Stickers for patients, identifing vaccination status, seems to me a bit intrusive. More than one patient has stated they felt "forced" to accept the vaccination and resented being questioned by each staff member who noticed there was not a sticker present. As a nurse, I am required to ask if a patient has received information regarding the availibility of the vaccine and to give accurate patient education stating the benefits and risks. My concern is when patients and family members tell me they feel "punished" and "repremanded" if they refuse. No other vaccination status is posted or addressed in such a public manner.
In response to isolation signs on doors and charts, yes those are in public view. But, those signs do not identify a specific organism, and no public notices are posted stating what organism is related to specific types of isolation.
Personally, I have resigned myself to the fact my PHI has become public. You state patients have a right to know whether or not their health care worker is vaccinated. I have to disagree with that statement. If a patient has the right to know if I have received the flu vaccine, then that patient could also claim to have a right to know about any other immunizations I have received, and any other information related to my delivery of care -- for example, wheter or not I have screened positve for TB, MRSA, Hepatitis, or HIV. Each time I have to explain to a patient, family member, or co-worker why I have not been vaccinated, my PHI becomes public .
Truly, patients are at more risk from visitors and family members who do not wash hands before and after each encounter and who are frequently in much closer contact (hugging, kissing, sharing food and drink) with patients than any health care worker.