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Old 10-03-2004, 03:51 AM
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VA News

Influx of Wounded Strains VA Claims Backlog Besets Returning U.S. Troops

By Josh White
Washington Post Staff Writer
Sunday, October 3, 2004; Page A01

Thousands of U.S. troops returning from Iraq and Afghanistan with physical
injuries and mental health problems are encountering a benefits system
that is already overburdened, and officials and veterans' groups are
concerned that the challenge could grow as the nation remains at war.

The disability benefits and health care systems that provide services for
about 5 million American veterans have been overloaded for decades and
have a current backlog of more than 300,000 claims. And because they were
mobilized to fight in Iraq and Afghanistan, nearly 150,000 National Guard
and reservist veterans had become eligible for health care and benefits as
of Aug. 1. That number is rising.
At the same time, President Bush's budget for 2005 calls for cutting the
Department of Veterans Affairs staff that handles benefits claims, and
some veterans report long waits for benefits and confusing claims
decisions.

"I love the military; that was my life. But I don't believe they're taking
care of me now," said Staff Sgt. Gene Westbrook, 35, of Lawton, Okla.
Paralyzed in a mortar attack near Baghdad in April, he has received no
disability benefits because his paperwork is missing. He is supporting his
wife and three children on his regular military pay of $2,800 a month as
he awaits a ruling on whether he will receive $6,500 a month from the VA
for his disability.

Through the end of April, the most recent accounting the VA could provide,
a total of 166,334 veterans of operations in Iraq and Afghanistan had
separated from military service, and 26,633 -- 16 percent -- had filed
benefits claims with the VA for service-connected disabilities. Less than
two-thirds of those claims had been processed, leaving more than 9,750
recent veterans waiting.

Officials expect those numbers to increase as the fighting in Iraq and
Afghanistan continues.

"I think we're doing okay now, but I am worried," VA Secretary Anthony J.
Principi said in a recent interview. "It is something you have to be
concerned about. We don't have a good handle on the extent to which the
demand for care and benefits will be a year or five years from now."

Principi acknowledged that one of the most challenging elements of
providing for recently returned veterans is the disconnect between the
Defense Department and the VA. His department has been working to
streamline the process, he said, placing VA staff members at 136 bases
across the country and at military medical centers.

But people such as Westbrook still fall into a no-man's land.

Westbrook was deployed to Iraq in January as a drill sergeant, sent to
train Iraqi army recruits. While on duty April 28 south of Sadr City in
Baghdad, he was hit by a mortar shell, and the shrapnel severed his spine.
He is now paralyzed from the chest down, has limited movement in his right
arm, and battles constant infections. His wife takes care of him full
time.

Though Westbrook praises the way the Army has treated him since his
injury, including providing excellent medical care, he has struggled to
make it on his regular pay since he returned July 14. "They're supposed to
expedite the process, and they have not done that," he said, adding that
officers in his Army unit have been trying in vain to help. Charities have
been set up in his honor to help defray costs.

"It's very draining, because I don't know what to do, and my family is
asking when we'll get the money," he said. "It's the hardest part about
this whole thing."

What injured or ill veterans are finding when they return from overseas is
a complex set of government processes for reviewing whether they will
receive financial help. They have to navigate two of the largest U.S.
government bureaucracies in the VA and the Pentagon, and multiple medical
review boards assess the extent of their injuries.

Even with the current backlog and the prospect of staffing cuts, VA
officials are trying to increase the department's visibility, reaching out
to new veterans to make sure they are aware of the services they can
receive and urging them to apply.
Principi said he recently sent letters to 178,000 veterans explaining the
available benefits. He said the department is doing its best to keep wait
times down by giving recent veterans higher priority, aiming for benefit
claims that are filled within 100 days. Currently, the VA takes about 160
days per claim, and 60,000 to 70,000 new claims come in each month.

There is also a more concerted effort to identify veterans with
post-traumatic stress disorder, a condition that experts estimate affects
about 15 percent of veterans. Principi said he believes mental health
concerns could become a dominant issue for the VA as insurgent warfare
places new pressures on U.S. troops and as American society places more
emphasis on mental health.
A Government Accountability Office report issued Sept. 20 concluded that
the VA does not have enough information to determine whether it can handle
a rush of PTSD cases.

