Immunisation

Immunisation

SUMMARY

The Immunisation Policy addresses the minimum standards of immunisation requirements for staff, students, contractors, and volunteers who undertake activities where there may be an increased risk of contracting vaccine-preventable diseases (VPD) and tuberculosis as part of the business of Macquarie University.

The Immunisation Procedure establishes how the University will meet the requirements of its Immunisation Policy.

POLICY

1   PURPOSE

To address the minimum standards of immunisation requirements for staff, students, contractors, and volunteers who undertake activities where there may be an increased risk of contracting vaccine-preventable diseases (VPD) and tuberculosis as part of the business of Macquarie University.

2   BACKGROUND

The immunisation process is a critical control to protect people from contracting vaccine-preventable diseases. The University acknowledges that the activities of some staff, students, contractors and volunteers may increase risk of contracting illnesses or disease. This policy details the principles and legislative requirements the University will adopt to ensure the ongoing health and safety of staff, students, contractors and volunteers.

3   SCOPE

Immunisation requirements apply to all staff, students, contractors and volunteers who undertake work in high risk areas on Macquarie University business and/or on placement where potential exposure to vaccine preventable diseases and/or tuberculosis exists and they pose a ‘significant risk’ of altering a person’s health status.

The identification of ‘significant risk’ is achieved through robust risk assessment(s) led by the line manager/convenor/academic supervisor in consultation with those involved in the activity and the faculty/DVC portfolio health and safety adviser as required. The following areas require consideration and documentation of specific requirements for immunisation:

  1. Any area that provides a health service, including (but not limited to) Macquarie University Medical, Chiropractic and Human Sciences Clinics.
  2. University researchers working in environments, which includes contact with:
    • Live person(s) and/or animal(s)
    • Deceased person(s) and/or animal(s)
    • Human body or animal part(s)
    • Person or animal blood and other body or animal product(s)
    • Infectious material or surface(s)
    • Equipment that might contain infectious material e.g. instruments, trays, bed linen, sheets, syringes, etc.
  3. Other work and research environments upon identification of a significant risk of altering a person’s health status.
  4. Specific geographical environments:
  • Habitation in/or visitation to/or climates and/or conditions that increase the person’s exposure to illness and disease and the potential for contracting such illness or disease.

A staff member who is subject to an immunisation requirement and is not medically, physically or emotionally able to be immunised is required to report this to their line manager and the Health Monitoring Advisor via ohs@mq.edu.au as soon as practicable.

4   DEFINITIONS

Commonly defined terms are located in the University Glossary. The following definitions apply for the purpose of this Policy:

Exposure Prone Procedures (EPPs): invasive procedures where there is potential for direct contact between the skin, usually finger or thumb of the worker, and sharp surgical instruments, needles, or sharp tissues (e.g. fractured bones), spicules of bone or teeth in body cavities or in poorly visualised or confined body sites, including the mouth.

General Practitioner (GP): medical officer working in general practice.

Immunisation: inducing immunity against infection by the use of antigen to stimulate the body to produce its own antibodies.

Significant risk of exposure: exposure to a work/study activity or work/study environment that may result in changes in the person’s health status.

Vaccine: a biological preparation that improves immunity to a particular disease. A vaccine contains an agent that stimulates the body's immune system to fight off the disease.

Vaccination: the process of administering a vaccine to a person to improve immunity against infection.

Vaccine preventable diseases: diseases where a specific vaccine has been developed.

Volunteer: a voluntary worker who works for the University for the benefit of the University without any financial gain.

5   POLICY STATEMENT

All persons conducting activities endorsed by Macquarie University where there is a significant risk of contracting a vaccine preventable disease must meet the University’s immunisation requirements and, where appropriate, conform to requirements outlined by the relevant regulatory bodies as a minimum.

In circumstances where there is a conscientious objection, a medical contraindication or other reason that impacts on participation in this process, the University will use risk management principles to address the matter on a case-by-case basis. This may include making reasonable adjustments to the activity where possible, transferring the relevant person to another area, or not endorsing a person’s participation in the specified activity.

Requirements will be determined through robust risk assessment led by the line manager/ convenor/academic supervisor in consultation with those involved in the activity and the faculty/DVC portfolio health and safety adviser as required.

NOTE: Individuals involved in an incident where there is potential occupational exposure to HIV. Hepatitis B and/or Hepatitis C must report the event immediately and refer to the specific information sheet: Management of Health Care Workers (HCWs) and students potentially exposed to HIV, Hepatitis B and/or Hepatitis C. Case by case review and management will occur.

