Covid-19

I posted earlier a link to a story where the Federal Government has given vaccine manufacturers liability protections that they normally don't receive when it comes to regular pharmaceuticals. I'm not an anti-vaxxer, in fact I'm about to head to the 'ol VA and get me a flu shot. However, as someone who works in risk mitigation and indemnification as part of the many things I do for work. I cannot wait to be last in line for this vaccine since I can't sue Pfizer or Moderna for complications that may arise from their vaccine because the Government has indemnified their liability. But, I also can't sue the government because they passed that law too.
 
Devildoc said:
Just found out that our governor is going to come through Monday or Tuesday, he wants to "talk with the team that put all this together ".

My boss has already approved my PTO. Not into the dog and pony show.

Regarding Dr Fauci, he's not wrong, you know. We have a history of rugged individualism, we are allowed to make our own choices, good or bad. This is no different.
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The hero we need!
ThunderHorse said:
I cannot wait to be last in line for this vaccine since I can't sue Pfizer or Moderna for complications that may arise from their vaccine because the Government has indemnified their liability. But, I also can't sue the government because they passed that law too.
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It's almost like the Army prepared you for this very moment. ;)
 
RackMaster said:
@Devildoc you'll enjoy this one to.

Second COVID-19 vaccination in Toronto appears to have been botched: Doc
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I don't judge, man. My colleague and I, we had the first two vials Monday morning, we had all these cameras around us, people in our personal space. The lighting was horrible, if I can download the clip from the news I'll upload it here. That could have been me.

That said, when you know it's going to be a circus, you rehearse it. Mentally you think about it, you think through all the steps, you take deep breaths, no different than rehearsing an assault, a play, or any other high stress event.
 
Devildoc said:
Bwahahahaha! "Faulty algorithm". Little ol' us, we scrubbed lists and identified the tiers of recipients and cross-checked the lists against hospital employees.
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I am getting mine in the next couple of weeks from UNC. I technically have a choice, but intubation and central line placement is about as risky as it gets so I am going forward with it.
 
Dvr55119 said:
I am getting mine in the next couple of weeks from UNC. I technically have a choice, but intubation and central line placement is about as risky as it gets so I am going forward with it.
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We have multiple tiers of people, the first round is definitely for people and high risk areas, to include physicians, nurses, respiratory therapy, environmental services, HUCs, patient transporters, interpreters, top to bottom and left to right.

We are running well ahead of schedule, I think we'll probably get everyone vaccinated with the Pfizer vaccine by the end of January.

One of my colleagues, her husband is a cardiothoracic surgery fellow, he got his over at the VA, they have a much smaller list and he could get it about a week and a half sooner that way. So if you want it, getting it at UNC if you can is good. I think you can get the second one with us as long as you keep that card, I recommend taking a picture of the card because the picture will suffice if you lose the card.
 
My company is mandating we all take covid tests during the holidays before returning to client site. My issue is that my wife and i did indeed just have covid, 100% asymptomatic, and we were told that we'd pop hot for up to the next 90 days... so...
 
Devildoc said:
We have multiple tiers of people, the first round is definitely for people and high risk areas, to include physicians, nurses, respiratory therapy, environmental services, HUCs, patient transporters, interpreters, top to bottom and left to right.

We are running well ahead of schedule, I think we'll probably get everyone vaccinated with the Pfizer vaccine by the end of January.

One of my colleagues, her husband is a cardiothoracic surgery fellow, he got his over at the VA, they have a much smaller list and he could get it about a week and a half sooner that way. So if you want it, getting it at UNC if you can is good. I think you can get the second one with us as long as you keep that card, I recommend taking a picture of the card because the picture will suffice if you lose the card.
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I don’t have any connection to Duke currently. I will be at Duke Raleigh and Duke Regional in the next bit, but I am at Rex for the foreseeable future.
 
Devildoc said:
We have multiple tiers of people, the first round is definitely for people and high risk areas, to include physicians, nurses, respiratory therapy, environmental services, HUCs, patient transporters, interpreters, top to bottom and left to right.

We are running well ahead of schedule, I think we'll probably get everyone vaccinated with the Pfizer vaccine by the end of January.

