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Vaccine Rollout how is it really going?

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On 1/6/2021 at 10:35 AM, Lil Nel said:

The vaccine roll out has fallen short. And why? 

Because of a lack of leadership at the federal level.

But that is about to change. January 20, 2021 is quickly approaching and leadership at the federal level will be restored.

The vaccine roll out hasn't met Trump's predictions. But then again, when does anything that turd says ever come to fruition?

Remember, according to Trump, Coronavirus was going to "disappear."

It hasn't. But he will, on 1/20/2021!

Sure.  It wasnt long ago some here were ridiculing others for suggesting that there would even be a vaccine by now. 

You were right about Federal leadership being restored.  Biden set a goal of a million doses a day to be administered.  We're already there.   Great job, President Biden!

Edited by Lucylu71

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I don't think the million a day is unachievable as mentioned we are already there and indeed gave 1.6 million in one day.  

I have mentioned that this could have been Trump's legacy but instead he chose to focus instead on the fraudulent election.

The problem is going to be can we sustain and reach 100 million in 100 days.  We have the infrastructure and can do it, but we need the vaccines.  That's on Biden, fair or not.  Time will tell.

The significant over 65 crowd (250,000 eligible people) are frustrated with the ability to get an appointment.  It opened up today at 10AM and by 10:02 no more appointments were offered.  Apparently though some folks did get in later in the day.  

https://www.cnn.com/2021/01/22/health/us-coronavirus-friday/index.html

Edited by Tweety

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6 minutes ago, Tweety said:

I don't think the million a day is unachievable as mentioned we are already there and indeed gave 1.6 million in one day.  

I have mentioned that this could have been Trump's legacy but instead he chose to focus instead on the fraudulent election.

The problem is going to be can we sustain and reach 100 million in 100 days.  We have the infrastructure and can do it, but we need the vaccines.  That's on Biden, fair or not.  Time will tell.

The significant over 65 crowd (250,000 eligible people) are frustrated with the ability to get an appointment.  It opened up today at 10AM and by 10:02 no more appointments were offered.  Apparently though some folks did get in later in the day.  

https://www.cnn.com/2021/01/22/health/us-coronavirus-friday/index.html

I think if they really use the defense production act and ramp up the productions of the vaccines.

I also think it is a major issue that they are not checking clinicians for COVID-19. The expectation is to return to work within 7 to 10 days. How can we truly help our patients when we are still sick?

Biden and Harris need to come up with a standard. Unfortunately, this is not enough time to heal and return to work and provide care to patients.

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12 hours ago, Lucylu71 said:

Sure.  It wasnt long ago some here were ridiculing others for suggesting that there would even be a vaccine by now. 

You were right about Federal leadership being restored.  Biden set a goal of a million doses a day to be administered.  We're already there.   Great job, President Biden!

They need to ramp up the production of the COVID-19 vaccine and test the COVID-19 test. How are vaccinating when we barely are not testing since under Trump and Pence administration testing was scaled down. 

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8 hours ago, luv2 said:

The expectation is to return to work within 7 to 10 days. How can we truly help our patients when we are still sick?

Biden and Harris need to come up with a standard. Unfortunately, this is not enough time to heal and return to work and provide care to patients.

Not true.  I can only speak for my employer.  Sick and symptomatic nurses are not allowed to return to work no matter how long it takes.  We had a nurse out for six weeks, another for over a month.  The only ones returning back to work are nurses that were asymptomatic.  We've had well nurses exposed stay home for a week and return but they never had symptoms at all.  I believe this is CDC guidelines.  

Part of the problem though is that if you've had a known exposure you get to work and only get tested if you show symptoms.  By then you could have infected others.  That said if you're wearing proper PPE and following precautions you lower the chance of that happening.  

The bigger problem is symptomatic nurses and staff, particularly new people or lower paid people, or people without sick time built up coming to work symptomatic and not saying anything.  This happened at lot at the nursing homes here.  Whole wings of patients go infected by sick CNA's not wanting to call in sick but make big bucks.

