IOM Covid removing restrictions

[Cambon]

3 hours ago, John Wright said:

No, the process takes half an hour from prepping, consenting, administering and observing.

There’s paperwork, sorting doses, disposing sharps, cleaning/disinfecting the cubicle, changing gloves. It’s a team effort. Depends on the layout at the location and the number of people in each team.

I reckon one person injecting can do 50-70 per working day. They’d need two, possibly three in a team. Ancillary helpers can probably cover more than one injecter.

Again the person injecting probably wont move. It’s better use of time to have recipients to go to the administration cubicles.

Sorry John, but once injected, people need to be monitored for 15 minutes after the first injection. If there was no reaction to the first, why bother monitoring them after the second? Similarly, once the paper work, etc.  has been done for the first injection, why would it be repeated for the second? What is needed is a reception area with a few people to supervise the signing of any documentation, a waiting area prior to the shot, several booths where the shot is given, a supervision room for the 15 minutes after, that's it! It does not require a doctor to administer, a qualified nurse or sister will do fine. Anything else is overkill. It is a glorified flu jab! 

What is needed is a check in area with Several receptionists, 

[Nellie]

This is all about Process Design, and Lean Thinking. Don’t design in steps or processes which don’t assist getting the optimum number of people vaccinated in the available time. Letters, phone calls, appointments are all ‘waste’, and they are all points of potential failure. 

Don’t have the vaccinators filling in forms or having long conversations about the rights or wrongs of the vaccine. 

Open your Vaccination Centre and tell people aged (say) 80+ and with surnames A to D to come on Monday, E-K on Tuesday etc. A high % of people will comply, as they’ll want to be done, and you then mop up the missing cases, later. You’d need good logging and recording at the Centre, but it would be a lot slicker and less labour intensive overall.

I’m pretty sure these UK centres in football grounds and race courses won’t be running appointment systems. It’ll be turn up, and go.

 

 

[Non-Believer]

22 minutes ago, Nellie said:

This is all about Process Design, and Lean Thinking. Don’t design in steps or processes which don’t assist getting the optimum number of people vaccinated in the available time. Letters, phone calls, appointments are all ‘waste’, and they are all points of potential failure. 

Don’t have the vaccinators filling in forms or having long conversations about the rights or wrongs of the vaccine. 

Open your Vaccination Centre and tell people aged (say) 80+ and with surnames A to D to come on Monday, E-K on Tuesday etc. A high % of people will comply, as they’ll want to be done, and you then mop up the missing cases, later. You’d need good logging and recording at the Centre, but it would be a lot slicker and less labour intensive overall.

I’m pretty sure these UK centres in football grounds and race courses won’t be running appointment systems. It’ll be turn up, and go.

 

 

But none of that lean and efficient thinking will employ a maximum or even increasing number of civil and public servants to administer it.

For those with a bit of a penchant for empire-building this could provide an opportunity for a bit of a recruitment-fest? And if course, we can't proceed until those numbers are attained.

[John Wright]

28 minutes ago, Cambon said:

Sorry John, but once injected, people need to be monitored for 15 minutes after the first injection. If there was no reaction to the first, why bother monitoring them after the second? Similarly, once the paper work, etc.  has been done for the first injection, why would it be repeated for the second? What is needed is a reception area with a few people to supervise the signing of any documentation, a waiting area prior to the shot, several booths where the shot is given, a supervision room for the 15 minutes after, that's it! It does not require a doctor to administer, a qualified nurse or sister will do fine. Anything else is overkill. It is a glorified flu jab! 

What is needed is a check in area with Several receptionists, 

Wish you were right. But you aren’t.

ive only ever had flu jabs at the surgery. Nurse, but Dr just down the corridor. It would likely not pass muster with older persons, extremely clinically vulnerable and the people with the listed conditions to be treated en masse in a hangar 10 miles from Nobles without a Dr on duty.

Given that when they’re doing 2nd jabs it’ll be 50:50 first and second timers you deal with the 15 minutes same for everyone to avoid the risk of misidentification.

Checking identity, any change in health, and completing paperwork is just the same whether it’s first or second, consenting may be shorter, but you can’t really short cut when you’re dealing with people who are fragile, may have memory or other cognition problems.

They'll be health and safety conscious to within an inch of their lives.