"The system is already strained, and it's going to get strained even
worse," said David Autry, a spokesman for Disabled American Veterans.
"It's not a rosy picture at all, and they can't possibly hope to say
they're going to provide timely benefits to the new folks if they can't
provide timely care to the people already in the system."

For veterans, the VA's system for evaluating disability claims can be the
most frustrating element of the process. Through the end of August, the
agency had about 330,000 cases waiting to get a "rating," or a percentage
figure approved by an evaluation board that decides how much a disabled
veteran will receive monthly from the VA.

The ratings system uses a complex guide to calculate, for example, how
disabling it is to lose a foot or to be blinded in one eye. Soldiers are
rated from zero percent to 100 percent disabled, and compensation varies
from nothing to thousands of dollars each month. Those rated 100 percent
disabled are eligible to receive indefinite monthly payments aimed at
allowing them to live without working.

Board decisions can take months as they weigh the severity of injuries and
make sure they were suffered while the veteran was in the service. Appeals
of such decisions can take years, and board decisions can be reevaluated.

"Sometimes it takes six months to a year to get your claim decided,
sometimes longer," said Cathy Wiblemo, deputy director for health care at
the American Legion. "We never think it's enough," Wiblemo said, referring
to the disability payments. "It's hard to say that any amount of money can
compensate for what these people have lost in defending our country."

Robert Acosta, 21, of Tustin, Calif., said he relies on his disability
checks of $2,332 a month to survive, but the VA is now reevaluating his
case. Acosta's right hand was blown off and his left leg was shattered
when he was ambushed at the gate to Baghdad International Airport on July
13, 2003. The passenger in a Humvee, he grabbed a grenade that had been
lobbed through the window, saving his driver.

Acosta said he cannot work because his prosthetic right hand has been
giving him trouble, his left leg has not returned to normal and he suffers
from nightmares. Initially, he was rated 70 percent disabled -- the
medical board did not want to account for his leg injury, his PTSD claims
and his hearing loss. After accepting those claims and rating him 100
percent disabled, the VA is questioning them again, asking Acosta to prove
that some of his disabilities are service-related.

"They said there was no proof of it," Acosta said, referring to his PTSD
claim. It took two months after he left the service for him to get his
first disability payment, he said, and he spent his savings in the
meantime. "I'm going to therapy every week. I'm working on it. I have bad
dreams, I don't sleep at night and I get really jumpy. I don't know what
they want me to do."

Rep. Lane Evans (Ill.), ranking Democrat on the House Committee on
Veterans Affairs, said the VA is woefully underfunded and unprepared. The
current budget for fiscal 2005, which is still pending in Congress even
though the fiscal year ended on Thursday, calls for cutting more than 500
claims processors and does not meet the VA's basic funding requests.

"The VA is not ready for an influx of new veterans from the ongoing
operations in Afghanistan and Iraq," Evans said.
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  #2  
Old 10-04-2004, 07:43 AM
Trooper
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Re: VA News

Amen Brother!
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Old 10-04-2004, 11:52 AM
dallee
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Re: VA News

How could they not know? Let me stand up and tell you this so you will know next time. When countries go to war, Soldiers come home hurt, maimed and injured. When soldiers see death and destruction at their own hands and the hands of their peers they come home with emotional trama's. America might be the greatest country on earth, I would not want to live anywhere else, but our soldiers are still men. If you want them to fight you MUST take care of them. If the problem is that the system is so complicated ... simplify it.

Sorry didnt mean to preach to the chior. I don't know who else to tell.


It is sad to think that both of the major political parties have just spent millions on ralling conventions, and are each hosting multiple thousand-dollar-a-plate dinners, in order to have enough money to stand up on a stage and tell us, among other things, how much they care for our veterans.

I would like to issue a challenge to both political parties, to see who could produce the largest number of attenders at seperate thousand-dollar-a-plate dinners. Where the proceeds would go to the Veterens Association instead of to the political party. The attenders would still get to rub elbows with the party elite and the candidate would be showing how much they care at the same time. Could it be that they would decline? Whyever would they?
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Old 10-04-2004, 12:26 PM
JOAN
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Re: VA News

[james]
and that my friend will never happen
AT LEAST NOT IN MY LIFE TIME.
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Old 10-04-2004, 05:20 PM
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Re: VA News

