What's Happening at the VA Hospitals?

A VA hospital in West Virginia is investigating some suspicious deaths. Nurses Headlines News

There is a recent article from the Washington Post about several suspicious deaths at a Veterans Administration (VA) Hospital in West Virginia:

"An investigation into the suspicious deaths of 11 veterans, who may have been given deadly insulin injections at a West Virginia VA Medical Center, is reportedly focusing on a nursing assistant who worked the overnight shift and had “improper access” to a supply room. The woman, whose name was withheld by the Washington Post, was fired from the facility last year and has not been charged. Seven veterans’ bodies have been exhumed as part of the homicide probe, which has raised troubling questions about the Department of Veterans Affairs’ health-care system. “You mean to tell me that for nine months you didn’t know what was going on in your hospital?” Sen. Joe Manchin told the Post. “Either you didn’t care, or there was a lack of competency.”

In one instance, a non-diabetic man had a progressively decreasing blood glucose, without known cause, and died shortly thereafter.

This is just the latest in a string of issues at various VA Hospitals:

  • August, 2019 a former VA pathologist in Fayetteville, Ark., was indicted on three charges of manslaughter after officials say he misdiagnosed thousands of patients while using drugs or alcohol.
  • In Beckley, W.Va., a former VA doctor is under investigation for sexually assaulting as many as 20 of his male patients, according to two people familiar with the case.

Should the VA Hospitals be overhauled? There are many other issues at VA hospitals all over the US. From USA Today:

  • At the Loma Linda VA Hospital the average wait time in the ED is >7 hours
  • Almost all VA Hospital fare worse than their civilian counterparts in patient satisfaction surveys
  • In 2014, the Phoenix VA came under scrutiny when it was reported that vets were dying while waiting for appointments.
  • Equipment sterilization issues in a Washington VA Hospital

How should this be addressed? The VA says they care for elderly, very ill, sometimes immunocompromised patients. In June 2019 the VA published information about the new Veterans Community Care Program and here are some of the details:

  • Veterans can work with their VA health care provider or other VA staff to see if they are eligible to receive community care based on new criteria. Veterans may elect to receive care in the community if they meet any of the following six eligibility criteria:
    • A Veteran needs a service not available at any VA medical facility.
    • A Veteran lives in a U.S. state or territory without a full-service VA medical facility. Specifically, this would apply to Veterans living in Alaska, Hawaii, New Hampshire and the U.S. territories of Guam, American Samoa, the Northern Mariana Islands and the U.S. Virgin Islands.
    • A Veteran qualifies under the “grandfather” provision related to distance eligibility under the Veterans Choice Program.

Is this enough? It's a start for sure. It is yet to be seen if this initiative will improve care to our vets.

As a veteran do you trust the care at the VA? Do you use the VA?

A close friend of mine knows a nurse, and has text messages as proof, that she sexually abused a patient while working at the VA.

It was reported to both the VA and the BON.

Guess what happened to that nurse? Absolutely nothing.

Specializes in ICU/Ortho/Med surg.
On ‎10‎/‎21‎/‎2019 at 12:35 PM, Walti said:

Remember that the Disabled American Veterans, The Veterans of Foreign Wars, The American Legion, The Vietnam Veterans, Paralyzed Veterans of America and AMVETS all came uagainst this new scheme which was apparently hatched in Mar-A-Lago by three crony's of POTUS. All of the high level business executives, none of them in health care.

Do you have a source for this and can you post it please?

Specializes in ICU/Ortho/Med surg.
16 minutes ago, Jory said:

A close friend of mine knows a nurse, and has text messages as proof, that she sexually abused a patient while working at the VA.

It was reported to both the VA and the BON.

Guess what happened to that nurse? Absolutely nothing.

I guarantee this happened and let me tell you why:

All patient records are owned by the Department of Veteran's Health Administration and without the express written consent of the Veteran in question AND the VA, no state regulatory investigation can commence.

Employees sign a "rules of Behavior" Annually, and that instrument contains the provision that allows for this; paraphrased:

I will not reveal any veteran identifiers to anyone without a court order

Before anyone flames me, I'm not saying it's right, because in my state, we have mandatory reporting for certain Nurse Practice Act violations; patient abuse being one of them.

So ,If I encounter or are direct witness to a "mandatory" reportable offense, my only recourse is to report it to my Supervisor/Nurse Manager who passes it over to HR (at least that is my understanding)

Now don't ask me what happens when my phone rings and it's the BON asking "why did you not report this to the board?"

I guess that's what my F.E.D.S. Policy is for (Federal Employee Defense Services)

May I ask, was your friend terminated from the VA? (I assume they reported the incident to the BON)

1 hour ago, Jory said:

A close friend of mine knows a nurse, and has text messages as proof, that she sexually abused a patient while working at the VA.

It was reported to both the VA and the BON.

Guess what happened to that nurse? Absolutely nothing.

I have NO doubt you’re telling the truth. It’s a little known fact, they don’t report to the BON. Which is how those trash nurses can keep practicing.

The VA is the reason i don’t believe in government run “Medicare for all” because I’ve seen government run healthcare.

Id rather pull my own appendix out then ever deal with that again.

Specializes in ICU/Ortho/Med surg.

@NurseCocoBSN Yes, this is one area we as nurses need to advocate to change. Perfect Example:

Phoenix area 2014-15- Whistle blowers gave info to OIG Re: vets dying because they couldn't get an appointment. Turns out, it was low level Minority IP (Indian Preference) MSA's causing most of the problems, keeping fake "lists" etc. . They are still employed... the whistle blowers were fired.

