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Topics About 'Vaccination'.

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Found 34 results

  1. lMCRN

    Unvaccinated: Indefensible

    The choice to not take the COVID vaccine I feel is not defendable. The facts are that 99% of hospitalizations/deaths due to COVID are unvaccinated patients currently. This has caused a more severe strain on a already extremely stressed hospital staff, shortage of equipment and services, injury and death from other causes due to delay of care and suffering of everyone involved in the hospitalized COVID patient among other issues. Virologists report delta and other strains are accelerated and created due to the numbers of unvaccinated people in the US. The fact that vaccination rates have only increased about 20% since July with the information available is appalling, while there are 130k new infections daily in the US. This should not be a personal or individual choice and appears due to unfounded anxiety, medical or religious exception and or politics.
  2. Ariemay82

    Vaccination Mandating

    I'm in NY. Wonder how other NURSES are feeling about mandatory COVID vaccination?
  3. I am a pediatric pulmonary nurse coordinator and remain per diem as a bedside NICU nurse. I made the decision to get vaccinated a couple of months after it became available at my hospital. As the vaccine was brand new, I put a lot of thought and research into it before making my decision. Ultimately, based on the facts I found and the science, I decided the benefits outweighed the risks. While I felt I would be okay if I were to get COVID, as I am relatively young and very healthy, we have all seen exceptions to this. However, I moreso felt a responsibility to those at higher risk in my personal life and my professional life—Most of all my vulnerable patients. I believe this reasoning was the driving force for a lot of healthcare workers to get vaccinated—more than just any fear of contracting COVID themselves. I think this is why we all get so emotional when it comes to still discussing the vaccine and the pandemic. In fact, just about a month ago after a particularly hard week, I could not wait to get home. It had been a week filled with parents arguing against the vaccine for their children. A week filled with ordering COVID tests for children who might end up hospitalized if they were to turn out positive. A week of writing school letters for patients to ensure accommodations that would keep them safe. A week of parents demanding letters from our section stating their child should be exempt from wearing a mask to school. A week of explaining to parents why we could not write that letter because their child would be safest with a mask. Not Making A Difference Due to these taxing conversations, it was no surprise how upset I became when I was driving home on my hour-long commute behind a bumper sticker that read, “Unmask our kids.” I tried to ignore it but it kept catching my eye until it eventually overwhelmed me and brought me to tears. Tears we have all cried during this pandemic, even if in different roles and different levels of care for our communities. Tears from being burnt out and unheard. Tears from being unappreciated. Tears from feeling like we are trying so hard, but not making enough of a difference. So where do we go from here, over a year and a half into this new way of life? When our co-workers and friends are refusing vaccinations, what can we do? They are people with the same basic training as us, but somehow do not view the science and statistics the same way. I have spent a lot of time contemplating this. In my opinion, it comes down to Roger’s diffusion of innovation theory. It Takes Time For Ideas To Gain A Following If you are not familiar, Roger’s diffusion of innovation theory essentially explains how it takes time for ideas or products to gain a following. The adoption of this idea or product happens throughout five stages or groups. First, we have the innovators, who make up just 2.5% of the population and seek out new ideas such as this vaccine. Next, we have the early adopters, 13.5%, who embrace change. After that, the early majority, 34%, who usually need to see some evidence of this idea or product and its success, but still adopt it before others. Then we have the late majority, 34%, who are skeptical, but once tried by the majority they will adopt the change. Finally, we have the laggards, the last 16%, who are very conservative to change, but may eventually give in to the majority because of things like pressure or fear. In terms of nursing, I usually consider myself the early adopter. I love to keep up on the latest research and changes. I get excited when I see a new study and think, “I want to implement that in my practice or on my unit!” However, when