Quote:
Originally Posted by JOAN
THAT'S NEWS THINK ABOUT THIS HOW ABOUT HAVING YOUR V.A. BENNIE'S AND STELL NOT GETTIN TREAMENT .3-6 MOUTH'S FOR A APPOINTINT.THEN ALL YOU GET IS SORRY WE CAN'T HELP YOU.PLEASE TRY AGAIN AT A LATER DATE.
AND IFFIN YA JEST HAPPEN TA BE A NAM VET INNA WHEEL CHAIR YOU BE A
DEAD NAM VET BY TA TIMES YA GET SEEN...
JEST TA FELLIN OF AN O'MUD MARINE

James, part of the reason I posted this is to point out it is going to get worse, not better. I know a Vet with a broken neck and the VA neurology doctor gave him two tubes of salve and that is supposed to cure it, three discs are collapsing and two were fractured at some time in the past, but he does not have any trouble getting appointments or "treatment".
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Old 10-04-2004, 06:17 PM
dallee
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Re: VA News

That is unbelievable. There must be something we can do to change this. At least to improve it a bit. Could we organize some volunteers to help with the paperwork? Write letters to someone? Make some phone calls?

My boss is a Viet nam vet with 30% DA Benefits. He runs a small business and receives some higher priority on gov't bid jobs because of it. I have filed the paperwork for him for three claims in the past. One was for service related hearing loss. They denied it at first then, on appeal granted 10%. The whole process, including appeal, took 4 months. I have worked for him for 10 years and have seen this happen repeatedly. He also is president of our local V V A and we assist other vets at times with their claims. I have never seen a case as severe as you are all speaking of such as broken necks or the need for a wheelchair. I am not disputing you at all but if this is the case, then we as citizens ~ Vietnam veteran or not ~ need to step forward and take up the cause.
A doctor with a poor bedside manner is aggravating, but salve for a broken neck is utterly preposterous. There should have been an inquiry filed immediately by an outside doctor. If nothing else flood them with paperwork. When they see you are seriously going to cause them more work they will usually become suddenly reasonable.

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Old 10-04-2004, 08:58 PM
JOAN
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Re: VA News

Quote:
Originally Posted by dallee
That is unbelievable. There must be something we can do to change this. At least to improve it a bit. Could we organize some volunteers to help with the paperwork? Write letters to someone? Make some phone calls?

My boss is a Viet nam vet with 30% DA Benefits. He runs a small business and receives some higher priority on gov't bid jobs because of it. I have filed the paperwork for him for three claims in the past. One was for service related hearing loss. They denied it at first then, on appeal granted 10%. The whole process, including appeal, took 4 months. I have worked for him for 10 years and have seen this happen repeatedly. He also is president of our local V V A and we assist other vets at times with their claims. I have never seen a case as severe as you are all speaking of such as broken necks or the need for a wheelchair. I am not disputing you at all but if this is the case, then we as citizens ~ Vietnam veteran or not ~ need to step forward and take up the cause.
A doctor with a poor bedside manner is aggravating, but salve for a broken neck is utterly preposterous. There should have been an inquiry filed immediately by an outside doctor. If nothing else flood them with paperwork. When they see you are seriously going to cause them more work they will usually become suddenly reasonable.

let me tell you a lil'story [this is james]
i had to go throught my con.man jest to get a 2 oppion from an outside doctor.i have been waiting since nov of last year for v.a. to set up a appoment for that..now i get a 1 time viset with an out side doctot and then it back to playing with v.a. again. dana i belive what you said i do belive you remember back when i broke my right wrist.. v.a did nothing after it was set at an outside er. now as you know i have lost over 80% useage of my wrist.
now if you need proof jest go back a few page's i did post all of that.. if you can't find it i'll post it for you again. letter wrighting are you kidding? i write over 60 letter's to every one in washington i can find..hay don't take it as if i'm comming done on ya ...i'm not i'm jest one pised of vet, wno is tire of being treated like what i have mean's nothing...SORRY YA'ALL JEST SOMETHING I FEEL HAS GOTTON WAY OUT OF LINE
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Old 10-04-2004, 09:45 PM
dallee
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Re: VA News

If you are having that much trouble with the VA then it has gotten way out of line. Perhaps things are different depending on which of the VA hospitals you use, I dont know, but I have never experienced this level of difficulty with any of the claims I have assisted on.

