Patient Refusing Unvaccinated RN

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Just as the tittle implies, we recently had a patient's family refusing a nurse who is not vaccinated. As of now, vaccination at my facility is still voluntary; becoming mandatory after September 1st (we still have several staff on the fence about it). My understanding is that the patient happened to come in as a stroke, with a prior  hx of prostate CA. Not sure what was the context of the conversation, but the patient's wife asked the nurse at the time if she was vaccinated (she was not and answered honestly...she could had refused); prompting the wife to request a different nurse due her fear of exposing her possible immunocompromised husband...the assignment was changed. The feeling of some of my co-workers is that we shouldn't had accommodated the request in support of the staff; however, many feel the wife had the right to advocate for her husband and had a valid concern. This has become a hot topic of conversation in the unit during downtime. 

Have anyone come across to anything similar?? If so, how was it handled?

Specializes in Er tech, lpn nurse.
23 minutes ago, toomuchbaloney said:

The data from the pandemic is testable. 

The vaccines are safe and effective. 

The end of the pandemic is postponed by vaccine reluctance and refusal.  The development of further variants and outbreaks is directly tied to populations of unvaccinated individuals. 

https://www.texastribune.org/2021/07/07/texas-covid-delta-vaccination/

No other vaccine has used mRNA technology. Covid antigen tests are around 40% accurate. Safe and effective isn't one to two years of testing.  Releasing the patent of the vaccines to the world would stop a large number of deaths, but.. they won't do that because a loss in profit. I do agree the vaccine will lessen symptoms but you still spread the virus. Nobody knows the side effects yet.  Viruses mutate, you will never stop a virus that spreads this easily. 

Specializes in NICU, PICU, Transport, L&D, Hospice.
38 minutes ago, Cinco said:

No other vaccine has used mRNA technology. Covid antigen tests are around 40% accurate. Safe and effective isn't one to two years of testing.  Releasing the patent of the vaccines to the world would stop a large number of deaths, but.. they won't do that because a loss in profit. I do agree the vaccine will lessen symptoms but you still spread the virus. Nobody knows the side effects yet.  Viruses mutate, you will never stop a virus that spreads this easily. 

Is it your intention to encourage people to delay or avoid vaccination? We stopped measles, do you know how that compares in terms of transmissability?

Specializes in Er tech, lpn nurse.
27 minutes ago, toomuchbaloney said:

Is it your intention to encourage people to delay or avoid vaccination? We stopped measles, do you know how that compares in terms of transmissability?

Absolutely not. I would encourage anyone who wants it to take it. My choice has nothing to do with anyone else. Definitely wouldn't push or criticize someone for taking it like people seem to be doing with people who prefer to wait. I take vaccines my kids are vaccinated, but having reservations about this is reasonable. Measles is extremely easy to spread . Everything I have stated is fact.  

Specializes in Mental Health, Gerontology, Palliative.

I wouldnt want the unvaccinated nurse either. 

Risk of infection yes. 

I freely admit as well my prejudices against anti vaxers also kick in. It makes me question someones competence to practice when they can so easily reject clear evidence based medicine

There are always exceptions and it is a patients right to request a change as long as they are being polite and not being a dick about it.

Specializes in Mental Health, Gerontology, Palliative.
On 7/29/2021 at 4:22 AM, CRNA_SWFL said:

What about if they ask if you’re gay?

Bisexual

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Have herpes?

Nope

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How much do you drink off work?

A heavy week would be one beer with a meal, most weeks nothing stronger than coffee

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What was your nursing school GPA? NCLEX score? 

I got the degree, we don't do GPAs in my country and state finals (our equivalent of NCLEX) we get a pass/fail grade

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What religion are you?

agnostic atheist. If a patient is religous, I'll happily arrange for them to see the chaplain

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Political affiliation?

Labour, social democrat to you

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Chicken pox shot? HepB titers? Is there a line at all? 

Got all the required vaccinations as a kid. Is there a line? For me I'll answer fairly much any question that is put to me in a polite and respectful manner. 