it came to the vaccine, I was more of the early majority. Since statistically, my personal risk was low, I thought it might be better for me to wait for more people to get vaccinated and see if any side effects appeared. However, as my coworkers began to get vaccinated and the momentum grew, I decided not to wait any longer. As stated before, I weighed my risk and benefits and from the statistics I had seen initially, I decided it was better to go for it. However, I think what makes me an excellent confidante for talking to coworkers as well as patients and their families about the COVID vaccine is that initial hesitancy I felt. We as healthcare workers know to assess risks versus benefits of everything. We also know that so many medications or products can come with side effects, however minimal. We have often seen first hand these very things, even after much research and FDA approval, get pulled off the market due to side effects that are not seen until much later. This is why we have a duty to do our due diligence, as I believe I did mine prior to deciding the vaccine was the best choice for me. This is also why I see the importance of discussing such controversial matters. Thus that is how I start these hard conversations. I do not dwell on politics. I do not attack people’s opinions. I do not insult people. I keep my emotions in check. I try to meet people where they are and understand what they are seeing. Now, albeit some people cannot be reasoned with, but in my opinion, those people only make up a fraction of the “laggard group.” So to have these conversations, I revert back to the basic building blocks of our careers—including therapeutic communication and being non-judgmental. This approach can give us the added bonus of not being as emotionally invested and thus help prevent additional burnout by these conversations. Use Psychology and Research In combination with these techniques, I try to use psychology and research to help make my case successful. For instance, when you listen and agree with the other person, you make them feel understood. This is as easy as, “If I were you, I would feel the same way if that was the information I had.” Not immediately disagreeing with people opens up a better line of communication and makes them more likely to also listen to your point of view. Personally, I actually do feel many who are hesitant do have valid concerns based on the knowledge they have. Additionally, we do not have to get defensive off the bat and we can ask to share our point of view as well. We can admit to certain shortcomings of the vaccine, such as how those who get vaccinated can still get COVID. We can then use this as an opportunity to explain why the vaccine is still beneficial, such as lessening symptoms. Trying to have an honest conversation where both parties are heard can truly have a profound impact in my experiences. Beyond that, a study looking at the adoption of evidence-based practice (EBP) using Roger’s diffusion of innovation theory found that adoption is influenced by individual motivation, attitude, knowledge, work experience, and the perception of EBP attributes. Interestingly, attitude was found to have the greatest effect on adoption of a change. The article suggests that changes should thus be promoted through, “use of cognitive principles that can change people’s attitudes in positive ways”1. I like to think this is similar to the approach I use based on therapeutic communication and psychology as described above. Take A Step Back Sometimes the best thing we can do whether we are at the bedside with one patient, speaking with a coworker, or trying to sway a group opinion, is just take a step back. Take a step back to breathe and listen. Give people space to express themselves and establish rapport. Remember that decisions take time and people all reach decisions differently, as we often see day to day in our field. While we feel the urge to get as many people vaccinated as quickly as possible in hopes that it will help rid our communities of COVID, we need to remember that we cannot simply force things onto people and expect them to happen. In a world where the past year and a half has been so complicated, we may need to simplify our approach to get the best results. We also may need to understand that while doing this work, based on the theory of diffusion, it may still take time. However, we need to keep having the difficult conversations until we begin to reach of late majority and laggards. There really is a light at the end of the tunnel, but unfortunately, adoption of change takes time and the COVID vaccine is no exception to this theory. However, by focusing on how we approach implementation, we can perhaps shorten this timeline. References 1Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study
  4. grammieRN

