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Res No 138-96-9892NOW, THEREFORE, BE IT RESOLVED By THE NAyoR AND CITy COMMISSION THE OF SOUTH ", FLORIDA.' The City Manager `! , and hereby is authorized to disburse the sun of $141 per Hepatitis ►: • r • ! plus an . ! each ! a one time • ri to mercy Hospital !;e Hepatitis expenditure will be taken from 1910-34501 Contractual. 999tign-21.,, That this resolution shall be effective e South Miami Police Department acknowledges receiving the attached Mercy Outpatient Center proposal dated June 26, 1996. South Miami Police Department hereby desires to contract with Mercy Outpatient Center for services to include: Administer Hepatitis B Vaccines Program This Letter of Agreement may be canceled by either party without cause providing notification is made in writing 30 days prior to desired termination date. All bills related to contractual services should be forwarded to South Miami Police Department, 6130 Sunset Drive, South Miami, Fla. 33143. Bills are to be mailed to us as personnel complete the vaccine series. Upon Miami healt receipt of�this agreement, Mercy Outpatient Center and South Police Department will commence the proposed medical and h, servicesA Mercy Outpatient Center Maureen G. Mann Vice President of Mercy Medical Development So Miami ` Vo Re r sentative n dmw- Date Date Title vsf / 9 r ° W. { A O CITY OF SOUTH MIAMI INTER - OFFICE MEMORANDUM To. Mayor and City Commission Date: July 12, 1996 •— ` Moor V *3 J Fr Eddie Cox Re: Agenda Item # City Manager Comm. Mtg.7/23/96 Hepatitis B Program The United States Federal Government has required by law that emergency response care providers be offered by their employers Hepatitis B vaccinations. Historically providers such as police officers and exposed to the Hepatitis B virus . exposure and contraction can, and emergency response care fire fighters have been As the devastation from this has ended careers and cost thousands of dollars, the Government has vaccination program is well worth the initial decided that the cost outlay. Four proposals have been solicited from local medical providers for this vaccination program. Mercy Hospital's proposal was the most 41 beneficial when taking into consideration cost, location, and services provided. Chief Hernandez has recommended that Mercy Hospital be awarded this contract, and I am in concurrence with the Chief's recommendation. Mercy Hospital's bid of $141.00 per Hepatitis B vaccination (a series of three), plus an additional $47.00 (if needed) for a one time booster, is very cost effective. These monies will be taken from budget account #1910 -3450, Contractual Services. I recommend approval. EC /DR /esw • �i CITY MANAGER'S OFFICE , TO: City Manager C 's CITY OF SOUTH MIAMI POLICE DEPARTMENT INTER- OFFICE MEMO Eddie Cox FROM: Chief Rafael P. Hernandez DATE: June 18, 1996 SUBJECT: � Ji. dr Hepatitis B Vaccination Program The following four (4) Vaccination Program were 1. Mercy Hospital, Fla., Phone 285- , f r y MAR's � OFRCiF. .1 i• ;� L r7 • JUN 2 4 I 9r,# io NIEF'S OFFICE SOUTH MIAMI POLICE DFPT, facilities which offer the Hepatitis B contacted: 3659 South Miami Avenue, Suite 3001, Miami, 2944. Proposal is $141.00 for the series of shots . Those who do not develop antibodies may receive a one time booster which will be an additional $47.00. 2. Mount Sinai Medical Center, 4302 Alton Road, Miami, Beach, Fla., Phone 674 -2312. Proposal is $150.00 for the series of shots. Those who do not develop antibodies may receive a one time booster which will be an additional $70.00. 3. The Home Care Connection, 9350 Sunset Drive, Suite 122, Miami , Fla . -, Phone -274 -7477. Proposal is $200 *for the- series of shots. Those who do not develop antibodies may receive a one time booster which will be included in the above proposal. 