|
Hepatitis B Birth Dose Honor Roll |
|
Hepatitis B Birth Dose Policies Achieve High Coverage Rates |
|
|
| 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. |
|
|
| 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. |
|
|
|
|
|
|
| IAC's Inaugural Honoree |
|
| 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%. |
|
| 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 |
|
| >> view all honorees |
|
|
|
|
| |
| Criteria for inclusion on IAC's Hepatitis B Birth Dose Honor Roll |
|
|
|
| To be included in the Immunization Action Coalition's Hepatitis B Birth Dose Honor Roll, a birthing institution should have: |
|
|
|
 |
|
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.) |
|
|
|
|
|
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. |
|
|
|
| |
|
 |
|
Parents are informed about the importance of the hepatitis B vaccine birth dose and that it is recommended for all newborns. |
|
|
|
|
|
All newborns
routinely receive hepatitis B vaccine within
24 hours of birth. |
|
|
|
|
|
A review is performed as to whether the correct screening test, hepatitis B surface antigen (HBsAg), was ordered for the mother during this pregnancy. |
|
|
|
|
|
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. |
|
|
|
|
|
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. |
|
|
|
|
|
Infants born to HBsAg-positive mothers receive hepatitis B vaccine and hepatitis B immune globulin (HBIG) within 12 hours of birth. |
|
|
|
|
|
Infants born to mothers whose HBsAg status is unknown receive hepatitis B vaccine within 12 hours of birth. |
|
|
|
|
|
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. |
|
|
|
|
|
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). |
|
|
|
|
|
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. |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
 |
|
| View
the hospitals and birthing centers -- over 570 -- that have attained high coverage rates |
|
|
|
|
| |
|
|
| |
| Support for the Universal Hepatitis B Birth Dose |
|
| • |
|
American Academy of Family Physicians |
|
|
|
| • |
|
American Academy of Pediatrics |
|
|
|
| • |
|
American College of Obstetricians and Gynecologists |
|
|
|
| • |
|
Centers for Disease Control and Prevention |
|
|
|
|
ACIP Recommendations
Vaccine Information Statements 
