[MCOH-EH] Does any use an informed consent for COVID-19 vaccine exemption during pregnancy

[Paul Allen]

Thank you vey much Ron
Good health to you as well.

 Paul 

> On Sep 2, 2021, at 10:45 AM, Teichman, Ron F <Ron.Teichman at bannerhealth.com> wrote:
> 
> 
> Hi Paul,
>  
> When I approve an exemption for pregnancy I attach the supplement I have attached to this email. We also had to modify the exemption request form because many OBs refused to sign that they were requesting the exemption. They now have the option to sign that they have advised the patient of the risks and benefits, but the patient still declines the vaccine until after delivery.
>  
> Stay safe, 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
>  
> From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Paul J Allen via MCOH-EH
> Sent: Wednesday, September 1, 2021 8:03 AM
> To: MCOH-EH <mcoh-eh at mylist.net>
> Cc: Paul J Allen <pauljallen at icloud.com>
> Subject: [EXTERNAL] [MCOH-EH] Does any use an informed consent for COVID-19 vaccine exemption during pregnancy
>  
> I am in WA State which now has a COVID-19 vaccine mandate for all HCP to be fully vaccinated by 10/18/21
> We are allowing an exemption during pregnancy and I want to make sure our pregnant employees understand the risks of  COVID-19 infection during pregnancy, vs the benefit of the vaccination.
> Currently the education re COVID-19 vaccination risk vs benefit during pregnancy occurs with the employees’ PCP, nurse mid-wife or OB.
> I have no way to know if the employee is receiving accurate and complete information.
>  
> As the Occ Health medical director, I am asked to review requests for COVID-19 vaccine exemptions for validity, however I am not in contact with the employees and I do not access their medical record to protect their privacy.
>  
> Given the severe risks of COVID-19 during pregnancy, I am requesting that our HR use an informed consent to standardize the information given to our pregnant employees (as well as other community members) by use of an informed consent signed by requester.
>  
> Does anyone have such an informed consent they are willing to share?
>  
>  
> Thanks,
>  Paul 
>  
> ________________________________________
>  
> Paul J Allen MD
> Occupational & Environmental Medicine
> Confluence Health  |   Medical Director Occupational Medicine, Employee Health
> p: 509.436-4009 x: 62759  |  f: 509.665.2308  |  email: paul.allen at confluencehealth.org
>  
>                
>  
> <qp Blank Supplemental info.docx>
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