4. Dr. A. Roca, 7401 S.W. 62 Ave., So. Miami, currently our workers compensation Doctor. Proposal is $225 for the series of shots. (Verbal Proposal /No No additional booster is given written proposal attached). in the series. After reviewing the proposals, I respectfully recommend Mercy Hospital as it has the lowest price, it is at a location, and the services are adequate for our needs. IWO we utilize convenient e/ ON • a9ggpm • M9 TA9 z anoA ao j STits. UT ao upgszssp sTPsodoad p94STT ft .. RPS /H2i jnoA aoi noA xupus auq pagopgqp PUTT asPaTd omq abed r-I 9350 Sunset Drive Suite 122 Miami, Florida 33173 Dade: 305- 274 -7477 800= 4564227 Fax: 305- 274 -3086 March 19, 1996 Sergeant Shirley Bradshaw South Miami Police Department City of South Miami 6130 Sunset Drive South Miami, FL 33146 Dear Sergeant Bradshaw: Thank you for your interest in vaccination program through South M The Employmed Hepatitis B guidelines and can benefit * An affect dollars. employees .4 continuing the Hepatitis iami HealthSystem. Vaccination program follows the OSHA your organization: ed employee can cost you thousands of health This low cost program will immunize your high and eliminate the pons * All administrative problems a ibi * ' ty of exposure. involved in this program wl 11 be eliminated since we schedule all maintain all records, notify each employee employee educast i on . care risk seven month appointments, and provide * A booster vaccine and follow -up will be included in the total price, for those employees who do not convert to immune status. The enclosed, updated proposal outlines the details of the program. ro ram. Please feel free to contact my at ( 305) 274 -7477 if you have an questions, Y y Again, thank you for speaking with you soon Sincezel y, 14i4 it c)<,e Harry Keller Administrator enclosure your consideration. I look forward to .,, INFOPXATIONAL STAT (Recombinant) Recombinant Hepatitis -B vaccine is a synthetic and therefore human serum, t _ • � re not wade from I is a non infectious subunit viral vaccine derived from Hepatitis B surf ace antigen produced in Y east cells. Recombinant vaccine is indicated for immunization again st ' a o infection caused by 11 known subtypes of hepatitis B v� . Recomb�.nant vaccine e in will not prevent hepatitis caused by other agents, such as he atitis viruses or other organisms P A , C , and E g nisms known to infect the liver. Recombinant vaccine is generally well tolerated. No serious o � us adverse reaction or serious hypersensitivity reactions attributed to vac ' inations have been reported during the course of clinical trails, Persons who have a hypersensitivity to yeast or any component of the vaccine show ' t• P should not receive As with any vaccine, there is the possibilit that broad use of vaccine could reveal Y he rare adverse reactions not observed in clinical trails . Adverse reactions observed in 1% include but are not liiaited to 4W}1 C_> 100 such as e F) , headaches, diz z Ines s , induration, erythema, and 10% of recombinant vaccine recipients following: Fever nausea, local reactions at injection site swelling. Adverse reactions seen in less than 1% - 10% of recipients include but are not limited to lymphadenopathy, arthralgiaf myalgia, Guillain -Barr Bell's Palsy, Herpes zoster and thrombocytopenia. If a routine booster dose(s) of U.S. Public Health Service at a made available. recombinant Hepatitis B malaise, hypotension, e' , neuropathy, including hepatitis H vaccine . is recommended by the future date, such booster doses) shall be Pregnancy is usually a- eontra-indication for routine hepatitis (recombinant) vaccination. Because of the long incubation period • f or hepatitis B , it is possible for infection to be present at the time recombinant vaccine is ' ve gi n. Recombinant vaccine may not prevent hepatitis B in suchP atients . Vaccination is recommended in persons of all ages, especially those who are or w' at crease P y ill increased risk of infection with hepatitis B virus for example : health care personnel w' ' P ith possible blood /body substance exposure at least once per month in the perf ormance of their job duties . Hepatitis B is an important cause of viral hepatitis • There is no specific treatment fir this disease. Recombinant vaccine is indicated for immunization of persons at risk of infection from hepatitis B virus • ML D3wHd LqEl 3msocm Alf XSIH 1V 3MV OHM SRqL--XOrldM JLVIU J"lHOdHI "rvasicl silu do 3NUVN XIMA IS 1 11 2[s sfloilmsI • 2[SflVD21E1 i v .I • Sli HO SIIIJLVd[HH ERCI SNVDIIEW 00069 XlUVWIXCRldJV YvM XJEM *UaAI AO OHHH t � w .ICI • .I A 1 IC r 01,111111111111111 .IC • wva .IC IC ` .IC CT do XS iu 3m 1 WM Ud • IC IC IC jo ac,IIIII IHN • 1 El IS 111 lVp .ICI do IS aDNar1w • IHOHS Uvax DKINOD DMI SZLVJLS CR MM VfE 1 000 11 XVM EMOW MlIULS rIrl I M CNV SIIHI A V XEI CEHSfIVDIMA I rl I • • I JLVHPjvrl N I VHS I S21SilVDr HDIHM 2[S G V SI iigii SIJLIJLVdE[H Q. If 966T '6T HDHVW KSISLSHS`IVHH iKViN HLnoS azx�ogaws :Ls aalNESSUd 110A uSu ICf 11 0A 7VSOdOld 'e INTRODUCTION Hepa t i t i s B i s a disease which causes inflammation of the li It is caused by a virus and wi 11 strike more than 200 individuals in the United term consequences of hepat lost from work, and consequences include 1' States during the coming year, i t i s B include an average the ri sk of seven of permanent liver damage. Long ver. ,000 Short weeks term chronic active hepatitis and cirrhosis of the ever. Every year app rox imatel y 5,000 Ameri cans die of hepatitis or i s compl lcations . Because of the serious nature of this disease, it is very important exposure be protected. Operating under the supery Empl oyMed's on -site Hepatitis that employees who are at risk of ision of a licensed B Vaccination• Program wi to provide the required hepatitis B i consistin of th physician, 11 allow you nt ramus cul ar vaccine series W e required 1 cc, to your employees, at your place of business. By decreasing the amount of time an em to ee d out of the office P y spen s t , . a raveling to and from a treatment site ln3ections , you will save a full day of productive work each vaccinated employee. We also provide ease of since we handle all scheduling, record kee in P 9. employees and education, admin' notifi I time for istration, cation to On -site hepatitis B vaccinations will be rovided to hi h ' P g risk employees (employees exposed to blood or other body fluids u y ids on average, one or more times per month) of City of South Miami . The following wil 1 apply: First Visit .9 Second Visit: Third Visits, Fourth Visit: First Vaccine injection by Registered Nurse Second Vaccine Injection by Registered Nurse (one month after first vaccine) Third Vaccine Injection by Registered (s, x months after first vaccine) Blood Screen by a registered nurse (four weeks after final injection) Nurs e This proposal is being submitted by EmployMed, South Miami Healthsystem, to provide on -site hepatitis B vaccination to employees of City of South Miami . Enclosed is a p descri tion of services, mechanics of the program, a fee schedule bi 11 i ng information and an agreement, b MECHANICS OF THE PROGRAM A hepatitis B intramuscular determined, and the schedule of bl I ake la t 46 t vaccination schedule will be ood screens and vaccinations wi 11 p ce a e employer s place will be conducted