Key Policy Requirements
Risk Category
The following categorisation of staff is to be used to assess requirements under the Policy. Work activities, rather than job title, must be considered on an individual basis when determining categorisation.
Most staff and all "other clinical personnel", including all healthcare and work experience students, are classified as Category A.
| Category A | Contact with clients or contact with blood, body substances or infectious material. |
| Category B | No contact with clients or blood or body substances. |
Risk Category Protection/Screening Required
The following table indicates whether protection or screening is required or recommended.
| Protection/TB Screening Required by Risk Category | ||
| Disease | Risk Category | |
| Infectious Disease | A | B |
| Diphtheria, tetanus, pertussis | Y | R |
| Hepatitis B | Y | N |
| Measles, Mumps, Rubella | Y | R |
| Tuberculosis | Y | N |
| Varicella | Y | R |
| Influenza | R(annual) | R(annual) |
Key to Requirements
- Y = Protection/screening required
- N = Protection/screening not routinely required
- R = Vaccines recommended for the general population
Acceptable Evidence of Protection
All Category A healthcare workers are required to be able to provide evidence of protection according to the following table. Acceptable evidence of protection includes a written record of vaccination signed by the provider and/or serological confirmation of protection. This does not include a statutory declaration.
| Infectious Disease | Acceptable Evidence to Demonstrate Protection |
| Diphtheria, tetanus, pertussis | One documented dose of adult dTpa vaccine. |
| Hepatitis B | Documented evidence of a completed, age appropriate, course of hepatitis B vaccine and documented evidence of anti-HBs ≥ 10mIU/mL; or documented evidence of past hepatitis B infection (anti-HBc). |
| Measles, Mumps, Rubella | Birth date before 1966; or documented evidence of 2 doses of MMR vaccine at least one month apart; or documented evidence of positive IgG for measles, mumps and rubella. |
| Varicella | History of chickenpox; or documentation of physician-diagnosed shingles; or documented evidence of a positive varicella IgG; or documented evidence of age appropriate varicella vaccination. |
| Tuberculosis | All persons will need to have visited a local chest clinic to be screened for TB (to exclude active TB) and establish baseline TB status. Click here for a list of NSW TB Prevention and Control Services (chest clinics). |
