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Hepatitis B Birth Dose Honor Roll |
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Hepatitis B Birth Dose Policies Achieve High Coverage Rates |
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| On July 16, 2013, the Immunization Action Coalition (IAC) launched the Hepatitis B Birth Dose Honor Roll. The Honor Roll recognizes hospitals and birthing centers that have attained high coverage rates for administering hepatitis B vaccine at birth. |
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| In addition to recognition on IAC's Birth Dose Honor Roll and announcement of their achievement in IAC Express, honorees receive a 8.5" x 11" color certificate suitable for framing. |
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| IAC's Inaugural Honoree |
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| Albany Medical Center (Albany, New York), with support from the New York State Department of Health Immunization Bureau, achieved a birth dose coverage rate of 99%. |
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| Pictured: Mary Miller, RNC, Nurse Manager of Postpartum and Newborn Nursery, Albany Medical Center; Mary Ellen Plass, MS, RN, Senior Vice President and Chief Nursing Officer, Albany Medical Center; and Deborah Wexler, MD, Executive Director, Immunization Action Coalition |
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| >> view all honorees |
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| Criteria for inclusion on IAC's Hepatitis B Birth Dose Honor Roll |
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| To be included in the Immunization Action Coalition's Hepatitis B Birth Dose Honor Roll, a birthing institution should have: |
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Achieved, over a 12-month period, a coverage rate of 90% or greater for administering hepatitis B vaccine before hospital discharge to all newborns (regardless of weight), including those whose parents refuse vaccination.
(Newborns who are transferred to a different
facility after birth due to medical problems do
not need to be included in the denominator.) |
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Implemented written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection prior to hospital discharge.
Note: The following criteria are generally required, but exceptions may be made. |
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Parents are informed about the importance of the hepatitis B vaccine birth dose and that it is recommended for all newborns. |
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All newborns routinely receive hepatitis B vaccine after birth, before hospital discharge. |
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A review is performed as to whether the correct screening test, hepatitis B surface antigen (HBsAg), was ordered for the mother during this pregnancy. |
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The result of the mother's HBsAg screening test is reviewed. It is best, if at all possible, that the policy calls for review of a copy of the original HBsAg test result, and not a transcribed or hand-entered report |
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An HBsAg blood test is ordered ASAP if an incorrect test was ordered on the mother or if no test result is included on her chart. |
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Infants born to HBsAg-positive mothers receive hepatitis B vaccine and hepatitis B immune globulin (HBIG) within 12 hours of birth. |
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Infants born to mothers whose HBsAg status is unknown receive hepatitis B vaccine within 12 hours of birth. |
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Infants who weigh less than 2,000 grams and are born to mothers whose HBsAg status is unknown receive HBIG (in addition to hepatitis B vaccine) within 12 hours of birth. |
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Routine newborn admission orders include a standing order to administer hepatitis B vaccine to all infants (similar to standing orders to administer Vitamin K and ophthalmic antibiotic). |
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Notification of the state or local health department’s perinatal hepatitis B prevention program is done prior to discharge (or as soon as known, if after discharge) for all mothers whose HBsAg test result is positive. |
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| View the hospitals and birthing centers -- more than 200 -- that have attained high coverage rates |
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| Apply for the Hepatitis B Birth Dose Honor Roll |
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| Complete this online form to tell IAC about the birth dose policy in your birthing facility |
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| Flyer: Do You Qualify? |
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| Support for the Universal Hepatitis B Birth Dose |
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American Academy of Family Physicians |
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American Academy of Pediatrics |
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American College of Obstetricians and Gynecologists |
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Centers for Disease Control and Prevention |
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