Bloodborne Pathogens

Chapter 296-823, WAC

Effective Date: 09/01/04

Contents
Helpful Tools
Index
Download

 

WAC 296-823-130

Hepatitis B Virus (HBV) Vaccinations

For printing

summary

Your Responsibility:

To make the vaccination available to your employees so they are protected from the hepatitis B virus (HBV)

You must

Make hepatitis B vaccination available to employees

Obtain a copy of the health care professional's written opinion for hepatitis B vaccination and provide it to the employee

 

Rules

WAC 296-823-13005

Make hepatitis B vaccination available to employees

Exemption

Exemption:

  • You aren't required to provide the hepatitis B vaccination series to employees who meet any of the following:
  • The employee has previously received the complete hepatitis B vaccination series
  • – An antibody test has revealed that the employee is immune to hepatitis B
  • – There are medical reasons not to give the vaccine.
  • You aren't required to provide the hepatitis B vaccination series to employees assigned to provide first aid only as a secondary duty, when you do all of the following:

    – Make hepatitis B vaccination available to all unvaccinated first-aid providers who render assistance in any situation involving the presence of blood or OPIM.

    • Vaccination must be made available as soon as possible, but no later than 24 hours after the incident.

    – Provide a reporting procedure that ensures all first-aid incidents that involve the presence of blood or OPIM are reported before the end of the work shift

  • – Document first-aid incidents that involve blood or OPIM, include at least:
      • The names of all first-aid providers who rendered assistance
      • The time and date of the first-aid incident
      • A description of the first-aid incident

You must

  • Make sure that the hepatitis B vaccination series is available to all employees who have occupational exposure and that it is:
    • - Available at no cost to the employee
    • – Available to the employee at a reasonable time and location
    • – Administered by or under the supervision of a licensed physician or by another licensed health care professional
    • – Provided according to recommendations of the United States Public Health Service that are current at the time these evaluations and procedures take place
    • – Available to any employee who initially declines the vaccination but later decides to accept it while they are still covered by this chapter
    • – Made available after the employee has received training required by this chapter and within 10 working days of initial assignment.

Link:

You can find more information about the United States Public Health Service recommendations for hepatitis B vaccination at http://www.cdc.gov/ncidod/diseases/hepatitis/blindex.htm.

You must
  • Make sure participation in a prevaccination screening program for antibody status isn't a condition for receiving hepatitis B vaccination.
  • Make sure that all laboratory tests are conducted by a laboratory licensed by the state or Clinical Laboratory Improvement Amendments (Act) (CLIA).
  • Make sure employees who decline the hepatitis B vaccination, offered by you, sign a form with this statement:

    "I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me."

Helpful Tool

Helpful Tool:
Hepatitis B Vaccine Declination Form:

The declination form can help you document employees who have declined the hepatitis B vaccine. You can find a copy of this form in the Resources section of this chapter.

WAC 296-823-13010

Obtain a copy of the health care professional's written opinion for hepatitis B vaccination and provide it to the employee

You must

  • Obtain and provide the employee a copy of the evaluating health care professional's written opinion for hepatitis B vaccination within 15 days of the employee's evaluation.

Note

Note:

  • If the health care professional provides the written opinion directly to the employee, you don't need to do so.
  • If the employee's personal health care professional completes the evaluation, you aren't required to obtain the health care professional's written opinion.
You must
  • Make sure the health care professional's written opinion is limited to whether a hepatitis B vaccination is indicated and if the employee has received this vaccination
  • Make sure that all other findings or diagnoses remain confidential and aren't included in the written report.

Reference

Reference:

  • Requirements for the health care professional's written opinion on post-exposure evaluation can be found in
    WAC 296-823-16030
    .

Helpful Tool

Helpful Tool:

Health Care Professional's Written Opinion for Post-exposure Evaluation and Health Care Provider's Written Opinion for Hepatitis B Vaccination.

These forms are available for your use in the Resources section of this chapter.

End of main content, page footer follows.

Access Washington official state portal

© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.