    Yes, I'm Vaxxed But...

    I remember being taught in nursing school the rights of medication administration - Right patient Right medication Right dose Right route Right time Right documentation Right situation Right place RIGHT TO REFUSE. I also remember my nursing instructor stressing how important number 9 is and that we as nurses have a duty to ensure that the right to refuse any medical care or medication is honored and upheld. To advocate for our patients and protect them. Protect them from what you may ask? To protect them from other medical professionals and “people” who think they can bully, manipulate, control and dominate any patient to force a medication, procedure or any type of medical care. And wouldn’t you know that this RIGHT to refuse has been what I have had to defend more than anything? As an RN of more than a decade, I will forever support the right to choose and also the right to REFUSE any form of medical care. I can’t believe anyone feels that mandates of any form of medicine or medical practice or procedure is acceptable. Even more shocked that some nurses and NURSE LEADERS feel this is acceptable after a career of fighting for, defending and advocating for our patients rights. Forced healthcare is NOT healthcare and I stand for the freedom this country was founded on. I have stood for my patients right to choose. And now that nurses and other healthcare workers rights are being threatened, I stand for their right to choose as well. COERCION is not CONSENT.
  5. hherrn

    Religious Exemptions

    I am against religious exemptions. I give all deeply held beliefs equal credibility. My belief system may be informed by organized religion, but it is not defined by organized religion. And I do not believe an employer is capable of determining which beliefs are valid. Millions in this country believe the earth is 5,000 years old, and that Eve came from one of Adam's ribs. That is as scientifically grounded as Q-annon's BS. Or the belief in Ivermectin. Or my beliefs. Beliefs, in my mind, are all equal, and unrelated to pandemic management. I like this approach:
  6. My boyfriend and I (20s) have been dating nearly 2 months. In the beginning when I met him, he told me he hadn’t had his first dose yet. But he said he will get it soon. Every single time it’s the same story, he swears he’ll get it, then the next time I see him he still hasn’t gotten it. He says he’s just lazy. Swears he’s not an anti-vaxxer. Recently the gov’t mandated vaccine passports to enter restaurants and other indoor establishments like theatres. He showed me a forged receipt he made with Photoshop. I was upset at him and said he shouldn’t be doing that. He asked me why I care so much. Almost everything is perfect about our relationship except this one thing. I work for Public Health in Covid response and I have literally done everything this pandemic, last year I’ve worked in the hospital as a floor nurse treating Covid patients, I’ve done contact tracing and health education for Covid patients as part of public health, I even spent months giving and preparing vaccines. He knows all this, I tell him how horrible this Covid *** is, and still he is too lazy to do the one thing he can do to help end the pandemic. He cannot take 30 minutes out of his day to go to ANY pharmacy and get the shot. I tell him if he doesn’t care about his health, fine, but do it for me. I know fully vaccinated people have less chance of getting sick but there’s still a chance that I could carry it. My friends are judging me because my boyfriend is unvaccinated. They don’t know why I’m with him. I love him and I care for him but I’m reaching the end of my rope. He always says he’ll get it but he never ever does. I’m seriously tired and hurt by his inaction and indifference. Am I overreacting? Sometimes I feel like I am, but sometimes I feel like I’m not reacting enough.
  7. How have you expressed your displeasure about their choice? Are you questioning why they have not been terminated yet?
  8. I get the basics- the radical left is trying to take our freedom and turn us into obedient sheep. But, there are a couple parts of the anti-vax narrative I am having trouble following: 1- The role of the doctors. Actual doctors are overwhelmingly pushing for vaccinations. is it because they have been duped, or are they in on the con? From the anti-vax viewpoint, are they part of the liberal agenda to subjugate all Americans? Really weird, because doctors are as politically split as the rest of the country. Plenty of conservative republican doctors. Why can't they see this power grab? 2- The Flu. Somehow the fact that flu is way down is being used as part of the narrative. I am completely missing this. Obviously with masks and precautions flu is down. But, somehow, this is being used as proof of something, and I don't get it. Serious questions. I won't debate anybody here. I really want to understand how these two things fir in.
