[MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period

Jeremy jerbiggs at yahoo.com
Mon Jan 4 11:16:47 PST 2021


We have the minimum of 15 minute wait times, with 30 minutes for people with history of anaphylaxis. We have three areas manned by EMTs so we can get about 800 employees vaccinated each day. So far it has worked well without too much back up in relation to the 15 minutes wait time in the overall administration.

We are giving the vaccine in the main hospital location, about 5 minute walk from ED.

We will start doing second doses by January 24, so we will see if this is true for second doses as well. 

We have had some reactions, but no anaphylaxis. 

​Jeremy Biggs MD MSPH FACOEM
Associate Professor
University of Utah Health PPE Czar
Medical Director, Occupational Health and Safety for Work Wellness Clinic, RedMed, IACUC, EHS
University of Utah

DFPM/RMCOEH
391 Chipeta Way Ste. C
SLC UT 84108
O:801.581-4800

 ​​​​​​​​​​​​​​​​​
 

-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of <mcoh-eh-request at mylist.net>
Reply-To: <mcoh-eh at mylist.net>
Date: Monday, January 4, 2021 at 12:00 PM
To: <mcoh-eh at mylist.net>
Subject: MCOH-EH Digest, Vol 256, Issue 3

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    Today's Topics:
    
       1. Re:  Survey: COVID Vaccine administration/15 minute
          observation period (Charles Hackett)
       2. Re:  [EXTERNAL] Survey: COVID Vaccine administration/15
          minute observation period (Giovannetti, Mary)
       3. Re:  [EXTERNAL] Survey: COVID Vaccine administration/15
          minute observation period (Teichman, Ron F)
       4. Re:  [EXT:] Survey: COVID Vaccine administration/15 minute
          observation period (Angeli Mancuso)
    
    
    ----------------------------------------------------------------------
    
    Message: 1
    Date: Sun, 3 Jan 2021 12:33:02 -0500
    From: Charles Hackett <dickenshackett at gmail.com>
    To: MCOH-EH <mcoh-eh at mylist.net>
    Subject: Re: [MCOH-EH] Survey: COVID Vaccine administration/15 minute
    	observation period
    Message-ID:
    	<CAEFKb7hDeHPXup07nMNh2By2tGPTV3KmeVZ6PxTZ4R35XYFX4g at mail.gmail.com>
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    We follow 15 minute and 30 minute wait times
    We have special clinics for those with a history of anaphylaxis to anything
    requiring 30 minutes.
    We also have a rapid response team in proximity.
    We have had an employee have a serious allergic reaction post vaccine
    Charlie Hackett MD, MPH
    Lifespan
    
    On Sun, Jan 3, 2021 at 11:36 AM Galaid Edward I <Edward.Galaid at rsfh.com>
    wrote:
    
    > Cross posting in OEM list and MCOH:
    >
    >
    >
    > Colleagues:
    >
    >
    >
    > I?ve heard from our operations people that our immunization administration
    > through-put  has been throttled by the 15 minute observation time.
    >
    > Specifically,  the rate limiting step is clearing space for those who are
    > being observed post-administration for that 15 minute period.
    >
    > Please respond to the following,  and I will report back aggregate results:
    >
    >
    >
    >    1. We follow the 15 minute wait time for all who are vaccinated
    >    2. We stratify need to be observed by risk of having a reaction, or
    >    someone with underlying medical conditions that might result in a more
    >    serious acute reaction
    >    3. We have eliminated the waiting period.
    >    4. Other solutions or comments:
    >
    >
    >
    > Thanks for taking the time.
    >
    >
    >
    > Ed Galaid
    >
    >
    >
    > Edward I. Galaid, MD, MPH, FACOEM
    >
    > ABIM, ABPM (OM)
    >
    > Medical Director, Occupational Medicine
    >
    > Roper Saint Francis Healthcare
    >
    > Charleston, SC 29401
    >
    > Member, ACOEM Task Group on Law Enforcement Officer Health
    >
    > Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA)
    > Committee
    >
    > 843-402-5053
    >
    >
    >
    > ------------------------------
    >
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    Message: 2
    Date: Sun, 3 Jan 2021 23:00:54 +0000
    From: "Giovannetti, Mary" <MGiovannetti at srhs.com>
    To: MCOH-EH <mcoh-eh at mylist.net>
    Subject: Re: [MCOH-EH] [EXTERNAL] Survey: COVID Vaccine
    	administration/15 minute observation period
    Message-ID:
    	<BN8PR14MB32341F5516C927E803868BA8B8D30 at BN8PR14MB3234.namprd14.prod.outlook.com>
    	
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    We follow the 15 minute waiting period. It is an on your honor system though. The employees keep their own time and leave when 15 minutes is up.
    
