1. 2014 review on NSLHD Pre
employment ScreenPD 2011_005
New Recruit Undertaking/Declaration Form
requires compliance to immunity against
certain infectious diseases;
Hep B x3 + sero conversion
Pre 66 MMR or 2 Vax/sero
Hx Chicken pox VZV sero/2 x vax
DTPa
EPP Declaration –midwives & scrub RN
Model Health Declaration Form
Form 2 TB Assessment Tool

2. 2014 review of draft process
• Category A screening
• The applicant sends scanned documents
showing evidence of protection for category A
status to RNIS
• May 2013 to January 2014 a high percentage
of new starters provided acceptable evidence
of protection ( PD 2011-005) from documents
scanned and emailed to RNIS. ( 1000)

3. In progress to meet category A
• All new starters do not meet category A due
to Hepatitis b low antibodies ( less 10 iu) or
negligible immunity post vaccination. If they
have not been vaccinated for Hepatitis B, the
course and serology may take a time frame of
6 months. In this case, should they be
considered “in progress to meet category A”.
• Communication at this time between RNIS
and Recruitment and Occupational Staff
health needs to be consistent, but how?.

4. Applicants Documents
• The documents electronically need to be held.
The current situation is that all documents
received by RNIS are sent onto the NSLHD
group email site or individual staff upon
request at Occupational Staff Health.
• Many scanned documents can not be easily
opened from the applicant’s email by RNIS,
could some one assist the RNIS in advising
what type of scan documents are best and
storage.

5. Existing staff
• Could this situation be reviewed as currently
the RNIS does not have access to the
Macquarie & RNSH employee data base
• If they are not recorded as meeting category A
what is the best way forward

6. Similar and different
documentation
• At this stage the RNIS can only refer these
issues to the Manager of NSLHD Occupational
Staff Health if it is not stated on the NSLHD
Acceptable Evidence of protection Category A.

7. Time Delays
• The KPI is 10 working days for the RNIS to
assess, request and finalise category A for new
starters and advise NSLHD Recruitment
• The longest delay has been 6 months
• Average is around 2-3 weeks from receiving
the Pre-employment Health Assessment to
advising Recruitment the applicant has
provided acceptable category A documents
• Propose to monitor for completeness and
delays

8. Model Health Declaration Form
• A person who discloses a health condition
needs an appointment with Occupational
Physicians at RNSH Staff Health Unit
• Call 9462930 or email
• ( Hep B non responders advice)

9. Immunisation
• Check correct history
• Serology acceptable levels
• Hep B standard x3 + sero
• DTPa
• Hx varicella or sero or 2 vax
• Pre ‘66 MMR or sero or 2 vax

10. Exposure Prone Procedures
• Midwives and OT scrub nurse are required to
test for HIV and Hep C

11. Form 2 TB
• High risk assessment
• Chest clinic staff
• Staff from Countries with TB
• Staff who have travelled

12. TB (Mycobacterium Tuberculosis)
Screening
• If the new recruit has a cough which does
respond to treatment over a two week period
further investigation should be made to rule
out TB.
• People who have been born or spent more
than three month living in a high incident TB
Country need a Tuberculin Skin Test and Chest
X ray in consultation with a NSW Chest Clinic
as part of the pre screening process for
employment.