When You Realize You Are Replaceable

This article discusses how Nurses are terminated for requesting exemption from the Covid-19 Vaccine mandate. Nurses Career Support Article

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When You Realize You Are Replaceable

It was the dream job, mothers and babies, those perfect newborn babies. Postpartum care, neonatal care, a career that made working the night shift bearable, a wanted escape from the busyness of my home life. It was my third hospital job and my home away from home. I had no intentions of seeking employment anywhere else for the foreseeable future. 

I worked so hard through nursing school, to achieve Cum Laude, to learn bedside nursing, a dream of mine since childhood. There were no late nights or bar scenes for me. Flashcards, studying, and working as a Patient Care Assistant on a fast-paced Telemetry unit were my life. I wanted nothing more than to see RN on my badge. 

Ten years of experience later, and during my third pregnancy, Covid happened. I worked twelve-hour shifts with an N95 mask at 6 months pregnant and without complaint, because this is what I signed up for. This was my job. I was fearful initially, but I was trained well in PPE use and knew I was protected. 

I am a breastfeeding mother. I am extremely cautious of all that I choose to put into my body. I am a nurse that values Holistic medicine and natural remedies. During Covid, my family supports our immune system with daily doses of Vitamin C, Vitamin D, Zinc, fresh air, and exercise. When the vaccine became available, and I conducted my own personal evidence-based research, I decided the vaccine was not a choice I was comfortable with, not a substance I could put in my body, or my daughter's. I was immediately called a danger to my patients, an irresponsible Nurse, rather than a human being, a mother, a woman that is entitled to her own medical choices. 

The mandates were announced for all Hospital employees, and I submitted a religious exemption promptly and truthfully, maintaining hope in the leaders at the hospital I had been employed by for seven years. The hospital I was born at, the hospital I was so proud to be employed by. 

The week before Christmas, I received the dreaded phone call. My exemption was denied and I had two weeks to comply or be forced into a "voluntary resignation". I was overwhelmed, consumed by emotions, the joy of Christmas ripped away from my family of five. 

I filed for an appeal and was granted a Zoom meeting with the CEO, and the Union that I had paid to protect my rights. I spoke my truth and requested an accommodation of weekly Covid testing. Two weeks later, my request was denied and I was no longer employed. I was disposed of like my hard work and dedication was nothing to the hospital I called my own. A hospital two of my children were proudly birthed at. My name was frequented in Press Ganey Surveys of patient satisfaction. I cried with my patients, I was the one at the bedside during life's most beautiful moments, and in the dark unexpected moments that are so rarely discussed. 

I am replaceable. I am just a nurse that can be fired (or forced into resignation) for my personal medical choices. I am hesitant to start again at a new facility as I now know, that one choice can take away my career and in turn, take food out of my children's mouths. Declined for unemployment because of my "voluntary" choice. 

The daily news report of critical nursing shortages, offers of sign-on bonuses and incentives. I am willing and able to work, but I sit at home with my children, searching for a new job that brings me joy and allows me to continue to homeschool my children. I apply for out-of-state licenses while I question if Nursing is my future, or if a new path is waiting for me. I am not alone in this despair, as over 100 employees in my hospital's organization are in the same circumstance. We are not neglectful, careless nurses and in a country that supports freedom of choice, our choice has been stripped from us. Stripped from the very souls that are at the bedside of our hospitalized population. 

Just one year prior, I was labeled as a hero, but now, my education, skills, and experience mean nothing, as I can so easily be replaced. 

Specializes in Psych, Addictions, SOL (Student of Life).
7 hours ago, BluesNJax said:

that use human fetal derivatives in the production of the vaccine. I would remind you that you do not need to know of, or understand the reason behind the request; it is none of your business.

The problem with this statement is that things like Tylenol, Nexium, Metformin and so many more  were all tested against those same fetal cell lines that were obtained in the 1970s.......

And your right it's none of my business who's vaccinated until I get sick.

