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The rocky deployment of the hospital’s covid vaccine raises equity issues

After finishing vaccination of frontline hospital staff last week, the Jupiter Medical Center was left with 40 precious corona vaccines. As a result, authorities provided shots to the South Florida Hospital Board of Directors and spouses over the age of 65.

However, the decision has caused anger among workers, including one of the hospital’s emergency medical clinics, or who believe the hospital is favoring wealthy insiders before protecting all staff. , Unnamed.

The move also prompted dozens of calls from donors seeking vaccination.

The hospital vaccinated 1,000 Moderna vaccines two days before Christmas, less than half the amount required by the state to cover the workforce. Authorities prioritized delivering the vaccine to front-line healthcare professionals who requested the vaccine, and vaccinated on Christmas Eve or on holiday weekends.

Patty Patrick, vice president of the hospital, said the hospital behaved appropriately in providing vaccines with a short shelf life after the vial was opened. Neither she nor any other manager who did not work directly with the patient was included in this first shot.

“This was an easy way to move 40 doses very fast,” she said, before it messed up.

She added that all front-line staff in the healthcare system, including the clinic, were given the opportunity to take shots.

Jupiter is not alone in the question of vaccine handling. Initial deployments to healthcare professionals and nursing home residents are at best uneven due to the lack of a federal strategy on how it works, with states, hospitals, nursing homes and pharmacies Often make your own decisions about who and when to get vaccinated.

In some hospitals, managers and other personnel who are not in contact with the patient or face the risk of the virus in the workplace are shot, and the patient, and even front-line staff, are at risk of complications. Is increasing. Some managers who worked remotely during the pandemic are vaccinated at hospitals that have decided to allocate doses by age group, not specifically at risk of exposure.

State and federal health groups have set broad guidelines on how to prioritize who gets the vaccine, but what really matters most is who controlled the vaccine and where the vaccine was distributed.

Stanford Health Care in California puts a priority list after protests from front-line doctors in training who said they were unfairly overlooked while vaccines were given to teachers who did not see patients on a regular basis. I was forced to remake it. (Age was an important element of the university algorithm.)

The Morse Life Health System, a non-profit organization that operates nursing homes and assisted living facilities in West Palm Beach, Florida, reports in the media that it is a member of a country club that has donated thousands of dollars to vaccinated donors and health. In response, Congressman called for an investigation. Company.

Miami Herald Vaccines Donors Prior to the Public While At least Three Other South Florida Hospital Systems (Jackson Health, Mount Sinai Medical Center, Baptist Health) Administer Shots to Frontline Employees I reported that I did.

Like Jupiter Medical, hospitals claim that the shots offered are over 65 years old, as state officials have prioritized.

Staffing issues in hospitals

The Centers for Disease Control and Prevention advisory board has designated hospitals and nursing homes to be vaccinated first, as workers and residents are considered to be at the highest risk and most states follow their recommendations. did. However, in many cases, health agencies have found that staff demand is less than expected.

Moreover, the arrival of the promised shipment was unpredictable. The federal government approved the first Covid vaccine on December 14, but some hospitals were not assigned until the end of Christmas.

The Hendry Community Health Center in Clewiston, Florida received 300 doses from the state. The hospital vaccinated 30 of its 285 employees between December 28 and January 5, said CEO RD Williams. He said some employees preferred to wait until the end of New Year’s Day weekend for fear of side effects.

Vaccines have generally been reported to cause pain at the injection site, sometimes causing fever, lethargy or headache. The reaction generally lasts within a few days.

“I’m happy with the situation so far,” Williams said. “I know that many employees want to get vaccinated, but I don’t think it’s a panacea that I have to do today,” he said, and staff have already taken themselves out of the virus. He said he had a mask and gloves to protect.

The hospital is also trying to adjust the vaccination schedule so that 10 people receive injections at a time to ensure that the drug is not wasted after the multiple dose vials have been thawed. Once the vaccine has been thawed, it should be used within a few hours to maintain its effectiveness.

As of January 6, Howard University Hospital in Washington, DC had vaccinated just over 900 healthcare workers since the first dose arrived on December 14.

According to CEO Anita Jenkins, success is limited by workers’ resistance to getting the vaccine and the lack of trained personnel to administer the vaccine.

“We still have a hospital to run, we have patients with heart attacks and other conditions in the hospital, and we don’t have any additional staff to run a vaccine clinic,” she said.

While some hospitals only provide vaccines to front-line workers who interact with patients, Howard makes the vaccine available to everyone, including public relations staff, cafeteria workers, and managers. I am. She defended the move because Jenkins was the best way to protect the entire hospital.

She said employees such as information technicians who are not seeing patients may be around the doctors and nurses who are seeing them. “When working in a hospital, most people come across patients just by walking down the hallway,” she said.

Eisenhower Health, a non-profit hospital based in Rancho Mirage, California, has 2,300 vaccinated out of 5,000 employees.

“Our biggest challenge is to manage the current patient surge and staffing demand in the acute and critical care areas, while ensuring sufficient staffing resources to run vaccine clinics.” Spokesman Lee Rice said.

Non-system of unfair distribution

Arthur Caplan, a bioethicist at NYU Langone Medical Center in New York City, said hospitals should not inoculate board members before hospital staff unless they play an important role in the operation of the hospital. ..

“It seems to me that I’m trying to rush to the top of the line and reward those who may be potential donors,” he said. But he admitted that hospital vaccination systems are not always rational or impartial.

He added that the corona vaccine should be given as soon as possible, but hospitals can only vaccinate the people they are involved with.

Kaplan said he had been vaccinated at New York University’s outpatient clinic last week, but his clinic had not been vaccinated, so his family doctor had not yet been vaccinated.

This article has been reprinted from with the permission of the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorial independent news service, is a program of the Kaiser Family Foundation, a nonpartisan medical policy research organization unrelated to Kaiser Permanente.

The rocky deployment of the hospital’s covid vaccine raises equity issues

Source link The rocky deployment of the hospital’s covid vaccine raises equity issues

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