Appendix_G_Vaccinations.doc

Appendix G Vaccinations

4.10 Vaccinations.

4.10.1 Measles, Mumps, and Rubella (MMR): If born after 1956 without proof of immunity, disease or history of two lifetime MMR vaccinations will be vaccinated per ACIP guidelines (two MMR vaccinations). Those born prior to 1957 do not require vaccination and will be offered MMR, if desired. The MTF will not administer the MMR shots or labwork to contract employees unless they are authorized medical care at the MTF. Contract employees that are not authorized must go to their private physician to receive shots/blood work and bring proof to Public Health (PH) for documentation.

4.11.2 Tuberculin (TB) Skin Test: Contractors must be screened within the first 10 days of employment, prior to direct patient care. No annual tests are required. The MTF may administer the TB Skin Test to contractors if they have not been tested within the previous 12 months. If not, then they must go to their private physician to receive an IPPD screening test with reading (if positive, proof of negative chest X-ray within 12 months). Bring proof to PH for documentation.

4.11.3 Varicella: Contractors will be screened to determine their varicella immunity status. The MTF will not administer the varicella shots or labwork to contractors unless they are authorized medical care in the MTF. If not, then they must go to their private physician to receive the vaccine or labwork and bring proof to PH for documentation.

4.11.4 Hepatitis B Immunity: Proof of immunity will be in the form of documentation of previous vaccine administration or an adequate serum antibody titer. Personnel with a history of having received the Hepatitis B vaccine series but no documentation of receiving the vaccine, must be sent to a lab to have a Hepatitis B serum antibody titer. PH will determine at the time of inprocessing the employee’s blood borne pathogen risk category. Contractors having duties involving direct patient contact and hired/beginning work activity after 1 Jan 97, will be vaccinated and must have serological proof of immunity. Other contract employees who are not high-risk, or exposure-prone, will be encouraged to receive the vaccine. Low-risk contract employees do not require starting the Hepatitis B series.

4.11.5 Tetanus, Diphtheria, Acellular Pertussis (Tdap): Contractors will be vaccinated with Tdap when it has been at least 2 years since their last Td vaccination. Those with contact to patients and/or children should be prioritized to receive Tdap as soon as practical. The MTF will not administer the Tdap vaccine to contractors unless they are authorized medical care in the MTF. If not, then they must go to their private physician to receive the vaccine and bring proof to PH for documentation.

4.11.6 Influenza: Yearly requirement. The MTF will not administer the Influenza vaccine to contractors unless they are authorized medical care in the MTF. If not, then they must go to their private physician to receive the vaccine and bring proof to the Immunizations Clinic for documentation.

4.11.7 Polio: Original series. The MTF will not administer the Polio vaccine to contractors unless they are authorized medical care in the MTF. If not, then they must go to their private physician to receive the vaccine and bring proof to the Immunizations Clinic for documentation.