Specializes in Pediatrics.

Please don't misunderstand me. I'm not saying a person shouldn't be aware of their surroundings. Of course they should. I'm saying that it us no one's business if someone else claims religious exemption, even if they are not aware of the religion.

I would think someone who does not want to use the vaccine due to the fetal tissue would also want to not use those other products as well, but that is their decision.

Specializes in EMT since 92, Paramedic since 97, RN and PHRN 2021.
10 hours ago, BluesNJax said:

The Americans with Disabilities Act (ADA) was passed to allow people with "unalterable characteristics" to participate in the same activities the rest of us enjoy. It protects their right to life, liberty, and their pursuit of happiness. While the act's name might lead some to think that the scope of the act is in dealing with disabilities, but it includes all unalterable characteristics. Religion has been defined in court as an unalterable characteristic, which, is protected by the ADA.

The individual seeking protection under the ADA does not have to prove his beliefs, or that the doctrine of his religion supports his stated beliefs. He must certify that he has strongly held beliefs that prevents him from from receiving the vaccination, and then must ask for a reasonable accommodation. He does not need to name or even know what might be an appropriate accommodation.

In one response, someone said: "I don't know of any religion that celebrates Christmas but then tells its followers to not get vaccinated." I would respond that I know of several Christian religions that prohibit the use of vaccinations, like the COVID-19 vaccine, that use human fetal derivatives in the production of the vaccine. I would remind you that you do not need to know of, or understand the reason behind the request; it is none of your business.

The employer has the responsibility to look for, find, and offer potential reasonable accommodations if they exist. The "reasonable" part of "reasonable accommodation" does not mean inexpensive or convenient. Accommodations are frequently very expensive and the employer must foot the bill for it.

Why is this? Because we are dealing with basic rights delineated in the Constitution. Important stuff.

So the question now becomes: Is there a reasonable accommodation that this lady's employer might have been able to provide for her? Well, plenty of employers were able to keep their nurses working during this crisis, by using those critical thinking skills I have read about in the responses to the post.

I suspect there will be a ton of attorneys going over this material as the lawsuits mount this year.

 

    Gonna go in order on this one.

 

1)  None of my business.   Absolutely right, until it becomes my business. Lack of action of someone else can, and does, cause illness. This isn't a disability someone is born with. It's an acquired illness. Now does that make a difference to the little virus circulating the world, not a bit, it just wants the next viable host to replicate. The Americans with disabilities act has become a blanket act that anything and everything can, depending on ones view, be covered by. This was not the original intended reason congress passed the ADA. But alas, the next big thing, whether it be viral, bacterial, or something from outer space, will be lumped under the ADA to fit an individuals narrative.

 

2). Most business would probably go bankrupt trying to 'fix' every issue that an ADA attorney could bring up.  One of the few things I agree with you on is this, that it is very expensive.

 

3) don't see anything in the constitution about disabilities. Not really sure that when George Washington and his buddies were forming our 'Perfect Union' they had the ADA in mind, but as a progressive country we have voted in the people who carved out the ADA and I think its is a wonderful Act.

4).  Employers using critical thinking?????  That is a funny one. Unfortunately most of the higher up managers (corporate level) rarely have medical backgrounds.  The bottom line is what they see and need to account for.  They could probably care less about the ADA unless it hits them hard.  Would they rather pay a fine or spend millions to fix many facilities to come into compliance with the ADA?????

 

 

5). oh, and the second thing we agree on, many lawyers will be going over all of the different things that occurred during covid, which will probably take years, and many many billable hours.

Specializes in Health Content Writer, Pediatric RN, Case manager.

I am so heart broken for you. This is truly a quandary. Being 'forced' to get immunized does seem unreasonable from a personal perspective. I admire your strong desire to do only the best for your family. The stressors of the last two years magnified that, on both ends of the spectrum!  

