This is from up to date--
Healthcare workers ? Vaccination programs of health care workers have met with the most success. Continued education and enforcement of OSHA guidelines is necessary to ensure that this group is adequately protected. In November 2011, CDC published the updated recommendations of the Advisory Committee on Immunization Practices (ACIP). Among the recommendations were [43]:
Healthcare practitioners and trainees and certain high-risk populations should undergo prevaccination serologic testing for previous infection, regardless of vaccination status.
Trainees should have their vaccination series completed before they have contact with a patient's blood.
Post-vaccination testing and documentation should be performed for all healthcare practitioners at high risk for occupational percutaneous or mucosal exposure to blood or body fluids. The results of the tests are to determine the need for revaccination and post-exposure prophylaxis. For healthcare practitioners with low risks for percutaneous or mucosal exposure to body fluids, post-vaccination testing is not cost-effective. However, these individuals must be informed to seek immediate medical attention upon exposure.
Healthcare practitioners with an anti-HBs concentration of less than 10mIU/mL should receive another three appropriately scheduled doses of the vaccine with serological testing performed one to two months after the third dose.
Individuals with an anti-HBs level less than 10 mIU/mL after the second series should be tested for HBsAg and anti-HBc. Those who are not infected and who had not responded to the vaccine are considered susceptible to HBV infection and must be counseled about prevention and transmission of hepatitis B. These individuals, upon known or likely exposure, should receive HBIG.
Individuals who are HBsAg positive should be counseled about prevention of transmission of hepatitis B to others. Those who perform exposure-prone procedures must seek counsel from a review committee regarding procedures they can perform safely. Individuals who are anti-HBc positive and HBsAg negative require no vaccination or treatment.