  9. It ain’t what you don’t know that gets you into trouble it’s what you know for sure that just ain't so - Humorist Josh Billings Information and Misinformation are Circulated at a Very Fast Pace How do we decide what to believe and what not to believe? And once we form an opinion, how likely is it that we’ll change our minds? We’re all subject to emotionally based reasoning, biases and faulty reasoning. When we make a decision, such as whether or not to vaccinate, we evaluate a barrage of information through our individual filters. Misinformation Manipulates There's a great cost to misinformation- a cost to society and therefore a cost to each of us. Manipulation amplifies our fears and stories that intentionally provoke an emotional response make misinformation hard to correct. Misinformation creates doubt and suspicion. 'What if it does change my genes/cause infertility/cause cancer?’ Fred lives in a small town in a mountain area, drives 50 miles every day to work in a hospital, and is choosing not to get vaccinated. He attends a local church of like-minded people who believe serious effects and deaths of healthcare workers caused by the vaccine are being concealed as part of a larger vaccine-injury cover-up. They believe everyone is being fooled by mainstream media except for themselves and others who share their beliefs. They see themselves as a brave minority, almost counter-culture heroes, standing up for truth and right. Fred and his friends have lots of “facts”, stories, and examples to maintain their beliefs. Recently several members of the church contracted COVID after an indoor concert but vaccinations have not increased. Conspiracy Theories Headlines containing the words “cover-up” grab interest and appeal to the conspiracy theorist in all of us. The most compelling stories evoke fear and outrage. These stories have always been with us and have enduring appeal. Who has not heard that the government is hiding info about aliens, using aborted fetuses, stealing human organs, and lying about foreign policy? Conspiracists believe they possess secret important knowledge about world events unknown to others, even experts. People who believe in one conspiracy are more likely to believe in multiple conspiracies. Conspiracies are hard to combat. Even providing factual information does not dispel conspiracy beliefs. The person presenting facts may be seen as in on the conspiracy. The conspiracist simply digs in and strengthens their convictions. Confirmation Bias and Selective Exposure Our worldviews affect what we are likely to believe and what we are likely to reject. There’s a tendency to give greater credence to information that aligns with our beliefs and to ignore information that doesn't fit with our beliefs, say, around civil liberties and social responsibilities. Selective exposure allows us to: avoid information contrary to what we believe perceive information selectively forget information we disagree with (selective retention) Religious Misinformation Religious misinformation is propagated by influential religious leaders sharing false rumors and even lies. Some of this misinformation worldwide is tragic, such as urging parents not to vaccinate their children against polio. These leaders have influence, a ready platform, and cultural competence with their followers, often using strategically-chosen, emotive language. Some people will believe a religious leader over a healthcare professional. They adhere to a type of groupthink, which promotes loyalty, cohesion, and harmony of the group over individual disagreement. Identifiable Victim Bias Anecdotes and stories that cause emotional arousal spread faster and are “sticky”. We connect with stories we can relate to, like a nurse who fainted after receiving a shot, or an anti-vaxxer radio personality who died from COVID. We’re more likely to respond strongly to a single, personable example than to broad statistics. Faulty Reasoning Let’s say a 56 yr old doctor in Florida dies 2 weeks after getting the vaccine. This may be used by some to confirm that vaccines are dangerous, even if there’s no causal relationship. Headlines may spin the story either way, for example, “Doctor dies from vaccine” which is more causal than “Doctor dies after receiving vaccine” (still implied). Risk Perception People can underestimate or overestimate their risk. Vaccine skeptics believe they won’t get sick, that COVID is “just the flu” and the risk of getting the vaccine is greater than the risk of getting COVID. Over-estimaters may mask while walking alone outside. Misinformation Superspreaders Social media is perfect for spreading fake news . A small group called the “dirty dozen” are labelled superspreaders by the Center for Countering Digital Hate. They’re said to spread 65% of misinformation, lies, and propaganda about vaccines. Some are motivated by profit, and some include disgraced doctors. Many have innocuous sounding names, such as “Physicians for Informed Consent” and “Freedom Angels”, deliberately leaving the word “vaccine” out of their names so as not to flag social media rules. Strategies for Evaluating News FACT: Be well read and read from a variety of sources. Foster a healthy skepticism, a critical eye, and actively question what you see. Click on the sources and follow to the end. If you’re unsure if it’s valid, then don’t share it. FACT: Be aware of cognitive fluency, which is when we tend to read articles that are considered cognitively easy-to-read, including even spending more time on an article with a pleasing font. FACT: Read more than the headlines, and don’t share just because one sentence or a headline is attention-grabbing or clever. Watch out for overly emotional language, excessive explanation points, misspellings, tabloid style, and sensationalism. FACT: Don’t be fooled by look-alike sources- for example, Abcnews.com is not really the URL for ABC news but it looks official and sounds like legitimate a news site. FACT: Think before you share. Hold people you hear news from accountable. Let's all ask each other “What is your source?” Fact-check at Snopes.com, Factcheck.org, and other fact check sites. How do you recognize fake news, and what biases are you aware of?
  10. JadedCPN