with a minimum t Home will and C • par of business* On -site testing icipation of 5 employees. The are Connection, a subsidiary of South Miami Healths stem Provide a registered nurse to Y draw blood for the blood screens administer the vaccines. -Prior to the first visit, all for this program will receive booklet for their review, -At the time of identify himself the and employees who volunteer a question and answer f i rs t visit , the employee will be asked to sign an authorization form (see attached sample) for the rel ease ' o f hl s meth ca 1 records to City of South Miami. Will be provided . City of South int t Educational Miami must material s provide an erpre er for all non - English speaking employees,, -Also at this participate wi form. A vaccine administration scheduling arr third vaccines -The f: immuni explan f o rwa r 1' t a d time, those empl 11 be asked to s: e will be schedul by a registe angement will be real visit wi 11 i Y status, wit t i ons (of cone ed to the empl o oye ign ed red ma !es who have agreed to a consent and release every five minutes for nurse. The same de for the second and nclude a blood screen to determine h notification of resul is and ►ersi on to immune status) being yee and City of South Miami. -A booster vaccine wi 11 be available to an em has followed employee who lowed the vaccination schedule listed above but does not convert to an immune status. This fourth vaccine will be administered after the antibody dy titre (drawn at least 30 days after the third vaccine) reveals ty has not been achi eved vacc that immune blood screen . A post ' P ination will be drawn after_ .another 30 day eriod - subseq�ient to the boost � p ter vaccine to determine if immune status has then been attained. Any employee who misses an appointment should make other arrangements to reschedule, All records will be kept on file at The Home Care Connection . City of South Miami will also receive all results for employee files. Any employee receiving ng the vaccine series, who leaves the compare ci t • Y% Y. will be notified in writing of his or her opportune t to co the series . Y retinue The employee and City of South Miami will receive the final blood screen results. a4EQ a4 eQ ao4ElgsTu*TWpV ' .za I Iax uoiloauuoo RHYD ZKoH Hlu aura Tpay,� Iauo Tgvdn000 ;o aabeupH ' saAEaD a Tsor aI &4 Ts HHlsASHlgvHH INVIW HinoS aura u INVIK HsnoS Jo A LID • iui:0TH ggnoS Jo Agzo oq paquasead sz 4T 9uuz4 auq ucoI sAEp (06) A49UTU ao; pT Ian sz TESOdoad sTT41 • � a ET 9WWT T , p , uua.�boad siu4 quauta Iduuz I I'CM paylAo IduuS ' quauuaa.1ba szt;� 3o �eno.�ddE uod T tl 0 • a0uEnpE ur s�isp (pg ) butntb Aq asnEo anp aog quatuaaabE xgxTs UoTgaoT;TqOLT ua qq TAM ST 4 Iaouao t�EUI ��.�Ed �rau�T� '94Ep aOTOnuT 9qq uuoIJ seep (0e) AgaTtiq UTtjq TM apau aq I I TM TweTH u4nos Jo AgTo Wog j quauA Ea 9T4 ui a4EdtoTw4aed 10 A4 io o dft (G)90TOAU 'tua�bo.�d OqM saaAo Iduua I TE buTgst I ' iuiEZH qqnoS T ua qzuuc{ns I ITM uoT4oauuoD 9aPO auuOH a s UOT4EUTOOEA aE Tnosnuua��u 0 g sT4Tged9H 10 A4TO apTnoid I I TM ' Uo Tgoauuoa a.�ao 'uuaaboad 94zs -uo UP ggTM TWETH lqgnos auuOH 9ql ' pajjAo I dtuS gbnoaus y t uoa 'uuajo eagaa �o��.z�szuiuzp� £L ZZT# agTn uo T q o j jam LL T££ EP s an-r�Q a uuo D a Aa tL- Tao 49 aBH t.LZ t5 lw suns 0 9WOH SZV 00 BIN S£6 aus IL Complete Vacci i 4 FEE SCHEDULE BREAKDOWN nation Series per employee: First Vaccine Injection Second Vaccine . Injection Third Vaccine Injection Blood Draw: BILLING Invoices wi 1 I be submitted to City of South Miami after gazes" v Payment f rom City of ion wi thin this . $200e00 $55.00 $55.00 $55.00 535.00 Connect South Miami will be made to rty (30) days of the invoice vdate The Home isi.t. 