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1/ Anyone who has ever done research or implemented clinical programs in nursing homes or assisted living knows these problems very well. It shouldn't have been too hard to predict and plan for this. #COVID19 https://www.nytimes.com/2020/12/16/business/covid-coronavirus-vaccine-nursing-homes.html?action=click&module=Top%20Stories&pgtype=Homepage
2/ There will have to be visits on each shift, over multiple days to hit all staff. That doesn't even consider patients, many of whom have cognitive impairment and may not have capacity to consent.
3/ This will take longer, especially if a written process. However, oral only consent process leaves risk for abuse, saying residents or families had consented when they had not. If only an oral consent process, will need strict safeguards and protocols.
4/ It's all feasible but it requires experience to understand how to roll this out and do so quickly. Those of us in #geriatrics know these barriers and processes to follow to create processes to maintain autonomy of residents while ensuring effective vaccination rates!
5/ I know some of my nurse and MD colleagues have been asked to be involved at state level in various states, but there should be coordination at the national level on these sorts of process and ethical issues so we limit reinventing the wheel, uneven distribution, & disparities.