My boss had his colon punctured during a routine colonoscopy at the VA. He went home and was rushed to the local emergency room that night. We knew we would have to submit the paper work to prove the claim so we kept everything, right down to the daily menues. Yes they questioned it but they finally did act on it and paid all of the hospital bills. Again in just a few months

The level of service you describe is unacceptable. Of course you are unhappy with it. We can vent our frustrations all we wish but something should be done to change this situation. I dont understand why it is so difficult for you when we have little or no trouble just one state south of you.
Dana, surely you know of some effort underway to streamline some of this. If not lets get something going. The sooner the better.
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Old 10-05-2004, 02:00 AM
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Re: VA News

Quote:
Originally Posted by JOAN
let me tell you a lil'story [this is james]
i had to go throught my con.man jest to get a 2 oppion from an outside doctor.i have been waiting since nov of last year for v.a. to set up a appoment for that..now i get a 1 time viset with an out side doctot and then it back to playing with v.a. again. dana i belive what you said i do belive you remember back when i broke my right wrist.. v.a did nothing after it was set at an outside er. now as you know i have lost over 80% useage of my wrist.
now if you need proof jest go back a few page's i did post all of that.. if you can't find it i'll post it for you again. letter wrighting are you kidding? i write over 60 letter's to every one in washington i can find..hay don't take it as if i'm comming done on ya ...i'm not i'm jest one pised of vet, wno is tire of being treated like what i have mean's nothing...SORRY YA'ALL JEST SOMETHING I FEEL HAS GOTTON WAY OUT OF LINE

James, why dont you use your medicaid and go to a regular hospital?? You said you had social security.
By the way, how are you actually doing?? Is there any improvement at all??
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Old 10-05-2004, 06:29 AM
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Re: VA News

Quote:
Originally Posted by Danausmc
James, why dont you use your medicaid and go to a regular hospital?? You said you had social security.
By the way, how are you actually doing?? Is there any improvement at all??

I live north of James but in the same area for the V.A. and also have trouble with the V.A. And at this time have a battle going to. I also have medicare and it costs 30 to 40 dollors just to see a dotor, $2000 or more for a operation and I know I don't have that kind of money, can't speak ror anyone elese on the money, I also know my son [who is in the war]will have his hands full dealing with the va [just like he did the frist time] But don't knowwhat the answer is, If someone can figure it out let me know.
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Old 10-05-2004, 07:54 AM
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Re: VA News

Quote:
Originally Posted by Danausmc
James, why dont you use your medicaid and go to a regular hospital?? You said you had social security.
By the way, how are you actually doing?? Is there any improvement at all??
WELL FRIST I DO NOT GET SOCIAL SECURITY. I TRYED IN JAN FOR EARILY RETIREMENT..BUT WAS TOLD THAT SINCE I HAVE NOT WORKED IN OVER 10 YEARS I DO NOT QUILIFIE[' SPELLED IT ALL WROUG BUT YA NO WHAT I MENT] SO THE ONLY HELTH INS. I DO HAVE IS VA HEALTH I HAVE SAID THAT MANY TIME
S IN THE PAST. SO IDON'T HAVE MIDICAID..WHEN I NEED TO GO TO AN PVT. ER. VA DOSE PAY THE BILL...NOW CASE IN POINT I GOT THE SLINGLES BACK LAST WEEK. CALL VA MILW ON THURSDAY FOR A REFILL ON THE MED'S THEY WHERE ONLY O.K BY MY DOCTOR TODAY. LET'S SEE THURSDAY ..TUSEDAY 4 DAY'S JEST TO GET HER TO SAY O.K. NOW THE ORDER GO'S TO CHICAGO TO BE MAILED TO ME WELL THERE AGAIN NOT BAD YOU SEE THAT ONLY TAKE'S 10 DAY'S TO GET TO ME.

O'YA I'M ONE TIC'D OFF VET. NO 2 WAY'S ABOUT IT.

JAMES

[PS FOR DANA] NO IMPROVMENT AT AT THAT IS WHY WHEN I WROTE MY CONS. MAN I TOLD HIM I WAN'T MY HAND REMOVE OR FIXED I AM TRIED OF THE PAIN......./
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Old 10-05-2004, 08:31 AM
dallee
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Re: VA News

James, it seems that no matter what you do you run up against a problem. I just dont get it. I have not experienced that here, yes sometimes they are slow, and yes they do require a lot of paperwork and a LOT of communication. Do you live too far away for it to be practical to drive there to request and pick up a script or a refill? We have done that here but it is only about 40 miles for us.
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Old 10-05-2004, 08:50 AM
JOAN
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Re: VA News

