Healthcare facilities and nursing homes in the US and especially in Minnesota are bracing for worsening staff shortages as state deadlines arrive for healthcare workers to get vaccinated against COVID-19.

With president Biden's vaccine mandate and ultimatums taking effect in other states around the US, the fear is that if Governor Tim Walz was to pass an ultimatum as well, some employees will quit or let themselves be fired or suspended rather than get the vaccine.

It is already tense in California and New York where some employees had until the end of the day Monday to get at least one dose, but some hospitals had already begun suspending or otherwise taking action against holdouts.

Jan Emerson-Shea,  California Hospital Association spokesperson stated that the organization “absolutely” supports the state's vaccination requirement. 'How this is going to play out, we don’t know. We are concerned about how it will exacerbate an already quite serious staffing problem.”

About a dozen states have vaccination mandates covering healthcare workers in hospitals, long-term care facilities or both. Some allow exemptions on medical or religious grounds, but those employees often must submit to regular COVID-19 testing.

States that have set such requirements tend to have high vaccination rates already. The highest rates are concentrated in the Northeast, the lowest ones in the South and Midwest.

Healthcare facilities and Nursing homes fear for what might happen in Minnesota with such mandates and staffing shortages.

The Biden administration also will require the roughly 17 million workers at health facilities that receive federal Medicare or Medicaid to be fully vaccinated under a rule still being developed.

That has worried some hospital officials, particularly in rural communities where vaccination rates tend to be lower.

Many hospitals and nursing homes are already suffering staff shortages because many nurses and others have quit as a result of pandemic-related burnout or have left for lucrative jobs traveling from state to state.

White House press secretary Jen Psaki noted that hospitals in Houston and Maine lost a relatively small number of employees recently after requiring employees to get vaccinated.

“We’re seeing in a lot of places that this is working, it’s effective. It’s creating more certainty and protection in their workforces,' Psaki said.

In California, where healthcare workers have until Thursday to get fully vaccinated, some hospitals are anticipating firings, suspensions or the moving of people to other positions, Emerson-Shea said. She said many traveling nurses have declined assignments in California because of the state's vaccine requirement.

In Rhode Island, where the vaccine mandate takes effect Friday, the state said hospitals can allow unvaccinated employees to keep working 30 days past the deadline in cases where firing them would compromise patient safety. The mandate is being challenged in court because it doesn't allow religious exemptions.

In states that don’t have mandates, some hospitals are imposing their own.

Ginger Robertson, a registered nurse who works in a mental health clinic at a hospital in Bismarck, North Dakota, has requested a religious exemption from her hospital’s vaccination requirement. She said she will look for other work if she doesn’t get it.

“Honestly, I really love my job. I am good at it. I enjoy my patients. I enjoy where I am at,' she said. 'So this is a really hard place, to have to choose between two things I don’t want to do. I don’t want to leave, and I don’t want to get the vaccine.”

She said other nurses are also considering leaving over what she called the “insulting” mandate.

“We feel demoralized, like as though we aren’t intelligent enough to make these choices for ourselves,” Robertson said.

A North Carolina-based hospital system announced Monday that more than 175 of its 35,000-plus employees have been fired for failing to comply with its COVID-19 vaccination requirement.

Last week, Novant Health announced 375 workers had been suspended and given five days to comply. Nearly 200 of them did so — including those who submitted approved exemptions — before the Friday deadline, spokesperson Megan Rivers said.

Massachusetts' mandate, issued by Republican Gov. Charlie Baker, applies only to rest homes, assisted living facilities, hospice programs and home care programs. It allows for medical and religious exemptions but doesn't require regular testing. The deadline is Oct. 31.

In Connecticut, a vaccine mandate for employees of state-run hospitals took effect on Monday. It does not apply to privately run hospitals, some of which are imposing their own requirements. Medical and religious exemptions are possible, but anyone else who fails to get vaccinated will be barred from the workplace.

About 84% of over 450,000 hospital workers in New York were fully vaccinated as of Wednesday, according to state data. Nursing home data through Sunday showed about 89% of nursing home workers fully vaccinated.

New York City’s hospital system reported a 95% vaccination rate for nurses and a higher rate for doctors.

“I feel good, very good about our ability to have the staffing we need in the public hospitals,” said Mitchell Katz, head of the city’s public hospital system.

In Missouri, which became a severe COVID-19 hot spot over the summer, the Mercy hospital system is requiring vaccinations among staff at its hundreds of medical centers and clinics in Missouri and neighboring states by Thursday.

Anyone who doesn't comply by then will be placed on a 30-day unpaid suspension, said Mercy spokeswoman Bethany Pope.

*this article was written with reference from mordernhealthcare.com

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