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

[Paul Allen]

We are doing the same as far as 15 minutes/30 minute wait times post vaccination.
Typical numbers are about 300 per day. Could do more without worrying about space needs. Our system has about 4500 employees.


The entire process was put together by a leadership team  that decided to use epic our general electronic medical record for documenting/ scheduling and charting the COVID19 vaccinations for our own employees. Epic/ MyChart is utilized which includes second dose scheduling reminders.
The paper vaccine consent forms are scanned same day into Epic EMR

We have ReadySet EH software up and running x ~ 4 years now, but HR and leadership went with the general medical Epic EMR. 
Lots of eyes with access to PHI of our employees but hey, its a pandemic after all.  This rollout is more than our 2 EH RNs  could manage.

A series of internal emails were sent out to select, narrow groups of employees, starting with ICU staff/ higher risk employees, broadening the eligible employees every few days or so as the role out progressed. The email contains a link to a scheduling platform (Microsoft Bookings) so only those employees eligible for the vaccine on that day were able to schedule a specific time slot.
 
A series of rooms in our main hospital are used. Registration room separate from injection room, separate from the post injection waiting room. 
When people check in to the post injection waiting room, they are given a sticky label with time to leave written in by staff. 


 Paul Allen MD
Confluence Health
Wenatchee, WA

> On Jan 5, 2021, at 5:31 PM, Van Rhijn, Dorothyann <dorothyann.vanrhijn at yale.edu> wrote:
> 
> 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, EOH Policy Consult Request, OEMedicine Consult Request, EOH Guidebook
>  
> From: MCOH-EH <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>
> 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.
> Thanks
> Charlie Hackett MD, MPH, Lifespan.
>  
>  
> On Mon, Jan 4, 2021 at 2:00 PM Dr. Dana Rawl <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
>  
> From: MCOH-EH <mcoh-eh-bounces+darawl=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; mcoh-eh at mylist.net
> Subject: [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period
>  
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> THIS EMAIL IS FROM AN EXTERNAL SENDER!
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> 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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> The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net
> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
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