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E . E . 0 Sgt. 6radish Brown South Miami Police Dept, South Miami, Florida May 100 1996 RE: i�eaatitis B Imn nizatio ram r . . TO 9663633 7 A . 02 Tnis communiqud is in followoup to my letter of May 9, 1996 regarding Hepatitis B immunizations. it would have been helpful had you told me you needed the professional staff to come to the police station or designated site to administer the Hepatitis B vaccine series. This is something we could have arranged with our Mercy Mobil Unit, Respectfully, Reuben J. Damp, R.N. Director, Health Evaluation cc: M,GvM chf /srnpd and Exercise Center Sponsored by The Sisters of Sr lOU" of St Augustin, Flodda e1j�'� . 3&" South Miami Avenue I Suite 3001 / Miami, Florida 331334205 13054854944 / Fax; 3054$542W TOTAL 41A,r #V Z•bL�) ( S�Ot') auc�yciat�of$ 0 �!� 1 f to t l"llow) otl.�t ►a�� zusrtK . PCO"d, U1011 / %,Opcf • AMP= auoj;daaram4 pegou &Acge aqq qe etgTasod Be unos sB IY 8D 9susTd ' sebud 044 TIV a1►�te��r '40U PTP nOA ;I JoO ,vv"J IV imam IN Ar A& Mill r � r � •' r IF rNA (Auy ;I) abQSSeH : a4 BUTAOT XOJ stn JOAT T Op 08881d .. .. w . LZSZ -tiL9 (900 %WORON X`Td - 916£ -U9 t500 �3.LN8�'1a"J1Q�W Zt£z--i►L9 (SOS o1r Y E E 'Iei ' t�YrZH IjiKIm QyOti NO.T.ZY ZO£i► �y�� HLIWH 7YN0ISVd=00 a MOUNT SINAI MEDICAL CENTER OCCUPATIONAL HEALTH CENTER .w�ww��w►r�.��.��M.��•�� w�• �wrr�-- w-r �. ��w. �... ��+ �. �. �.-• �- w- ��- �A��r w��- �- w��+ �-��.��u.��.�..�r��w�.w- HEPATITIS B VACCINATION POLICY STATEMENT ..,r.- r..�r-�wwwww....►w ..��,.....r��w �wr��. +w.�.�....�+rrrw- ��-ww�w+� �� r�rwww.ww- .ww��ww ��..��w.��r�r�� In accordance with OSHA Standard 1 510.1030 -- sl000borne Pathogens, Mount Sinai Medical center offers Hepatitis S vaccine and vaccination series to South Miami Police Department employees who are at a reasonable risk of an occupational exposure to bloodborne pathogens, MN-- �w— I'.n��r� � • w ��w��Mrr�� NM- AEI. A�r ��rrrN�w��M�� .w�ww�MN-- r��- wr.�rM�w�r� rM��N� -� N PURPOSE: To provide uidelines for the administration of Hepatitis 9 8 vaccine and vaccination series to South Miami Polica Department employees at a reasonable risk of occupational exposure to bloodborne pathogens. �w�`��lw"w�N�r�••��w�..• w�r�. �-- ww- www��...+w�r��- �w-w�ww.�..�• w �r..�.��— w��w�4�M+.�+��.�� w PROCEDURE: I. Risk of Occupational Exposure. A risk of occupational exposure as defined by OSHA means reasonably anticipated skin, eye, mucous membrane, or parenterai contact with blood or other potentially infectious materials that may result from the performance of an ennployee's duties. A. All South Miami Police Department employees whose job classification indicates that they may experience an occupational exposure to bloodborne pathogens. lie Routine Hepatitis 6 Administration Schedule. - A. The Hepatitis B vaccination series - consists of three injections. They are administered as follows: {a) initial administration: (b) one month from date of initial injection; injection. and 0 six months from date of initial PROPOSED COST; $150.00 (THREE DOSES) • . _ _ �./ L 1 L•.j I 1 1 V O 1 . 1 S p -s ad • 1 Pr V V - .+ • • . M .. w • - _ _ I 1 employee should return for anti -HBSAG antibody titer testing. s Ce PROPOSED COST: $20.00 If the anti- HBSAG, antibody titer is less than ten, i is to be administered. one additional Antibody titers should be checked one month following the administration of the booster. If the employee's titer still remain less than ton, the employee may not be immune to Hepatitis B infection and should be so advised. PROPOSED COST: 580.00 (ONE DOSE) ft South Miami P01 "Ce Department acknoWed es receiving the attached Mount Sinai ' A g Medical Centers Occupational Health and Wellness ro osal