Top insurer tells 1,000 GPs not to give swine flu vaccine
An insurance company has warned 1,000 GPs not to administer the swine flu vaccine.
The HSE plans to enlist family doctors to give the swine flu vaccine to patients with pre-existing medical conditions.
But an insurance company which covers around 1,000 of the 2,200 to 2,500 GPs in the country advised them not to sign up for the work because of legal indemnity issues.
The HSE has given GPs until today to sign up to give the vaccine to 400,000 of their patients with certain medical conditions from next week.
Medisec Ireland, which covers around 1,000 GPs, told their members yesterday not to sign up until all indemnity issues were resolved.
GP sources said last night this may lead some doctors who have signed up to withdraw their participation in the programme.
In a letter to the doctors Medisec said it was unclear where a GP would legally stand if they exercised their discretion not to give the vaccine to their patients.
There are also unresolved legal issues around the doctors identifying and offering the vaccine to at-risk patients.
The company said the Irish Medical Organisation had been trying to negotiate an acceptable resolution to the serious medico/legal issues with the HSE, but had not been successful.
Other concerns relate to the cost of legal representation for doctors who may find themselves before their disciplinary body the Medical Council if they fail to give the vaccine to a patient.
They could also have to go before the same body for exercising their clinical judgment not to administer the vaccine to a patient of another doctor who had been referred to them.
Concern
The letter to GPs said that while the administration of the vaccine would be deemed normal work and covered by a doctor’s policy, the outstanding issues of concern
might not fall into this category due to the amount of work involved and could lead to “adverse indemnity consequences”.
It added: “Accordingly, in the circumstances, we do not recommend our members to sign up for the programme until all issues have been resolved.”
The other company indemnifying doctors, the Medical Protection Society, is believed to have indicated GPs could go ahead with the vaccinations.
The HSE may have to extend today’s deadline for more clarification. It plans to publicise the rollout of the vaccine to at-risk patients tomorrow.
- Eilish O’Regan, Health Correspondent
Irish Independent
Although infectious exposures to healthcare workers had long been recognized, with the emergence of HIV/AIDS and the resurgence of tuberculosis in the 1980s, emphasis was refocused on PPE for the protection of healthcare workers in all settings. PPE for healthcare includes the respirators, gowns, gloves, face shields, eye protection, and other equipment that will be used by healthcare workers and others in their day-to-day patient care responsibilities. Medical masks (surgical or procedure masks) are not PPE because they are not designed to be used to protect the wearer from hazardous exposures. Prior to the 1980s, the use of healthcare PPE was largely confined to surgical settings and was primarily intended to protect patients rather than healthcare workers. PPE is an important component in the continuum of safety efforts. Occupational safety and health measures have traditionally followed a hierarchy of controls. Engineering controls such as air exchanges or negative-pressure rooms that can isolate the hazard or reduce exposure, are considered the first line of defense against hazardous exposures because they are ubiquitous measures that affect a large number of workers and patients and do not depend on individual compliance. Administrative controls include the policies, standards, and procedures set within an organization to limit hazardous exposures and improve worker safety, including the provision of appropriate and effective protective equipment. At the individual level, responsibilities incumbent on the healthcare worker include appropriate use of PPE as well as adherence to work safety practices. The selection, by employers, of specific PPE options for a given task must be determined within the context of the multiple layers of controls. PPE selection and use is regulated by OSHA in the United States. For more information on PPE in healthcare, go to the 2008 Institute of Medicine report at http://www.iom.edu/CMS/3740/29908/46095.aspx. This is clipped from the 11 minutes video, Personal Protection Against Infection, from the nonprofit Ontario Safety Association for Community and Healthcare and available for purchase at http://www.osach.ca/products/catalog/Infection.html#vinfe344 . This video covers the basics of infection control for health care support staff, from modes of transmission to hand washing to the use of personal protective equipment.
Top insurer tells 1,000 GPs not to give swine flu vaccine
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Although infectious exposures to healthcare workers had long been recognized, with the emergence of HIV/AIDS and the resurgence of tuberculosis in the 1980s, emphasis was refocused on PPE for the protection of healthcare workers in all settings. PPE for healthcare includes the respirators, gowns, gloves, face shields, eye protection, and other equipment that will be used by healthcare workers and others in their day-to-day patient care responsibilities. Medical masks (surgical or procedure masks) are not PPE because they are not designed to be used to protect the wearer from hazardous exposures. Prior to the 1980s, the use of healthcare PPE was largely confined to surgical settings and was primarily intended to protect patients rather than healthcare workers. PPE is an important component in the continuum of safety efforts. Occupational safety and health measures have traditionally followed a hierarchy of controls. Engineering controls such as air exchanges or negative-pressure rooms that can isolate the hazard or reduce exposure, are considered the first line of defense against hazardous exposures because they are ubiquitous measures that affect a large number of workers and patients and do not depend on individual compliance. Administrative controls include the policies, standards, and procedures set within an organization to limit hazardous exposures and improve worker safety, including the provision of appropriate and effective protective equipment. At the individual level, responsibilities incumbent on the healthcare worker include appropriate use of PPE as well as adherence to work safety practices. The selection, by employers, of specific PPE options for a given task must be determined within the context of the multiple layers of controls. PPE selection and use is regulated by OSHA in the United States. For more information on PPE in healthcare, go to the 2008 Institute of Medicine report at http://www.iom.edu/CMS/3740/29908/46095.aspx. This is clipped from the 11 minutes video, Personal Protection Against Infection, from the nonprofit Ontario Safety Association for Community and Healthcare and available for purchase at http://www.osach.ca/products/catalog/Infection.html#vinfe344 . This video covers the basics of infection control for health care support staff, from modes of transmission to hand washing to the use of personal protective equipment.
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