    Pfizer Approved by FDA

    Pfizer has been fully approved by the FDA. Curious what excuses will be used next as to why not to get it. FDA Approves First COVID-19 Vaccine
  11. At work someone pointed out that a dialysis tech was doing treatment in a patient room that was COVID positive, while only wearing a surgical mask. I don't know why. I assume that they didn't realize the room was isolated or the person was new. Those assumptions were shot down because the rooms are clearly marked and PPE cabinets are hanging on the doors. My last assumption was that the tech was fully vaccinated and assumes a surgical mask is good enough. My question is, is this a problem? If so for whom?
  12. AmandaBeaverhausen

    How long am I contagious when vaccinated?

    Just a question, how long am I contagious, as a vaccinated person? I was tested and found Covid positive Friday night. Started experiencing cold-like symptoms Wednesday. Think I was exposed the previous Saturday night at work. If it's 10 days of quarantine, am I off it on Tuesday? I'm waiting to hear from work, school and I guess the city regarding tracing and other details. Am new to all of this. Any experiences are helpful and appreciated ❤
  13. I am an Oncology nurse working for a hospital for more than 13 years. I live in California and there is now a mandate in place that is requiring me to be vaccinated before Sept. 30th or I will be terminated from my job. Not only do I not feel comfortable to receive a EUV that no long term studies have been documented because it is too new and not FDA approved but I have also witnessed friends as well as patients having severe side effects after receiving vaccination. I am unclear how an employer has the LEGAL RIGHT to ask me personal questions about my religious beliefs or medical information (vaccination status), where are my HIPAA Rights. Employer vaccine mandates are subject to religious accommodation under the Title VII of the Civil rights act. For personal reasons I will be submitting for religious exemption to hopefully prevent me from losing my job. I'm not sure what the outcome will be but I am planning to seek employment elsewhere in case I do lose my job and likely it won't be in healthcare. I don't know if this will be the end of my nursing career and if it is I feel extremely sad about that. What happened to the phrase " my body my choice " ? I will not be forced to do anything to my body that I do not choose. Through scripture we know that God values our bodies. Our bodies are said to be a temple of the Holy Spirit, and we are called to take care of and honor God's temple. God's words lead use to use our bodies and the gifts He has given us to achieve the will of God.
  14. toomuchbaloney

    Public Health Today and Tomorrow

    There is going to be some directed investment in public health in this country. It sounds like there are going to be more jobs in infection control in a variety of settings. More jobs in healthcare IT with a simultaneous need for digital access and digital security. What say you?
  15. J.Adderton

    I’m Out … (Cue Mic Drop)

    In my home state of Alabama, only 33% of residents are fully vaccinated against COVID-19. The state’s healthcare workers are feeling a punch to the gut as new coronavirus cases have climbed 574% over a short period of time. Fueled by the delta variant, the state’s hospitalization rate has tripled in a few short weeks. I echo the words of many in the medical community by saying “I don’t know if I can do this again”. Universally Affected I work in a hospital, but not on a unit that provides direct care to COVID-19 positive patients. Earlier in the pandemic, I felt guilty whenever burn out began to creep in. I often thought “Shouldn’t burn out be reserved for those caring for COVID patients day after day?” Today, Alabama’s new daily case rate mimics the same numbers as 12 months ago. And, I now realize everyone working in healthcare has been affected both personally and professionally by coronavirus. What led up to my own professional mic drop moment? Caring for patients with devastating long hauler syndrome Maintaining a high standard of care without adequate staffing, supplies and other resources Working routine overtime because of your own personal responsibility to support your peers Facing the words “there is no one”, “you’ll have to make do” and “you have no choice” when asking the house supervisor for additional help No pay increase in the past 18 months Hope that disappears when large numbers of new hires resign within the first 4 weeks Frequent floating with high nurse patient ratios Alarming number of rapid response calls and code blues Nurses are only part of an exhausted healthcare community. We are joined by food and environmental services, respiratory therapists, pharmacists, physicians, nursing assistants, patient services… and the list goes on. Public Pleas A string of public pleas have been issued throughout the state, imploring the unvaccinated to seek vaccination. The frustration is almost palpable in each plea. Governor’s Harsh Words Alabama Governor Kay Ivey had harsh words for the state’s unvaccinated, stating “these folks are choosing a horrible lifestyle of self-inflicted pain”. Ivey went on to blame the state’s unvaccinated population for the rising coronavirus cases. Alabama received billions in relief funds as part of the stimulus package passed the year. However, the state is not using the federal relief for incentive programs like scholarships and lotteries. According to the National Governors Association, Alabama is offering a few small incentives: The Talladega Superspeedway is offering the opportunity to drive 2 laps behind a pace car for being tested and/or vaccinated. The Alabama Department of Public Health is sponsoring a TikTok contest to encourage vaccination before the start of the new school year. Four winners will be selected and each will receive a $250 Visa gift card. Doctor’s Emotional Plea Dr. Brytney Cobia, a hospitalist at Grandview Medical Center in Birmingham, Alabama, posted an emotional plea for vaccination on facebook that has made news across the U.S. Cobia wrote the post after caring for young healthy patients with very serious COVID infections. She describes patients begging for the vaccine right before they are intubated. She writes, “I hold their hand and tell them that I’m sorry, but it’s too late”. You can read Dr. Cobia’s full post here. Tuskegee Tragedy Lingers Many Black Alabamians have a deep seeded mistrust of the medical community stemming from the Study of Untreated Syphilis in the Negro Male. In 1932, the U.S. Public Health Service recruited hundreds of rural Black men to participate in a syphilis study, but never explained that the study was designed to withhold medical treatment. Study participants were not injected with syphilis, but those who had it were not treated, even when penicillin was available. The suffering caused by the unethical study still echoes today, despite federal laws that prohibit this from occurring again. This tragedy contributes to vaccination hesitancy within the state. Mounting Personal Toll I’m not alone in questioning my ability to withstand another COVID-19 surge in my current nursing position. Healthcare workers are experiencing burn-out in high numbers and reporting significant psychological distress. Many are responding to the stress and trauma by misusing alcohol and other substances. It’s time for professional organizations and the healthcare industry to do more to support workers moving forward. What About You? Are you considering a mic-drop departure from your workplace? What do you need to reverse your burn-out? References In Tuskegee, Painful History Shadows Efforts To Vaccinate African Americans
  16. Jedrnurse