Quote:
Originally Posted by dallee
James, it seems that no matter what you do you run up against a problem. I just dont get it. I have not experienced that here, yes sometimes they are slow, and yes they do require a lot of paperwork and a LOT of communication. Do you live too far away for it to be practical to drive there to request and pick up a script or a refill? We have done that here but it is only about 40 miles for us.
HAY IT AINT NOTTIN NEW AND YES IT IS A LIL'BIT OF A DRIVE TO GO GET IT.......180 MILES ONE WAY......YA NOS WHAT THEY SAY
BE THANKFUL FER WHAT YOU GET................... EVEN IFFIN BE JEST A LIL'BIT... JAMES
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Old 10-05-2004, 03:53 PM
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Re: VA News

Joan

What's the big deal about traveling 180 miles one way, to recive inadequate care.

I mean, It's not like the Government actually Promised us anything. Or that any of Us veterans actually earned anything.

Or could I be a little cynical.
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Old 10-05-2004, 05:07 PM
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Re: VA News

Quote:
Originally Posted by JOAN
WELL FRIST I DO NOT GET SOCIAL SECURITY. I TRYED IN JAN FOR EARILY RETIREMENT..BUT WAS TOLD THAT SINCE I HAVE NOT WORKED IN OVER 10 YEARS I DO NOT QUILIFIE[' SPELLED IT ALL WROUG BUT YA NO WHAT I MENT] SO THE ONLY HELTH INS. I DO HAVE IS VA HEALTH I HAVE SAID THAT MANY TIME
S IN THE PAST. SO IDON'T HAVE MIDICAID..WHEN I NEED TO GO TO AN PVT. ER. VA DOSE PAY THE BILL...NOW CASE IN POINT I GOT THE SLINGLES BACK LAST WEEK. CALL VA MILW ON THURSDAY FOR A REFILL ON THE MED'S THEY WHERE ONLY O.K BY MY DOCTOR TODAY. LET'S SEE THURSDAY ..TUSEDAY 4 DAY'S JEST TO GET HER TO SAY O.K. NOW THE ORDER GO'S TO CHICAGO TO BE MAILED TO ME WELL THERE AGAIN NOT BAD YOU SEE THAT ONLY TAKE'S 10 DAY'S TO GET TO ME.

O'YA I'M ONE TIC'D OFF VET. NO 2 WAY'S ABOUT IT.

JAMES

[PS FOR DANA] NO IMPROVMENT AT AT THAT IS WHY WHEN I WROTE MY CONS. MAN I TOLD HIM I WAN'T MY HAND REMOVE OR FIXED I AM TRIED OF THE PAIN......./

Hey James,
I guess I was not real clear on what I meant. I meant Social Security Disability. Not the same as early retirement. I remember all the different problems you have had and still have. Its hard to get sometimes with out a lot of documentation. If you have not applied for that, that is where the medicaid comes from. Its worth a shot.

I know there are all kinds of deductibles. And everybody has a horror story to tell. Lou's son will have it worse than in 1991 because there are more Vets and no new funding. If one woman could get prayer out of schools, many Vets and families together should be able to get something done.

I dont know what the answer is Lou. Its a lot more complex but it should be real simple. Where does the money come from except me and you?

I dont make as much as I did 15 years ago, but have more bills, so I cant help. My Federal tax went down because of the tax cuts, but was more than offset by increased social security.

I have been in VA hospitals around the country and every one is different. There is one here that is going to be closed because it is hardly used. It is called the Canandaigua VA. But there are supposed to be 11 new ones to be opened. Dont know when but they are not in any of the northern areas except New Jersey, because of the density of the Veteran population in the sunshine states.

I suppose you can rationalize anything, but Veterans deserve better. All the hospitals around here are either shutting down or bankrupt, or have whole wings and floors shut down. So there is capacity. Is the problem lawyers and big settlements and insurance companies?? Same for the VA. there is capacity here at the regional VA but it is not used. Under staffed.
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Old 10-05-2004, 05:48 PM
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Re: VA News

ITS A START



House Passes New Legislation to Improve Veterans
Access to Quality VA Health Care

