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Discussion

Exemption Friendly Facilities

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I just saw an ad for the local nursing home, it was posted on Craigslist stating that they are an exemption friendly facility. They posted it in the neighboring County, I know for a fact that a number of nurses left because of the mandate. They are also offering a $10,000 sign on bonus. I thought this was interesting.

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Yikes.

It really hurts the profession when so many nurses are anti-vax. 

  • Author

Interesting side note, I responded to ad, since I thought "I can handle two or three shifts a month". But I can't handle wearing a mask. I developed severe claustrophobia from my year-and-a-half of working behind the mask.

It's a nursing home so they are only eight hour shifts. I am fully vaccinated including the booster shot, which just about killed me. I asked if there was an exemption on wearing a mask. I got an answer right away from the director of the facility saying she wishes she could, but I would have to wear both eye protection and a mask.

I answered back telling her that I would like her to let me know if that changes.

Wouldn't claustrophobia be a consideration under the Americans with Disabilities Act? And, I don't see the logic in exempting for the vaccine but not exempting for the suffocating PPE. 

I'm pretty certain that some facilities are granting these exemptions easily because the alternative is a severe shortage of staff. I told the gal that the vaccine mandate is not the primary reason why nurses are leaving the field. I'm sure she knows that though and is just trying to cope with present-day realities.

So you are saying that it was the same facility that first mandated the vaccine, staff left because of the vaccine mandate, and now they are offering $10,000 bonus with an exemption for the vaccine (staff doesn’t need the vaccine). I agree the about face is because of the shortage. So maybe those nurses who left can now go back and pick up an extra $10,000. 

  • Author
6 minutes ago, Daisy4RN said:

So you are saying that it was the same facility that first mandated the vaccine, staff left because of the vaccine mandate, and now they are offering $10,000 bonus with an exemption for the vaccine (staff doesn’t need the vaccine). I agree the about face is because of the shortage. So maybe those nurses who left can now go back and pick up an extra $10,000. 

The facility in question is a local nursing home. They are advertising in a neighboring County Craigslist, and I personally know that there was a big uproar there and several nurses left instead of getting the vaccine.

The vaccine here is a Statewide mandate for many segments of the economy, including healthcare workers and state employees, etcetera. The vaccine mandate for the Department of Transportation has taken many snow plows off the road and we are expected to have pretty bad supply chain issues this Winter because of that.

I think the nursing home has always had chronic staffing issues, and these were exacerbated by the general problems caused by covid that are driving nurses out of the workforce. I believe that they are trying to capitalize on the fact that the hospitals are taking a harder line, and the more stubborn segment of the nursing Workforce might go to exemption friendly facilities.

How are they able to offer exemptions if it is a state wide mandate for HCWs? Are nursing homes exempt from the law, or they are just more generous in accepting exemptions? Weird, but yeah I agree nursing homes are notoriously short staffed even pre Covid.

  • Author
33 minutes ago, Daisy4RN said:

How are they able to offer exemptions if it is a state wide mandate for HCWs? Are nursing homes exempt from the law, or they are just more generous in accepting exemptions? Weird, but yeah I agree nursing homes are notoriously short staffed even pre Covid.

People are getting religious exemptions. I think the last hospital I work at is exemption friendly. I know of a nurse who was able to get a religious exemption there and there are probably others that I haven't asked. She's definitely not religious, but very much on the conservative side of things, and very distrustful of government actions surrounding this pandemic.

I'm not sure how these exemptions are being granted but I think that the facility has a lot to do with those decisions. I've also read about very hard line facilities that are not granting them at all. For me it wasn't an issue because I decided to get the vaccine.

  • Author

Just to clarify by the way, I know that the hospital in the neighboring County lost a number of nurses due to the vaccine mandate. That is why I think this nursing home posted their ad on the Craigslist for that County. They are trying to capitalize on some of the people who left their jobs, and have bills to pay.

I just thought I would share this interesting development in this whole Saga. Now there are facilities using the catch phrase "covid exemption friendly" to beef up their Staffing. Plus, a $10,000 sign on bonus for a nursing home is something I have never heard of before.

  • Admin
1 hour ago, Emergent said:

Wouldn't claustrophobia be a consideration under the Americans with Disabilities Act?

