Hepatitis B Vaccination and Exposure Follow-up Techniques


According to OSHA’s bloodborne pathogen expectations, the hepatitis B vaccination series ought to be designed out there to all personnel who have occupational exposure. The employer does not have to make the hepatitis B vaccination readily available to staff members who have earlier been given the vaccination sequence, who are already immune as their antibody tests expose, or who are prohibited from obtaining the vaccine for health care causes.

The hepatitis B vaccination will have to be created accessible inside of 10 working times of preliminary assignment, following correct training has been finished. This involves arranging for the administration of the first dose of the collection.

The employer are unable to have to have an staff to just take a pre-screening or put up-vaccination serological take a look at. An employer, might on the other hand, make a decision to make pre-screening out there at no-price to the worker. Regimen publish-vaccination serological screening is not presently proposed by the Centers for Ailment Command (CDC) until an staff has had an exposure incident, and then it is also to be provided at no expense to the worker.

Declining the Hepatitis B Vaccination Sequence

If an staff declines the hepatitis B vaccination sequence, the employer should assure that the employee signs a hepatitis B vaccine declination. The declination’s wording need to be equivalent to that uncovered in Appendix A of 29 CFR 1910.1030. A photocopy of Appendix A of the common could be employed as a declination kind, or the words and phrases can be typed or published on to a different document.

Workers have the suitable to refuse the hepatitis B vaccine and/or any submit-publicity analysis and follow-up. It is critical to take note, nonetheless, that the staff requirements to be thoroughly informed of the advantages of the vaccination and submit-exposure analysis by way of training. The personnel also has the proper to determine to get the vaccination at a later day if he or she so chooses. The employer ought to have the vaccination offered at that time.

Be aware: The US Community health Provider does not suggest regime booster doses of hepatitis B vaccine, they are not expected at this time. However, if a schedule dose of hepatitis B vaccine is advised by the US General public health Services at a future day, these booster doses ought to be built offered at no cost to those eligible staff with occupational exposure.


In the function of an exposure incident, the employer need to detect and document the supply of the specific if recognized, unless the employer can build that identification is not possible or is prohibited by condition or nearby legislation. The source individual’s blood should be analyzed as shortly as possible, after consent is received, in buy to identify HIV or HBV infectivity. The data on the supply individual’s HIV and HBV screening have to be presented to the assessing health treatment specialist. Also, the results of the testing will have to be provided to the uncovered worker. The uncovered staff need to be knowledgeable of relevant guidelines and polices regarding disclosure of the identity and infectious status of the source individual.

If consent cannot be acquired and is expected by point out law, the employer should document in crafting that consent are unable to be received. When the supply individual’s consent is not expected by law, the supply individual’s blood if readily available shall be tested and the benefits documented.

When consent is acquired, the uncovered employee’s blood is collected and tested as soon as possible for HIV and HBV serological position. If the employee consents to the comply with-up evaluation right after an publicity incident, but does not give consent for HIV serological screening, the blood sample need to be preserved for 90 times. If within just the 90 days of publicity incident, the employee elects to have the baseline sample examined for HIV, screening will have to be done as quickly as feasible.

The employer will have to receive and present the personnel a duplicate of the evaluating health care professional’s composed view inside 15 days of completion of the evaluation. The health care professional’s prepared belief of hepatitis B is limited to irrespective of whether hepatitis B vaccination is indicated and if the personnel acquired the vaccination. The created view for submit-exposure analysis need to include things like data that the employee has been educated of the success of the evaluation and explained to about any health-related conditions ensuing from exposure that might even more call for analysis and cure. All other conclusions of diagnoses will have to be retained private and not involved in the penned report.

Submit Exposure Counseling

The common involves that put up-publicity counseling be given to personnel subsequent an publicity incident. Counseling should contain US General public Health Company tips for avoidance of HIV. These suggestions involve refraining from blood, semen, or organ donation abstaining from sexual intercourse or using actions to stop HIV transmission through sexual intercourse and refraining from breastfeeding infants during the abide by-up time period. In addition, counseling must be designed accessible irrespective of the employee’s selection to accept serological tests.

OSHA 200 Log

An occupational bloodborne pathogen’s publicity incidents (e.g. lacerations, splashes) ought to be recorded on an OSHA 200 log as an injury if the incident effects in 1 of the adhering to:

  • The incident is get the job done-linked and will involve the reduction of consciousness, a transfer to a further work, or restriction of perform or movement.
  • The incident outcomes in advice of medical therapy (e.g. hepatitis B immune globulin, hepatitis B vaccine or zidovudine).
  • The incident results in the prognosis of seroconversion. The serological standing of the personnel is not recorded on the OSHA 200 log.


Bloodborne Pathogen common applies to employees that have occupational exposure to human blood or other perhaps infectious supplies (OPIM) as outlined in paragraphs (a) and (b) of 29 CFR 1910.1030 and demands the use of common safeguards to prevent make contact with with these supplies. It is the chance that a qualified to start with assist supplier could have ‘occupational exposure’ that establishes the applicability of the Bloodborne Pathogen Regular. The regular defines ‘occupational exposure’ as reasonably predicted eye, mucous membrane, or parenteral contact with blood or OPIM that might end result from the overall performance of an employee’s responsibilities, 1910.1030(b). People accomplishing CPR are reasonably anticipated to have publicity to blood and OPIM. As a result, an worker educated in the use of AED and/or CPR and is determined by the employer to render to start with help as element of his or her responsibilities, there is an predicted ‘occupational exposure’ and the Bloodborne pathogen Typical applies.

The hepatitis B vaccination collection need to be created readily available to all employees who have occupational publicity. The employer does not have to make the hepatitis B vaccination obtainable to workers who have previously acquired the vaccination collection, who are presently immune as their antibody checks reveal, or who are prohibited from obtaining the vaccine for health-related good reasons




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