I've had patients ask me about my self harm scars. I tell them honestly because I hope it gives them a sense of hope that things can get better. 

Personally if anyones going to judge me based on any of the above answers. THEY ARE DOING ME A FAVOUR. I don't want to look after a person who considers my lack of religon, sexual orientation more than my clinical expertise as a nurse. 

 

Specializes in Critical Care.
2 hours ago, Cinco said:

I am a nurse in a emergency department. I was there since day one of covid. The speed at which they pushed the vaccine out and the dismissive attitude of medical professionals to patients or coworkers about reactions is scary. Wear a N95 and weekly testing should be sufficient for employees who want to wait.

An N95 is designed to filter exhaled minimally if at all, we're well beyond the point where the evidence shows vaccination reduces the rate of transmission more than masks.

2 hours ago, Cinco said:

 Remember this recently experimental vaccine was only pushed to market because immunity was granted to pharmaceutical companies. 

 

It was "pushed to market" because we're in the midst of a pandemic and we're well past the point where the safety of mRNA vaccines can be definitively proven.  mRNA therapeutics have actually be in use for more than 30 years, and one thing that is well understand is that the mRNA itself only remains intact for a number of hours after administration.  There is no reason to believe that there are adverse effects that will remain 'hidden' for beyond a few weeks.  And the adverse effects that have occurred are still far less dangerous than the disease it prevents.

2 hours ago, Cinco said:

Look at the accuracy rate of covid antigen and pcr tests and tell me the data from the pandemic is testable.

You're confusing the rapid tests with PCR tests.  PCR tests are extremely reliable in terms of both accuracy and specificity.  Antigen tests haven't been considered to be of any use, regardless of 'accuracy' for more than a year.

1 hour ago, Cinco said:

No other vaccine has used mRNA technology. Covid antigen tests are around 40% accurate. Safe and effective isn't one to two years of testing.  Releasing the patent of the vaccines to the world would stop a large number of deaths, but.. they won't do that because a loss in profit. I do agree the vaccine will lessen symptoms but you still spread the virus. Nobody knows the side effects yet.  Viruses mutate, you will never stop a virus that spreads this easily. 

Coronaviruses mutate every 20 days or so, but these common mutations don't reduce the effectiveness of vaccines.

Vaccination clearly reduces the ability to spread the virus, what evidence are you referring to that suggest the opposite?

I would agree that as nurses we all have different levels of the science that affects our practices, I don't expect an L&D nurse to be well versed in how to care for an post-OHS patient and vice versa, but your knowledge of even the most basic concepts of Covid is well below what should be expected of an ED RN.

Specializes in Er tech, lpn nurse.

 Robert Malone created the process for mRNA stability. This noble price winning doctor doesn't recommend this delivery system without more testing. Antigen tests ( rapids) are still in use, we use them all day long. PCRS take 45 to a hour and I think they are better but not much over 70%. I will agree that N95s are less effective than the vaccine. Technology was developed in 1986, first human testing began in 2013. Yes vasopressin, rabies, caner drugs etc drugs were in experimental phases. But with how much testing. Never said the mutations will affect the efficiency of the vaccines.  Plenty of cases of vaccinated patients being hospitalized which in turn will spread the virus. Read my post again.. Adverse effects happen within a consistent amount of time. Side effects however are still being reported for a long term studies. To say there isn't conflicting data on this is false. Nurses who think they know everything are dangerous.

Specializes in NICU, PICU, Transport, L&D, Hospice.

Nurses who feel a need to share a message of concern that then serves to increase vaccine hesitancy in the general public, while we are still in a pandemic, are dangerous. 

11 hours ago, Cinco said:

No other vaccine has used mRNA technology. Covid antigen tests are around 40% accurate. Safe and effective isn't one to two years of testing.  Releasing the patent of the vaccines to the world would stop a large number of deaths, but.. they won't do that because a loss in profit. I do agree the vaccine will lessen symptoms but you still spread the virus. Nobody knows the side effects yet.  Viruses mutate, you will never stop a virus that spreads this easily. 

