Mandated Flu vaccine? - page 4

by mol42 32,176 Views | 253 Comments

Hi- Just received a blanket email yesterday that my hospital in VA is requiring ALL STAFF involved in patient care to get the flu vaccine this year. (incl nurses, physicians, clinical aides etc) I always get the vaccine... Read More


  1. 0
    Quote from blondy2061h
    Hospitals mandate all kinds of vaccines and no one gets up in arms about being required to get a hepatitis b vaccine. I don't get how this is any different.

    NYS did try and mandate every nurse in the state to get the flu vaccines two years back, but pulled the mandate not due to principle issues, but because the supply of the h1n1 vaccine was insufficient to even vaccinate the people that wanted it, much less those that didn't want it.

    Every year my job requires the flu vaccine or else you wear a mask from October 1 to April 1.

    I believe just as patients has a right to refuse so does nurses after all nurses are citizens of this country also. And NYSNA went to court in an effort to stop the mandatory vaccination on H1N1
  2. 1
    Last edit by NRSKarenRN on Sep 17, '11
    roser13 likes this.
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    I understand when it comes to flu shots I'm in the minority. I'm okay with that. But as an American I like to consent to taking medicines and that includes flu shots. The recent rules indicate a mandate. Here's the problem: The majority that don't get sick from flu vaccines or experience scary symptoms as I did, are forcing the minority (people like me) to participate in order to keep their job. History is full of the majority mandating to the minority and it goes by the word--discrimination. Hospitals should be mandated by law if they require the flu shot that they provide all medical treatment and pay for those that get sick from it. When that happens, I'll shut up.
    brandy1017, SweettartRN, wooh, and 2 others like this.
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    My hospitak in northern california is mandating flu vaccines. I've got them before but didn't like the side effects to the vaccine (flu-like symptoms) for several days after. I feel it should be my decision whether or not a vaccine is given to me. I understand the importance of having people get flu shots but on the other hand I understand there is a risk to everything. If you are a generally healthy person getting the flu shouldn't kill you just lay you out for a wk It.makes you wonder if the manufactors of the vaccine are trying to make bigger profits
    SweettartRN likes this.
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    The hospitals really aren't that interested in protecting us healthy people from getting sick. They are concerned with us getting infected with the virus and by the time we show symptoms, have already spread it to frail, sick patients who could die from it. That's why they require the masks (whatever the source of the above link, Massachusetts General Hospital does not require vaccination and does not intend to, but requires a mask for those who refuse). The shot of course isn't perfect, and some strains may mutate beyond coverage, but it prevents many cases of flu, and thus may save a life or two of a vulnerable patient.
    smoddra and Laidback Al like this.
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    Perhaps if nurses didn't have to use our vacation time when we get sick, we'd stay home and prevent passing on illness to our patients!
    canoehead, Manatee111, Esme12, and 2 others like this.
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    So do ya'll refuse PPD's also?

    Purple_Scrubs likes this.
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    Quote from canesdukegirl
    I haven't gotten the flu shot...ever. I can't see the logic in getting a vaccine for a virus that mutates. I understand that influenza is an RNA virus and has a lower chance of mutation. However, influenza continues to evolve because of its ability to 'hybridize', much like the Bird Flu, or H1N1. At that point, the antibodies that we receive from the vaccination don't protect us from the mutated protein because the RNA molecules have been restructured.

    I further understand that the hybrid mutation that I am describing is rare. I totally understand getting Hep B vaccinations, Typhoid, Dengue Fever, etc. (I travel to poor, tropical and densely populated areas for charity work.) But the influenza virus can also mutate either one or both of the H and N antigens-which is NOT a rare occurrence.

    Can anyone help me change my mind about this? I feel that I am one of the last holdouts in getting the flu shot. I just can't understand the sense in getting a vaccination for a virus that mutates. Oh, and could you please go easy and not flame me too much? I am already toasted on one side...
    The statistics really kind of speak for themselves. Even if not "optimally matched" you're still way less likely to catch it than without the vaccine

    Quote from CDC
    Overall, in years when the vaccine and circulating viruses are well-matched, influenza vaccines can be expected to reduce laboratory-confirmed influenza by approximately 70% to 90% in healthy adults <65 years of age. Several studies have also found reductions in febrile illness, influenza-related work absenteeism, antibiotic use, and doctor visits.

    In years when the vaccine strains are not well matched to circulating strains, vaccine effectiveness can be variably reduced. For example, in a study among persons 50-64 years during the 2003-04 season, when the vaccine strains were not optimally matched, inactivated influenza vaccine effectiveness against laboratory-confirmed influenza was 60% among persons without high-risk conditions, and 48% among those with high risk conditions, but it was 90% against laboratory-confirmed influenza hospitalization (Herrera, et al Vaccine 2006). A study in children during the same year found vaccine effectiveness of about 50% against medically diagnosed influenza and pneumonia without laboratory confirmation (Ritzwoller, Pediatrics 2005). However, in some years when vaccine and circulating strains were not well-matched, no vaccine effectiveness can be demonstrated in some studies, even in healthy adults (Bridges, JAMA 2000). It is not possible in advance of the influenza season to predict how well the vaccine and circulating strains will be matched, and how that match may affect the degree of vaccine effectiveness.
    http://www.cdc.gov/flu/professionals...tivenessqa.htm
  9. 1
    Quote from blondy2061h
    So do ya'll refuse PPD's also?

    Not allergic to the PPD. And if I was, my workplace will settle for me telling them that I am allergic and go to x-rays instead. Not bully me into having a reaction on a yearly basis.

    I wore the mask last flu season. It really wasn't that bad. In fact, I had the fewest sniffles of anyone on my unit. (The vaccinated may not have been spreading around flu, but I didn't spread around flu or RSV or adeno or...)
    RSV will kill an infant just as quick as flu. But we don't mandate RSV vaccinations for everyone because it's too expensive. Wearing the mask and handwashing protects the patients from more than just flu.
    Esme12 likes this.
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    Quote from SuesquatchRN
    What complications? Please cite a reliable example.
    I don't need to. Anyone who administers vaccines know that there are risks and complications with every single one that we give.

    And the CDC website for "safety?"
    Isn't this the same CDC that told us 25 years ago that blood was safe and AIDS wasn't a bloodborne disease?
    Give me a break.
    canoehead and Esme12 like this.


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