The House of Representatives has approved two new bills to improve the quality and timeliness of VA medical care services. H.R. 4231, the Veterans Affairs Nurse Recruitment and Retention Act of 2004, which passed the House today by a vote of 411 to 1, would establish new and enhance existing Department of Veterans Affairs (VA) programs designed to improve the recruitment and retention of nurses. With a nursing shortage already manifesting itself throughout many VA facilities, this legislation would provide additional incentives for nurses to choose a career at VA. As approved, H.R. 4231 would allow VA to provide alternative work schedules for nurses, such as paying them for 40 hours in situations where they work three 12-hour shifts in one week. Such policies are designed to make VA a more attractive employment opportunity for nurses who need the flexibility, especially those balancing family needs with work. For more information, see this article. What are your thoughts? Let your representatives know how you feel. Contact them through our legislative system!
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Old 10-05-2004, 06:36 PM
JOAN
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Re: VA News

Quote:
Originally Posted by Danausmc
ITS A START



House Passes New Legislation to Improve Veterans
Access to Quality VA Health Care

The House of Representatives has approved two new bills to improve the quality and timeliness of VA medical care services. H.R. 4231, the Veterans Affairs Nurse Recruitment and Retention Act of 2004, which passed the House today by a vote of 411 to 1, would establish new and enhance existing Department of Veterans Affairs (VA) programs designed to improve the recruitment and retention of nurses. With a nursing shortage already manifesting itself throughout many VA facilities, this legislation would provide additional incentives for nurses to choose a career at VA. As approved, H.R. 4231 would allow VA to provide alternative work schedules for nurses, such as paying them for 40 hours in situations where they work three 12-hour shifts in one week. Such policies are designed to make VA a more attractive employment opportunity for nurses who need the flexibility, especially those balancing family needs with work. For more information, see this article. What are your thoughts? Let your representatives know how you feel. Contact them through our legislative system!
.................................................. .................................................. ....
thank you for that post now all we need are more doctor's
BUT YES IT IS A START
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Old 10-06-2004, 04:22 AM
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Re: VA News

Quote:
Originally Posted by Danausmc
ITS A START
For more information, see this article. What are your thoughts? Let your representatives know how you feel. Contact them through our legislative system!
Dana, where is the article you refer to? (Sorry if it is there and I just don't see it!) Also you mentione that there were two bills. What was the other one?

Yes it is a start, a great start. I hope we can continue along the same lines.
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Old 10-06-2004, 08:31 AM
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Re: VA News

Quote:
Originally Posted by dallee
Dana, where is the article you refer to? (Sorry if it is there and I just don't see it!) Also you mentione that there were two bills. What was the other one?

Yes it is a start, a great start. I hope we can continue along the same lines.
yes as i said it's good news BUT WHAT ABOUT MORE DOCTOR'S WHAT GOOD IS IT HAVING 1'OOO NURSES AND ONLY 5O DOCTOR......DID I MISS SOMETHING HEAR?????????????????????????????????????????????? ????????
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Old 10-06-2004, 06:03 PM
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Re: VA News

Well lets see. When I worked as a nurse we were assigned anywhere from 5 to 10 patients on a 10 hour shift. The shifts overlapped each other by one hour giving us time to do a shift report. There were three to five nurses per desk on each shift. So if we use the lowest average that would be 4 nurses per shift, three shifts per day (3 x 7 days = 21)working 21 shifts per week. 21 x 4 = 84 shifts that need to be filled for just one desk. In my particular hospital there were 5 floors with three desks on each floor and one floor with only one desk. (5 x 3) + 1 = 16 desks. 84 x 16 = 1,334 shifts that need to be covered each week. One nurse should cover only 4 shifts per week to make it a 40 hour week. 1,334 / 4 = 336 nurses needed to make the hospital run effeciently.
We had 21 doctors in residence. According to these figures you would need 16 nurses to handle the patients of each doctor.
Today's patient to nurse ration is even higher than it was 20 years ago. Today's nurses are working an average of 80 hour weeks. It is back breaking and difficult work. The turnover rate is very high at most every hospital. Finding 16 nurses to handle the patients of one doctor is a little more difficult than finding the one doctor.

I dont mean to slight the importance of having more doctors at all. Yes they are needed. Desperately needed in some facilities. I am simply responding to show that it does do some good to hire more nurses. I also realize that the nurses are not as high profile as the doctor, especially not on an outpatient visit, but even in an office visit you will normally see at least two nurses to handle the patients of each doctor.

(As you can see nursing is a subject that is a little dear to my heart, hope i didn't go overboard on the numbers. I just wanted to show why you need so many nurses).
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