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That shouldn’t really be possible as the IVS process requires not only photo id but the specimen must be labelled and sent to pathology by the Oh unit.

 

Instead of changing the testing regime they should have changed how they guaranteed the IVS – less costly for a start.

 

Sue

 

 

Susan Gorton | OH Nurse Manager | Occupational Health Department | Great Ormond Street Hospital NHS Foundation Trust | Level 3, Ormond House, 26-27 Boswell St., London WC1N 3JZ |020 7405 9200 Ext 0247 | DD to OHD 020 78138554 | Direct Fax 020 78138355 | Mobile 07833294568

 

Please be advised that all e-mail communication relevant to assisting in the management of the OH process will be printed and entered into the individual's OH file or copied and added as an electronic note on their electronic OH record. This may therefore be disclosed under the Data Protection Act (1998).

 

From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of joanna edwards
Sent: 13 September 2013 10:03
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Hep B antibodies and boosters

 

Thanks all for your responses. I know. The issue wouldn't even arise if we didn't have to do that 2nd antibody check for IVS purposes. I'm told it was introduced into the Trust after two practicing HCWs were found to have substituted another's blood for testing, knowing they were HBV +ve. 

Thanks again to all of you

Jo

Sent from my iPhone


On 13 Sep 2013, at 06:38, "Diane Romano-Woodward" <[log in to unmask]> wrote:

 

Hi Jo

I think the best answer to you question is... if they have produced evidence of immunity in the past, do not test them for antibodies again.(Green Book) 

Then you will not have the issue. It seems that the results do not have to be an IVS even if they are now doing exposure prone procedures. 

Do not spend money on unnecessary blood tests.

If there is uncertainty about their response to primary course, then the only time that a test is reliable  is one to four months after a dose of vaccine. You might want to get the option of giving this type of dose written into your PGD. otherwise you will need a patient Specific Direction for the individual, which may mean them coming back another time if you don't have a doctor on site.

If blood test is done outside of this time frame then a "low" results does not mean that they have not developed immunity in the past. 

A high result may just mean they have been exposed to the virus recently.. why else would the body produce the circulating antibodies months or years after vaccination?

Diane Romano-Woodward

RN  RSCPHN-OH  BSc   M Med Sc.(Occ Health)

Sunny Blue Sky Limited

Company Number  06865212

 

 

 

 

 

 

 

 

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