I cannot say that I would have made the same choice, but I was not faced with this situation. Rest assured. This will work out. You will find yourself back where you need to be. You have choices going forward, even though this one was taken from you. 

Most importantly, you are not replaceable. There is only one you, and you still have a lot of love and passion for our profession, or you would not find yourself here, now. Take a breath. Love yourself, and allow forgiveness to heal your heart. Sending hugs. 

Specializes in ICU.

What else are we willing to have shoved down our throats?  The "Science" on the vaccines seems to wax and wane; and there are many ways to look at and slice research data.  She did her research and made a choice for her own health, isn't that what we are supposed to allow our patients?  I took the vaccine, but only after waiting a month or two to see how everyone else reacted; that line about "fully vetted" I don't buy for a minute; the normal drug development process is 3-5 years, possibly could be cut down, but not that much.  "Patients have the moral and legal right to determine what will be done with their own person...including the choice of no treatment; to accept, refuse, or terminate treatment without deceit, undue influence, duress, coercion, or penalty;   ANA Code of Ethics Provision 1.4.  

Specializes in Psych, Addictions, SOL (Student of Life).
16 minutes ago, Nursetom1963 said:

What else are we willing to have shoved down our throats?  The "Science" on the vaccines seems to wax and wane; and there are many ways to look at and slice research data.  She did her research and made a choice for her own health, isn't that what we are supposed to allow our patients?  I took the vaccine, but only after waiting a month or two to see how everyone else reacted; that line about "fully vetted" I don't buy for a minute; the normal drug development process is 3-5 years, possibly could be cut down, but not that much.  "Patients have the moral and legal right to determine what will be done with their own person...including the choice of no treatment; to accept, refuse, or terminate treatment without deceit, undue influence, duress, coercion, or penalty;   ANA Code of Ethics Provision 1.4.  

No one ever said the OP didn't have a choice on weather to be vaccinated. But just as they have that right so to does the employer have the right to set conditions of employment.  The New York Supreme court upheld individual employer's rights to deny religious exemption.   

On 2/25/2022 at 7:55 AM, Guest1189140 said:
 

Ten years of experience later, and during my third pregnancy, Covid happened. I worked twelve-hour shifts with an N95 mask at 6 months pregnant and without complaint, because this is what I signed up for. This was my job.

You said it yourself, your job includes unpredictable things and being replaceable. The truth is you were always replaceable, always expendable to an employer seeking to find better/cheaper employees. Even with a chronic nursing shortage, employers are still able to be picky about who they hire and who they keep on staff.

 

This might be a blessing in disguise since you and your employer have such differing opinions on employee health records. If they think so lowly of you then you probably don't want to work for them to begin with. There are other employment opportunities

 

On 3/4/2022 at 1:47 AM, BluesNJax said:

The Americans with Disabilities Act (ADA) was passed to allow people with "unalterable characteristics" to participate in the same activities the rest of us enjoy. It protects their right to life, liberty, and their pursuit of happiness. While the act's name might lead some to think that the scope of the act is in dealing with disabilities, but it includes all unalterable characteristics. Religion has been defined in court as an unalterable characteristic, which, is protected by the ADA.

The individual seeking protection under the ADA does not have to prove his beliefs, or that the doctrine of his religion supports his stated beliefs. He must certify that he has strongly held beliefs that prevents him from from receiving the vaccination, and then must ask for a reasonable accommodation. He does not need to name or even know what might be an appropriate accommodation.

n one response, someone said: "I don't know of any religion that celebrates Christmas but then tells its followers to not get vaccinated." I would respond that I know of several Christian religions that prohibit the use of vaccinations, like the COVID-19 vaccine, that use human fetal derivatives in the production of the vaccine. I would remind you that you do not need to know of, or understand the reason behind the request; it is none of your business.

The employer has the responsibility to look for, find, and offer potential reasonable accommodations if they exist. The "reasonable" part of "reasonable accommodation" does not mean inexpensive or convenient. Accommodations are frequently very expensive and the employer must foot the bill for it.