It would likely be caught in the "reasonable" portion of the accommodations. Pre-COVID, we had an orientee to the OR who thought she would be exempted from having to wear a mask in the OR due to claustrophobia. She didn't get past day 1 because that isn't a reasonable accommodation due to infection concerns. I'm sure the same applies elsewhere in healthcare related to COVID.

32 minutes ago, Emergent said:

People are getting religious exemptions. I think the last hospital I work at is exemption friendly. I know of a nurse who was able to get a religious exemption there and there are probably others that I haven't asked. She's definitely not religious, but very much on the conservative side of things, and very distrustful of government actions surrounding this pandemic.

I'm not sure how these exemptions are being granted but I think that the facility has a lot to do with those decisions. I've also read about very hard line facilities that are not granting them at all. For me it wasn't an issue because I decided to get the vaccine.

I'm not sure how that would work since the vaccine mandate for HCWs in Washington doesn't allow facilities to determine their own criteria for an exemption.

 

2 hours ago, Emergent said:

Interesting side note, I responded to ad, since I thought "I can handle two or three shifts a month". But I can't handle wearing a mask. I developed severe claustrophobia from my year-and-a-half of working behind the mask.

It's a nursing home so they are only eight hour shifts. I am fully vaccinated including the booster shot, which just about killed me. I asked if there was an exemption on wearing a mask. I got an answer right away from the director of the facility saying she wishes she could, but I would have to wear both eye protection and a mask.

I answered back telling her that I would like her to let me know if that changes.

Wouldn't claustrophobia be a consideration under the Americans with Disabilities Act? And, I don't see the logic in exempting for the vaccine but not exempting for the suffocating PPE. 

I'm pretty certain that some facilities are granting these exemptions easily because the alternative is a severe shortage of staff. I told the gal that the vaccine mandate is not the primary reason why nurses are leaving the field. I'm sure she knows that though and is just trying to cope with present-day realities.

The ADA doesn't only protects your employment when the accommodation you are seeking is "reasonable", ie it has no potential adverse effects for anyone else.  

  • Author

People who need their service dogs are granted that even though some people are allergic to dogs. I'm curious if a rights lawyer would be interested in pursuing this.

21 minutes ago, Emergent said:

People who need their service dogs are granted that even though some people are allergic to dogs. I'm curious if a rights lawyer would be interested in pursuing this.

There are certainly some cases that might have a chance of winning that a lawyer might be interested, whether a facility would be required under the ADA to allow unmasked HCWs to work directly with an at-risk population probably isn't one of them.

  • Guides

I’m not sure how to quote multiple threads so I just copied and pasted what I wanted into a Word Document.

Emergent please understand that I have a lot of respect for you and this should not  be taken as any kind of personal attack. In many ways some of the things you have mentioned closely mirror some of the thoughts and feelings I had to work through before I came fully on board to be vaccinated.

Like you I suffer from severe claustrophobia. This is partly due to my having asthma and to a particular abuse my mother inflicted which has caused me to have severe PTSD. I told my employer about this and we decide to try an experiment where I could check my O2 sats several times a day when I felt short of breath. It turned out that my Sats were equal to when I was not wearing the mask so there’s that.

“Wouldn't claustrophobia be a consideration under the Americans with Disabilities Act?”

The way I understand the law you would first have to be diagnosed by a mental health professional to have this condition to be considered under the ADA. Secondly the ADA requires employers to keep an affected employee only if a reasonable accommodation can be made.  Since there is no reasonable accommodation to not wearing a mask at the bedside that argument is moot.

“People are getting religious exemptions.”

On October 29th of this year the US Supreme Court ruled against petitioners who brought an appeal of the Main law that denies Religious exemption.

“A doctor and eight other health care workers challenged the law’s approach to religion, arguing that state officials could not ignore their faith-based concerns. As a result of the court’s 6-3 decision, these workers will risk losing their jobs if they continue refusing the vaccine.”

I don’t doubt you had severe reactions to the Covid vaccine and booster. Many of us did. In my own case I have a long standing chronic auto-Immune condition that I think contributed to this. However I see any discomfort I had to the vaccine or booster as far better than the risk of being placed on a ventilator should I contract Covid.

Hppy

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