Again, I'll say we can look to the government to solve all our problems but if we're still acting recklessly, it does no good.  The government and hospital workers are begging people to act responsibility and they are not.  All the government education, policy and intervention is for naught with out population of belligerents.  But yes, thankfully most of us want to do the right thing.

 

 

Edited by Tweety

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6 hours ago, Tweety said:

Not true.  I can only speak for my employer.  Sick and symptomatic nurses are not allowed to return to work no matter how long it takes.  We had a nurse out for six weeks, another for over a month.  The only ones returning back to work are nurses that were asymptomatic.  We've had well nurses exposed stay home for a week and return but they never had symptoms at all.  I believe this is CDC guidelines.  

Part of the problem though is that if you've had a known exposure you get to work and only get tested if you show symptoms.  By then you could have infected others.  That said if you're wearing proper PPE and following precautions you lower the chance of that happening.  

The bigger problem is symptomatic nurses and staff, particularly new people or lower paid people, or people without sick time built up coming to work symptomatic and not saying anything.  This happened at lot at the nursing homes here.  Whole wings of patients go infected by sick CNA's not wanting to call in sick but make big bucks.

Again, I'll say we can look to the government to solve all our problems but if we're still acting recklessly, it does no good.  The government and hospital workers are begging people to act responsibility and they are not.  All the government education, policy and intervention is for naught with out population of belligerents.  But yes, thankfully most of us want to do the right thing.

 

 

You are lucky your employers are giving that luxury as per the CDC  

As of August 10, 2020

Changes to more closely align guidance with Decision Memo:

For HCP with severe to critical illness or who are severely immunocompromised1, the recommended duration for work exclusion was changed to at least 10 days and up to 20 days after symptom onset.

Recommendation to consider consultation with infection control experts.

Added example applying disease severity in determining duration before return to work.

Added hematopoietic stem cell or solid organ transplant to severely immunocompromised conditions.

Attach is the return to work criteria as per the CDC: https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html

However, most employers are making clinicians return to work 7 to 10 days, not just CNA.  

How can providers care for other people if they are sick themselves?

https://www.medpagetoday.com/hospitalbasedmedicine/nursing/88370

https://www.theguardian.com/us-news/2020/aug/13/us-nurses-doctors-covid-19-symptoms-working

https://www.freep.com/story/news/health/2020/11/21/covid-19-exposed-michigan-hospital-workers-still-work/6361870002/

https://apnews.com/article/pandemics-bismarck-fargo-north-dakota-coronavirus-pandemic-c7680d009417c8cd66ffe9b8e3c53c47

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I shouldn't consider myself lucky that I work for a hospital that doesn't let symptomatic covid positive nurses work.  It's the right and decent thing to do. 

I wonder how people sleep at night sometimes.

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14 hours ago, Tweety said:

I shouldn't consider myself lucky that I work for a hospital that doesn't let symptomatic covid positive nurses work.  It's the right and decent thing to do. 

I wonder how people sleep at night sometimes.

Yes, you should consider yourself lucky because the CDC nor OSHA  has not changed its guidelines.  There was never any standard that is why people could return to work COVID-19 positive.

The majority of the U.S citizens need help and they get the run around because of the people that were elected by the people and for the people, however, they do not care about their constituents they care about their party affiliation. People need help with this pandemic we are fighting for human life. 

In my opinion, this is not a political problem it is a fight to preserve human life. 

The U.S Congress does not care about the daily struggle of the U.S citizens. They refuse to pass legislation for the American people that voted for them to get help. The elected officials are guaranteed a job because they were elected while their constituents do not know where their next meal will come from; it is not right or fair this should not be a Republican vs Democrat issue it is about human decency.