    So, It's Come To This...

    ...unvaccinated status as a selling point for recruiting nurses. Wow.
  17. ladycody

    COVID Vaccination Policies and HIPAA

    HIPAA keeps getting hauled out into conversations revolving around Covid vaccination policies. Can we all....as nurses for whom understanding and agreeing to follow HIPAA is an integral part of licensure and employment in this field ...can we all take a moment or two to make sure we understand what, exactly, HIPAA actually IS before using it in a discussion?!?!? It's frightening how many seem to have NO IDEA what the heck it is... but reference it with attitude and all sorts of incorrectly appropriated indignation. 🙄 It's embarrassing....stop it. Do some learnin.
  18. jive turkey

    Leaving Your Job Due to Mandate

    For those of you who have recognized your employer can terminate you for not taking the COVID vaccine and have decided on or are considering employment elsewhere please share your experiences here. How do you feel about having to make that choice? The purpose of this thread is not to condemn those making this decision or debate whether they should vaccinate or not.
  19. NurseA2021

    Covid-19 Religious Exemption

    Hello to those who have successfully obtained a religious exemption from the Covid 19 vaccine. Could you please share how you formatted your exemption letter and what you included?
  20. The year 2021 began with such promise. New COVID-19 vaccines had not only gained Federal Drug Administration Emergency Use Authorization, but those at highest risk were eagerly snapping up every available dose. As more vaccines rolled out, millions of American adults—and then teenagers—rolled up their sleeves. But a large minority of Americans expressed lack of confidence in vaccination from the start. According to a rolling survey fielded by the Kaiser Family Foundation, many were taking a “wait and see” attitude because of the newness of the vaccine. Others said they would only get the shot if it was required, and some said they would “definitely not” get vaccinated, even if it was required. Today, for reasons that predate the COVID-19 pandemic—including concern about side effects and a lack of trust in the government or the scientific community—three out of four of those who lacked vaccine confidence in January have not changed their minds. As we near the end of August, just over half of American adults are fully vaccinated. The Vaccination Divide The vaccination divide in our country is an important conversation for case managers and certified disability management specialists. It has been identified that this is a clear public health risk with mitigating factors that can include vaccination, herd immunity, masking, and social distancing. Voluntary efforts have not yet achieved this goal. For employers, the need to protect employee health and to mitigate lost productivity drives some to push for vaccination and other safety measures; perhaps without full consideration of individual beliefs and barriers. As professionals in the field know, there is enormous potential for differences in opinion about vaccination to cause stress and increase tensions among peers at the workplace and with clients who may not share their vaccination viewpoint. Being aware of the differences of opinion, as well as the science related to vaccination, can help case managers and disability management specialists navigate the client’s journey. COVID-19 vaccination has been presented as a personal choice. And, as former Surgeon General Jerome Adams said in a July 25, 2021, interview, choices have consequences. (It may be recalled that Adams was a keynote speaker at the 2018 CCMC New World Symposium.) Today, with just over half of American adults fully vaccinated, the deadly and highly contagious Delta variant of COVID-19 has taken hold. Virus case rates jumped in just a month to pre-vaccine levels, according to information from the Centers for Disease Control and Prevention. In July, Adams warned: “This pandemic is spiraling out of control yet again, and it’s spiraling out of control because we don’t have enough people vaccinated. So, get vaccinated because it helps your neighbors, but get vaccinated because it’s going to help every single American enjoy the freedoms that we want to return to.” Surgeon General Dr. Vivek Murthy, agrees, stating, “That is ultimately how we are going to save lives and overcome the [Delta] variant.” We all agree that we want the freedom to gather without social distancing and go out without a mask, whether it be for work, school, or entertainment. Yet just two days after this interview, the CDC updated its guidance for the fully vaccinated, recommending they wear masks in public indoor places once again. Although there’s no indication of a future federal mandate for vaccination, there are daily reminders that decision-makers in business and local governments are willing to up the stakes in favor of vaccination. New York City announced the first week in August that diners and theater-goers would be required to show proof of vaccination before entering venues. A growing list of employers—from health care plans to big-box stores, airlines, high-tech innovators, and entertainment giants—announced vaccination requirements for on-site workers. And, some companies that had been planning to have their employees return to the office have now extended their remote work schedules through the end of the year. Listen with Empathy and Understanding For case managers and certified disability management specialists, it’s critical to remember that our Codes of Professional Conduct require us to respect the rights and dignity of our clients. Our own vaccination viewpoint may be in complete opposition to theirs, but our professional role is to listen with empathy and understanding. Several real barriers to vaccination have been identified. The recent final approval of the Pfizer vaccine by the FDA may help to eliminate some of these concerns, but some are still available reluctant due to the rapid development of the current vaccines. Others may have a strongly held religious objection. Or perhaps an individual fears side effects from vaccination that could impact their ability to work and, in turn, affect their financial well-being. Respond with Empathy By responding with empathy, case managers may have an opportunity to offer information that could help clients make an informed decision. Listening will also contribute to your understanding of the individual’s readiness to consider their options. It’s critical that you remain non-judgmental in your client relationships. Assess their willingness to receive information about vaccination and be supportive in providing information when desired so clients can consider choices and make an informed decision. Build Trust and Support Both board-certified case managers and disability management specialists have an ethical responsibility to the principles of beneficence (to do good to others) and non-maleficence (to do no harm). We are charged with honoring the client’s desires and their right to make their own decisions (the principle of autonomy). By listening rather than judging, we have the opportunity to build trust and support our clients in their decisions, even if we disagree. Article written by... MaryBeth Kurland, CAE, Chief Executive Officer, Commission for Case Manager Certification
  21. jive turkey

