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#1 of 59 Old 06-21-2007, 09:31 AM - Thread Starter
 
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Someone PLEASE help me decide if I should get all these friggin vaxes they want me to get in nursing school! Its rediculus!

I dont vax my children. (Havent since my oldest was 9 mos -she reacted)
SO Im being told since inm at SUCH a high risk, that I should AT LEAST get the Hepatitis vax.

ANY Info would help me to decide what to do in this situation.
THANKS!
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#2 of 59 Old 06-21-2007, 01:53 PM
 
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I am not a law enforcement officer or HCP, but I do know that you have legal rights and are entitled to the integrity of your own body and whatever you decide to have injected into that body will have consequences and side-effects that you will live with.

I have a younger sib who is a HCP professional who submitted to the Hepatitis B vax even after a discussion with a famous anti-vax doctor and she is fine, AFAIK, so the decision is yours.

FTR, I have done daycare fro babies and adults and I have never been vaxed. Various vaxes are recommended but not required. Other than that, the jobs I have had have not been in contact with human body fluids.

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#3 of 59 Old 06-21-2007, 01:55 PM
 
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There is NO WAY, NO WAY that I would ever inject those things into my body. No matter what the situation.

jm 2c worth.
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#4 of 59 Old 06-21-2007, 02:05 PM
 
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all i can give you is my personal expereince

I worked in a forst / group home and an emergency shelter and a woman's shelter. DH is FLEO ...

we both have Hep B.

We both got it because

in his job, in the ones i held -- we were in contact with blood, and we were bitten and scratched. not jsut a potentioal, we both knew it would and did happne faily normally. Less so for DH due to his fireld.

and also for me a lot of contact with body fliuds (gloves or no) and my own personaly hapbit of biting my naisl and constantly having open hang nails and the like.

My mom is a RN and she felt strongly we should ge the Hep B -- due to blood contact, or even needle sticks (be it intentally for DH, or accidental for me).

I knwo there are others -- some that mom has, some she does not -- that that point you have to assess actual risk......

DH aslo keeps his tentus current -- as i did when working -- do to potinal injuries (attacks or otherwise).

So of your presonal risk assessment has to consider where you will work, even as a student on rotation.....and what population you will have contact with.

I would howver, and i know some don't, support the Hep B. :

but most of it has to be determined based on where you will work and with who and what you actually will do....or what you might be called upon to due even if it is not routine for you

AImee

Aimee + Scott = Theodore Roosevelt (11/05) and 23 months later Charles Abraham (10/07)....praying for a little sister; the search starts May 2014
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#5 of 59 Old 06-21-2007, 02:06 PM
 
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If there is a chance you are going to be exposed to others' blood, I'd get the Hep vax. Things squirt and splash, gloves tear, etc.

In med school, I had gloves tear, even with double-gloving. I was splashed in the face with blood (none got in my eyes because I was wearing glasses) and had someone vomit up blood down my shirt. I also was in a trauma situation in which blood somehow got past the protective gown I was wearing and soaked into my pants.

I'm sure it's the same for nursing students, but studies have shown that med students are at a very high risk for needle sticks, mostly due to their inexperience but also because of the low-level jobs they are forced to do.

Even if you are very careful (and I think I am and was as a student), things can happen.
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#6 of 59 Old 06-21-2007, 02:21 PM
 
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I'd strongly consider HepB if I worked in healthcare.
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#7 of 59 Old 06-21-2007, 02:27 PM
 
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I'd strongly consider HepB if I worked in healthcare.
I did work in healthcare and I did get the hep B vax.
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#8 of 59 Old 06-21-2007, 02:34 PM
 
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We're delayed/selective vaxers over here... considering no vaxes for this new babe coming...

Having said that, I'm a nursing student (soooo ready to graduate!) and I took the HepB too.

I've been splashed in the face with: vomit, urine, blood, faeces... yes, you're supposed to wear goggles or a shield for certain procedures, but when something suddenly happens, you don't always have time to prep in an emergency.

I've also been stuck with a needle (accidentally) by a co-worker... wow, not fun.

It's a very personal choice, and risks in both vaxing/non-vaxing. For me, the differnce in vaccinating myself was that *I* was consenting to it, I did the research, and I decided what I could live with.

I wasn't doing it to someone who had no say or way to be informed (ie. my child).

