3.1 Table 1: Determining risk categorisation for screening and immunisation Recommended Vaccines Category Risk Examples Direct contact with blood or body Dentists, medical practitioners, Hepatitis B x 3 doses substances nurses, allied health practitioners, followed by serological health care students, laboratory confirmation of This category includes all persons, staff, maintenance engineers who immunity who have physical contact with, or service equipment, sterilising potential exposure to, blood or body service staff, cleaners, and staff Influenza yearly substances. responsible for the decontamination and disposal of Pertussis , (dTpa) within A contaminated materials. last 10 years (and completed primary course DTPa for tetanus component) Measles, mumps, rubella (MMR) x 2 doses Varicella x 2 doses Indirect contact with blood and Influenza yearly body substances Pertussis (dTpa) within 10 years Rarely have direct contact with Measles, mumps blood or body substances. These B Catering staff and ward clerks. rubella (MMR) x 2 employees may be exposed to doses, infections spread by the airborne or Varicella x 2 doses droplet routes, but are unlikely to be at occupational risk from blood borne diseases. Minimal patient contact Occupational groups that have no greater exposure to infectious Influenza yearly diseases than do the general public. Administrative/Office clerical staff, The exact nature of job gardening staff and kitchen staff. responsibilities should be taken into account when deciding immunisation requirements and all staff should be encouraged to be fully vaccinated. May have additional vaccination Laboratory staff should requirements if they are working also receive the with, or may be exposed to, specific vaccines noted in Laboratory viral or bacterial organisms, e.g. Laboratory staff category A staff anthrax, Q fever, anthrax, meningococcal C ,poliomyelitis, Japanese encephalitis, typhoid, yellow fever Health care workers who work with remote Indigenous communities in WA, NT, and SA should receive vaccines that are recommended for all HCW plus hepatitis A vaccine Source: Australian Guidelines for the Prevention and Control of Infection in Healthcare 2010, and the Australian Immunisation Handbook 9th Edition 2008 Health Care Worker Immunisation Protocol 4
3.1 Table 1: Determining risk categorisation for screening and immunisation Category Risk Examples Recommended Vaccines A Direct contact with blood or body substances This category includes all persons, who have physical contact with, or potential exposure to, blood or body substances. Dentists, medical practitioners, nurses, allied health practitioners, health care students, laboratory staff, maintenance engineers who service equipment, sterilising service staff, cleaners, and staff responsible for the decontamination and disposal of contaminated materials. Hepatitis B x 3 doses followed by serological confirmation of immunity Influenza yearly Pertussis , (dTpa) within last 10 years (and completed primary course DTPa for tetanus component) Measles, mumps, rubella (MMR) x 2 doses Varicella x 2 doses B Indirect contact with blood and body substances Rarely have direct contact with blood or body substances. These employees may be exposed to infections spread by the airborne or droplet routes, but are unlikely to be at occupational risk from blood borne diseases. Catering staff and ward clerks. Influenza yearly Pertussis (dTpa) within 10 years Measles, mumps rubella (MMR) x 2 doses, Varicella x 2 doses Minimal patient contact Occupational groups that have no greater exposure to infectious diseases than do the general public. The exact nature of job responsibilities should be taken into account when deciding immunisation requirements and all staff should be encouraged to be fully vaccinated. Administrative/Office clerical staff, gardening staff and kitchen staff. Influenza yearly Laboratory staff May have additional vaccination requirements if they are working with, or may be exposed to, specific viral or bacterial organisms, e.g. anthrax, Q fever, anthrax, meningococcal C ,poliomyelitis, Japanese encephalitis, typhoid, yellow fever Laboratory staff Laboratory staff should also receive the vaccines noted in category A Health care workers who work with remote Indigenous communities in WA, NT, and SA should receive vaccines that are recommended for all HCW plus hepatitis A vaccine Source: Australian Guidelines for the Prevention and Control of Infection in Healthcare 2010, and the Australian Immunisation Handbook 9th Edition 2008 Health Care Worker Immunisation Protocol 4
Health-care-worker-immunisation-policy.docx