59MDWI48-105 — Medical Employee Health Program

59MDWI48-105 governs Medical Employee Health Program procedures for medical personnel at 59th Medical Wing affiliated clinics.

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  • Publication number: 59MDWI48-105
  • Title: MEDICAL EMPLOYEE HEALTH PROGRAM
  • Date: 2021-09-08

View 59MDWI48-105 on armypubs.army.mil


The publication covers health screening, immunizations, hepatitis B vaccination, and responses to bloodborne pathogen and tuberculosis exposures. It requires in-processing, periodic screening, infection-control training, and medical clearance before returning to work after communicable disease.

Applies to: This instruction applies to all medical personnel assigned, attached, or under contract, memorandum of understanding (MOU), Training Affiliation Agreement, or other Agreement to the 59th Medical Wing's Affiliated Medical Clinics at all Joint Base San Antonio locations.

Topics covered

  • Hepatitis B vaccination
  • Medical employee health screening
  • Influenza vaccination
  • Bloodborne pathogen exposures
  • Tuberculosis exposure control
  • Communicable disease work restrictions

Questions and answers

Where is hepatitis B vaccination provided?

Hepatitis B vaccination will be provided to military service members by the Immunization Clinic at each location. (paragraph 4)

How soon must personnel in-process through the Medical Employee Health Program?

Ensure personnel in all departments, including, but not limited to, volunteers, students, contracted personnel, and Independent Mobility Augmentees in-process the Medical Employee Health Program through Public Health (PH) within 10 duty days of arrival at the military treatment facility (MTF) and out-process upon termination. (paragraph 1)

What screening is required before personnel begin direct patient care?

Personnel whose duties involve direct patient care will complete all required screening tests prior to starting duties involving direct patient care. (paragraph 1)

What must happen before medical personnel with a communicable disease return to work?

Ensure medical personnel diagnosed with a communicable disease are evaluated by a healthcare provider, and are medically cleared before returning to work in accordance with Attachment 2, Work Restrictions for Hospital Workers Exposed To or Infected with Selected Infectious Diseases. (paragraph 1)

What infection-control training must be provided?

Provides oversight and consultation to the Infection Control Coordinators to ensure a formal orientation and annual in-service training program on principles of infection control including the training required by 29 Code of Federal Regulations (CFR) 1910.1030, Bloodborne Pathogens. (paragraph 1)

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