dated May 8th 1 a p p Y South Miami Police Department hereby desired to contract with Mount Sinai Medical Center for a Comprehensive Occupational Health Service to include: o Administer Hepatitis B Vaccines Program This Letter of Agreement maybe canceled by either party without cause providing notification is made in writing 30 days prior to desired termination date. Alf bills related to contractual services should be forwarded to: Upon receipt of this agreement, Mount Sinai Medical Center and South Miami Police Department will commence the proposed medical and health services. Mount Sieni Medical Center Carol Rosasco Vice - President South Miami Police Department Representative Name Date ..._..— Title .. 3 U South Miami Police Department acknowledges receiving the attached Mercy Outpatient Center proposal dated June 26, 1996. South Miami Police Department hereby desires to contract with Mercy Outpatient Center for services to include: Administer Hepatitis B Vaccines Program This Letter of Agreement may be canceled by either cause providing notification is made in writing 30 desired termination date. All bills related to contractual party without days prior to services should be forwarded to. South Miami Police Department, 6130 Sunset Drive, South Miami, Fla. 33143. Bills are to be mailed to us as personnel complete the vaccine series. Upon receipt of this agreement, Mercy Outpatient Center and South Miami Police Department will commence the proposed medical and health services. Mercy Outpatient Center Maureen G. Mann Vice President of Mercy Medical Development South Miami Police Department Representative Date Date Title lb DATE: NAME: SOCIAL SECURITY HEPATITIS B infection may tre atment or this disease. for immunization of persons B Virus (HBV) cause death. There is no specific The Hepatitis B Vaccine is indicated at risk of infection from the Hepatitis 1. I, the undersigned employee of the SOUTH MIAMI POLICE DEPARniM , hereby do not consent or authorize MERCY OUTPATIENT CENTER to administer the HEPATITIS B VACCINE series to me. 2. It has been explained to me that by refusing this immunization my potential of developing HEPATITIS B is increased in the event of exposure to the disease. the most common potential effects of this disease may include loss of appetite, nausea jaundice and lethargy. Additionally, although much less common, are the potential gastrointestinal or death. bleeding effects of severe liver damage, and permanent cirrhosis of the 1 fiver 3. I understand that my employment at SOUTH NI MI POLICE DEPARTMENT DEEARTMENT is not contingent on my receiving the vaccine. 4. I (DO /DO NOT) want to have further explanation relative to this vaccine and all my questions have been answered to my satisfaction. 50 I hereby release the employees from any and all liability. receive the HEPATITIS B VACCINE, and refusal. related to assume the and its my refusal to risk of such 6. I understand that due to my occupational exposure to blood or other potentially infectious materials, I may be at risk of acquiring HEPATITIS B VIRUS (HBV) Infection,, I have been given the opportunity to be vaccinated with HEPATITIS B VACCINE at NO CHARGE to myself. However, I decline HEPATITIS B VACCINATION at this time. I understand that by declinin g this vaccine, I continue to be at risk of acquiring HEPATITIS B a �, g , serious disease. If in the future I continue to have occupational exposure to blood or other potential) infectious Y materials, and I want to be vaccinated with HEPATITIS B Vaccine, I can receive the vaccination series at NO RG me. HOIS c HWYU SSHIIIM IF vi moilvuTio3Q SS my Q!v mHOaI givsfmau S SISIZKdaH OMc. 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