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Immunizations for influenza shall be offered to staff and licensed independent practitioners, and reasons for refusal of the influenza vaccine by an employee shall be documented by the infection control or employee health program. For Nebraska requirements, see Neb.
10, § provides that hospitals shall establish processes and programs to prevent the spread of communicable diseases and infections. §71-467, pertaining to “general acute hospital; employees; influenza vaccinations; tetanus-diphtheria-pertussis vaccine; duties; record”.
C., no regulation or statute specifically refers to vaccination against influenza for hospital employees.
The definition of healthcare worker does not include volunteers. For Georgia requirements, see Ga. § 31-7-18, relating to influenza vaccinations for discharged patients aged 65 and older, vaccinations or other measures for health care workers and other employees in hospitals, immunity from liability, and standing orders.  For South Dakota, no regulation or statute specifically refers to vaccination against influenza for hospital employees. 441A, § 550, relating to “medical facilities.” Nev. A worker shall not be required as a condition of employment to be immunized under this section, unless such immunization is otherwise required under state or federal law, rule or regulation. For Rhode Island requirements, see R23-17-HCW, “Rules and Regulations Pertaining to Immunization, Testing, and Health Screening for Health Care Workers”, promulgated pursuant to the authority conferred under Chapters 23-17 and 23-17.7.1 of the General Laws of Rhode Island and revised in October 2012. The program shall also include a signed declination statement on record from all who refuse vaccination for other than medical contraindications, education of direct care personnel about influenza transmission and control, and an annual evaluation of the program including reasons for non-participation. For Pennsylvania requirements, see 35 P. § 634.3(a), providing that when an eligible person is admitted to a hospital for a period of more than 24 hours for a condition unrelated to the influenza virus or pneumococcal disease, he or she shall be informed that a vaccination for the influenza virus and pneumococcal disease is available and provided the opportunity to receive vaccination against the influenza virus and pneumococcal disease prior to discharge from the hospital. Chapter 8 of the Health Care Facilities Act defines a hospital as an institution having an organized medical staff established for the purpose of providing to inpatients, by or under the supervision of physicians, diagnostic and therapeutic services for the care of persons who are injured, disabled, pregnant, diseased, sick or mentally ill, or rehabilitation services for the rehabilitation of persons who are injured, disabled, pregnant, diseased, sick or mentally ill. § 31-7-18 provides that annually between October 1 through March 1, prior to discharging any inpatient who is 65 years of age or older, a hospital shall offer the inpatient vaccinations for the influenza virus and pneumococcal disease, unless contraindicated and contingent on availability of such vaccines. For Illinois, no statute or regulation requires any hospital to ensure that any inpatients are vaccinated with influenza vaccine. 441A, § 550 provides that if a case having a disease caused by invasive Haemophilus influenzae type b is in a medical facility where there is a contact who is less than 2 years of age, and where 2 persons have been diagnosed as having a disease caused by invasive Haemophilus influenzae type b within 60 days, each child in the medical facility shall complete a course of antimicrobial prophylaxis, unless medically contraindicated, regardless of whether the child has received an immunization against Haemophilus influenzae type b. For Oregon, while no statute or regulation requires any hospital to ensure that any employee is vaccinated with influenza vaccine, note Or. Such preventative immunization shall be provided by the employer at no cost to the employee. 1200-8-1-.06(3)(f) provides that the facility shall have an annual influenza vaccination program which shall include at least the offer of influenza vaccination to all staff and independent practitioners or accept documented evidence of vaccination from another vaccine source or facility. § 634.2 defines an eligible person as a person 65 years of age or older, and defines a hospital as an institution licensed as a hospital pursuant to Chapter 8 of the Health Care Facilities Act. 420-5-7-.04, requiring each hospital to establish vaccination requirements for employees that are consistent with current recommendations from the Federal Centers for Disease Control and Prevention and the Federal Occupational Safety and Health Administration (at a minimum to require annual influenza vaccinations). 420-5-7-.04 as a health institution planned, organized, and maintained for offering to the public generally facilities and beds for use in the diagnosis and/or treatment of illness, disease, injury, deformity, abnormality or pregnancy, when the institution offers such care or service for not less than 24 consecutive hours in any week to 2 or more individuals not related by blood or marriage to the owner and/or chief executive officer/administrator. For Connecticut requirements, see Regs., Conn. “Short term hospitals” and “long term hospitals” are defined in § 19-31-D1(b)(1) and (2), and are both covered by this chart’s definition of hospital. For D. Healthcare employees who decline vaccination for any reason shall sign a statement declining vaccination and certifying that he or she received education about the benefits of influenza vaccine. “Designated Healthcare Facilities” are defined in Code Me. § 10-144-264(1) as a licensed nursing facility, residential care facility, intermediate care facility for the mentally retarded, multi-level health care facility, hospital, or home health agency. For New Hampshire requirements, see N.
§ 151:9-b provides that all hospitals and residential care facilities licensed under Title XI, chapter 151 of the New Hampshire Revised Statutes shall document evidence of immunization against influenza, for all consenting patients in accordance with the current recommendations of the Advisory Committee on Immunization Practices for the Centers for Disease Control and Prevention (CDC) with respect to indications such as age, timing, dosage, and administration. 1, every patient aged 65 years and older shall be provided the opportunity to receive influenza vaccination in accordance with the recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control in effect at the time of vaccination, incorporated herein by reference. This requirement only applies to those facilities falling under the definition of hospital set forth in N. CLS Pub Health § 2801(1). For Nevada, no statute or regulation requires any hospital to ensure that any employees are vaccinated with influenza vaccine. R23-17-HCW § 2.1 defines “health care facilities” as including but not limited to hospitals, nursing facilities, rehabilitation centers, kidney disease treatment centers, freestanding emergency care facilities, facilities providing surgical treatment to patients not requiring hospitalization, physician ambulatory surgery centers and podiatry ambulatory surgery centers, among others. For Rhode Island, no statute or regulation requires any hospital to ensure that any inpatient is vaccinated with influenza vaccine. For infant health and development, hepatitis B vaccine given as required. For Texas requirements, see Tex. Section 120392.4 provides in part that a resident who receives services at a health care facility during the period of October 1 to April 1 shall have his or her status for influenza and pneumococcal immunization determined by his or her physician or facility medical director, and, if appropriate, the facility shall offer to make the immunizations available, unless the facility, through written policies and procedures and using standardized nursing procedures, offers to make the immunizations available without limitation as to the period when the residents receive services at the facility. For Tennessee requirements, see Tenn. § 68-11-266, providing that in accordance with the latest recommendations of the advisory committee on immunization practices of the centers for disease control, and subject to the availability of vaccine, each year from October 1 through March 1, prior to discharging any inpatient who is sixty-five (65) years of age or older, a hospital shall offer the inpatient immunization for influenza and pneumococcal diseases. For Tennessee requirements, see Tenn.