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As soon as I hear about a planned mass-injection site, there are no more appointments, and shortly after that, no more vaccines! No word of where or when the next place or places might have any available vaccines, AND available appointments. And, too, ALL the locations are constantly changing. They could have at least one centrally located place, you'd think, so that chasing info down wouldn't be a case of another recorded message essentially saying: "TOO LATE, sorry!" 

I qualify: I'm 71 and living w/ one (or two, if and when  Nannie comes back home) people who are HIGH RISK, and THEY can't get vaccines, either. 

We stay home a lot. Next time I do go out, I'm going to try the double-masking, 'cause it seems to be the thing to do, especially not having had, or likely to get any time soon, a COVID innoculation.

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Since I don't work with COVID patients, I am in group 1B. Large scale vaccination sites have been a disaster in some cases in my area. But recently one of the large hospital groups has entered the stage to help vaccinate. I got a letter from them saying they got my name off a neighboring county website. I made an appointment. The vaccines are being given in a community center. 

The experience was seamless, organized, and not vulnerable to walkup ineligible people. Not possible to get in without an appointment, which has not been the case in some venues where links were shared online, walkups showed up, and eligible people with appointments were told there were no vaccines for them by the time their appointment came up. Long lines of many hours have been a problem. Long walks to the venue from the parking lot complicate things for the elderly or disabled. In this case, the id number is good for only one person and may only be used that one time; no one can accompany you unless you have a physical condition which requires it. The building is mere steps from the parking lot, and the people accompanying the person with an appointment cannot get their own vaccine without an appointment either. Apparently there has been a huge surge of "caregivers" suddenly being employed by elderly persons who are demanding their own vaccines when they accompany the elderly or eligible person to their appointment.

The difference between my experience and the big county sponsored site may well be that the health care entity had the knowledge and experience of how to provide service to a large number of people; additionally, they didn't overschedule. All of the people working the site are employees of this health care group, all using technology they are familiar with at work, all people giving vaccines were nurses, the person working the observation room after vaccination was a nurse practitioner. Rules and policies were strictly adhered to (no talking your way in). Before I left, they made my appointment for my follow up vaccine.

This is how this should be done everywhere. I felt very lucky.

 

 

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On 2/11/2021 at 1:27 PM, Horseshoe said:

Since I don't work with COVID patients, I am in group 1B. Large scale vaccination sites have been a disaster in some cases in my area. But recently one of the large hospital groups has entered the stage to help vaccinate. I got a letter from them saying they got my name off a neighboring county website. I made an appointment. The vaccines are being given in a community center. 

The experience was seamless, organized, and not vulnerable to walkup ineligible people. Not possible to get in without an appointment, which has not been the case in some venues where links were shared online, walkups showed up, and eligible people with appointments were told there were no vaccines for them by the time their appointment came up. Long lines of many hours have been a problem. Long walks to the venue from the parking lot complicate things for the elderly or disabled. In this case, the id number is good for only one person and may only be used that one time; no one can accompany you unless you have a physical condition which requires it. The building is mere steps from the parking lot, and the people accompanying the person with an appointment cannot get their own vaccine without an appointment either. Apparently there has been a huge surge of "caregivers" suddenly being employed by elderly persons who are demanding their own vaccines when they accompany the elderly or eligible person to their appointment.

The difference between my experience and the big county sponsored site may well be that the health care entity had the knowledge and experience of how to provide service to a large number of people; additionally, they didn't overschedule. All of the people working the site are employees of this health care group, all using technology they are familiar with at work, all people giving vaccines were nurses, the person working the observation room after vaccination was a nurse practitioner. Rules and policies were strictly adhered to (no talking your way in). Before I left, they made my appointment for my follow up vaccine.

This is how this should be done everywhere. I felt very lucky.

 

 

Glad it went well for you.  

My best friend was able to get a vaccine yesterday for being on the waiting list for a transitional care community (the waiting list is several years) and it was effortless for him.

I had another friend get his through the county just north of here and had a five hour wait in line.  That doesn't seem practical at all.  

