Nanny healthcare coverage & screening
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Anonymous
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For those of you who have full-time in-home nannies, what healthcare screening did you require before employment? Our pediatrician is recommending HIV, HepC, TB test, and TDAP vaccine. Seems much to me, but I'm a FTM so I'm not experienced in these things.
Also, for those of you who provide healthcare benefits, did you outsource this to a company or have the nanny acquire her own healthcare coverage and contribute $ towards her premium? Thanks! |
Anonymous
| I'm a pediatrician, and we requested Tdap and the flu shot. I'd personally request TB testing if the nanny was from a high risk area. Hep C and HIV seem over the top. |
Anonymous
| I've been a nanny for over 10 years and have never been asked to get any shot or take any test. They usually ask if I have any health issues and I tell them that I don't. |
Anonymous
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Hmmm. I didn't mandate any of this when we hired our nanny for our infant twins. Maybe I should have! She was current on things like the flu shot but I didn't ask about other vaccinations.
Re her benefits, she chooses her healthcare provider and we reimburse her for a portion of her premium costs. (In reality, we have helped her research and select the various plans - but I believe that healthcare choices are personal and don't need to be shared w/ employers. She just happened to want our help so we were more involved than might be typical.) |
Anonymous
| Another MB here. I'm a physician but not a pediatrician. I asked the nanny to get the flu shot and tDAP because we have a newborn. The HIV and HepC seem unnecessary. |
nannydebsays
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If you are willing to pay for all those tests and vaccines, you can try and see if candidates are willing to go along with your wishes. I am not sure how you will be able to trust the results, since I doubt any doctor is going to break HIPPA laws for you and tell you the private test results of another adult that you do not have legal control over. That said, I think asking a nanny to get the whooping cough vaccine and the flu shot is not out of line, but some nannies are passionately anti-vaxing. Healthcare dollars are not taxable, and there is a process you go through to ensure you and your nanny have the proof available to offer the IRS when it comes to avoiding tax on that money. I would assume nanny could manage to find a plan - offering to help is fine, but she may say no. |
Anonymous
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I have never been asked...The only thing my families have requested is that I wash my hands often.
I would have no qualms about having any shots done, as long as the family covered the costs. |
Anonymous
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NannyDeb-
A doctor can share the resuls as long as he/she has a signed consent form giving permission to do so. |
Anonymous
+1. But really, if the nanny is ok with getting the tests done she probably has no problem just showing the family the results. If the nanny doesn't want to get the tests done she's probably not the right fit for those people. |
nannydebsays
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02:05 and 11:46, the issue I see is this:
A family that wants a nanny to have all sorts of tests done is going to only trust THEIR doctor to do the testing and report the results. A nanny who has no issues with doing the testing might balk at allowing a doctor she doesn't know or trust to administer such tests and discuss the results with potential employers. So the family wants their doctor to do the testing, and the nanny insists HER doctor be involved. How does that work out? Personally, I wouldn't allow anyone but my doctor to do the tests and print out a very generic letter with basic results. |
Anonymous
| My DB is a doctor and they never asked me to get or provide proof of anything. I would run from a family that did but other nannies will feel differently. |
Anonymous
| Do you have any idea what a huge lawsuit you would have on your hands if you required these tests and then made an employment decision based on someone's HIV (or other medical) status? This is just a terrile, terrible idea. Go ahead and ask for the tdap and flu vaccine (and pay for them) but anything else is way out of line. You will be hard pressed to find anyone who will agree to this. |
Anonymous
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We require TDAP, flu shot and TB test. I've never had a problem with a nanny refusing any of these. If a candidate did have a problem with it, she would absolutely be removing herself from consideration.
I have no patience with ignorant anti-vax types. |
Anonymous
I'm 11:46 and agree with this. I also just think asking for the HIV and HepC tests are pretty over the top and unnecessary but I guess if the nanny is ok with it... We asked our nanny to get the flu shot and paid for it. She had already had the tDAP prior to our hiring her. I didn't ask for proof since she openly admitted to NOT having the flu shot and she gave me the receipt after it was done. |
Anonymous
There are many people who are fully vaccinated AND who think the flu vaccine is a waste of time and money. My doctor is one of them. Let's not lump them all together, k? |