I guess whomever has the biggest attorney wins.

problem solved (smh)

Specializes in Cardiology.
35 minutes ago, NurseCocoBSN said:

I have NO doubt you’re telling the truth. It’s a little known fact, they don’t report to the BON. Which is how those trash nurses can keep practicing.

The VA is the reason i don’t believe in government run “Medicare for all” because I’ve seen government run healthcare.

Id rather pull my own appendix out then ever deal with that again.

It wouldn't be government ran like the VA, it means it would be funded by the government. You would still go to large private sector hospitals but instead of insurance paying for it the government would.

As a nurse I would like to see away with the insurance companies but at the same time I also dont trust the government. I also dont want a large tax increase.

Specializes in ICU/Ortho/Med surg.

@NurseCocoBSN You never said, was your friend terminated for reporting or did I mis-read that; i assumed from the way it was worded that your friend reported it?

The VHA employees on this thread have claimed the VA alone can treat Vets with PTSD, TBI, dual diagnosis. And the VHA claims that Vets not enrolled in VHA care are more likely to commit suicide but the VHA's own numbers tell a different story -Vets enrolled in VHA care are more likely to commit suicide. I work in behavioral health in the private not-for-profit sector and we are seeing more Service Connected Veterans leaving the VA and turning to the private sector. https://amvets.org/va-offers-unreliable-data-and-unrealistic-solutions-in-first-congressional-testimony-on-veteran-suicide/?fbclid=IwAR1HfgM-7H97LJp7UtOcGkb7LKLtTTHWwf7ebhGtaPNm3OIQse7m_Xd3Y7A

Specializes in Geriatric, Acute, Rehab, Psychiatry.
On 10/10/2019 at 12:05 AM, OncologyCat said:

If this is true, I’m disappointed that those who work for the VA hospitals have better benefits than ppl working at civilian facilities...

The benefits are the only thing that kept them there in the first place. The VA system needs to be overhauled

On 10/10/2019 at 6:09 AM, Oldmahubbard said:

I know almost nothing about it, except that an NP and an MD friend both failed to make their probationary period at the VA.

In retrospect, they said it was a blessing in disguise, because the place was very screwed up.

The NP said that the other employees were preoccupied with making it look like they were working, while doing very little.

They probably provided great care and were ethical and honest -they probably made the rest look bad...

10 hours ago, babatee said:

The benefits are the only thing that kept them there in the first place. The VA system needs to be overhauled

It's time for new ideas and new solutions to improve Veterans healthcare. The Veterans Health Administration (VHA) has proven it cannot be reformed.

The VHA has had numerous improvement programs over the years and it is still trying to reform itself. And it is still failing. If the VHA were held to the same standard that the private sector is held to -they'd have been out of business decades ago.

How many "do-overs" and "restarts" should a failing institution be granted at taxpayer expense? How many Veterans have to die because of willful misconduct, corruption, malfeasance and neglect?

The VHA is little more than a benefit and retirement program for VHA employees. Face the facts; every single day the VHA is in news because they are a failure and not worth the expense. Veterans deserve better.

It make no sense in 2020 that the VHA is still in business. Solution: Get rid of the VHA. Take the cost savings of dismantling the VHA and give Veterans health insurance that they can use where they want. Veterans have earned a choice.

Competition drives innovation and quality -and the private sector will compete for those insurance dollars ensuring that Veterans receive appropriate, quality and timely care -which the VHA has proven incapable of delivering.

It is time to deliver on the promise that President Lincoln made in 1865: "to care for him who shall have borne the battle and for his widow, and his orphan.” -It is time Veterans have health insurance to get the care they need.

Specializes in Cardiology.
12 hours ago, babatee said:

The benefits are the only thing that kept them there in the first place. The VA system needs to be overhauled

Ah yes. Instead of trying to get others to offer benefits like the VA we’ll lower the standards to what other hospitals offer.
I do agree the system needs to be overhauled but its mostly at the top.

2 hours ago, DaveMHA-RN said:

It's time for new ideas and new solutions to improve Veterans healthcare. The Veterans Health Administration (VHA) has proven it cannot be reformed.

The VHA has had numerous improvement programs over the years and it is still trying to reform itself. And it is still failing. If the VHA were held to the same standard that the private sector is held to -they'd have been out of business decades ago.

How many "do-overs" and "restarts" should a failing institution be granted at taxpayer expense? How many Veterans have to die because of willful misconduct, corruption, malfeasance and neglect?

The VHA is little more than a benefit and retirement program for VHA employees. Face the facts; every single day the VHA is in news because they are a failure and not worth the expense. Veterans deserve better.

It make no sense in 2020 that the VHA is still in business. Solution: Get rid of the VHA. Take the cost savings of dismantling the VHA and give Veterans health insurance that they can use where they want. Veterans have earned a choice.

Competition drives innovation and quality -and the private sector will compete for those insurance dollars ensuring that Veterans receive appropriate, quality and timely care -which the VHA has proven incapable of delivering.

It is time to deliver on the promise that President Lincoln made in 1865: "to care for him who shall have borne the battle and for his widow, and his orphan.” -It is time Veterans have health insurance to get the care they need.

The MISSION Act does just that. It is now forcing the VA to change or else it will lose the veterans. The VA now has to compete with other hospitals for the veterans service whereas before the veterans had no choice but the VA.