Shane Claytor - A View From Inside the VA Medical System
Вставка
- Опубліковано 20 гру 2024
- Shane Claytor was a Navy Corpsman and an Iraq War Veteran. After the military, he dedicated his life to being an ICU nurse, working off and on for the VA for 8 years, including during COVID-19. While working for the VA, he was "disciplined" for speaking out when the COVID-19 pandemic began. He has worked as a travel nurse at 6 different hospitals, interfacing with various hospital operational systems.
Shane is passionate about getting the word out to change the VA healthcare system. He is now working as a business consultant and developing an app to help families and loved ones make decisions during the hospitalization process and end-of-life decision making.
@52:00 Vista on the VA side is equivalent to CHCS on the DoD side. CPRS (VA) and AHLTA (DoD) were the electronic medical chart equivalents.
If you are ever disciplined for speaking out about a problem in a program supposed to help people then the problem needs to be spoken about.
There are whistleblower protections but you have to follow the process from the beginning, to the letter or the VA will terminate you.
@@EricWyomingEven if you follow it to the letter the time, negative energy, and money spent in many cases can be bigger deterrences.
I'm a nurse at the VA and he's pretty much spot on!
I am thankful for my time at the VA, just wanted to share some in hopes that the new administration follows through and makes the necessary changes to really fix the system. Some really good people work at the VA still!
"We're headed over to the website (BRCC) right meow." Listen to the beginning carefully.😂😂😂
Oh man, good catch 😂
Damn this was a good episode!
Shane is legit. Miss working with him. How many times they wanted to let you go and the write ups that made me laugh. We miss you in Miami.
Miss you too man! I thought they wanted to keep my travel contract forever, just to mix it up and keep everyone on their toes!
I have experience with the VA system. There are some things that can absolutely be privatized, things like primary care, diabetes, & other things that the private medical system sees on a regular basis. However, there are some diseases, injuries, surgeries & personalities of patients that would not get get good, appropriate care in the private system. The biggest problems with the VA system is the number of administrators in the system. If 2/3 of those were gone, more money could be saved and the VA could give care to the types of patients who really need the system.
I totally disagree with you that privatizing primary care or diabetes management for VA patients would be more beneficial. VA here in Fayetteville NC did a little "experiment" shall we say in that. Last year we had so few VA primary care providers, that many patients were left without a VA primary care provider. So they were sent out to the community for primary care. It has been a total excrement show and not a single patient that I have dealt with have been satisfied with the community primary care they receive.
A lot of VA diabetes and other chronic disease state management also gets referred to clinical pharmacists to manage. There is no privatized organization doing better chronic disease state or diabetes management than clinical pharmacists within the VA.
VA needs community care needs to be bolstered for "true" specialty services, but even that varies based on the robustness of specialty services at some VAs. Throwing money to send veterans to the community for primary care (unless a certain VA is just completely lacking primary care providers and if that's so, I would bet that the primary care in the surrounding area also sucks) would be a travesty.
Thank you Sirs, shared. Very interesting, informative and frightening.
Remember CPR on baywatch 😂😂 every second episode.
Thank you Andy & Michael and SC for this content.✌🏻🫶🏻🇺🇸
Thanks for this!
I wasnt sure I would be interested in this episode but I found it pretty fascinating
Thank you.
Yes, FMLA abuse is real in the civilian sector also, especially in States like CA that have enhanced State versions of it sometimes paid! Another classic example of good intentions going to hell because of abuse.
Michael, I think you’re doing a stellar job. One note: could you tell Andy to stop coughing during the podcast? Thanks man.
The VA has all the issues of any bureaucratic agency and definitely needs an overhaul. That said, my dad received great care during the last 10 years of his life.
John, I 100% agree with you. The overhaul is long overdue and necessary and would go a long way in helping clean up the system so vets can get the highest level of care. I think there are some great people in the system and plenty have had great experiences.
My wife is a pediatric emergency doctor.. the va having a 4 yr residency is wild general pediatric residency is 3
FMLA is not just a federal employee benefit.
Yes it is
@@Sean-rr1rd no it’s not
@@87tomcollins your right It’s for everyone. I misread what you wrote
Nice week just started. ✌&❤ frm 🇬🇧😎
Anybody know how I can get a hold of Shane?
Partner Shane up with whomever Trump appoints to run the VA. We need good people with insider knowledge like this to fix the broken system. Make it work for Veterans!
As someone who has spent more than a decade in VA, I'll say there's certainly some truth to what he's saying. I would just point out that not every narrator is totally objective or reliable. I'm also wary of anyone who says that "they've had so much drama and they don't want anymore." Sometimes, there's a reason a ton of drama surrounds an particular individual... sips my tea Kermit-ly.
