PG 205-11 REQUEST FOR PRE-EXPOSURE VACCINATION AGAINST HEPATITIS B PURPOSE

Question 0

AND a potentially infectious substance, such as:

Answer 0

(a) Blood

b) Body fluids/secretions (i.e., semen, vaginal secretions, amniotic fluid, human tissue or organs

Question 1

DEFINITION

OCCUPATIONAL EXPOSURE is considered to be reasonably anticipated contact with a vulnerable point of entry of the member of the service, such as:

Answer 1

a. Eyes
b. Mouth
c. Other mucous membranes
d. Broken skin

Question 2

TRAINING SERGEANT

3. Report, as directed, to the Police Academy for instruction and materials.

NOTE: Commanding officers of units that do not receive command level training are responsible to ensure that an appropriate member of the command is designated training sergeant and attends pre-cycle instruction. Contact Police Academy In-Service Training Unit at (212) 477-9200 for additional information.

4. Prepare and deliver mandated training to all members assigned to the command.
5. Distribute HEPATITIS B VACCINATION ACCEPTANCE/ DECLINATION form to all members in designated titles, if not already distributed.

MEMBER OF THE SERVICE:

Answer 2

6. Prepare HEPATITIS B VACCINATION ACCEPTANCE/DECLINATION form indicating intention to accept or decline vaccination by signing the appropriate section after receiving “Right-to-Know” training in blood borne diseases.

NOTE: If a member has received Hepatitis B inoculations within the past seven (7) years, he or she must so indicate on the bottom of the form.

Question 3

TRAINING SERGEANT

7. Collect

Answer 3

HEPATITIS B VACCINATION ACCEPTANCE/DECLINATION forms from each member of the service in designated titles.

8. Place a photocopy of each HEPATITIS B VACCINATION ACCEPTANCE/DECLINATION form in the command’s Occupational Safety and Health Administration (OSHA) file.
9. Forward summary, upon completion of training cycle, indicating number of members of the command, by title, who accept or decline vaccinations, to the borough safety officer or overhead command counterpart.
10. Forward completed ORIGINAL HEPATITIS B VACCINATION ACCEPTANCE/DECLINATION forms to the Commanding Officer, Medical Division, Attention: Hepatitis B Pre-Exposure Vaccination Safety Program, via Department mail.

Question 4

ADDITIONAL DATA

Members of the service should note that participation in the inoculation program is entirely voluntary and will be free of charge to participants. It should also be noted that members must receive the entire three-inoculation series in order to ensure effective protection against Hepatitis B.

Vaccination will be provided to members of the service at no charge, and during regularly scheduled tours of duty. Under no circumstances will overtime be granted to facilitate vaccination.

RELATED PROCEDURE

Answer 4

Exposure of Members of the Service to Infectious Diseases (P.G. 205-10)

FORMS AND REPORTS

HEPATITIS B VACCINATION ACCEPTANCE / DECLINATION (PD429-147)