Aseptic Technique Risk Matrix - Australian Commission on Safety

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Workforce Immunisation Risk Matrix

Workforce immunisation will cover a variety of specific vaccinations depending on the risks associated with the work place. This risk assessment can be used by an organisation as part of their process to manage risk in the workforce.

The risk assessment should be used to estimate risk for all relevant disease or infection risks that impact upon your organisation (hospitals, day procedures and dental practices) or the services offered in specific clinical settings.

For example, a health service organisation will need to assess risk for relevant vaccine preventable diseases or infections that impact upon the scope of role and function of members of the workforce. The risks for these vaccine preventable diseases may differ between work groups or departments within the organisation.

For further guidance on this, refer to: o

the Australian Guidelines for the Prevention and Control of Infections in

Healthcare (NHMRC 2010) http://www.safetyandquality.gov.au/our-work/healthcare-associated-infection/national-infection-control-guidelines/ o

the Australian Immunisation Handbook (NHMRC current edition) http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/Handbook10-home

and o

jurisdictional documents that have been developed to identify relevant risk areas to be considered by health service providers relating to specific vaccine preventable infections or diseases.

Risk Factors – to be considered when calculating risk for workforce immunisation

.

1. History of vaccination or disease/infection – risk will be dependent on point 2

Confirmed past history of vaccination or disease to specific vaccine preventable

− diseases or infections e.g. hepatitis B

Unsure of previous vaccination or disease status

Unvaccinated or no known history of disease or infection

2. Workforce assessment – related to point 1

Pre-employment – information required as part of recruitment process prior to job

− offer being confirmed.

On commencement of work in the organisation

An existing employee being assessed

3. Opportunity for Exposure – independent risk factor

No direct contact with patients or clients

Contact with patients or clients – no contact with blood or body substances

Contact with patients or clients – direct or indirect contact with blood or body substances

4. Consequences of exposure – independent risk factor

Occupational acquisition of a specific vaccine preventable disease or infection

Health care associated infection of a specific vaccine preventable disease or infection

Increased risk of acquisition of disease or infection to specific vaccine preventable diseases or infections

No increased risk of dis infections ease or infection to specific vaccine preventable diseases or

Corporate risk including not meeting duty of care, litigation, workers compensation claims, decreased productivity, increased insurance premiums, risk of regulatory breach.

Workforce Immunisation Risk Matrix_ August 2013

TRIM - 85083

Calculating level of risk (assessing and scoring each matrix separately)

Workforce Immunisation

2. Workforce assessment

Pre-employment

On commencement of work

Existing employee

1. History of vaccination or infection/disease

Confirmed past history of vaccination or disease

Unsure of previous vaccination or disease

1 = Low

1 = Low

2 = Low

4 = Medium

6 = Medium

8 = High

Unvaccinated or no known history of vaccination or disease

6 = Medium

8 = High

10 = Very High

No direct contact with patients or clients

3. Opportunity for exposure

Contact with patients or clients - No contact with blood or body substances

Contact with patients or clients

– Direct or indirect contact with blood or body substances

1 = Low 4 = Medium 8 = High

Risk Score

4. Consequences of exposure to a specific vaccine preventable disease or infection

Occupational acquisition

Health care associated infection

Increased risk of acquisition of disease

No increased risk of disease or infection

Corporate risk

9 = High 8 = High 6 = Medium 1 = Low 10 = Very High

Risk Factors

1, 2. History of vaccination and workforce assessment

3. Opportunity for exposure

4. Consequences of exposure

Risk Rating (score)

Score

Overall Risk Rating

Risk Factors

Low risk

Medium

High

Very High

Score

1-8

9-16

17-24

10-28

Workforce Immunisation Risk Matrix_ August 2013

TRIM - 85083

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