Why is this? Because we are dealing with basic rights delineated in the Constitution. Important stuff.

So the question now becomes: Is there a reasonable accommodation that this lady's employer might have been able to provide for her? Well, plenty of employers were able to keep their nurses working during this crisis, by using those critical thinking skills I have read about in the responses to the post.

I suspect there will be a ton of attorneys going over this material as the lawsuits mount this year.

If I could get a little controversial now, I would like to remind everyone that the science behind these vaccines is hardly settled. It isn't even peer reviewed yet -- there just hasn't been time yet. Don't get me wrong. I am vaccinated AND I recognize the rights of the individual. Those are not mutually exclusive activities. If I were pregnant or nursing, I can't say that I would have taken the shots.

So, I am sorry you lost your job. I suspect things will start to open soon and you will be able to look for your next big adventure. Remember when you look for an attorney, and I hope you do, hire the baddest bulldog you can find.

 

Abusing “religion” as an “excuse” for ignorance and selfishness is appalling. Any truly religious person would find it so.

Specializes in Critical Care.
On 3/5/2022 at 7:10 PM, Nursetom1963 said:

I took the vaccine, but only after waiting a month or two to see how everyone else reacted; that line about "fully vetted" I don't buy for a minute; the normal drug development process is 3-5 years, possibly could be cut down, but not that much.  "Patients have the moral and legal right to determine what will be done with their own person...including the choice of no treatment; to accept, refuse, or terminate treatment without deceit, undue influence, duress, coercion, or penalty;   ANA Code of Ethics Provision 1.4.  

This is the strangest argument from vaccine skeptics because it's so incredibly easy to learn what factors contributed to how quickly we were able to develop a safe and effective vaccine. 

Re: your code of ethics quote - you absolutely have a right to determine what will be done to your body. Just like OP. They made the decision to not vaccinate and really this whole thread boils down to being upset with having to live with that choice.

Using the Code of Ethics is interesting considering all throughout it is our duty to patients, safety, quality, evidence, etc. - all of which is undermined when one contributes to repeating false narratives and sowing doubt that may ultimately kill someone.

Specializes in Pediatrics.
On 3/5/2022 at 4:31 PM, hppygr8ful said:

No one ever said the OP didn't have a choice on weather to be vaccinated. But just as they have that right so to does the employer have the right to set conditions of employment.  The New York Supreme court upheld individual employer's rights to deny religious exemption.   

https://sgrlaw.com/client-alerts/supreme-court-will-not-stop-new-yorks-covid-19-vaccine-mandate-for-health-care-workers/

The ruling also specifically affirms the employer's responsibility to provide reasonable accommodations when available.

Specializes in Transitional Nursing.
On 3/1/2022 at 9:13 AM, Tweety said:

 

 I know of a couple of unvaccinated staff that got extremely ill during the delta wave, but that was their choice, but did they actually cause harm to others on the job compared to facilities that fired nurses for not being vaccinated?

 

Studies are pretty clear that you are at increased risk of spreading it, because you're at increased risk of getting it.  

 

We know that people still test + after vaccination because we're testing them, no vaccine will ever prevent minor infection. 

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
10 hours ago, Straight No Chaser said:

Studies are pretty clear that you are at increased risk of spreading it, because you're at increased risk of getting it.  

 

We know that people still test + after vaccination because we're testing them, no vaccine will ever prevent minor infection. 

I understand.  I was wondering, and there probably aren't any studies out there that show what I'm thinking about, if unvaccinated staff have made patients sick in large amounts.  That was one of the arguments for hospitals mandating staff to get vaccinated.  So now that we're a couple of years into it, has this proven to be true in areas where there is no mandate. 

 Almost all health care providers are under a mask mandate and masks have been shown to stop the sick from spreading it.  

There probably wouldn't be any way to study this.  I have seen some patients come in negative and then test positive a week or so later.  But they had visitors so who is to say staff gave it to them.