I just received my vaccine and now my facility wants a TB test. What should I do?
If vaccination has been given and testing needs to be performed, the CDC recommends deferring TB Skin test, Quantiferon Gold, or T-Spot until 4 weeks after COVID-19 vaccine 2-dose completion.
Keep in mind the timing of any needed TB test updates as you plan vaccination for COVID-19. If possible, complete TB testing prior to receiving the vaccine. However, if this is not possible, work with your credentialing analyst to partner with the facility for next steps and possible exceptions.
Please refer to the CDC for additional information.
How long after vaccination should I wait to have my flu shot or other vaccine? How long after a different vaccine should I wait to have my COVID vaccine?
The CDC recommends a minimum interval of 14 days before or after administration with any other vaccines. However, there may be specific situations where the potential benefit outweighs the possible risks of administering vaccines more closely together. Your provider or healthcare department would advise in these unique situations.
How much time is suggested between the first and the second COVID-19 vaccination shot?
As of January 2021, per the CDC:
The mRNA COVID-19 vaccine series consist of two doses administered intramuscularly:
- Pfizer-BioNTech vaccination dosage period is 3 weeks (21 days) apart
- Moderna vaccination dosage period is 1 month (28 days) apart
However, there is a grace period that extends beyond these timeframes above. According to the CDC, the 2nd dose should be administered as close to the recommended interval as possible. However, if it is not feasible to adhere to the recommended interval, the second dose of Pfizer-BioNTech and Moderna COVID-19 vaccines may be scheduled for administration up to 6 weeks (42 days) after the first dose.
The CDC has also issued guidelines for exceptional situations where the same m-RNA vaccine is not available for the 2nd dose. If the first dose product is NOT available, the 2nd dose can be administered using the alternate product at a minimum interval of 28 days.
For more information, click here.
If I get vaccinated at a location not affiliated with a hospital, what documentation do I need to share with AMN Healthcare?
If you choose to be vaccinated at a location not affiliated with a hospital within your state, please note the following guidelines from AMN Healthcare. Our goal is to assist and support you in this process and ensure that you receive both doses of the COVID-19 vaccine you receive.
- Please make sure that your Provider is notified and aware that you are in the process of receiving and/or scheduled to receive the COVID-19 vaccination
- Please register locally or with your state for the COVID-19 vaccine
- If you are planning to receive your 2nd dose at your next assignment, please contact your AMN Healthcare Credentialing Analyst to coordinate in advance with the facility
Please note vaccine supply varies across states and facilities so it’s important to coordinate with our team to ensure there are no delays in you receiving your 2nd dose.
If I receive the COVID-19 vaccine, is it safe to receive another vaccine after?
Current guidelines from the CDC advise waiting a minimum of 14 days to receive any additional vaccinations after receiving the COVID-19 vaccine. To learn more about the guidelines for flu vaccine, other vaccines and TB screening, please refer to this page from the CDC.
What is the accepted form of documentation to confirm a healthcare professional has received the proper COVID-19 vaccination?
Per the CDC, you should receive a vaccination card or printout that tells you which COVID-19 vaccine you received, the date you received it, lot number, expiration date and where you received it. You should receive a paper or electronic version of a fact sheet that tells you more about the specific COVID-19 vaccine you are being offered. Each authorized COVID-19 vaccine has its own fact sheet that contains information to help you understand the risks and benefits of receiving that specific vaccine.
If I get vaccinated and need to send the documentation to AMN, where do I send it?
What if I have side effects from the vaccine that prevent me from working?
Please contact your facility supervisor and the AMN clinical manager at 800-887-1456 if you experience severe side effects that prevent you from working safely in-patient care and are under the care of a medical provider. In some cases, you may be able to make up your worked hours in the same pay period. If this is not possible due to timing of your missed shifts or other circumstances, then please work with your AMN representative on next steps for possible compensation of sick time related to severe side effects of COVID-19 vaccine. AMN Healthcare follows state regulations for sick time which will be applied as appropriate to these cases.
Additional information from the Pfizer FAQ: Adverse reactions are usually mild to moderate in intensity and resolve within a few days. The most common adverse reactions reported after vaccination in clinical studies included:
- Pain at injection site (84.1%)
- Fatigue (62.9%)
- Headache (55.1%)
- Muscle pain (38.3%)
- Chills (31.9%)
- Joint pain (23.6%)
- Fever (14.2%)
- Injection site swelling (10.5%)
- Injection site redness (9.5%)
- Nausea (1.1%)
- Malaise (0.5%)
- Lymphadenopathy (0.3%)
Will I be asked to float while on assignment?
Travel nurses can be asked to float at or below their skillset while on assignment. You may also be asked to float to an area out of your skillset, but in a supportive capacity. Floating is based on the needs of the facility; and travel RN’s should be prepared to float up to three times per shift. Since COVID-19 needs are increasing daily, we are seeing many facilities activate labor pools; which means that travel nurses will be told to report to and sent where the greatest need is in the facility.
How are patient ratios changing with the increase in COVID-19 cases?
Nursing ratios may be higher than usual because of mandated ratios related to statewide executive orders to lift mandated staffing ratios due to pandemic needs. We are starting to see states regulatory bodies give hospitals the ability to go out of ratio with approval.
For example, the California Department of Public Health has given hospitals a way to apply for this quickly, and has outlined the following:
- ICU — from 1:2 to 1:3
- Step-down units — from 1:3 to 1:4
- ED and telemetry — from 1:4 to 1:6
- Med/surg — from 1:5 to 1:7
While hospitals do have to apply for this, we are seeing it more and more, so travel nurses will potentially work out of ratio but often in team nursing with float RNs or support staff from other departments. You may also be working with a team of healthcare professionals that may include LPNs, MA, CNAs and/or New Grad Nurses. In some health care facilities, Student Nurses (Nurse Externs who have not completed their program) are also supporting patient care services under the supervision of a licensed RN. Travel Nurses may be working in a primary RN or team-based model of care. Please work with your facility Supervisor to delegate to LPNs or unlicensed team members within scope of practice.
For more information, please refer to NCSBN delegation guidelines.