Pediatric APRNs and agencies are experiencing significant disruption in care provision, patient presentations, clinical practices, immunizations, and revenue streams, the study says. Furthermore, some pediatric APRNs have transitioned to work with adult populations “in an unprecedented fashion,” while others have been temporarily furloughed or permanently laid off due to a stronger demand for critical care nurses and a lower demand for primary care nurses.

After issuing an initial stay on November 6, the U.S. Court of Appeals for the 5th Circuit in New Orleans on November 12 reaffirmed its stay, instructing OSHA and the Department of Labor to take no steps to implement or enforce the emergency temporary standard (ETS) while the appeals court considers the petitioners’ request for a permanent injunction.

The CMS interim final rule (IFR) applies to individuals working in Medicare- and Medicaid-participating facilities, as well as individuals working in other settings involving face-to-face interactions with patients. The IFR requires all clinical and non-clinical personnel to have received at least the first dose of a COVID-19 vaccine by December 5, 2021, and complete the vaccine course by January 4, 2022.

The Occupational Safety and Health Administration (OSHA) November 4 issued an emergency temporary standard (ETS) requiring employers with 100 or more employees to implement a program of COVID-19 vaccination or regular testing and face coverings to protect unvaccinated workers but not requiring employers to pay for testing.

The agency’s June 21 COVID-19 ETS only applies to healthcare facilities and healthcare support services where employees may be exposed to COVID-19. Under the ETS, healthcare facilities must conduct a hazard assessment and develop a written plan to mitigate virus spread through methods such as erecting barriers and implementing control measures to maintain 6 feet of distancing between employees at entry points and nursing stations, as well as control staff and patient access to quarantine zones.

The Secretary of Health and Human Services Xavier Becerra signed another order October 15 extending the national public health emergency (PHE) related to the COVID-19 pandemic for another 90 days. The order is effective October 18 and lasts through January 16, 2022, unless it is rescinded earlier.

Daniel McQuillen, MD, took on the leading role at the IDSA last week. In addition to serving as president of the IDSA, he is a senior physician in the Division of Infectious Diseases at Beth Israel Lahey Health and Lahey Hospital & Medical Center, and an assistant professor of medicine at Tufts University School of Medicine in Boston.

Writing in JAMA, University of California at Los Angeles researchers looked at COVID-19 cases and deaths among U.S. federal and state prisoners for 52 weeks from April 5, 2020, to April 3, 2021 and compared these rates with the overall U.S. population.

The NCSBN and eight other leading nursing organizations, including the American Organization for Nursing Leadership (AONL) and the American Nurses Association (ANA), issued a policy brief to provide guidance to boards of nursing and nursing education programs receiving requests from students for alternate clinical experiences when a program’s clinical sites require the COVID-19 vaccine.