Recommendations for healthcare personnel immunizations updated

By: November 29th, 2011 Email This Post Print This Post

For those responsible for ensuring compliance with healthcare worker immunizations, the CDC has issued a one-stop guideline.

Issued November 25, Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices updates and summarizes recommendations from Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC).

The report’s recommendations apply, but are not limited, to healthcare personnel in hospitals; long-term–care facilities, physician’s offices, rehabilitation centers; urgent care centers, outpatient clinics, home healthcare and emergency medical services.

The recommended immunizations are:

  • Hepatitis B
  • Influenza
  • Measles
  • Mumps
  • Rubella
  • Pertussis
  • Varicella

The recommendations also include work restrictions and diseases for which vaccination might be indicated in certain circumstances for healthcare workers.


Since these recommendations include physician offices, does this information need to be forwarded to anyone?

By Melanie Swift, MD on December 6th, 2011 at 8:55 am

The new guidelines recommend screening all HCP who are from hepatitis B-endemic countries with HBsAg, HBcAb and HBsAb prior to vaccination. The OSHA standard instructs employers not to make prescreening a requirement for vaccination. How should employers reconcile the two?

By Wilfredo Santos on December 6th, 2011 at 9:03 am

will first responder be subject to same policy as worker in a hospital

By David LaHoda on December 6th, 2011 at 9:43 am

Here is the Dept.of HHS Definition of Health Care Personnel (HCP), March 2008, found at

HCP refers to all paid and unpaid persons working in health-care settings who have the potential for exposure to patients and/or to infectious materials, including body substances, contaminated medical supplies and equipment, contaminated environmental surfaces, or contaminated air.

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.g., clerical, dietary, house-keeping, laundry, security, maintenance, billing, and volunteers) not directly involved in patient care but potentially exposed to infectious agents that can be transmitted to and from HCP and patients.

These recommendations apply to HCP in acute care hospitals, nursing homes, skilled nursing facilities, physician’s offices, urgent care centers, and outpatient clinics, and to persons who provide home health care and emergency medical services.

These are recommendations, not requirements. Healthcare workers may elect to decline these immunizations unless required by state law or facility policy. OSHA requires documentation of hepatitis B accept or declination only.

By Bruce Cunha on December 7th, 2011 at 11:03 am

Issue I have is the inconsistency with the instructions that APIC is using.

Titer for Hep B. (also required by OSHA), Don’t titer for MMR if the person has documentation of 2 vaccinations. May be cost effective to test for Varicella prior to vaccination. Don’t worry about people born prior to 1957 (even though CDC documents show 12.5% of HCW’s that develop MMR are born prior to 1957)

The problem I have is immunization does not totally equate to immunity. We know vaccines have not been stored properly, staff use improper lenght needles etc.

Why have documentation of a Hep B titer but not MMRV?

Documentation of positive titers assures that the employee at least has immunity to the disease and saves a lot of follow up and potential furlow of exposed employees.

Yes, a bit more cost, but once it is documented that an employee is titer positive no one else has to do any testing for that employee.

It’s all coming down to where is all going to be mandatory, losing our rights.More and more vaccines. it’s starts when a newborn is hours old, injecting them with such toxins. what is this country coming to?

By Tara Lawless on June 7th, 2016 at 11:23 am

I recently took over Employee Health at my facility and am trying to determine what is actually required vs recommended for immunizations. We do not titer for hep B. If they don’t have documentation of immunizations we offer the series, and then we titer after the series, but if they don’t want the series we have them decline on paper. Is this acceptable? And is there a certain area I can find the answers to all of my questions?


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