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Hepatitis B Vaccination, Post-Exposure Evaluation and Follow-Up

A "Hepatitis B Vaccination Program" has been established through MSU Occupational Health.

Vaccination Program

Michigan State University has implemented a vaccination program through MSU Occupational Health. This program is offered to all employees who have occupational exposure to bloodborne pathogens. The cost, as required by statute, is assumed by the employer, MSU.

The vaccination program consists of a series of three inoculations over a four to six-month period and a post-vaccine titer upon completion of vaccine series. Additional inoculations may be necessary if there is an inadequate post-vaccine titer. There is currently no medical indication to receive further booster doses or measurement of titer if there is an adequate post-vaccine titer.

At the time of the bloodborne pathogens training, or upon pre-placement medical evaluation, employees will receive information regarding the vaccination program. They will also receive the required Hepatitis B Surveillance Program form to be completed and returned to the designated representative in their department. Completed forms must be sent to MSU Occupational Health. Occupational Health law (the MIOSHA Bloodborne Infectious Diseases standard) requires that Hepatitis B vaccine be made available to the employee within ten days of employment.

Post-Exposure Evaluation and Follow-Up

If an employee is involved in an incident where exposure to bloodborne pathogens may have occurred, the employee should seek medical consultation and treatment expeditiously. In these instances, actions should include the following:

• If contact with blood or other potentially infectious material occurs on skin with cuts, rashes, acne or dermatitis, wash the area for 15 minutes with soap and water.

• If blood or other potentially infectious material splashes in the eyes or on mucus membranes, flush the area for 15 minutes with water or normal saline.

Note: In the case of contact of blood or OPIM with intact skin, the employee should clean the skin immediately soap and water. If there is any doubt regarding the condition of the contaminated skin, the employee must be medically evaluated as described in this section!

• Report the incident to a supervisor if available.

• Initiate medical follow-up immediately.

• The supervisor refers the employee to the Urgent Care Clinic located at Olin Health Center for immediate care and follow-up. (After hours/weekends: refer to Sparrow Hospital Emergency Room). The employee should take a completed "Authorization to Invoice MSU" form with them.
  
• If there is an identifiable source, each department will follow their protocol for informing the source patient about the incident and assisting in source follow up.
  
• The Urgent Care Clinic at Olin Health Center will follow the current Centers for Disease Control and Prevention guidelines for a potential bloodborne pathogens exposure incident.
  
• The employee, together with supervisor, will complete and distribute the "Report of Claimed Occupational Injury or Illness" form within 24 hours of the incident.
  
• The ORCBS will evaluate all bloodborne pathogens exposure incidents and record the following information on the Exposure Incident Investigation Report:
  
  1. Date of Incident
  2. Time of Incident
  3. Name of Employee
  4. Department
  5. Job Title
  6. Supervisor
  7. Whether an incident report was completed
  8. Route of exposure
  9. Description of device in use
  10. Incident description
  11. Engineering controls used
  12. Work practice controls used
  13. PPE used

  14. Date of last bloodborne pathogen training

  15. Comments/Recommendations/Corrective Action
      
      
• The ORCBS will also complete a Sharps Injury Log for all bloodborne pathogens exposure incidents involving sharps. (see Appendix F).
  
• The information in the Exposure Incident Investigation Report and the Sharps Injury Log will be recorded and maintained in such a manner as to protect the confidentiality of the employee.
  
• The Exposure Incident Investigation Report and the Sharps Injury Log shall be maintained in the Human Resources Department.

Note: This information shall be obtained through interviews and incident report reviews.

Medical Record Keeping

The MSU Occupational Health Service must establish and maintain employee medical records. All information is confidential. Information will not be disclosed without the employee's written consent, except as required or permitted by law.

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