The tiny glass vaccine vials are delivered to Miami’s largest hospital and immediately whisked to a secret location, where they are placed inside a padlocked freezer with a digital thermometer that reads minus 76 degrees Celsius (minus 105 F). An armed guard watches outside the door. The pharmacy staff at Jackson Health System often gets short notice on how many doses are coming — sometimes as little as 24 hours. As soon as the doses arrive, the pressure builds to administer them quickly, but the timing is complicated. The staff can thaw out only as much COVID-19 vaccine as the hospital can administer that same day. The Associated Press was given exclusive access to a recent day of vaccinations at the system’s main hospital, offering a glance inside the hour-to-hour efforts that fuel the largest inoculation campaign in U.S. history. It is an anxious undertaking for both vaccine providers and Americans seeking the shots, and everyone has to watch the clock. Appointments must be handled carefully — without overbooking but also with confidence that those who are booked will show up — to ensure that the fewest possible doses go to waste. Once mixed, the vaccine is good for only six hours. “We don’t book any appointments until we know we’ve got the supply,” said David Zambrana, vice president of hospital operations. “We’re constantly checking the supply. You can feel the anxiety these folks have. We’ve heard people say, ‘You’ve saved my life’. They are coming with so much hope.” Alette Simmons-Jimenez is part of a WhatsApp text group with about 60 women who keep a hawkish watch as appointment slots open in Miami-Dade, where Jackson Memorial Hospital is helping in the effort to vaccinate 465,000 of the county’s most vulnerable seniors who are 65 and older — from shuts-ins to snowbirds. Someone alerted her on a recent evening that Jackson Memorial would offer an “extremely limited” number of slots starting at 8 a.m. the next day. Typically, 1,500 slots fill up in 15 minutes. Simmons-Jimenez, 68, was on her computer by 7:30 a.m., frequently refreshing her browser. She eventually snagged an appointment for herself and her husband for 12:30 p.m. “I think I’m the only one in my group that got an appointment,” she said. The Jackson system has distributed over 105,000 doses so far. It’s a massive lift, requiring roughly 275 staff at three locations, including parking attendants and security guards to guide patients in and out; medical and nursing students and firefighters and paramedics to give injections; and nurses to monitor patients after they receive the shots. The sites run seven days a week. The site at Jackson Memorial vaccinates about 60 people an hour. The hospital’s tech team created an app for appointments, but they are keenly aware that seniors are not always tech savvy. The hospital reached out to 55 churches, temples and mosques in the area trying to contact seniors in underserved communities and will soon partner with local homeless organizations. As demand for the vaccines outpaces supply, nearby hospitals are canceling appointments. Earlier this month, Baptist Health sent out a tweet canceling all appointments for Jan 20 and later and announcing that new appointments could not be booked. Both Simmons-Jimenez and her husband’s appointments had been canceled by another hospital, which told her […]
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