Coronavirus in Massachusetts (Boston: elementary school, taxes, assessment)

[GeoffD]

Originally Posted by Shrewsburried

This has been my anecdotal experience as well. Institutions with existing vaccine protocols and infrastructure are distributing the available vaccines to staff with limited issues (MGH perhaps not quite so smoothly as other regionals).

The state apparently left distribution up to local FD/PDs (according to an FF in my town) which, unlike a large regional hospitals, don't have the qualified staff or existing infrastructure. I think this has, rather unsurprisingly, caused a bit of a scramble and A LOT of confusion as these departments try to navigate the logistics.

Hopefully ... hopefully, things can be learned from this and phase 2 and phase 3 rollouts can be much smoother. Like you, I believe when smaller county and town healthcare facilities began to inventory the vaccines most or all of the existing problems go away. Then you're back to basic qualification and gating; i.e., your grandma is gated ahead of you.

Seeing the issue at a hospital a bit smaller than MGH with their 1000 beds and giant outpatient business, they must have to vaccinate 20,000+ people between employees, all the contract people, and physicians. Like any large hospital, it’s not like they have the spare staff sitting around to vaccinate 1,000 people per day.

[Shrewsburried]

Originally Posted by GeoffD

Seeing the issue at a hospital a bit smaller than MGH with their 1000 beds and giant outpatient business, they must have to vaccinate 20,000+ people between employees, all the contract people, and physicians. Like any large hospital, it’s not like they have the spare staff sitting around to vaccinate 1,000 people per day.

I realize it's a logistical nightmare, but other large teaching hospitals are seemingly working through their staff at a good clip with few issues. As stated earlier, at UMass non-clinical admin are already receiving their first round if those admin interface with clinical staff or students within the teaching hospital. Not every institution is lagging despite the daunting scale.

I would think a single qualified worker could process a few hundred staff per day, at a minimum. This is pretty basic stuff.

[yesmaybe]

https://www.nytimes.com/2021/01/08/n...ne-delays.html

This is what I was talking about...

Dr. Peter Meacher expected to receive just a small supply of Moderna’s coronavirus vaccine to inoculate his staff at a network of clinics that he oversees in New York City. Instead, 600 doses arrived late last month, far more than he needed.
For two weeks, more than half of the supply sat in freezers. At other clinics in the city, small numbers of unused doses have even been thrown out.
Dr. Meacher said he would like to give the extra vaccine to high-risk patients, but had not for fear of violating strict eligibility rules from the state and city about who can receive it.

[robr2]

Originally Posted by Shrewsburried

I realize it's a logistical nightmare, but other large teaching hospitals are seemingly working through their staff at a good clip with few issues. As stated earlier, at UMass non-clinical admin are already receiving their first round if those admin interface with clinical staff or students within the teaching hospital. Not every institution is lagging despite the daunting scale.

I would think a single qualified worker could process a few hundred staff per day, at a minimum. This is pretty basic stuff.

Figure 5 minutes per stick, one person can do 12 an hour/96 per 8 hour shift.

[Shrewsburried]

Originally Posted by robr2

Figure 5 minutes per stick, one person can do 12 an hour/96 per 8 hour shift.

Fair. I was thinking more of a pre-vetted setup, like when public schools would rollout hep or HPV vaccines and the ‘patients’ would roll through with 2-3 workers going ::stick, stick, stick, stick::

Vaccinate a thousand+ student body in a single day with minimal labor.

[wolfgang239]

I've heard one thing slowing things down slightly is the consent paperwork needed due to it being EUA. You'd think that would be easy enough to fix like reviewing the terms at home first and pre-printing the paperwork or checking a few boxes on an ipad.

[htfdcolt]

Originally Posted by wolfgang239

I've heard one thing slowing things down slightly is the consent paperwork needed due to it being EUA. You'd think that would be easy enough to fix like reviewing the terms at home first and pre-printing the paperwork or checking a few boxes on an ipad.

Oh my. Say it ain't so...that would be a shame.

[wolfgang239]

Originally Posted by htfdcolt

Oh my. Say it ain't so...that would be a shame.

Take that with a grain of salt, I heard it from a friend who is a PA in a local hospital. Not talking 20 minutes or anything but when you add 3 or 4 minutes to fill out something like this form and multiply it by 2000, 5000, whatever number of people per day it can add up.

[GeoffD]

Originally Posted by wolfgang239

Take that with a grain of salt, I heard it from a friend who is a PA in a local hospital. Not talking 20 minutes or anything but when you add 3 or 4 minutes to fill out something like this form and multiply it by 2000, 5000, whatever number of people per day it can add up.

Yep. Lots of red tape. They monitor you afterwards for any kind of reaction. It's not like getting a flu shot at the CVS which also takes 10 to 15 minutes in my life experience. Plus it's slowed down by people barging in trying to get vaccinated who aren't eligible. "Err, no. You're retired. You don't have a license" and they argue for 20 minutes.

[BostonMike7]

I thought Mass Vaccination Plans were in our national strategic defense plan? For the 10+ months or so of time they had to plan the distribution, i'm not really impressed.