Genetic research is now leading to a better understanding of the genetic components of common diseases, such as cancer, diabetes, and stroke, and creating new, gene-based technologies for screening, prevention, diagnosis, and treatment of both rare and common diseases. Nurses are on the forefront of care, and therefore will participate fully in genetic-based and genomic-based practice activities such as collecting family history, obtaining informed consent for genetic testing, and administering gene-based therapies.
Immunization of health-care workers: These updated recommendations can assist hospital administrators, infection-control practitioners, employee health clinicians, and HCP in optimizing infection prevention and control programs.
The recommendations for vaccinating HCP are presented by disease in two categories: Background information for each vaccine-preventable disease and specific recommendations for use of each vaccine are presented.
Certain infection-control measures that relate to vaccination also are included in this report. In addition, ACIP recommendations for the remaining vaccines that are recommended for certain or all adults are summarized, as are considerations for catch-up and travel vaccinations and for work restrictions.
This report summarizes all current ACIP recommendations for vaccination of HCP and does not contain any new recommendations or policies. The recommendations provided in this report apply, but are not limited, to HCP in acute-care hospitals; long-term--care facilities e. These recommendations can assist hospital administrators, infection-control practitioners, employee health clinicians, and HCP in optimizing infection prevention and control programs.
HCP might include but are not limited to physicians, nurses, nursing assistants, therapists, technicians, emergency medical service personnel, dental personnel, pharmacists, laboratory personnel, autopsy personnel, students and trainees, contractual staff not employed by the health-care facility, and persons e.
Because of their contact with patients or infective material from patients, many HCP are at risk for exposure to and possible transmission of vaccine-preventable diseases.
Employers and HCP have a shared responsibility to prevent occupationally acquired infections and avoid causing harm to patients by taking reasonable precautions to prevent transmission of vaccine-preventable diseases.
Vaccination programs are therefore an essential part of infection prevention and control for HCP. Optimal use of recommended vaccines helps maintain immunity and safeguard HCP from infection, thereby helping protect patients from becoming infected; pertinent ACIP statements on various individual vaccines and diseases have been published Table 1.
Nationwide, ongoing implementation of these vaccine recommendations through well-managed vaccination programs could substantially reduce both the number of susceptible HCP in any setting in which they interact with patients and their risks for transmitting vaccine-preventable diseases to patients, other HCP, and other contacts 3.
Each record should reflect immunity status for indicated vaccine-preventable diseases i. For each vaccine, the record should include date of vaccine administration including for those vaccines that might have been received prior to employmentvaccine manufacturer and lot number, edition and distribution date of the language-appropriate Vaccine Information Statement VIS provided to the vaccinee at the time of vaccination, and the name, address, and title of the person administering the vaccine 4.
Accurate vaccination records can help to rapidly identify susceptible HCP i. HCP should be provided a copy of their vaccination records and encouraged to keep it with their personal health records so they can readily be made available to future employers.
The American Hospital Association has endorsed the concept of vaccination programs for both hospital personnel and patients 8. To ensure that all HCP are up to date with respect to recommended vaccines, facilities should review HCP vaccination and immunity status at the time of hire and on a regular basis i.
These recommendations Tables 2 and 3 should be considered during policy development. Disease-specific outbreak control measures are described in this report and elsewhere 3,11, All HCP should adhere to all other recommended infection-control guidelines, whether or not they are individually determined to have immunity to a vaccine-preventable disease.
The Work Group comprised professionals from academic medicine pediatrics, family medicine, internal medicine, occupational and environmental medicine, and infectious disease ; federal and state public health professionals; and liaisons from the Society for Healthcare Epidemiology of America and HICPAC.
The Work Group met monthly, developed an outline for the report, worked closely with subject matter experts at CDC who developed, revised, and updated sections of the reportand provided subsequent critical review of the draft documents. The approach of the Work Group was to summarize previously published ACIP recommendations and not to make new recommendations or policies; a comprehensive list of publications containing the various vaccine-specific recommendations is provided Table 1.
The recommendations for vaccination of HCP are presented below by disease in two categories: Vaccines recommended in the first category are hepatitis B, seasonal influenza, measles, mumps, and rubella, pertussis, and varicella vaccines. Vaccines in the second category are meningococcal, typhoid, and polio vaccines.
Except for influenza, all of the diseases prevented by these vaccines are notifiable at the national level General Resources. Virtual Flight Surgeons online aviation medicine. Borden Institute Textbooks of Military Medicine including published volumes on.
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Dale Halsey Lea, MPH, RN, CGC, FAAN Abstract. The complete sequencing of the human genome in has opened doors for new approaches to health promotion, maintenance, and treatment.