Re: New York State Mandated Vaccinations
People admitted to hospitals SHOULD be offered vaccinations as a routine practice...while there are some good reasons not to vaccinate folks with acute illnesses, there are many people who could safely be offered and receive vaccines prior to discharge. Think in terms of the elderly hip replacement patient, etc. It would be unwise, however, to simply vaccinate "every patient that rolls in the door". Proper screening is always indicated prior to vaccine administration and acute illness can ALWAYS be an acceptable reason to forego immunization. Much of that is based upon professional, clinical judgement.
However, there is no vaccine remedy for those who come into the hospital with active influenza infection. That person will put all unvaccinated contacts at risk for infection. Elective admissions sometimes have prodromal illnesses.
So student nurses are in a very tough situation...your school must already insure that your patients are not put at risk by the very fact that you are
learning how to provide nursing care and by unintentional spread of vaccine preventable disease (most of which are covered by our immigration policies and required/recommended childhood vaccination schedule). Throw a novel influenza bug that is potentially very dangerous into the mix and the school is in a very difficult position. If they mandate vaccination they may get sued for violation of civil rights, if they don't and an unvaccinated student spreads the disease to a patient...they may get sued. As well, how does the school of nursing convince any hospital or nursing home to allow the students access to the patients if the students are not vaccinated but the employees are mandated to be?
I, for one, am glad that this is not a difficult choice for me. I work in hospice so my work exposure to the H1N1 virus is relatively low, but my personal exposure and risk is quite high...I attend a good sized church, I shop in grocery and department stores, I visit regularly with my elementary school aged granddaughter...etc...all in an urban setting. It will be interesting to see what the "peak" of the H1N1 season looks like.
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