1. 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

2. 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

3. 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

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

5. 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

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

7. 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

8. 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

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

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

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

12. Total Number of Doses Administered by Month 2006

13. 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

14. 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