A nurse manager is discussing employment requirements with a group of potential employees. One person says, "I am not certain I want to get a hepatitis shot." What information should the nurse provide?
1. "Working in a hospital puts you at higher risk for being exposed to hepatitis B."
2. "You can be protected from hepatitis B with this one quick immunization."
3. "Children get this immunization before they are 2 years old."
4. "If you don't get this vaccine, you must wear gloves at all times."
5. "The vaccine is about 50% effective."
1,3
Rationale 1: Working in a hospital increases risk of being exposed to blood and body fluids, which is a primary means of transmission.
Rationale 2: This is a 3 injection series.
Rationale 3: Childhood immunization for hepatitis B is completed by age 18 months.
Rationale 4: Wearing gloves at all times is not good infection control. The virus can be spread in other ways besides hand contamination.
Rationale 5: The vaccine is about 90% effective.
Global Rationale: Working in a hospital increases risk of being exposed to blood and body fluids, which is a primary means of transmission. Childhood immunization for hepatitis B is completed by age 18 months. This is a 3 injection series. Wearing gloves at all times is not good infection control. The virus can be spread in other ways besides hand contamination. The vaccine is about 90% effective.
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