One of my colleagues, her husband is a cardiothoracic surgery fellow, he got his over at the VA, they have a much smaller list and he could get it about a week and a half sooner that way. So if you want it, getting it at UNC if you can is good. I think you can get the second one with us as long as you keep that card, I recommend taking a picture of the card because the picture will suffice if you lose the card.
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What process is your place of work using to verify that people claiming to fall into Phase 1b or Phase 1c/2 (severe and moderate health risk categories) actually do fit into these vaccination tiers on medical grounds?

Anyone who has been in the service (and especially those of us who worked in health care or had to deal with medical discharges or service-related disabilities) already knows how critical that specific language in documentation was for deciding whether one resumed training, deployed, served at specific commands, or was medically separated vs. medically retired from service.

My initial thought (and what they might have had us do when I was in) was they could run the vaccine requestor's name through their equivalent to AHLTA or CHCS and sort for age and comorbidities, or to scrub a wide swathe of records ahead of time to make patient eligibility easier to establish. I imagine doing that for someone outside of the institution's medical database would just add to that challenge if they lacked copies of their own medical records.

I spoke with a medical provider this week, and she couldn't give me a straight answer as to whether or not their health institution is even using medical records to confirm a patient's eligibility to get vaccinated during those phases' open periods, much less what exactly they would be looking for in them to determine it (medical documentation and numbers clearly indicating undiagnosed comorbidities vs. an official diagnosis at the time of request, etc.).
 
Locksteady said:
What process is your place of work using to verify that people claiming to fall into Phase 1b or Phase 1c/2 (severe and moderate health risk categories) actually do fit into these vaccination tiers on medical grounds?

Anyone who has been in the service (and especially those of us who worked in health care or had to deal with medical discharges or service-related disabilities) already knows how critical that specific language in documentation was for deciding whether one resumed training, deployed, served at specific commands, or was medically separated vs. medically retired from service.

My initial thought (and what they might have had us do when I was in) was they could run the vaccine requestor's name through their equivalent to AHLTA or CHCS and sort for age and comorbidities, or to scrub a wide swathe of records ahead of time to make patient eligibility easier to establish. I imagine doing that for someone outside of the institution's medical database would just add to that challenge if they lacked copies of their own medical records.

I spoke with a medical provider this week, and she couldn't give me a straight answer as to whether or not their health institution is even using medical records to confirm a patient's eligibility to get vaccinated during those phases' open periods, much less what exactly they would be looking for in them to determine it (medical documentation and numbers clearly indicating undiagnosed comorbidities vs. an official diagnosis at the time of request, etc.).
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Our lists are solely designed around where they work in relation to being a in a high risk environment. Their medical histories, age, or comorbidities do not factor the equation. They can certainly volunteer that information, but HIPAA and employee law prohibits us from accessing that information without their permission.
 
Devildoc said:
Our lists are solely designed around where they work in relation to being a in a high risk environment. Their medical histories, age, or comorbidities do not factor the equation. They can certainly volunteer that information, but HIPAA and employee law prohibits us from accessing that information without their permission.
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Right, and based on what you said about age, comorbidity, and medical histories not factoring into those lists, you seem to be referring to determinations made for people who qualify as HCWs, first responders, essential workers, and LTCF residents and staff (mostly Phase 1a, with variations depending on jurisdictional definitions).

I'm asking what process, if any, your health institution has in place for confirming the eligibility of people in the phases of vaccine distribution where the presence of comorbidities do factor into the eligibility equation, and what specific information (volunteered or not) your institution will require to confirm their eligibility to receive a vaccine on medical grounds during those phases.

Specifically I'm referring to people eligible for medical reasons in Phases 1b and 2 of the graphic below (I'm aware the graphic doesn't represent every state's rendition of this general phasing approach):

1608407231535.png
 
Devildoc said:
The post I made above regarding that 6th dose in the vial? Yeah, in the opening paragraph below, the "healthcare workers" were me and my colleague lol.

A COVID-19 vaccine gets a little bit extra
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Add some powdered sugar and a bit of baking soda to make a little go a long way. That’s what they do with another injectable. Assuming the vax requires preheating with a spoon too.
 

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