PS - Have fun with school Nursing is a real roller-coaster! : :

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#9 of 59 Old 06-21-2007, 02:37 PM
 
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Here's what I'm thinking:
http://www.ncbi.nlm.nih.gov/sites/en...&dopt=Abstract
Quote:
To estimate the risk of hepatitis B virus (HBV) infection among hospital workers, we measured the prevalence of HBV infection in employees in five hospitals in different parts of the country and examined the effect of occupational and non-occupational factors on HBV prevalence. Among 5,697 persons studied, serologic markers of HBV infection were found in 807 (14%).
That's one out of 7 folks who work in hospitals who end up exposed, and if 10% of them will go on to become chronic carriers (and have a high risk of liver failure, liver cancer, etc.) that's a LOT. Those are not great odds.
Vaxing a baby or a little kid is totally different, though.
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#10 of 59 Old 06-21-2007, 04:20 PM
 
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I had everything as a kid, but refused all as an adult - including while in nursing school anf while working. Some people got freaked at the idea of not having the Hep B vax - but as long as you always use universal precautions your risk isn't as high as they make it seem. the risk comes from not wearing gloves, not washng hands, or from needle sticks -the majority of which are easily preventable!

maybe if you planned to work in a trauma center or the OR or something where you are constantly being exposed to blood....

but precaution and prevention go further IMO cuz there is plenty of othe nasty stuff besides HepB like HepC or HIV......
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#11 of 59 Old 06-21-2007, 04:26 PM
 
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I worked in healthcare and declined the hep. b and would do so again.

"Have faith in yourself and in the direction you have chosen." Ralph Marston

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#12 of 59 Old 06-21-2007, 04:35 PM
 
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I would not get it.

-Angela
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#13 of 59 Old 06-21-2007, 05:04 PM
 
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Dh is a :cop: and has never gotten any vaccines for his job nor has he been offered any.

He did get the DTaP due to running into a clothes line and getting a scrape above his eye. Unfortunately he didn't talk to me first
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#14 of 59 Old 06-21-2007, 05:08 PM
 
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dh started the hep b serise at FLETC -- fed law enforcemtn training center -- while posted there for traning... he finished it here.

Hep B, and a current Tetnus is all he got.... and a TB test.

Aimee + Scott = Theodore Roosevelt (11/05) and 23 months later Charles Abraham (10/07)....praying for a little sister; the search starts May 2014
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#15 of 59 Old 06-21-2007, 08:53 PM
 
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I was an RN and received Hep B, course I didn't other anything other then getting it back then. If if had to do it today, I'm not sure, it would be a difficult decision but I have had needle sticks, etc... it happens even to the best nurses.

There is no way to happiness, happiness is the way.
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#16 of 59 Old 06-22-2007, 12:02 AM - Thread Starter
 
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Thank you all. This is so helpfull & I apreciate your sharing your personal thoughts & experiences with me!



......However I am still soooo unsure of getting this! I need to see facts I guess....
Im so torn, I mean I am against routine vax's in general. And I have been denying vaxs for so long for my children ages 6.5, 4.5 & 2 (& my dd that is 6, we believe to be vax-injured as an infanct from DTaP and/or HIB -thats why we stopped vaxing & started researching)
So I just dont know what to do!

And for what its worth, I am going into Obstetrics & Midwifery afer I complete my Nursing degree. Untill then, I am working in Long Term care facillities & Acute care.
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#17 of 59 Old 06-23-2007, 01:38 AM - Thread Starter
 
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anyone? :
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#18 of 59 Old 06-23-2007, 12:03 PM
 
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Other than the hep B series (which I have had BTW), what other vaxes are on the list? And what type of facts are you wanting to see?
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#19 of 59 Old 06-23-2007, 12:21 PM
 
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i would get hep b...if i was in trauma/ER if i was just making the rounds in the hospital or Dr. office i would decline....
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#20 of 59 Old 06-23-2007, 01:49 PM - Thread Starter
 
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Other than the hep B series (which I have had BTW), what other vaxes are on the list? And what type of facts are you wanting to see?
I believe they are sugguesting a DTaP booster, HIB and that damn brand new HPV vax as well as the Hep B & Hep A & is there a Hep C??? ugh.

I guess I need facts as to how many cases maybe... among non-vaxed & vaxed healthcare workers. As well as instances of any of these Vaxs that have caused more harm than good in an Adult.

THANKS!!
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#21 of 59 Old 06-23-2007, 01:53 PM - Thread Starter
 
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ANd also if it makes any difference, I was fully vaxed as a child in the 70s/80s (Im almost 30) And my mama BF me for a full year.
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#22 of 59 Old 06-23-2007, 02:00 PM
 
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Im so torn, I mean I am against routine vax's in general.
But this isn't part of a routine slate, this is protection for you because you will absolutely be putting yourself at risk every time you are at work. This isn't a "just in case you're exposed in 10 years" vaccination, the possibility is VERY real and likely that you could become infected.

