At our Hospital 15 minutes observation is required for all. we administer the vaccine in a large conference room (with 2 doors at two ends, one-way traffic) at both campuses, after receiving the vaccine, the employee waits in a section near to the exit for 15-minute observation. each person picks up a timer (pre-set for 15-min) and meanwhile the person can register for CDC monitoring.
Ping Gao, MD, MPH, FACOEM
Medical Director
Occupational medicine & Employee Health
AnMed Health
Sent from my iPhone
Please excuse typo
On Jan 4, 2021, at 7:16 PM, Jeremy via MCOH-EH <mcoh-eh@mylist.net> wrote:
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 FACOEMAssociate ProfessorUniversity of Utah Health PPE CzarMedical Director, Occupational Health and Safety for Work Wellness Clinic, RedMed, IACUC, EHSUniversity of UtahDFPM/RMCOEH391 Chipeta Way Ste. CSLC UT 84108O:801.581-4800 -----Original Message-----From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of <mcoh-eh-request@mylist.net>Reply-To: <mcoh-eh@mylist.net>Date: Monday, January 4, 2021 at 12:00 PMTo: <mcoh-eh@mylist.net>Subject: MCOH-EH Digest, Vol 256, Issue 3 Send MCOH-EH mailing list submissions to mcoh-eh@mylist.net To subscribe or unsubscribe via the World Wide Web, visit https://mylist.net/listinfo/mcoh-eh or, via email, send a message with subject or body 'help' to mcoh-eh-request@mylist.net You can reach the person managing the list at mcoh-eh-owner@mylist.net When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..." 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@gmail.com> To: MCOH-EH <mcoh-eh@mylist.net> Subject: Re: [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period Message-ID: <CAEFKb7hDeHPXup07nMNh2By2tGPTV3KmeVZ6PxTZ4R35XYFX4g@mail.gmail.com> Content-Type: text/plain; charset="utf-8" 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@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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-------------- next part -------------- An HTML attachment was scrubbed... URL: <https://mylist.net/archives/mcoh-eh/attachments/20210103/8a38fb82/attachment-0001.htm> ------------------------------ Message: 2 Date: Sun, 3 Jan 2021 23:00:54 +0000 From: "Giovannetti, Mary" <MGiovannetti@srhs.com> To: MCOH-EH <mcoh-eh@mylist.net> Subject: Re: [MCOH-EH] [EXTERNAL] Survey: COVID Vaccine administration/15 minute observation period Message-ID: <BN8PR14MB32341F5516C927E803868BA8B8D30@BN8PR14MB3234.namprd14.prod.outlook.com> Content-Type: text/plain; charset="windows-1252" 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@srhs.com<mailto:mgiovannetti@srhs.com> | w: SpartanburgRegional.com<http://www.spartanburgregional.com/> ________________________________ From: MCOH-EH <mcoh-eh-bounces+mgiovannetti=srhs.com@mylist.net> on behalf of Galaid Edward I <Edward.Galaid@rsfh.com> Sent: Saturday, January 2, 2021 3:18 PM To: Occ-Env-Med-L@listserv.unc.edu <Occ-Env-Med-L@listserv.unc.edu>; mcoh-eh@mylist.net <mcoh-eh@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. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipients and may contain confidential and/or legally privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, disclosure, or distribution is prohibited. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: <https://mylist.net/archives/mcoh-eh/attachments/20210103/aa3d5f0b/attachment-0001.htm> ------------------------------ Message: 3 Date: Sun, 3 Jan 2021 20:14:34 +0000 From: "Teichman, Ron F" <Ron.Teichman@bannerhealth.com> To: MCOH-EH <mcoh-eh@mylist.net> Subject: Re: [MCOH-EH] [EXTERNAL] Survey: COVID Vaccine administration/15 minute observation period Message-ID: <BY5PR10MB42578278585439AC9F166B45F1D30@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@bannerhealth.com<mailto:Ronald.teichman@bannerhealth.com> From: MCOH-EH <mcoh-eh-bounces+ron.teichman=bannerhealth.com@mylist.net> On Behalf Of Galaid Edward I Sent: Saturday, January 2, 2021 1:18 PM To: Occ-Env-Med-L@listserv.unc.edu; mcoh-eh@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. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipients and may contain confidential and/or legally privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, disclosure, or distribution is prohibited. Thank you. -------------- next part -------------- An HTML attachment was scrubbed... URL: <https://mylist.net/archives/mcoh-eh/attachments/20210103/91738ec3/attachment-0001.htm> ------------------------------ Message: 4 Date: Mon, 4 Jan 2021 16:47:19 +0000 From: Angeli Mancuso <a1mancus@sbch.org> To: MCOH-EH <mcoh-eh@mylist.net> Subject: Re: [MCOH-EH] [EXT:] Survey: COVID Vaccine administration/15 minute observation period Message-ID: <BY5PR22MB19240A024A244E961FB4742BE3D20@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@01D656C0.C5EE59D0]<https://www.cottagehealth.org/urgent-care/> P.O. Box 689 | Santa Barbara, CA 93102-0689 Cell: (805) 319-0359 Email: a1mancus@sbch.org<mailto:a1mancus@sbch.org> From: MCOH-EH <mcoh-eh-bounces+a1mancus=sbch.org@mylist.net> On Behalf Of Galaid Edward I Sent: Saturday, January 2, 2021 12:18 PM To: Occ-Env-Med-L@listserv.unc.edu; mcoh-eh@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. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipients and may contain confidential and/or legally privileged information. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any unauthorized review, use, disclosure, or distribution is prohibited. Thank you. ________________________________ 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. 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When replying to a DIGEST message, please ensure your reply has a specific topic (not just Re:MCOH-EH Digest, Vol 251, Issue 101) so other subscribers can locate the thread in the list archives. ------------------------------ End of MCOH-EH Digest, Vol 256, Issue 3 ***************************************---------------------------------------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@mylist.netTo become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.netMediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.---------------------------------------List archives (public): http://mylist.net/archives/mcoh-eh/---------------------------------------Send administrative requests to: drjoe@meditrax.com---------------------------------------When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.