identified validated sample), of Hep B surface antigen, as well as evidence of completed course & antibody response (from whatever date).
For non-EPP, evidence of course of vaccine, response & booster (or date required)
Tracy
Tracy Huguenel, RGN, SCPHN (OH)
Deputy Head of Occupational Health
0845 155 3111 Ext 3982 / 3591
Fax 01268 534127
________________________________
From: [log in to unmask]<mailto:[log in to unmask]> [mailto:[log in to unmask]<mailto:[log in to unmask]>] On Behalf Of Parbery, Clive
Sent: 23 February 2010 11:55
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: [OCC-HEALTH] Hep B status check
Hi Chloe,
No.
Once you have had a full course you either have no immunity start again, partial immunity with immediate booster and a one off five year booster or full immunity with a one off five year booster.
Immunity determined by titre level. In NHS provided we see lab report/result from other Occ Health then that is it.
After these dates we only test if no result available and we need to update file.
Booster offered after a needlestick injury.
Hope this helps
Clive
________________________________
From: [log in to unmask]<mailto:[log in to unmask]> [mailto:[log in to unmask]<mailto:[log in to unmask]>] On Behalf Of Chloe Nightingale
Sent: 23 February 2010 11:36
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: [OCC-HEALTH] Hep B status check
Dear list
Please can those involved in Hep B vaccination advise with regard to their policy on checking Hep B status: after booster, do you require further proof of Hep B status and if so, how often.... both EPP staff and non EPP
many thanks
CHloe
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OH Assistance
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