Travel Vaccinations: For international travelers International SOS provides pre-departure information regarding required vaccinations for specific destinations. Staff and students travelling overseas can obtain information regarding International SOS from the relevant work/study area departmental assistant. The Macquarie University Health Services GP clinic is available to assist with vaccinations.

This Policy is to be read in conjunction with the Immunisation Procedure.

6   RELEVANT LEGISLATION

Work, Health and Safety Act 2011 (NSW)

National Health Act 1953 (Cth)

Public Health Act 2010 (NSW)

Anti-discrimination Act 1977 (NSW)

Privacy Act 1988 (Cth)

Privacy and Personal Information Act 1998 (NSW)

Health Records and Information Privacy Act 2002 (NSW)

7   KEY RELATED DOCUMENTS

Supporting Immunisation Policy documents:

Immunisation Procedure (see tab above)

Other related documents:

Academic Progression Policy / Procedure / Fitness to Practice Procedure

Australian Government, Department of Health – Immunisation information https://beta.health.gov.au/health-topics/immunisation

Australian Immunisation Handbook, Current Edition: https://immunisationhandbook.health.gov.au/

National Centre for Immunisation Research and Surveillance: http://www.ncirs.org.au/health-professionals/national-and-international-resources

Department of Health (2015). Immunise Australia Program. Pregnant Women. Australian Government. Available from: https://www.health.gov.au/health-topics/immunisation/immunisation-throughout-life/immunisation-for-pregnancy

NHMRC. (2019). Australian Guidelines for the Prevention and Control of Infection in Healthcare (2019). Canberra; Australian Government. Available from: https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019

NSW Ministry of Health (2017). HIV, Hepatitis B or Hepatitis C – Management  of Health Care Workers potentially exposed. NSW Government. Available from: http://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2017_010.pdf

NSW Ministry of Health (2011). Occupational assessment, screening and vaccination against specified infectious diseases. NSW Government. Available from: https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2018_009.pdf

Privacy Policy

8   NOTES

8.1

Contact Officer

Interim Manager, Workplace Health and Safety,

8.2

Implementation Officers

Program Manager Education and Faculty Initiatives, Faculty of Medicine, Health and Human Sciences

Health and Safety Advisor, Workplace Health and Safety

Return to Work Coordinator, Workplace Health and Safety

Faculty General Manager, Faculty of Science, and Engineering

Service Quality and Improvement Manager, MQ Health

Volunteer Coordinator, MQ Health

8.3

Approval Authority

Vice President, People and Services

8.4

Date Approved

11 March 2020

8.5

Date of Commencement

11 March 2020

8.6

Date for Review

March 2023

8.7

Documents Superseded by this Policy

Immunisation Policy approved 15 August 2017

8.8

Amendment History

Nil

PROCEDURE

1   PURPOSE

To set out the procedure under which the University will meet the requirements of its Immunisation Policy regarding vaccine preventable diseases (VPD) and tuberculosis for staff, students, contractors and volunteers who undertake activities as part of the business of Macquarie University.

2   SCOPE

Immunisation requirements apply to all staff, students, contractors and volunteers who undertake work in high risk areas on Macquarie University business and/or on placement where potential exposure to vaccine preventable diseases and/or tuberculosis exists and they pose a significant risk to health status.

The identification of ‘significant risk’ is achieved through robust risk assessment(s) led by the line manager/convenor/academic supervisor in consultation with those involved in the activity and the faculty/DVC portfolio health and safety adviser as required. The following areas require consideration and documentation of specific requirements for immunisation:

  1. Any area that provides a health service, including (but not limited to) Macquarie University Medical, Chiropractic and Human Sciences Clinics.
  2. University researchers working in environments, which includes contact with:
    • Live person(s) and/or animal(s)
    • Deceased person(s) and/or animal(s)
    • Human body or animal part(s)
    • Person or animal blood and other body or animal product(s)
    • Infectious material or surface(s)
    • Equipment that might contain infectious material e.g. instruments, trays, bed linen, sheets, syringes, etc.
  3. Other work and research environments upon identification of a significant risk,of altering a person’s health status.
  4. Specific geographical environments:
  • Habitation in/or visitation to/or climates and/or conditions that increase the person’s exposure to illness and disease and the potential for contracting such illness or disease.

A staff member who is subject to an immunisation requirement and is not medically, physically or emotionally able to be immunised is required to report this to their line manager and the Health Monitoring Advisor via ohs@mq.edu.au as soon as practicable.

3   DEFINITIONS

Commonly defined terms are located in the University Glossary. Definitions specific to this Procedure are contained in the accompanying Policy.

4   RESPONSIBILITIES AND REQUIRED ACTIONS

These requirements are based on National Health and Medical Research Council (NHMRC) recommendations.

