NAC449.5315. Hepatitis B: Vaccinations for certain staff members; postvaccination screening; adoption of related provisions.

     1. If any member of the staff of a facility is susceptible to hepatitis B and has not been vaccinated for that disease, the facility shall offer vaccination for the disease to that member of the staff in accordance with the provisions of 29 C.F.R. § 1910.1030(f)(1) and (2), relating to bloodborne pathogens. If a member of the staff of a facility is vaccinated pursuant to the provisions of this subsection, a written record of the vaccination must be included in the health record of the member of the staff maintained by the facility.

     2. Each facility shall establish and comply with a policy to conduct postvaccination screening of each member of the staff of the facility. The serologic screening must be conducted within 60 days after the final dose of vaccine is administered to the member of the staff of the facility. Any additional screening and follow-up must be based upon the results of the testing for the hepatitis B surface antigen.

     3. The provisions of Appendices I and II of the National Surveillance of Dialysis-Associated Diseases in the United States, 1993 edition, are hereby adopted by reference. A copy of those provisions may be obtained free of charge from the Public Health Service, Centers for Disease Control and Prevention, National Center for Infectious Diseases, Hospital Infections Program, Mail Stop C01, Atlanta, Georgia 30333. If a facility determines pursuant to subsection 2 that a member of the staff of the facility is a responder as defined in Appendix II of those provisions, the facility shall not require the member of the staff to submit to further screening pursuant to subsection 2. If the facility determines that a member of the staff of the facility is a nonresponder as defined in that appendix, the facility shall ensure that the member of the staff is tested at least once every 6 months pursuant to that subsection.

     (Added to NAC by Bd. of Health by R130-99, eff. 8-1-2001)