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?

1 hour ago, OUxPhys said:

"Ah yes. Instead of trying to get others to offer benefits like the VA we’ll lower the standards to what other hospitals offer".

This is not about benefits for government employees, it's about healthcare for America's Veterans. And my employer offers great benefits -thank you very much.

"I do agree the system needs to be overhauled but its mostly at the top".

The have been trying to overhaul the VHA for DECADES -nothing changes. I do agree the Civil Service (CS) and Senior Executive Service (SES) both need reform -including enforcing the Hatch Act at all levels of the CS & SES.

"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".

VA staff members make all eligibility determinations as to who gets to use facilities in the private sector under the Mission Act; and as with the Choice Act, I have no doubt they will sabotage it.

Specializes in Cardiology.
29 minutes ago, DaveMHA-RN said:

Im glad you have great benefits. Correct me if Im wrong but arent you in administration now? Unfortunately not every hospital offers great benefits. That was directed more towards the previous poster than you.

As someone who works at the VA I can tell you the higher ups are terrified of vets leaving because of the mission act, so I dont think the VA has as much say this time around.

Thing like this have happened in other hospitals, not just the VA. Once and awhile you get a nutty nurse or doctor who murders patients. The VA has great hospitals and horrible ones just like any other area of the nation. I have never had any issues at my local VA.

At the Portland VA's CLC (located across the water in Vancouver WA) a Veteran with open sores on his legs developed a maggot infestation and died. I tried to report it, but the whole thing was swept under the rug. The maggots were not put there for therapeutic purposes. I did not see his legs as I was not on his wing, but a nurse whom I spoke to did see his legs two days before he died and she said "there were hundreds of them".