Hi Sue
I’m in a very similar situation,
having set up a new OH service, when prior to my arrival all there was for HCWs
hep B results and I don’t have all of them.
For new starters, I ask for the ‘works’
as in the Bible (Chapter 12, Green Book). Not an opportune time for Refuseniks
as they think they won’t get a Health Clearance for the job if they don’t
comply. I’m doing a retrospective round up now. A good PR exercise is if
your staff have any in-house training sessions, or Team Briefs, get your name
down, book a session and present – don’t need to tell you the
rationale and what to say.
I emailed each staff member individually working
on one geographical region at a time. If I knew a person didn’t do email
I posted a form. I did 3 reminders in the first region. I was very keen then. Then
two I think in the next. Probably will leave it at one reminder now. There is
far from a 100% response rate, but there’s only so many hours in the day
that can be allocated to this unless you have good admin support or can
delegate to another team member.
Not sure how much good this advice will be
helpful in an unwilling workforce.
Good Luck
Carolynne Davey
Occupational Health
Advisor
SSAFA Forces Help
HQ BFG HS
Wegberg
BFPO 40
Tel: 0049 2161 908
2481
Military (948) 67 2481
From:
[log in to unmask] [mailto:[log in to unmask]] On Behalf Of sue harrison-stone
Sent: 24 June 2008 16:41
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Measles
immunity assessment
Dear All
I am sorry to come back to immunisation but I need some advice.
Because our OH records were so poor, i.e. no notes at all, not filling in the
immunisation record sheet, staff not knowing if or what they had been immunised
against etc etc we were instructed by he Infection Control committee to send
out a questionnaire to every employee in the Trust to gather immunisation
details.
Given the number of folk employed we have had a very poor response both in
numbers and information including don't know, or got vaccinated years ago and
cant remember or look in my notes!
Prior to sending out this form I put an article in the Trust magazine so folk
knew it was coming. We then did a simple form and included on the form a
section for those refusing to give the details. We did a cover letter to
explain what we need and why. We also sent a letter to every manager
asking for their help to list their staff and tick who had or had not returned
the form. We said anyone could return the form direct to us if they did
not want their manager to see the completed form. We asked the manager to
say what risk level, made it simple, high, medium or low each person was at re
their job. All of this was done with the knowledge and approval including
contents of form and letters of HR.
Well that is where the .... hit the fan! If we set aside the employees it
is the managers that I am having most problem with. They are saying that
this is medically confidential details, they wont hand out the forms, and they
don't know the risk to their teams of exposure and it seems that they
don't think they need to. They are demanding meetings with the
Board downwards and are generally refusing to co operate. This is despite
the fact they are supposed to start getting all this info at interview along
with all the rest of stuff we all take to interviews like pin cards etc.
To my mind managers should know the hazard, risk and controls to protect their
staff. I would not have classed vaccination history as confidential
medical details, its a bit like prevention and management of aggression
training and is put in place for staff protection. Surely they would
expect to know that their staff were protected from physical assault whether it
is being hit or or protected from infection. One from vaccines the other
from training.
Any suggestions please?
regards
Sue
Date: Thu, 19 Jun 2008 13:03:13
+0100
From: [log in to unmask]
Subject: Re: [OCC-HEALTH] Measles immunity assessment
To: [log in to unmask]
Dear all,
we
obtain immunity through testing for measles and rubella in addition to
varicella rather than blanket MMR vaccination. The cost issue is balanced
between the cost of 2 appointments for MMR versus the test cost of the
measles/rubella serology.
MMR
requires the employee to be away from the place of work on 2 occasions and
takes up 2 clinic appointments and admin support time. All these have
costs associated with them. On the plus side is that you will not have to
pay for the vaccines.
Serology
requires one appointment for the employee and one clinic slot and also admin
time to process results and the vast majority of employees (typically 95% or
more based on our own experience) will be immune against both measles and
rubella and so very few.
We are
just about to implement a policy of compulsory screening/ immunisation of all
new clinical staff which will be included in their terms of employment.
In specific areas those without the required evidence of immunity or those
declining screened will be refused employment due to the risk to
patients. Naturally there will be a minority of individual circumstances
where we may have to make exceptions but this will be on a case by case
basis. we are also performing catch up screening for existing clinical
staff although this will not be in the terms of employment at this stage.
Clinical
staff have a duty of care to their patients and may be professionally negligent
if they fail to comply with immunisation/ screening requirements.
regards
Paul D'Arcy
Clinical Nurse Leader
Workplace Health & Wellbeing
Hammersmith, Charing Cross and Queen
Charlotte and Chelsea Hospitals
Imperial College Healthcare NHS
Trust
Tel 020 8846 1137
Facsimile 020 8846 1160
Paul
From:
[log in to unmask] [mailto:[log in to unmask]] On Behalf Of Davey, Carolynne Ms
Sent: 19 June 2008 12:32
To: [log in to unmask]
Subject: [OCC-HEALTH] Measles
immunity assessment
I also started a new in-house service,
approx 2 yrs ago, and I now check new starters as per Chapter 12 Green Book.
For staff who did not get fully screened I am trying to do a retrospective
catch up as well as taking advantage of when staff transfer posts and need a
further health clearance.
Hope this helps
Carolynne Davey
Occupational Health
Advisor
SSAFA Forces Help
HQ BFG HS
Wegberg
BFPO 40
Tel: 0049 2161 908
2481
Military (948) 67 2481
From:
[log in to unmask] [mailto:[log in to unmask]] On Behalf Of sandy
Sent: 18 June 2008 22:15
To: [log in to unmask]
Subject: [OCC-HEALTH] Measles
immunity assessment
I work in the NHS for a Mental Health
Trust. I have now been in post for 12 months developing a new in house service.
Following a recent DoH communication re
doctor spreading measles-it has been questioned whether checking of staff for
measles should be undertaken. I am aware that the "Green Book " has
recommendations.
I wondered if colleagues would share how
they have managed the measles, mumps, rubella, varicella situation in such an
environment?
-Do you routinely check all new starters?
If so for all 4 diseases or just some?
-Do you take short cuts e.g. assume mothers
have been assessed during pregnancy for rubella?
-The thought seems to be going towards
giving MMRx2 to all permanent staff on certain in-patient areas as the vaccine
is free and serology costs. Proof of previous immunisation will naturally
preclude this.
How do you manage the fact that staff do
bank shifts? in the selected areas? Also locum medical staff, OTs,
psychologists etc?
-Do you check community staff?
-Do you have much success in obtaining
written proof of MMR X2 vaccination history? I seem to struggle.
Looking forward to your replies
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