My hospital remains a place to get them and the lines seem long but the wait time is usually under an hour.  

It's easy to get angry and frustrated with the system but in my lifetime I don't remember having to vaccinate the population.  In my county alone there are 250,000 people over 65 and it seems a good deal of them want the vaccine.   I think overall it's going as well as it could.  I haven't heard of a five-hour wait time here with the county, but a good process.  The problem people are having is getting appointments because the demand exceeds the available supply of vaccines.  They now have a waiting list system.

Places like CVS, Walgreens, Walmart and Win Dixie have started to become sites for vaccination so it does seem to be getting better.

We have seen a drop in cases and are no longer going above 10,000 a day but stuck at about 7 to 8 thousand a day.  Hospitalizations are dropping.  The med-surg covid unit here had only 7 patients (not sure how many are in ICU though).  

 

Edited by Tweety

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On 2/13/2021 at 9:42 AM, Tweety said:

Glad it went well for you.  

My best friend was able to get a vaccine yesterday for being on the waiting list for a transitional care community (the waiting list is several years) and it was effortless for him.

I had another friend get his through the county just north of here and had a five hour wait in line.  That doesn't seem practical at all.  

My hospital remains a place to get them and the lines seem long but the wait time is usually under an hour.  

It's easy to get angry and frustrated with the system but in my lifetime I don't remember having to vaccinate the population.  In my county alone there are 250,000 people over 65 and it seems a good deal of them want the vaccine.   I think overall it's going as well as it could.  I haven't heard of a five-hour wait time here with the county, but a good process.  The problem people are having is getting appointments because the demand exceeds the available supply of vaccines.  They now have a waiting list system.

Places like CVS, Walgreens, Walmart and Win Dixie have started to become sites for vaccination so it does seem to be getting better.

We have seen a drop in cases and are no longer going above 10,000 a day but stuck at about 7 to 8 thousand a day.  Hospitalizations are dropping.  The med-surg covid unit here had only 7 patients (not sure how many are in ICU though).  

 

The COVID-19 patient's "medsurg" patients care is similar to ICU level patient and the work is EXTREMELY overwhelming. My fear is I will bring it home to my family most days I work even though I take every precaution. I am still disappointed that the federal and local agencies have not really protected the nursing profession. Nurses are praised as "heroes", but are overworked and underpaid, and have no seat at the COVID-19 table. 

If we did they SOCIETY would have paid attention when nurses were sounding the alarms about the under represented death recoding of COVID-19 across the U.S. 

Many of my colleagues still have to wait in lines or struggle to find a place to take a COVID-19 test after spending all night caring for these patients. 

There would full use of the defense production act.

There would exist COVID-19 hospitals. 

Hospital would have safe staffing ratio.

I was watching the CNNs and the Republicans in New York State are attempting to rewrite  the history of COVID-19. They did not care they never asked former President Trump for the proper resources  and now they are making the attempt to rewrite their history after claiming for a year it was a hoax. We as Nurses and frontline providers can not forget what many people in the  Republican party said about COVID-19. They are now blaming Govenor Como for " underrepoting the number". Did he indereport or did administrators not tell the state the truth. By the way this did not occur only in New York.

We can not afford for the Republiccans to rewrite the history. 

 

What really happened. This occurred because Senator Mitch McConell refuse to allow a vote in the Senate for COVID -19 relief.

WHERE WAS THE REPBUBLICAN PARTY? 

Trump administration rolled back regulation in the Nursing Homes one of the most vulnerable populations.

What I do not understand is why Governor Cuomo is not reminding people what life under the dictatorship of former President Donald Trump  with COVID-19 was really like

Why we are still suffering one year later.  We as frontline providers  can not allow TRUMP, Senate Minority Leader Mitch McConnell , and the Republican lakey of Trump and  Mitch McConnell to rewrite the history of COVID-19.

Edited by luv2

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