Ive described numbers required for 12 hours a day, 7 days a week, for 6 months. Allowance and slack for absence, sickness, holidays, emergencies.

[Dirty Buggane]

I for one would of thought that the Villa Marina would of been a lot better choice for inoculation centre as most people live in or around Douglas. Also better and quicker access to emergency services

[Nellie]

1 minute ago, Dirty Buggane said:

I for one would of thought that the Villa Marina would of been a lot better choice for inoculation centre as most people live in or around Douglas. Also better and quicker access to emergency services

Non starter. Poor access ATM and hardly any parking. 

[Banker]

1 hour ago, John Wright said:

In reverse order

They don’t. That’s why it’s being delivered centralised for most people.

Not sure it’ll be a letter, or directly from the GP. Think it’ll be from 111/track & trace and it may be a letter or phone call. There should be follow up calls.

Id hope they may try and do it by area as far as appointments go, and use the Bus Vannin patient transfer minibuses, at least for those who don’t drive.

10 booths,  12 hours a day, 7 days a week, will require at least 3 doctors, 25-30 qualified to inject, one paramedic dedicated to each, so 25-30 paramedics. Plus assorted receptionists, tea makers, data entry bods, as well as security, cleaners, supervisors.

I do think it might have been better to have dedicated days at Ramsey Cottage, the West and Deep South. Don’t understand a hangar. Airport security is a potential  issue. Wouldn’t the function room at the Grandstand be better for 60% of the population?
 

All the adverts in Courier say you will get letter from GP and then you contact 111.

Howie was asked re security at airport and said none is required as we’re dealing with the residents not an unruly mob!! There will be someone at door saying go to booth3 etc but that’s it , also assume car parking will be free!!

assume they will use a lot better f existing airport staff as basically they are doing bugger all at present, maybe some of ATC & firemen could help!!

Edited December 28, 2020 by Banker

[John Wright]

11 minutes ago, Banker said:

All the adverts in Courier say you will get letter from GP and then you contact 111.

Howie was asked re security at airport and said none is required as we’re dealing with the residents not an unruly mob!! There will be someone at door saying go to booth3 etc but that’s it , also assume car parking will be free!!

assume they will use a lot better f existing airport staff as basically they are doing bugger all at present, maybe some of ATC & firemen could help!!

It’s not the unruly mob risk, tho,  is it. The security issue is an airside inside the perimeter issue. It’s an operational airport. There are legal requirements. Do any hangars have access from outside the security fence.

I know what the advert and notices say. I think that it’s more likely the GP practices with share contact details to DHSC central who will send out letters in the name of the practice.

If what Howie said is correct then the paperwork, even with an administering professional and an assistant per booth is going to slow things down.

Its still a medical procedure. I’d not be happy for fireman Sam to get to know that I’m Clinically extremely vulnerable. Where’s his duty of confidentiality? It’s an issue with volunteers also.

 

[WTF]

1 minute ago, John Wright said:

It’s not the unruly mob risk, tho,  is it. The security issue is an airside inside the perimeter issue. It’s an operational airport. There are legal requirements. Do any hangars have access from outside the security fence.

I know what the advert and notices say. I think that it’s more likely the GP practices with share contact details to DHSC central who will send out letters in the name of the practice.

 

yes, some hangars can be accessed from outside the security fencing,  the 2 big ones to the east if you use google maps.

[Dave Hedgehog]

20 minutes ago, Nellie said:

Non starter. Poor access ATM and hardly any parking. 

Old Safeway store in Chester Street may have been a better idea then.

[John Wright]

5 minutes ago, Dave Hedgehog said:

Old Safeway store in Chester Street may have been a better idea then.

What with cold running water dripping from the ceiling and running down the walls and mold everywhere

[AlanShimmin]

Is this just a thread on naming random buildings now? 

 

I'd choose Tynwald Hill to give the vaccine. Nice central location.

[finlo]

20 minutes ago, John Wright said:

What with cold running water dripping from the ceiling and running down the walls and mold everywhere

For that authentic Manx healthcare experience!

[piebaps]

The monorail terminal/felt museum has some space.

[kevster]

5 minutes ago, piebaps said:

The monorail terminal/felt museum has some space.

Currently being used to store all the fridge magnets that the thousands of cruise visitors would have purchased