Mary Koslap-Petraco, MS, CPNP Michael Vallone, AAS, RN Oneek Iftikhar Correctional Facility Immunization Program for Combination Hepatitis B/Hepatitis A Vaccine-A Success Story in Suffolk County, NY Mary Koslap-Petraco, MS, CPNP Michael Vallone, AAS, RN Oneek Iftikhar

Learning Objectives for This Presentation By the end of this presentation participants will be able to describe A method to successfully implement successfully track Hepatitis B/Hepatitis A vaccine for incarcerated adults and adolescents

Background Incarcerated individuals have a high rate of both Hepatitis B and Hepatitis A infection Incarcerated generally will at some time be returned to the outside community Prevention of Hepatitis infection in incarcerated may also decrease incidence in community

Background Incarcerated are transient Difficult to administer 3 dose series Difficult to track doses administered

Setting Suffolk County Correctional Facility at Riverhead, NY Maximum security facility Located in suburban area Houses inmates for terms up to two years Suffolk County Department of Health Services provides medical care

Population Inmates are both male and female Age range 16 years through adulthood Recidivism is high Average daily population 1800 inmates

Project Description Nursing and medical staff identified evidence based risk for Hepatitis B and Hepatitis A infections in incarcerated population New York State Health Department (NYSDOH) Offered to supply TwinRix (Hepatitis B/Hepatitis A) at no charge

Project Description Standing orders for nurses to administer immunizations Policy of SCDHS Follows policy of New York State Department of Education-Board of Nursing Nursing staff developed and implemented program to administer and track immunizations

Number of 1st Doses of Hep B/Hep A Administered 2006

Number of 2nd Doses Hep B/Hep A Administered 2006

Number of 3rd Doses Hep B/Hep A Administered 2006

Total Number of Doses Administered by Month 2006

Results/Lessons Learned Successful immunization program was implemented Inmates were provided with at least one dose of TwinRix Vaccine series was completed in many cases before inmates were released Series was completed during subsequent incarcerations

Results/Lessons Learned All inmates who receive Hep B/Hep A are educated regarding the importance of follow-up to complete series Immunization cards are given to inmates following immunization Includes next scheduled dose Empowers inmates to be responsible for their health following release from correctional facility Documentation that they have received vaccine