    Mary C Giovannetti, DNP, APRN, FNP
    Manager/Nurse Practitioner| Employee Health
    Physician's Center, 100 East Wood St., Suite 204 | Spartanburg, SC 29303
    o: 864-560-6514 | f: 864-560-6509  c: 864-497-4087
    e: mgiovannetti at srhs.com<mailto:mgiovannetti at srhs.com> | w: SpartanburgRegional.com<http://www.spartanburgregional.com/>
    
    
    
    ________________________________
    From: MCOH-EH <mcoh-eh-bounces+mgiovannetti=srhs.com at mylist.net> on behalf of Galaid Edward I <Edward.Galaid at rsfh.com>
    Sent: Saturday, January 2, 2021 3:18 PM
    To: Occ-Env-Med-L at listserv.unc.edu <Occ-Env-Med-L at listserv.unc.edu>; mcoh-eh at mylist.net <mcoh-eh at mylist.net>
    Subject: [EXTERNAL] [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period
    
    
    Warning: [This message came from outside of Spartanburg Regional Network]
    
    Cross posting in OEM list and MCOH:
    
    
    
    Colleagues:
    
    
    
    I?ve heard from our operations people that our immunization administration through-put  has been throttled by the 15 minute observation time.
    
    Specifically,  the rate limiting step is clearing space for those who are being observed post-administration for that 15 minute period.
    
    Please respond to the following,  and I will report back aggregate results:
    
    
    
      1.  We follow the 15 minute wait time for all who are vaccinated
      2.  We stratify need to be observed by risk of having a reaction, or someone with underlying medical conditions that might result in a more serious acute reaction
      3.  We have eliminated the waiting period.
      4.  Other solutions or comments:
    
    
    
    Thanks for taking the time.
    
    
    
    Ed Galaid
    
    
    
    Edward I. Galaid, MD, MPH, FACOEM
    
    ABIM, ABPM (OM)
    
    Medical Director, Occupational Medicine
    
    Roper Saint Francis Healthcare
    
    Charleston, SC 29401
    
    Member, ACOEM Task Group on Law Enforcement Officer Health
    
    Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA) Committee
    
    843-402-5053
    
    
    
    ________________________________
    
    Our Mission: Healing all people with compassion, faith and excellence.
    
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    Message: 3
    Date: Sun, 3 Jan 2021 20:14:34 +0000
    From: "Teichman, Ron F" <Ron.Teichman at bannerhealth.com>
    To: MCOH-EH <mcoh-eh at mylist.net>
    Subject: Re: [MCOH-EH] [EXTERNAL] Survey: COVID Vaccine
    	administration/15 minute observation period
    Message-ID:
    	<BY5PR10MB42578278585439AC9F166B45F1D30 at BY5PR10MB4257.namprd10.prod.outlook.com>
    	
    Content-Type: text/plain; charset="us-ascii"
    
    Hi Ed,
    
    At our vaccination sites we are doing drive through and have separated an area of the parking lot where people sit for 15 or 30 minutes, depending on risk. Post it notes are affixed to the windshield at the time of immunization which indicate when the clock started, and a different color post it note is used for 30 minutes vs 15. We have staff monitoring the observation area and instruct the vacinee to honk the horn if they need help. They are also told to keep all windows open and the doors unlocked. The weather here in Phoenix, not unlike that in Charleston, allows us to do this without problem.
    
    Stay safe and Stay healthy,
    Ron
    
    Ron Teichman, M.D., M.P.H., FACOEM, FACP
    Division Medical Director
    Banner Occupational Health and Wellness
    1300 N. 12th Street, Suite 610
    Phoenix, AZ 85006
    Ron.teichman at bannerhealth.com<mailto:Ronald.teichman at bannerhealth.com>
    
    From: MCOH-EH <mcoh-eh-bounces+ron.teichman=bannerhealth.com at mylist.net> On Behalf Of Galaid Edward I
    Sent: Saturday, January 2, 2021 1:18 PM
    To: Occ-Env-Med-L at listserv.unc.edu; mcoh-eh at mylist.net
    Subject: [EXTERNAL] [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period
    
    Cross posting in OEM list and MCOH:
    
    Colleagues:
    
    I've heard from our operations people that our immunization administration through-put  has been throttled by the 15 minute observation time.
    Specifically,  the rate limiting step is clearing space for those who are being observed post-administration for that 15 minute period.
    Please respond to the following,  and I will report back aggregate results:
    
    
      1.  We follow the 15 minute wait time for all who are vaccinated
      2.  We stratify need to be observed by risk of having a reaction, or someone with underlying medical conditions that might result in a more serious acute reaction
      3.  We have eliminated the waiting period.
      4.  Other solutions or comments:
    
    Thanks for taking the time.
    