 

9 hours ago, Cinco said:

Everything I have stated is fact.  


No, not everything  you have stated is factual.

Can you link to a credible source that supports your claim that one to two years of testing isn’t enough to establish whether a vaccine is safe? 

Is it your understanding that just because a virus mutates, you can’t slow it down considerably through vaccinations and by achieving herd immunity? Do you not agree that continued widespread transmission is what will lead to even more variants evolving? Don’t you think that we need to try to do what we can to prevent that from happening by using vaccines? 

When you say that nobody knows the side effects yet, that is also inaccurate. We have administered more than FOUR BILLION doses of various Covid-19 vaccines worldwide. The phase 3 trials for the vaccines approved in the U.S. were quite large. Can you think of any other medication or vaccine that has been administered in such a large volume, in less than a years time? We have a TON of safety data. What we need to figure out now is if, and how often, booster doses will be necessary. 

Specializes in CRNA, Finally retired.
8 hours ago, Cinco said:

 Robert Malone created the process for mRNA stability. This noble price winning doctor doesn't recommend this delivery system without more testing. Antigen tests ( rapids) are still in use, we use them all day long. PCRS take 45 to a hour and I think they are better but not much over 70%. I will agree that N95s are less effective than the vaccine. Technology was developed in 1986, first human testing began in 2013. Yes vasopressin, rabies, caner drugs etc drugs were in experimental phases. But with how much testing. Never said the mutations will affect the efficiency of the vaccines.  Plenty of cases of vaccinated patients being hospitalized which in turn will spread the virus. Read my post again.. Adverse effects happen within a consistent amount of time. Side effects however are still being reported for a long term studies. To say there isn't conflicting data on this is false. Nurses who think they know everything are dangerous.

What is "long-term"?  How long should we postpone vaccination for come to an agreed upon safe time?  We we have to wait for the babies born from vaccinated mothers become adults?

9 hours ago, Cinco said:

 Robert Malone created the process for mRNA stability. This noble price winning doctor doesn't recommend this delivery system without more testing.

Is that a typo? I do not believe that Robert Malone has won a Nobel prize. If you think he has, which year do you think it was? Or do you just think that this doctor is unusually noble? If so, why..?

He isn’t someone I would consider a good source anyway.
 


https://www.reuters.com/article/factcheck-vaccine-cytotoxic-idUSL2N2O01XP
 


https://www.politifact.com/factchecks/2021/jun/16/Youtube-videos/no-sign-covid-19-vaccines-spike-protein-toxic-or-c/

 

9 hours ago, Cinco said:

PCRS take 45 to a hour and I think they are better but not much over 70%. 

You think? I think that you need to elaborate further on that. PCR tests can have 100% sensitivity. It varies with the type/brand of test used, if correct technique is used when collecting the samples. It depends on how many days or weeks have passed since the onset of symptoms. It depends on the cycle threshhold used. You need to specify what you are talking about and preferably provide a source. 
 

9 hours ago, Cinco said:

 Read my post again.. Adverse effects happen within a consistent amount of time. Side effects however are still being reported for a long term studies. 

You need to elaborate on this as well. Reading your post, it sounds like you believe that adverse effects happen in a defined and reasonably short period of time after the administration of a vaccine, but that side effects occur years (?) later. Is that what you believe? Can you specify the timeframe you think long term side effects are being studied in? 

 

9 hours ago, Cinco said:

To say there isn't conflicting data on this is false. Nurses who think they know everything are dangerous.

I don’t know everything. Nobody does and nobody has claimed that they do. When new evidence comes to light, I adjust accordingly. However, thinking that you don’t know enough by now to confidently say that getting vaccinated is a whole lot safer than getting a Covid-19 infection, is simply denying science. We have the evidence we need to say that. Nurses who don’t understand and/or trust scientific evidence are in my opinion the dangerous ones. Vaccines have saved many millions of lives historically. The Covid vaccines are no different.

Oh well, they are free to go to another hospital for care.

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