UPDATE: My Nurse Sister in Law went into anaphylactic shock this morning during vaccination

[The Tradition]

No one is asking anyone to change the rules. Not me and not her. She took the shot and voluntarily went into anaphylactic shock so she could continue to help people. I'd say that's exactly the type of person cut out for that job. She's been there for 22 years. Is in charge of the cancer ward. To your logic, anyone who has a reaction to a mandated injection is "not cut out" for whatever job they have. Odd take.

It's also an unlawful take.

 

[theiacowtipper]

If I had a history of anaphylaxis, particularly anaphylactic shock, and I was gonna receive a medication again that previously caused it, I would want it where there was a doctor trained in management of the entire condition. Not just a paramedic that could give Epi. I’d want it where I could receive awake/fiber optic intubation if needed, a surgical airway if needed, pressor support if needed. And all the requisite meds readily available


Sorry, I really love EMS but a paramedic wouldn’t cut it if this were my family member. In this particular instance. Like the poster suggested. Just having a paramedic standing by because they have more experience with an EpiPen as the poster suggested.

And you’re being unrealistic. Doctors don’t do that kind of thing. They don’t go,to vaccination clinics. Literally everything you listed I can do, and have done, as a paramedic. I guess with the exception of a surgical airway. I’ve done them on pigs, never on a human. I’ve done half a dozen needle crics though.

I guess it depends on the physician. A run of the mill family practice doctor would be useless. Many specialists would be useless. An ED physician would be very helpful.

 

[haw-key]

And you’re being unrealistic. Doctors don’t do that kind of thing. They don’t go,to vaccination clinics. Literally everything you listed I can do, and have done, as a paramedic. I guess with the exception of a surgical airway. I’ve done them on pigs, never on a human. I’ve done half a dozen needle crics though.

I guess it depends on the physician. A run of the mill family practice doctor would be useless. Many specialists would be useless. An ED physician would be very helpful.

So I agree if a patient went to a vaccine clinic and happened to have an anaphylactic reaction that a paramedic would be very useful as that is what would be available. And I also agree that a paramedic would be a better resource in that instance than an average floor or office nurse would be.

However, my comment was directed to this particular instance. In this particular instance the patient had had prior anaphylactic reactions to vaccinations and in that case I would have suggested that she get a vaccine done where a physician or APP was available that had an EM type skill set. I also agree that your run of the mill FP would not have the experience or training, especially if out of residency awhile, to be comfortable in this circumstance.

Don’t confuse my comment in this instance to be any sort of indictment of EMS at all. Quite the opposite in almost every other case. I work with some fantastic ‘ambulance drivers’ .

 

[Urohawk]

This seems non-nonsensical. Every time I've ever gotten vaccinated you have to fill out a screening questionnaire. Anaphylactic reaction is on there. That would typically exclude anyone from getting the vaccine. I could see an employer making sure to confirm the reaction as a known part of the medical record.

I don't think most managers would be crazy enough to require it at that point.

 

[FAUlty Gator]

This seems non-nonsensical. Every time I've ever gotten vaccinated you have to fill out a screening questionnaire. Anaphylactic reaction is on there. That would typically exclude anyone from getting the vaccine. I could see an employer making sure to confirm the reaction as a known part of the medical record.

I don't think most managers would be crazy enough to require it at that point.

Well…the nonsense is real. She was released from the hospital at 1:30 today and is chock full of Benadryl with a throat that’s killing her.

 

[theiacowtipper]

So I agree if a patient went to a vaccine clinic and happened to have an anaphylactic reaction that a paramedic would be very useful as that is what would be available. And I also agree that a paramedic would be a better resource in that instance than an average floor or office nurse would be.

However, my comment was directed to this particular instance. In this particular instance the patient had had prior anaphylactic reactions to vaccinations and in that case I would have suggested that she get a vaccine done where a physician or APP was available that had an EM type skill set. I also agree that your run of the mill FP would not have the experience or training, especially if out of residency awhile, to be comfortable in this circumstance.

Don’t confuse my comment in this instance to be any sort of indictment of EMS at all. Quite the opposite in almost every other case. I work with some fantastic ‘ambulance drivers’ .

I’d agree completely.

 

[theiacowtipper]

This seems non-nonsensical. Every time I've ever gotten vaccinated you have to fill out a screening questionnaire. Anaphylactic reaction is on there. That would typically exclude anyone from getting the vaccine. I could see an employer making sure to confirm the reaction as a known part of the medical record.

I don't think most managers would be crazy enough to require it at that point.

So if she has an allergy that prevents vaccination, her employer is required to make a reasonable accommodation. As stated earlier in the thread, her position may have prevented accommodations. They may not want her near immunosuppressed patients under any circumstances without vaccination. In which case the accommodation may involve moving her to a different department. In which case a reasonable person might choose to go with the vaccination