    Ed Galaid
    
    Edward I. Galaid, MD, MPH, FACOEM
    ABIM, ABPM (OM)
    Medical Director, Occupational Medicine
    Roper Saint Francis Healthcare
    Charleston, SC 29401
    Member, ACOEM Task Group on Law Enforcement Officer Health
    Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA) Committee
    843-402-5053
    
    
    ________________________________
    
    Our Mission: Healing all people with compassion, faith and excellence.
    
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    Message: 4
    Date: Mon, 4 Jan 2021 16:47:19 +0000
    From: Angeli Mancuso <a1mancus at sbch.org>
    To: MCOH-EH <mcoh-eh at mylist.net>
    Subject: Re: [MCOH-EH] [EXT:] Survey: COVID Vaccine administration/15
    	minute observation period
    Message-ID:
    	<BY5PR22MB19240A024A244E961FB4742BE3D20 at BY5PR22MB1924.namprd22.prod.outlook.com>
    	
    Content-Type: text/plain; charset="us-ascii"
    
      1.  We follow the 15 minute wait time for all who are vaccinated
    We have 22 slots available in 30-minute increments and have been successful in keeping the flow going. Some people take longer to complete their questionnaire, others arrive late (or early) so the flow has been manageable.
    
    Angeli Mancuso, MPH, RN
    Educator, Urgent Care
    [cid:image002.jpg at 01D656C0.C5EE59D0]<https://www.cottagehealth.org/urgent-care/>
    P.O. Box 689 | Santa Barbara, CA 93102-0689
    Cell: (805) 319-0359
    Email: a1mancus at sbch.org<mailto:a1mancus at sbch.org>
    
    From: MCOH-EH <mcoh-eh-bounces+a1mancus=sbch.org at mylist.net> On Behalf Of Galaid Edward I
    Sent: Saturday, January 2, 2021 12:18 PM
    To: Occ-Env-Med-L at listserv.unc.edu; mcoh-eh at mylist.net
    Subject: [EXT:] [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period
    
    Cross posting in OEM list and MCOH:
    
    Colleagues:
    
    I've heard from our operations people that our immunization administration through-put  has been throttled by the 15 minute observation time.
    Specifically,  the rate limiting step is clearing space for those who are being observed post-administration for that 15 minute period.
    Please respond to the following,  and I will report back aggregate results:
    
    
      1.  We follow the 15 minute wait time for all who are vaccinated
      2.  We stratify need to be observed by risk of having a reaction, or someone with underlying medical conditions that might result in a more serious acute reaction
      3.  We have eliminated the waiting period.
      4.  Other solutions or comments:
    
    Thanks for taking the time.
    
    Ed Galaid
    
    Edward I. Galaid, MD, MPH, FACOEM
    ABIM, ABPM (OM)
    Medical Director, Occupational Medicine
    Roper Saint Francis Healthcare
    Charleston, SC 29401
    Member, ACOEM Task Group on Law Enforcement Officer Health
    Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA) Committee
    843-402-5053
    
    
    ________________________________
    
    Our Mission: Healing all people with compassion, faith and excellence.
    
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    ________________________________
    This email originated outside of the Cottage Health email system. Do NOT click links or open attachments unless you recognize the sender AND know the content is safe. Please use the "Report Phishing" button if you are unsure.
    
    
    ________________________________
    
    CH Disclaimer: This electronic mail message is intended exclusively for the individual or entity to which it is addressed. This message, together with any attachment, may contain confidential and privileged information. Any views, opinions or conclusions expressed in this message are those of the individual sender and do not necessarily reflect the views of Cottage Health, its subsidiaries or affiliates. This document may also contain information covered under the Health Insurance Portability and Accountability Act (HIPAA, PL 104-191) and implementing regulations and must be protected in accordance with those provisions. Re-disclosure without patient consent or as otherwise permitted by law is prohibited. Any unauthorized review, retransmission, use, printing, copying, retention, disclosure, distribution or the taking of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited and may be unlawful. If you have received this message in error, please immediately advise the sender by reply email message to the sender and delete all copies of this message from your system without copying.
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