• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month
Page
  1. 1
    1
  2. 2
    2
  3. 3
    3
  4. 4
    4
  5. 5
    5
  6. 6
    6
  7. 7
    7
  8. 8
    8
  9. 9
    9
  10. 10
    10
  11. 11
    11
  12. 12
    12

The Purpose of this policy is to ensure that the WRTU within the Trust offers a unified and inter-professional approach towards the management and prevention of Hepatitis B for all clients in accordance with Department of Health guidelines.

Extracts from this document...

Introduction

CONTENTS LIST: 1. INTRODUCTION 2. POLICY STATEMENT 3. DEFINITION 4. PROTOCOL 5. SHARED CARE PROTOCOL FOR HEPATITIS B VACCINATION 6. HEPATITIS B VACCINATION STRATEGY * Pre-Vaccination screening protocol * Post-Vaccination screening protocol 7. LETTER TO GP EXPLAINING SHARED-CARE PROTOCOL FOR IMMUNISATION 8. LETTER TO PATIENTS EXPLAINING VACCINATION RECOMMENDATION 9. CURENT POLICY FOR SCREENING FOR HEPATITIS B 10. MANAGEMENT OF PATIENTS WITH HEPATITIS B ON HAEMODIALYSIS 11. REFERENCES 1: INTRODUCTION Viral Hepatitis was recognised as a potential hazard for dialysis patients and staff in the 1960's following several outbreaks of the infection. Serum hepatitis now known as hepatitis B and is caused by the hepatitis B virus (HBV) was found to be responsible for several deaths. In 1970 the Health Department set up a group led by Lord Rosenheim to review problems of hepatitis and make recommendations. In 1972 the Rosenheim report was published and a set of guidelines issued for the prevention and control of HBV in renal dialysis/Transplantation Units. These guidelines which include universal barrier precautions about exposure to blood, regular screening of patients and staff for infection and segregation of infected patients have formed the basis for the safe practise of dialysis throughout the country (DOH 2003). ...read more.

Middle

If less than 10IU/ml test for core antibody to exclude past/current infection. * If levels are undetectable, discuss on a case per case basis with the virology department before administering additional doses of vaccine * To measure immune response. * Unless there is documented evidence of having had the full course of high dose vaccine Non-responders should be given a full course of HBVAX PRO 40 If vaccinated with a full course more than 5 years ago: * Arrange for a single dose of HB-Vax II 40 to be administered via GP. * Check surface antibody level one month post administration. If less than 10IU/ml test for core antibody to exclude past/current infection. * A single dose will act as a booster if previous vaccination has established immunity * Course of vaccine can be completed if single booster does not produce a surface antibody level of >100mIU/ml If vaccinated but doubtful about completion of course: * Arrange for a single dose of HB-Vax II 40 to be administered via GP. * Check surface antibody level one month post administration. If less than 10IU/ml test for core antibody to exclude past/current infection * A single dose will act as a booster if previous vaccination has established immunity. ...read more.

Conclusion

If you have any further queries, please do not hesitate to contact one of the nurses in the relevant clinical area given above, for information. Contact numbers are provided on the enclosed shared-cared protocol. Yours sincerely Dr R Lewis Clinical Director WRTU Consultant Nephrologist 9: Current Policy for Screening for Hepatitis B * Patients admitted to a Renal Unit should be routinely tested for HbsAg unless they have been tested one month prior to admission * All patients must have a known hepatitis B status prior to commencement on haemodialysis treatment * Patients re-admitted following dialysis outside United Kingdom should be tested and found negative for HbsAg before being dialysed in the main unit. Individual risk assessment should be taken for patients who dialysed in countries where exposure to HBV is considered likely * Patients on chronic haemodialysis programme are routinely tested every three months for HBsAg 10: Management of patients with Hepatitis B virus on haemodialysis * Patients infected with HBV should ideally be dialysed in separate isolation facilities * Separate machines should be used for patients with HBV * Rigorous application of universal precautions is essential to prevent blood contamination and transmission of infection. * All equipment to be cleaned and disinfected as per unit protocol. * Disposal of waste as per infection control guidelines 11. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our AS and A Level Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related AS and A Level Healthcare essays

  1. Unit 11 - Working in Health and Social care - SECTION B - SUBSECTION ...

    Management/supervision and co-ordination skills - Midwifes have to be able to negotiate and be extremely organised using leadership skills acting as mentors to any sort of trainee student and the mother. They need to have independent decision making skills and influence and persuade women.

  2. Research In Clinical Practise

    Unfortunately, this is not necessarily the case. Indeed most research will have limitations and weaknesses and, for this reason, no single study can provide unchallengeable answers to research questions (Polit and Hungler, 1997). Rees (1997) adds that we must remember that there is rarely such a thing as the perfect research project.

  1. Unit 6

    employers who work there, even the m审ger was really good and I learn a lot while working in the setting, e.g. how to listen ******岳 and to understand their pers审lity/mentality. While I was working there I used to rem******that every one has different culture and beliefs so you have to 女pect that.

  2. Medicine - Additional

    * Generate solutions to problems - look at each disability, work out its origin & agree on goals. Renew, review & adapt goals. Imaging methods including plain X-rays, CT scanning, MR imaging, constrast radiology, ultrasound, radio-isotope imaging * X-rays - structures containing air will be black on the film, dense (bone)

  1. Strageties for prevention of disease

    Choices individuals make about how they live has effect on their health. National and local strategies educate and persuade individuals into making healthy choices. These choices include personal hygiene; influenza viruses are spread by coughing and sneezing. Washing and changing clothes will help to reduce the number.

  2. Report on Healthcare Screening

    In a general overview, it is regarded as an integral part of our health care service. Antenatal Screening Tests Knowing a fetus is abnormal before birth allows parents to plan for any health needs of their baby in advance of it being born.

  1. Teaching in Clinical Practice

    This is supported by Gott and O'Brien (1990), as they have identified two characteristic dimensions of health education as practised by nurses, namely; "the transmission of information to individuals perceived to live in ignorance of it, and the creation of trusting relationships with clients, so that they will be more likely to adopt the advice given to them."

  2. Assess how the suggested measures to manage an outbreak of infection meet legal requirements ...

    For example at Blue Cable residential care home the staff should ensure that they are wearing protective gloves at all times when they are dealing with patients and when there is a current outbreak to manage it they would need to wear masks defiantly when it is an airborne infection for example measles, tuberculosis and anthrax.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work