Re: H1N1 -- in the NICU
Uh, yeah, us staff nurses all think that it's nuts that we aren't limiting visitation. Management just says we offer "family-centered care." Crazy....We say (healthy) parents can continue round-the-clock visiting, have specific grandparent visiting hours, and that's it. Of course, that's kinda what we always want, but at least now we have a legit reason. I see no reason for everyone and their uncle to be parading through an ICU during cold and flu season, ESPECIALLY this year. We are told (and have been told in the past) that if we see someone who has flu-like symptoms we can ask that they leave, and that if we say something like, "you being here with flu-like symptoms is dangerous to the baby you are visiting and all babies here in the unit, and I'm going to ask you to leave," that most people will leave. Yes, most people would leave if told that. I would hope that most people would just use common sense and not visit in the first place, but we all know that isn't true. And of course, there are always those few people that just won't leave. A few years ago, there was a dad who was obviously sick. When the nurse asked him to cut his visit short for the sake of his baby and the other babies in the unit, he became totally irate and threatened her. To the point where she requested an escort to her car each night for the remainder of the baby's stay (luckily not a long one!). Anyway...
According to the link I had posted previously (FAQs from the DOH), there are no religious exemptions to the flu vaccine. Medical exemptions only. The FAQs also cover what employers can do to employees that don't get vaccinated, and while they suggest reassignment in non-patient care settings, my hospital is stating that being vaccinated is a "condition of employment." Just like proving immunity to measles, mumps and rubella is and annual TB screening. And we were told that it could in fact result in termination.
Like I said before, I get a flu shot every year. But it has always been MY decision to. I am nervous about having to receive the H1N1 vaccine, since it is something I have never received before and it is relatively new.
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