VA problems are in most hospitals

Published

The National Patient Safety Foundation made this shocking admissions last year: "psychological safety of the workforce... conspicuously absent or considered optional in many care-delivery organizations..Under these conditions, it is difficult for caregivers to to meet the challenge of making health care safe for patients they serve...makes it clear that the manager, or person in the gradient of hierarchy above the worker, possesses interests that are more important than the planned efforts of the health care worker."

Arizona Republic description:

" workers who asked not to be named because they fear retribution...current and former staffers allege that employees who point out flaws-or try to improve the system from within-are bullied by bosses who won't acknowledge the system is broken because to do so would damage their careers. Retaliation against whistle-blowers, discrimination and mismanagement have caused an exodus of nurses and doctors, insiders said, so that remaining employees are chronically overworked and stressed out."

Does any of this sound familiar?

Specializes in ICU.

I was referring to the many sub par community hospitals not level ones like Emory or Shands.

I was referring to the very low level hospitals which are so bad they should be shut down. They are level nothing.

I don't know about the reference to Southerners. Let's see... there's UAB where the transplant service is amazing. Hmmmm... how many Nobel Laureates are at Southwestern Medical Center in Dallas these days? And, you know... we wouldn't be doing clot busting at all if it hadn't been proofed at Duke (which last time I checked was in Durham, NC). Aaaannnd, hmmmm... there's that trivial little noplace in Atlanta Oh, yeah, Emory. (They're the best, you know. All you gotta do is ask 'em). And you'd be amazed. Down south, mostly all of us can read. Why... you mighta even read a book or two that was written by one of us.

I could go on but you get my drift.

Specializes in Dialysis.

I was referring to the very low level hospitals which are so bad they should be shut down. They are level nothing.

So was I.

Specializes in Critical Care.
I guess that would be comforting to the families of the three vets who I know that died over the weekend. Beyond what I witnessed I was good friends with one of the attending cardiologists who was also disgusted by what he saw. Wouldn't you find it strange if the cath lab you worked at was never called in over the weekend? For 3 years? Could it possibly have been related to a bonus for the director of the cath lab if he didn't open on the weekend?

The Memphis Veteran Administration (VA) Medical Center approved over $1 million in bonuses months before closing a therapeutic aquatic pool citing a lack of funds.

These were STEMIs?

Specializes in Dialysis.

Yes. One of the cardiologists on staff starting taking pts to the cath lab at a private hospital on the weekends but was told by the director he would be fired if he continued to do this. One of the many reasons I no longer work at the VA.

Specializes in Critical Care.
Yes. One of the cardiologists on staff starting taking pts to the cath lab at a private hospital on the weekends but was told by the director he would be fired if he continued to do this. One of the many reasons I no longer work at the VA.

If these were STEMI's then you should notify the Joint Commission, who tracks the Memphis VA's STEMI treatment, although according to the Joint Commission the memphis VA sees less than 3 STEMI patients per year, which would suggest they aren't actually a STEMI center (STEMI patients go to other facilities). I don't know any cardiologists who wouldn't anonymously inform the JC or other oversight groups of this.

I have a feeling though you're referring to MI's, not STEMIs

Specializes in Dialysis.

If nothing else the VA has proven they have a history of covering up problems and concealing the truth from those who would seek to find it. I have a feeling I was there and you were not.

Specializes in Education, research, neuro.

I was just yanking your chain. We Southerners don't play the victim card. We know who we are and let the world think what they want. No worries.

By the by...

My daughter was an Internal Medicine resident for 1 year (before she could go to her anesthesiology residency) and and one of her rotations was at the Cardiac Clinic at the VA here (and ours is not bad...) Woman had her little old husband in a wheel chair, he was diaphoretic as heck, barfing, holding his chest in a death grip and Katie could not get an attending/VA doctor to him.

She almost told the lady to wheel him to the curb and call 911. This went on for several hours. My daughter was beside herself and calling every VA doctor she knew, pulling every string she could. The guy did finally get care, but it shook my daughter up pretty bad. She felt so helpless.

Specializes in Critical care, tele, Medical-Surgical.

More than ten years ago I was a CCU/SICU nurse. I worked a registry shift at a Kaiser hospital assigned to the "Surgical trauma" room. After three ingrown toenail procedures we received a patient from triage. She was SOB and diaphoretic and complaining of severe chest pain. The physician told me she probably cracked a rib when she fell ion the bathroom so i was to take her ton radiology in a wheelchair. He wouldn't let me ask a question so I pushed her to the medical section and told that physician her symptoms.

He told me to put her in a bed on a monitor. I put her in lead II. She had tombstone ST elevation in II, III, and AVF.

She was immediately taken by critical care ambulance to a larger hospital about ten minutes that had a cath lab after being given a NTG drip, morphine, and O2.

Specializes in Critical Care.
If nothing else the VA has proven they have a history of covering up problems and concealing the truth from those who would seek to find it. I have a feeling I was there and you were not.

I would think it would be hard to cover up that since most STEMI's won't survive through a full shift, if that's a regular thing then it would be hard to get that under the radar of a coroner. There's an ongoing debate on how urgently NSTEMI patients should go to the cath lab but it's not an unresolved issue with STEMI patients, so as you say, you were there, then that's something that you should report since it's so far beyond acceptable standard of care it's arguably an expectation of your license, and the cardiologist.

Specializes in Dialysis.

"In November 2013, he walked into the Memphis VA Medical Center complaining of chest pains. After waiting several hours in the emergency room with no help, Blakely left and was treated at nearby Methodist Hospital.

Blakely said Methodist Hospital ran several tests as part of his treatment, but his follow-up appointment at the Memphis VA Medical Center didn’t occur until the beginning of June — more than six months later."

"In November 2013, he walked into the Memphis VA Medical Center complaining of chest pains. After waiting several hours in the emergency room with no help, Blakely left and was treated at nearby Methodist Hospital.

Blakely said Methodist Hospital ran several tests as part of his treatment, but his follow-up appointment at the Memphis VA Medical Center didn’t occur until the beginning of June — more than six months later."

I think we get that you hate the Memphis VA ;)

Specializes in Pediatrics, Emergency, Trauma.

Access to healthcare had been an issue for DECADES; rather it be the VA, a non-profit, or a for-profit hospital; it's getting attention now because it's affecting our soldiers as well as the ACA, but where was the press and the dialogue when the Healthy People 2000, 2010, when there continued to stress the disparities and lack of access to healthcare? Is it finally going to get address by the current goals of Healthy People 2020, where health disparities and access to healthcare is STILL on the goals to be addressed... is it going to be addressed, or ignored?

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