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Blood-Borne Virus Guidelines for Healthcare

This document provides summaries of consensus guidelines from various sponsoring and funding bodies on topics related to occupational health and safety. The guidelines cover blood borne viruses, cardiac illness, driving standards, firefighters, teaching fitness, various forms of hepatitis, HIV, immunizations, mental health, pain management, pandemic influenza, pregnancy, returning to work after surgery, seafarers' health, tuberculosis, and health clearance for healthcare workers. The guidelines provide recommendations and guidance for clinical workers, employees, and occupational health professionals.

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0% found this document useful (0 votes)
10 views4 pages

Blood-Borne Virus Guidelines for Healthcare

This document provides summaries of consensus guidelines from various sponsoring and funding bodies on topics related to occupational health and safety. The guidelines cover blood borne viruses, cardiac illness, driving standards, firefighters, teaching fitness, various forms of hepatitis, HIV, immunizations, mental health, pain management, pandemic influenza, pregnancy, returning to work after surgery, seafarers' health, tuberculosis, and health clearance for healthcare workers. The guidelines provide recommendations and guidance for clinical workers, employees, and occupational health professionals.

Uploaded by

thclaess
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Consensus guidelines

Subject Title Sponsoring/funding body

Blood borne Guidance for clinical health care workers. Protection against infection with blood-borne viruses. Department of Health
viruses Recommendations of the Advisory Group on AIDS and the Advisory Group on Hepatitis
[Link]/assetRoot/04/01/44/74/[Link]
Good practice guidelines for renal dialysis/transplantation units: prevention and control of blood-borne virus Department of Health
infection.
[Link]

Cardiac illness Return to work after cardiac illness British Heart Foundation
[Link]/professionals/uploaded/...

Driving At a glance guide to the current medical standards of fitness to drive DVLA
[Link]/at_a_glance/[Link]

Firefighters Medical guidelines for the fire and rescue service Office of the Deputy Prime
[Link]/stellent/groups/odpm_fire/documents/... Minister

Fitness to teach Occupational guidance for the training and employment of The Faculty of Occupational
teachers Medicine on behalf of the
[Link] Department for Education
and Employment

Hepatitis B Hepatitis B infected healthcare workers - guidance on implementation of HSC 2000(020) Department of Health
[Link]/agh/[Link]
Exposure to hepatitis B virus: guidance on post-exposure prophylaxis PHLS Hepatitis
[Link]/cdr/archives/CDRreview/1992/[Link] Subcommittee - now part of
Health Protection Agency
Hepatitis C Hepatitis C infected health care workers - guidance on implementation of HSC 2002(010) Department of Health
[Link]/assetRoot/04/05/95/44/[Link]
Guidance on the investigation and management of occupational exposure to hepatitis C Public Health Laboratory
[Link]/cdph/issues/CDPHvol2/no4/guides_hepC.pdf Service
(now Health Protection
Agency)

HIV HIV post-exposure prophylaxis - guidance from the UK Chief Medical Officers’ Expert Advisory Group on UK Health Departments
AIDS. UK Health Departments (February 2004)
[Link]/eaga/[Link] Department of Health
or
HIV Post-Exposure Prophylaxis

Comments: Updated guidance on post-exposure prophylaxis (PEP) for HIV following occupational
exposure, incorporating new guidance on PEP for patients. Supersedes guidance issued in July 2000.
Update issued July 2007 Public Health Link: Update to HIV post-exposure prophylaxis (PEP) guidance
from the Expert Advisory Group on AIDS (EAGA) following the recent recall of Viracept
HIV HIV-infected health care workers: Guidance on management and patient notification
Download HIV Infected Health Care Workers: guidance on management and patient notification (PDF,
237K) Department of Health

Comments: This document replaces guidance published in 1998. It provides updated advice on patient
notification exercises for HIV infected health care workers. It follows expert advice from the Expert Advisory
Group on AIDS (EAGA) and UK Advisory Panel for Health Care Workers Infected with Blood-borne Viruses
(UKAP). They advise that it is no longer necessary to notify every patient who has undergone an exposure
prone procedure by an HIV infected health care worker because of the low risk of transmission and the
anxiety caused to patients and the wider public. However, the long-standing restriction on HIV infected
health care workers carrying out exposure prone procedures remains.
Immunisations Immunisation Against Infectious Disease "The Green Book" Department of Health
[Link]/en/Policyandguidance/Healthandsocialcaretopics/Greenbook/DH_4097254

Comments: This new edition (2006) presents latest information on vaccines and vaccination procedures
for all the vaccine preventable infectious diseases that may occur in the UK. In particular it deals with those
immunisations that comprise the routine immunisation programme for all children from birth to adolescence.
Chapter 12 is about immunisation of healthcare and laboratory staff.

