Employee/ Occupational Health Questions & Answers from the APIC Certification Study Guide. 6th Edition. 2015 January 16, 2019 Discussion moderator: Arsenia Golfo

Which of the following is not proof of measles immunity for healthcare personnel? Documentation of vaccination with 2 doses of live measles virus-containing vaccine Laboratory evidence of immunity Born after 1957 Laboratory confirmation of disease #Q1

Which of the following is not proof of measles immunity for healthcare personnel? Born after 1957 Rationale: According to the ACIP, birth before 1957 is an acceptable proof of immunity. The latest recommendations also state that for unvaccinated personnel who were born before 1957 and who lack laboratory evidence of measles, rubella, or mumps immunity or laboratory confirmation of disease, facilities should consider vaccinating personnel with 2 doses of MMR vaccine at the appropriate interval (for measles and mumps) and one dose of MMR vaccine (for rubella) respectively. #A1

Dialysis staff are most at risk for exposure to bloodborne pathogens during: Initiation and termination of dialysis Reprocessing, cleaning, and disinfection procedures Medication administration Vascular access hemorrhage a. 1, 2 b. 2, 3 c. 2, 4 d. 1, 3 #Q2

Dialysis staff are most at risk for exposure to bloodborne pathogens during: Initiation and termination of dialysis Reprocessing, cleaning, and disinfection procedures Rationale: Staff must follow Standards Precautions when exposure to blood or OPIM is anticipated or likely. Times during which exposure is most likely to occur include initiation and termination of dialysis and during reprocessing, cleaning or disinfection procedures. #A2

Test the employee and all close personal contacts for Hepatitis B An employee is exposed to a patient with chronic hepatitis B. The Employee is a responder to hepatitis b vaccine, which was given to him 5 years before. What is the recommended PEP for the Employee? Test the employee and all close personal contacts for Hepatitis B Start the Hepatitis B series one the employee because of the length of time since vaccination No treatment is recommended for a known responder Recommend giving the employee the Hepatitis A vaccine #Q3

An employee is exposed to a patient with chronic hepatitis B An employee is exposed to a patient with chronic hepatitis B. The Employee is a responder to hepatitis b vaccine, which was given to him 5 years Before. What is the recommended PEP for the Employee? No treatment is recommended for a known responder Rationale: According to the CDC guidelines, when an employee is known to have responded to positive Hepatitis B antibody following immunization series, no treatment is recommended. #A3

Which of the following is not evidence of varicella immunity in healthcare personnel? Evidence of two doses of the varicella vaccine Laboratory evidence of immunity Laboratory confirmation of disease Born before 1980 #Q4

Which of the following is not evidence of varicella immunity in healthcare personnel? Born before 1980 Rationale: According to the ACIP, birth before 1980 should not be considered proof of immunity for healthcare providers because of the possibility of nosocomial transmission to high- risk patients. HCP who have received 2 doses of vaccine and who are exposed to VZV should be monitored daily during days 10--21 after exposure through the employee health program or by an infection control nurse to determine clinical status (i.e., daily screen for fever, skin lesions, and systemic symptoms). #A4

What is the appropriate temperature for vaccines that require refrigeration? 46°F to 55°F (8°C to 13°C) 25°F to 35°F (-4°C to 2°C) 25°F to 45°F (-4°C to 7°C) 35°F to 46°F (2°C to 8°C) #Q5

What is the appropriate temperature for vaccines that require refrigeration? 35°F to 46°F (2°C to 8°C) Rationale: Most routinely recommended vaccines should be stored in a refrigerator between 35°F to 46°F (2°C to 8°C), with a desired average temperature of 40°F (5°C). Exposure to temperature outside of this range may result in reduced vaccine potency and increased risk of vaccine-preventable diseases. #A5

Staff assisting in bronchoscopy of a patient with suspected tb must wear which type of respiratory Protection? Surgical/procedure mask Face shield Protection is not required A fit-tested respirator or powered air purifying respirator (PAPR) #Q6

Staff assisting in bronchoscopy of a patient with suspected tb must wear which type of respiratory Protection? A fit-tested respirator or powered air purifying respirator (PAPR) Rationale: Healthcare personnel assisting in bronchoscopy should wear appropriate personnel protective equipment including a fit- tested respirator or a PAPR. #A6

Thank you!