STAFF:

Print version of Immunisation Procedure for Staff (PDF)

#Flowchart_Staff

Immunisation Policy / ProcedureImmunisation Policy / ProcedureEvidence of Immunisation FormImmunisation Informed Decision  Opt-Out FormGP should refer to The Immunisation Handbook Current Edition to...Completed Evidence of Immunisation Form sent to...Staff member decides not to meet immunisation requirement and...Immunisation requirements provided to staff memberNSW Health Infectious Diseases website (fact sheets and...The Immunisation HandbookRisk assessment of activities with potential exposure to...

Students:

Print version of Immunisation Procedure for Students (PDF)HDR Student Flowchart

Risk assessment of activities with potential exposure to...Evidence of Immunisation FormImmunisation Policy / ProcedureImmunisation Policy / ProcedureImmunisation Policy / ProcedureStudent presents  evidence of immunisation at Bulk Compliance...Student attends GP and gathers  evidence of immunisation GP...NSW Health Infectious Diseases website (fact sheets and...The Immunisation Handbook, Current Edition, Table 3.3.7Student provided with  immunisation requirement information...

HDR STUDENTS:

Print version of Immunisation Procedure for HDR Students (PDF)HDR Student Flowchart

Immunisation Policy / ProcedureImmunisation Policy / ProcedureEvidence of Immunisation FormImmunisation Informed Decision  Opt-Out FormGP should refer to The Immunisation Handbook, Current Edition...Completed Evidence of Immunisation Form sent to...HDR student decides not to meet immunisation requirement and...Immunisation requirements provided to HDR studentNSW Health Infectious Diseases website (fact sheets and...The Immunisation Handbook, Current Edition, Table 3.3.7Risk assessment of activities with potential exposure to...

5   RELEVANT LEGISLATION

Work, Health and Safety Act 2011

National Health Act 1953 (Cth)

Public Health Act 2010 (NSW)

Anti-discrimination Act 1977 (NSW)

Privacy Act 1988 (Cth)

Privacy and Personal Information Protection Act 1998 (NSW)

Health Records and Information Privacy Act 2002 (NSW)

6   KEY RELATED DOCUMENTS

Supporting Immunisation Procedure documents:
Immunisation Policy (see tab above)

PDFs:

  1. Appendix A Risk assessment tools for BBV transmission
  2. Exposure to Blood, Body Fluid, and other Biological products – Acton Plan
  3. Management of Health Care Workers (HCWs) and students potentially exposed to HIV, Hepatitis B, Hepatitis C
  4. Vaccination Record Card for Health Care Workers and Students
  5. Immunisation requirement information-persons at increased occupational risk
  6. Immunisation Requirements - Students Undertaking Clinical Placement
  7. Occupational Assessment, Screening and Vaccinations (Immunisation Program) (Evidence of Immunisation)
  8. Non-Participation in the Immunisation Program form - Informed decision

Other related documents:

Australian Government, Department of Health – Immunisation information https://beta.health.gov.au/health-topics/immunication

Australian Immunisation Handbook, Current Edition: https://immunisationhandbook.health.gov.au/

National centre for immunisation research and surveillance: http://www.ncirs.org.au/health-professionals/national-and-international-resources

Australian Government (2012). Australian National Guidelines for the Management of Healthcare Workers known to be Infected with Blood-borne Viruses. Canberra. Available from: https://www1.health.gov.au/internet/main/publishing.nsf/Content/cda-cdna-bloodborne.htm

NSW Ministry of Health (2017). HIV, Hepatitis B or Hepatitis C – Management of Health Care Workers potentially exposed. NSW Government. Available from: http://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2017_010.pdf

NSW Ministry of Health (2011). Occupational assessment, screening and vaccination against specified infectious diseases. NSW Government. Available from: https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2018_009.pdf

Privacy Policy

7   NOTES

7.1

Contact Officer

Interim Manager, Workplace Health and Safety

7.2

Implementation Officer

Program Manager Education and Faculty Initiatives, Faculty of Medicine, Health and Human Sciences

Health and Safety Advisor, Workplace Health and Safety

Return to Work Coordinator, Workplace Health and Safety

Faculty General Manager, Faculty of Science and Engineering

Service Quality and Improvement Manager, MQ Health

Volunteer Coordinator, MQ Health

7.3

Approval Authority

Vice President, People and Services

7.4

Date Approved

11 March 2020

7.5

Date of Commencement

11 March 2020

7.6

Date for Review

March 2023

7.7

Documents Superseded by this Procedure

Immunisation Procedure approved 15 August 2017

7.8

Amendment History

Nil

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