Mental health Mental health and employment in the NHS Department of Health
[Link]/assetRoot/04/01/48/41/[Link]

Pain Recommended guidelines for pain management programmes for adults The British Pain Society
Management [Link]/book_pmp_main.pdf

Comments: This consensus guidance draws on accumulating evidence for the efficacy of pain
management programmes. It does not specifically address work. It explains what a pain management
programme is and who to refer into such a programme.

Pandemic Health and social care workers and pandemic influenza: information for staff who are pregnant or in other United Kingdom
influenza at-risk groups Department of Health

Some individuals are at increased risk of severe or complicated illness if they suffer from influenza. This
guidance gives advice on protecting healthcare employees who are pregnant or in one of the other at risk
groups identified for (H1N1) 2009 flu (swine flu).

[Link]

Pregnancy Guidance on the management of, and exposure to, rash illness in pregnancy Public Health Laboratory
[Link]/infections/topics_az/rubella/[Link] Service
(now Health Protection
Comments: Includes consideration of relevant antibody screening programmes in pregnancy Agency)
Return to work guidance following common general surgical procedures The Royal College of
Surgeons of England
These patient leaflets cover seven common surgical procedures. As well as describing what to expect
during the post-operative recovery period, the leaflets give advice on preparing for a return to work and
liasing with occupational health departments.
[Link]

Seafarers' health Medical standards for seafarers including: immunisations and malaria, guidance for ship owners etc on Maritime and Coastguard
medical standards, medical examinations and medical standards, ship captain's medical guide, approved Agency
doctor's manual and UK equivalent certificates.
[Link]

TB, HBV, Health clearance for tuberculosis, hepatitis B, hepatitis C and HIV: New healthcare workers Department of Health
HCV,HIV [Link]

Comments: This guidance was initially published in March 2004 and superseded in 2007 by interim
guidance. The interim guidance was updated in September 2008 (see link above). It provides advice on
health clearance of new healthcare workers for tuberculosis, hepatitis B, hepatitis C and HIV.

Tuberculosis Control and prevention of tuberculosis in the United Kingdom: Code of Practice 2000. British Thoracic Society
[Link]/guidelines_since_1997.html/cqs/[Link]/dlcpti.146

Chemotherapy and Management of Tuberculosis in the United Kingdom: Recommendations 1998


[Link]/guidelines_since_1997.html/cqs/[Link]/dlcpti.147

Common questions

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Healthcare and laboratory staff are advised to keep their immunizations up to date as per the latest edition of 'The Green Book.' This includes vaccinations against various infectious diseases to protect themselves and their patients from potential transmission hazards .

The guidance for firefighters addresses the need for rigorous health and medical assessments to ensure that they meet fitness standards and can safely perform their duties. It underscores the unique physical and psychological demands of firefighting and the corresponding health safeguards required to protect both personnel and public safety .

The British Pain Society's guidelines provide a comprehensive framework for developing effective pain management programs, emphasizing evidence-based practices. They focus on multidisciplinary approaches, ensuring tailored interventions that address both physical symptoms and psychological impacts. This holistic guidance is crucial in improving treatment outcomes for patients with chronic pain .

The updated guidance indicates that it is no longer necessary to notify every patient who has undergone an exposure-prone procedure by an HIV infected healthcare worker due to the very low risk of transmission and potential anxiety it causes. However, restrictions remain on these healthcare workers performing such procedures. The change reflects advice from expert groups like the Expert Advisory Group on AIDS (EAGA).

Guidance involves conducting thorough investigations to determine the exposure risk and implementing management strategies that include medical treatment protocols and follow-up assessments. It emphasizes timely use of antiviral therapy for those exposed and monitoring for possible infection .

The updated guidance emphasizes the significance of promptly initiating PEP to reduce the risk of HIV infection after potential exposure. It also incorporates new advancements in treatment regimens and stresses the importance of healthcare systems having clear protocols to ensure rapid administration of PEP .

Fitness to teach assessments involve evaluating potential and current teachers' ability to fulfill their roles without risk to their health or that of the students. The guidance ensures teachers can manage both physical and psychological demands of their profession. It supports decision-making regarding accommodations or support systems if necessary .

The guidance for health clearance of new healthcare workers includes mandatory screening for tuberculosis (TB) as a crucial measure to prevent nosocomial transmission. It requires documentation of a negative TB skin test or a chest x-ray and underscores the importance of identifying latent infections among new entrants to the healthcare workforce .

The guidance highlights that healthcare employees who are pregnant or in other at-risk groups should take specific precautions to avoid severe or complicated illness if they contract influenza. This includes being aware of increased risks and following specific advice designed for those in their condition. The document indicates that these individuals should be prioritized for vaccination and provided with suitable protective measures as part of the pandemic response plan .

The revised guidance outlines a structured approach for individuals returning to work post-cardiac illness, focusing on individualized assessment to ensure safe re-entry into work activities. It considers the nature of the job, the individual's recovery progress, and potential modifications needed to accommodate ongoing health concerns .

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