Vaccination Mandating

Nurses COVID

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I'm in NY. Wonder how other NURSES are feeling about mandatory COVID vaccination?

Specializes in Emergency Department.

I came across this ? and I think it states the problem perfectly.

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Specializes in CRNA, Finally retired.
45 minutes ago, 2BS Nurse said:

We should have kept our portable Covid centers open for strictly Covid patients. Keep all Covid (testing, treatment, vaccinations) away from clinics and hospitals. This wouldn't work in our current health care mafia system because it needs to make money. None of them want to turn away patients, especially now that they have to pay the big bucks to travel nurses. 

You can open up all the tents you want, but who will take care of the patients in them?  

Specializes in CRNA, Finally retired.
6 hours ago, Sciencedude1 said:

Great article. This pretty much sum's it up.  

"In the case of COVID-19 patients in need of critical care, not only would refusing to administer treatment be highly unethical, it would violate a physician’s duty of care, which can carry legal implications, say several Northeastern experts."

So no it doesn't look like the unvaccinated are going to be refused beds anytime soon.

Who said anyone was being refused a bed?  But we are at the point now that some, mostly males, patients are dying at home because they know there are no beds for them in our hospital.  Should hospitals reserve a bed for a trauma?  We can't just send patients to another hospital in town.  We ARE the critical care center for a large portion of the state.  So, I would like you to cite where patients are actually being sent away from the hospital.  So far our 7 deaths (we now keep records on Covid patients who die at home) have chosen not to go to the hospital but I don't know for a fact that anyone has ben turned away.  Our outdoor ER waits have decreased to around 7 hours (from a high of 9 hours).  Our death rates are up.  What do you think we should do with unvaccinated patients if it comes to that?

Specializes in Critical Care.
10 hours ago, Sciencedude1 said:

Would you refuse to treat if your mother, father, son, daughter, husband, wife was not vaccinated? Some of you nurses that are advocating for not treating the unvaccinated would not have that approach if it was one of your loved ones whose life was on the line.

Also since some of you insist that a different standard of care be provided for the vaccinated vs unvaccinated, then why don't you all make those recommendations to your state board of nursing? Maybe a change to the state nursing act needs to occur? Let's see what they have to say. Expressing your view points on an anonymous forum will not get you far in terms of putting your views into action. 

 

If I had two family members admitted to the hospital with Covid, one was vaccinated, the other not, and because of the high case-load we really provide adequate care to both, then yes I would choose to focus resources on the vaccinated patient since their potential for recovery is far greater than in an unvaccinated patient.  This isn't a new concept to medicine or nursing.

 

10 hours ago, Sciencedude1 said:

I wanted to update everyone regarding the vaccine mandates. As per Biden "there is no federal solution to COVID-19" and its pretty much up to the states as to their approach regarding vaccine mandates.

 

You might want to re-read what he said because he didn't say the federal government doesn't have a role, and didn't say there would be no mandates at the federal level.

A good share of the responsibility does fall to states, which results in a lot of variability between states, which means we're all paying the high costs that the policies and views of some states are causing.  

On 12/29/2021 at 9:05 AM, subee said:

You can open up all the tents you want, but who will take care of the patients in them?  

I think retired nurses would be willing to help if they didn't have to deal with the corporate crap. Just common sense nursing with no strings attached. 

"Our outdoor ER waits have decreased to around 7 hours (from a high of 9 hours)"

And now urgent care centers throughout the country are shutting down because they can't staff them. This puts a higher burden on the EDs. Why can't we get our act together as a country? A state? A county? A city? A village?  

Specializes in CRNA, Finally retired.
2 hours ago, 2BS Nurse said:

I think retired nurses would be willing to help if they didn't have to deal with the corporate crap. Just common sense nursing with no strings attached. 

"Our outdoor ER waits have decreased to around 7 hours (from a high of 9 hours)"

And now urgent care centers throughout the country are shutting down because they can't staff them. This puts a higher burden on the EDs. Why can't we get our act together as a country? A state? A county? A city? A village?  

I would be willing.to do 4 hour hr shifts doing intubation and vent management but .....that corporate crap!

Specializes in CRNA, Finally retired.
2 hours ago, 2BS Nurse said:

I think retired nurses would be willing to help if they didn't have to deal with the corporate crap. Just common sense nursing with no strings attached. 

"Our outdoor ER waits have decreased to around 7 hours (from a high of 9 hours)"

And now urgent care centers throughout the country are shutting down because they can't staff them. This puts a higher burden on the EDs. Why can't we get our act together as a country? A state? A county? A city? A village?  

Lower IQ's !

5 hours ago, 2BS Nurse said:

And now urgent care centers throughout the country are shutting down because they can't staff them. This puts a higher burden on the EDs. Why can't we get our act together as a country? A state? A county? A city? A village?  

Speaking of higher burdens being placed on EDs due to issues at the urgent-care level: I’ve been afflicted with migraines for nearly 30 years and have, for the most part, been able to treat them at home. But when that doesn’t work, I have to go to urgent care (or, if it’s outside of urgent care hours, the ER) for intravenous pain management. But it seems that isn’t an option anymore. The last time I went for migraine treatment, I was told that they don’t keep narcotics on site anymore. Thus, my pain was not treated effectively.
So it’s not just the effects of COVID at the urgent-care level that’s leading to emergency rooms being overwhelmed. 

Specializes in Critical Care.
9 minutes ago, Beausoleil said:

Speaking of higher burdens being placed on EDs due to issues at the urgent-care level: I’ve been afflicted with migraines for nearly 30 years and have, for the most part, been able to treat them at home. But when that doesn’t work, I have to go to urgent care (or, if it’s outside of urgent care hours, the ER) for intravenous pain management. But it seems that isn’t an option anymore. The last time I went for migraine treatment, I was told that they don’t keep narcotics on site anymore. Thus, my pain was not treated effectively.
So it’s not just the effects of COVID at the urgent-care level that’s leading to emergency rooms being overwhelmed. 

I don't think Covid likely had anything to do with opioid-free urgent care centers, that's been common for quite some time since there really isn't a good reason for them to go through the hassle of keeping them on formulary.  

Although if you go to an ED for migraine treatment it's no unheard of that they won't offer opioids for treatment since that's been against recommendations for over a decade (using opioids to treat migraines causes them to be more frequent and severe).  That also pre-dates Covid.

There's no doubt though that the burden of Covid on hospitals has affected the care of other patients.  I had a patient just yesterday who died in the non-Covid side of the ICU not long after admit, he might have died anyway but it didn't help that despite adding additional Intensivists they were all occupied with actively crashing patients in the Covid-ICU.  This isn't something that could happen in the future, it's currently happening and has been happening for a while.

Specializes in OR, Nursing Professional Development.
49 minutes ago, Beausoleil said:

Speaking of higher burdens being placed on EDs

It’s sad this even had to be posted. https://pennstatehealthnews.org/2021/12/penn-state-health-advises-patients-not-to-head-to-emergency-department-for-covid-19-testing/

37 minutes ago, Rose_Queen said:

The the problem is us.  We complain about people coming in for testing, then we test them.  We are only required to do a medical screening exam, but we test them.

Why would they not come to us?  They get what they want, and there is no cost for most.  And, over the years, we have trained them to do this by providing excellent customer service,

 

We would never administer IV pain meds in urgent care. We didn't even stock narcotics. IM sumatriptan and IM ketorolac were the only meds we administered for migraines. Sometimes IV fluids. 

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