    COVID vaccine passport

    VACCINATION CARD Hello. -Hi, table for two, please. -Sure, and your name. - Cailyn -Great. And do you and your guest have your vaccination cards? -Hmmm well first..Can you tell us who our server will be? -Um, looks like Brad will be your server tonight. -Great. Can you show us Brad's vaccination card? -Um... -And also, can you provide me with proof that Brad is not a carrier of HIV, Hepatitis A or B, or any other communicable diseases? Same for you and the kitchen staff. -Um... -Also, we would prefer not to be served by someone who is on or uses recreational drugs such as marijuana, cocaine, meth, fentanyl, etc, so if you could provide us with Brad's most recent tox screen, that would be great. Matter of fact, imma need to see all of your employees medical history. -Um... Let me get the manager for you. -That would be great, thanks. Make sure they have their vax card and medical records please. Stolen and passing along .
  22. This is a new job. I’m a nurse manager for children’s group homes and we are told we can’t give an opinion on whether or not parents should consent to vaccinate their children. We can educate but not give an opinion. When I educate you, you’re probably going to infer my opinion. Am I making a big deal out of nothing? I think nurses should encourage vaccination. I’m annoyed. Please share your experience.
  23. President Biden announced Wednesday he's ordering HHS to require Nursing Homes to have staff vaccinated for COVID-19 in order to be able to participate in Medicare and Medicaid and receive funding from these programs. The new rule will go into effect in late September affecting more than 15,000 nursing homes and 1.3 million workers. Biden to tie vaccines for nursing home staff to Medicare and Medicaid funding
  24. I think that the market may create good paying work for unvaccinated nurses. There are areas in this country with low vaccination rates resulting in high Covid hospitalization rates. Couple that with increasing frustration and compassion fatigue experienced by nurses who understand that this disaster could be mitigated. Staffing those Covid units is going to get harder and harder, jacking up already great travel pay. Those areas will probably be the last to require nurses to get vaccinated. Even if they want to, the diminishing supply of vaccinated nurses willing to continue in this fiasco may prevent them from requiring it. Simple laws of supply and demand. It would be a great selling point. And, the unvaccinated nurses who survive the Covid units would have some strong anecdotal evidence to prove their point.
  25. So y'all going to run out now and get it, now that it's no longer an "experimental, unapproved drug"? . . . . . Yeah, didn't think so.