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

Van Rhijn, Dorothyann dorothyann.vanrhijn at yale.edu
Tue Jan 5 12:16:05 PST 2021

We observe everyone for 15 minutes, 30 minutes for anyone who has h/o allergic reaction to an unrelated injectable medication, etc.

From: MCOH-EH [mailto:mcoh-eh-bounces+dorothyann.vanrhijn=yale.edu at mylist.net] On Behalf Of Bulas, Kristina SAMVAMC via MCOH-EH
Sent: Tuesday, January 05, 2021 6:38 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Bulas, Kristina SAMVAMC <Kristina.Bulas at va.gov>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: Survey: COVID Vaccine administration/15 minute observation period

Pfizer or Moderna?

Kristina Bulas MD FACOEM MRO
Section Chief Occupational Health
VAMC Salem
1970 Roanoke Blvd
Salem, Va 24153
540-982-2463 ext 2908

Links to key Employee Occupational Health resources:
EOH SharePoint<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvaww.portal2.va.gov%2Fsites%2FCOH%2Fdefault.aspx&data=04%7C01%7Cdorothyann.vanrhijn%40yale.edu%7C79e5ff4f8cda43a7094508d8b1b5dded%7Cdd8cbebb21394df8b4114e3e87abeb5c%7C0%7C0%7C637454741972881010%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=KcKBW%2BrSxZqlRxP%2BhQs3EHJRdm47EAVn%2BcQ1gwg%2FZ4g%3D&reserved=0>, EOH Policy Consult Request<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvaww.portal2.va.gov%2Fsites%2FCOH%2FSitePages%2FEOH%2520Consult%2520Request.aspx&data=04%7C01%7Cdorothyann.vanrhijn%40yale.edu%7C79e5ff4f8cda43a7094508d8b1b5dded%7Cdd8cbebb21394df8b4114e3e87abeb5c%7C0%7C0%7C637454741972891010%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=0wrSm8RpHcy53ILbd032by3w8XHOiJBp7vN41ZY9ABs%3D&reserved=0>, OEMedicine Consult Request<https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvaww.portal.va.gov%2Fsites%2Fohshg%2FOEMedicineConsults%2Fdefault.aspx&data=04%7C01%7Cdorothyann.vanrhijn%40yale.edu%7C79e5ff4f8cda43a7094508d8b1b5dded%7Cdd8cbebb21394df8b4114e3e87abeb5c%7C0%7C0%7C637454741972891010%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=mdxs4NLVNpAtcAFeBiq0Z1Hbyazu5XpIHRLXbLBkUhs%3D&reserved=0>, EOH Guidebook<https://nam12.safelinks.protection.outlook.com/?url=http%3A%2F%2Fvaww.ceosh.med.va.gov%2F01HP%2F02HP_Guidebooks%2F03_Collections%2F04HP_OccupationalHealth%2FNetHelp%2FEOHGB.htm&data=04%7C01%7Cdorothyann.vanrhijn%40yale.edu%7C79e5ff4f8cda43a7094508d8b1b5dded%7Cdd8cbebb21394df8b4114e3e87abeb5c%7C0%7C0%7C637454741972891010%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=xy9skrYSctnAF21Fy3LpLl5mk0uXzdQo5l%2B3uJEhCv0%3D&reserved=0>

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Charles Hackett
Sent: Monday, January 4, 2021 2:11 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [EXTERNAL] Re: [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period

Our "High Risk " clinics have paid off. The employee must wait 30 minutes and we have an additional level of medical professional support available.
To date we have given approximately 9000 shots and we have had 4 anaphylacic reations including one employee who was hospitalized in the MICU for a short duration.
Charlie Hackett MD, MPH, Lifespan.

On Mon, Jan 4, 2021 at 2:00 PM Dr. Dana Rawl <darawl at lexhealth.org<mailto:darawl at lexhealth.org>> wrote:
We mandate the 15 minute wait time in a small auditorium setting with observers/RNs monitoring for any reactions.

Dana Rawl, MD, MPH
Lexington Medical Center Occupational Health
3799 12th Street Extension, Suite 110
Cayce, SC 29033
darawl at lexhealth.org<mailto:darawl at lexhealth.org>

From: MCOH-EH <mcoh-eh-bounces+darawl=lexhealth.org at mylist.net<mailto:lexhealth.org at mylist.net>> On Behalf Of Galaid Edward I
Sent: Saturday, January 2, 2021 3:18 PM
To: Occ-Env-Med-L at listserv.unc.edu<mailto:Occ-Env-Med-L at listserv.unc.edu>; mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period

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Cross posting in OEM list and MCOH:


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
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


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