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ANd also if it makes any difference, I was fully vaxed as a child in the 70s/80s (Im almost 30) And my mama BF me for a full year.
Did you have the Hep B? How long does it last?
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#23 of 59 Old 06-23-2007, 02:17 PM
 
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i had the Hep B vax done while working as a CNA (where we get doused almost on a daily basis in urine, BMs, and even the ossocional blood squirt while helping out LPNs and RNs)... and after having taken allthe shots and getting the tieter (test to see if you are immunizated (sp?) or not) i still wasnt (and i had started the series prior to getting a full series where i worked)... i had 1 more booster Hep B shot and i am not sure if i am immuvized or not (i never got another titer done)

So even if you go through and get it done - doesnt mean that your body will take the vax and work for you (and i've had all my Vaxs completed as an adult)

~Kris mama to Alexis (15), Elizabeth (10), Andrew (7), and 1 angel
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#24 of 59 Old 06-23-2007, 05:09 PM
 
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i had the Hep B vax done while working as a CNA (where we get doused almost on a daily basis in urine, BMs, and even the ossocional blood squirt while helping out LPNs and RNs)... and after having taken allthe shots and getting the tieter (test to see if you are immunizated (sp?) or not) i still wasnt (and i had started the series prior to getting a full series where i worked)... i had 1 more booster Hep B shot and i am not sure if i am immuvized or not (i never got another titer done)
I've had the Hep B series before, tested my titers, and it was negative. Did the series again, tested the titers, still negative. I was told it would be pointless to do the series again, and I agree. I also don't have immunity to roseola at this point either.

I've never had a problem turning down vax at my jobs. Hep B (since they generally test your titers on pre-employment and when I am negative they offer) or flu shots.
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#25 of 59 Old 06-23-2007, 05:21 PM
 
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I'm wondering now if it was something we could have fought, but I know that some women in my class who are even more anti-vax than I, and tried to fight the system, were sent home from clinical rotation until they provided proof of vaccination. Someone even contacted a lawyer at one point, but the hospital won because they were 'choosing' to work in the hospital, kwim? They weren't being forced to be there. So basically, the admin said - if you don't want to be vaxed fine, but we don't have to allow you to do your rotation here.

The only thing I know that was 'mandatory' was the Hep B, having a TB test done, and they tried to force the flu shot on everyone - I just faked my record on that one. Bwahahahaha

Full time working mom to two bright and busy little girls! treehugger.gif
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#26 of 59 Old 06-23-2007, 05:47 PM
 
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I am an RN currently working in Med/Surg. I don't feel that Hep B is necessary for babies/children and those who don't work in law enforcement or health care. I have been an RN for 4 years, an LPN for 2 years before that, and a CNA for a year before that. In each role, I was exposed to blood, vomit, pee, poop, snot, you name it. Gloves and gowns don't help with everything. As a student nurse, I contracted TB. I did get vaxed for Hep B since the school required it. I was later very glad that I got the vax, considering how many times I have been exposed.

When in acute care, you never know when someone will pull out their IV or PICC line, and they and their beds are covered in blood. Sometimes IV's get pulled out when patients stand up and ambulate to the bathroom. Not everyone bleeds fast or spray's blood, but you would be surprised how fast some bleed, especially those on Heparin or Warfarin. I have been sprayed with blood from IV's, and once from a man who decided to pull out his foley cathether. Blood came squirting out of his penis and covered me. Something that is frustrating, is when you find yourself in a situation where there is active bleeding, and you go to grab a pair of gloves, and the last person caring for the patient took the last pair of gloves and didn't put a new box in the room. : But that is another rant...

I also used to work in a psych hospital. Many patients bite. Many will spit in your face. You never really know who has Hep B and who doesn't. Not everyone is tested for it. Gloves also don't help in the case of an accidental dirty needle stick, which did happen to many nurses I know.

Good luck in nursing school!!!!!
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#27 of 59 Old 06-23-2007, 05:55 PM
 
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Originally Posted by Ms.Doula View Post
anyone? :
I think if I were you I'd do the research and wait... you'll know if and when you'll ever need it.

Like a PP stated... depends completely on what sort of people you'll be working on/with. When you start working you'll know if you are being exposed too much and how protected you will be from just from taking extra precautions.
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#28 of 59 Old 06-23-2007, 06:30 PM
 
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I believe one of the studies of the safety of HepB was done on nurses, because they were an available vaccinated adult population. They found that the nurses had much higher rates of autoimmune disease after getting the vax. I'll see if I can find the study.
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#29 of 59 Old 06-23-2007, 08:20 PM
 
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I also used to work in a psych hospital. Many patients bite.
Ahhh, yes. The biters...

I was on psych twice this year - I got put in a headlock my first week there, and had scratches on my face.

Yay nursing! :

I mean, talk about lesson learned, I know how to better protect myself now.

Sorry, OT.

Full time working mom to two bright and busy little girls! treehugger.gif
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#30 of 59 Old 06-23-2007, 08:44 PM
 
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i also worked with folks with developmental disabilities - those were the folks who would bite ... they also offered the Hep B vax. I had a Hep B lady i worked with - but the only thing the poor woman could do was drool

I agree with the PPs about those who are in law enforcement and health care need to Heb B vax to protect themselves... and their familes (esp if kids are delayed/non-vaxed).. just my 2 cents

~Kris mama to Alexis (15), Elizabeth (10), Andrew (7), and 1 angel
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