Children’s process is very similar to the one outlined by Amy. The requests are reviewed individually, but as far as the medical criteria, if it is a contraindication per CDC, it is usually approved.
An Infectious Disease physician sits on our committee, so if the individual requests exemption for a medical condition, he can provide guidance to the group as to whether it is advised to give the influenza
vaccine or not.
Depending on the situation, it may be a temporary exemption or a permanent exemption. Employees receiving chemotherapy may not fully benefit from the(inactivated) vaccine, but it may provide partial protection.
If the information provided on the exemption form is not sufficient for the physician to advise on a decision related to any medical condition, specific questions are provided to the employee so they can obtain additional information.
Yvonne Noel, RN, BSN, CIC, COHNs
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Amy Olson
Sent: Tuesday, May 21, 2019 9:38 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Accepting Medical Waivers for Flu Guidelines
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We have the following spelled out in our policy:
1.
EEs requesting a medical waiver must complete the Medical Exception Form.
2.
The form is taken to their doctor for signature and accompanying the form must be medical documentation substantiating the need for exception.
3.
The form is reviewed by the Medical Exception Review Panel comprised of EH Director, EH Nurse Practitioner and Infectious Disease physician. HR representation is included when the case would indicate the need. The Panel has
up to 14 days to review and make a decision. Further information may be requested.
4.
The exception is granted on either a temporary or permanent basis.
This past year we had a surprisingly low number of exception requests. We had two and one was temporary and the second was denied.
Amy Olson, BSN, MS, COHN-S
Director, Employee Health and Wellness
Johns Hopkins All Children's Hospital
500 Seventh Avenue South, Suite 103
St. Petersburg, FL 33701
P 727-767-8211 | F 727-767-8399
aolson9@jhmi.edu
www.HopkinsAllChildrens.org
From: MCOH-EH [mailto:mcoh-eh-bounces+aolson9=jhmi.edu@mylist.net]
On Behalf Of LeClair-Netzel Megan E
Sent: Tuesday, May 21, 2019 8:46 AM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] Accepting Medical Waivers for Flu Guidelines
Hello,
Do any of you have guidelines for approval and denial of medical waivers for the flu vaccine for your clinicians?
We are looking to standardize our approach.
Thanks,
Megan
Megan LeClair-Netzel, DNP, RN, AGCNS-BC
Manager of Employee Health Services
UW Health
600 Highland Ave MC: 6715
Madison, WI 53792
Office: (608) 422-8055
Pager: 8097
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