Well it’s evident that you’re someone who knows shit about everything.
Were you there? Your experience may and probably was completely different. Possibly some parallels. Plus you speak out of both sides of your mouth.
What unit did you work in the VA and when? Plus if someone works at a place where they get to a point that they are beyond frustrated seeing the incompetence, laziness, DEI bullshit where that translates to poor patient care it’s evident by your comment you would sit idly by. Keep sipping your tea there Liberace.
Agreed, a few comments were head scratchers, this being one. I've been an ICU nurse for 15 yrs after getting out as an Army medic, 10 of those working travel contracts. Frankly as soon as I became aware of the intra department social/political BS, it was a sign to move onto a new facility. Being insulated from that is a big perk of the job.
Totally agree, I am not mad or traumatized at all, thankful I could do it but time to move onto the next phase of life, which is a privelege not all can do. The podcast was to shed some light on the system.
I have seen FMLA abused by many Nurses in the civilian sector.
Please bring former Army Capt. Allison Jaslow , she is also CEO of veterans of America
The flying Tigers
Nurse Jackie is an excellent HBO series.
“I would just root it out”.
So for clarity pete hegseth has talked about cleaning up t he VA..but we shall see
The Defense Secretary does not control the VA. That would be the VA Secretary.
@docwoz i never said he did. I said he has spoken about how bad the VA is, and he has people around his inner circle that have the influence to actually make changes.
Long term listener and really enjoy the podcasts, including this one.
However, please, please don't max out riffing on the perceived "brutally" of CPR. I'm an EMT. The ability to perform effective CPR is an essential life skill, widely promoted here in the UK and elsewhere. Effective bystander CPR prior to ambulance arrival is the first crucial link in what we call the chain of survival for a patient in cardiac arrest in the community. Without this, the PT has no chance. I'm just concerned you might be putting people off attempting it or attending a CPR class. There can be cracking noise and sensations, but mostly that is rib cartilage. (Seldom is there blood unless some kind of traumatic injury is involved.)
Please don't EVER mess with defibrillators for fun. They don't "restart" the heart. If a non life sustaining rhythm (VF for AEDs) is detected, they will shock the patient to depolarise the heart muscles - i.e. they STOP the heart's quivering rhythm - to then give the heart's own "pacemaker" the opportunity to kick back in with a life sustaining, organised rhythm that will circulate blood.
The focus, in the UK is continuous hands only CPR for the public - no breaths- the blood already holds a lot of oxygen, just keep it circulating to the the vital organs. Call an ambulance and get someone else to try to get you a public access defibrillator (AED). They are easy to use safely and will guide you by audible instructions. Ambulance control will also stay with you on the phone and guide you.
You are correct on the low survival rates, but the survival rate with no CPR is ZERO.
"A long time ago in a galaxy far, far away.” -- Beginning of Star Wars 🤣.
Flying Tigers
A bit in the weeds, but look into what the movie Powder is actually about.😮
I think Andy needs to be put in the roto prone bed for a bit. Sounds like he’s losing a lung.. Are you okay there, Andy???
Great podcast btw!!
My life long best friend died from COVID , they put him on a respiratory and he declined within 36hrs and the machine couldn't keep his SO above 30
Sorry to hear that Gary, the early days especially we lost quite a few.
Andy its time for you to hold people accountable, why haven't you spoke about the drone situation in NJ?
Just curious... why is it ANDY's job? How about YOU step up and hold them "accountable?"
Most are airplanes or legal drones.. Most people don't actually look up in the sky often and now that they have they are amazed to see lights. And now that it's all gone viral there are a lot of people out there just flying drones at night to add to the craziness. If they were truly foreign adversary drones why would they have lights? You think our predator drones are flying with lights on over enemy territory?
@athenamurphy1317 Lady im in state prison, i could give 2 shts about drones im just trolling my friend Andy
super diarrhea sounds horrible
😀
This guy is super unimpressive. Nothing he shared about the VA thus far we didn’t already know.
I did recognize he took every chance to belittle and mention how “girls couldn’t hack it” or the “girls were crying” definitely a misogynist, which is fine so long as he doesn’t have a female patient.
You sound like triggered snowflake, don’t melt. There are things you might know and others might not. I know that’s a crazy concept. Plus he didn’t delve into everything.
Plus sorry your feelings are hurt for humanity, but he never attacked women with your “Girls couldn’t hack it.” News flash sparky there are incompetent people regardless of their gender, etc. Specific to his situation it was women in two instances he mentioned. Nice virtue signaling with your misogynist comment. Another champion of fabricated false causes. 🫡
Funny how we all see things differently depending on which glasses we decide to put on.
Can us vets get a raise, Biden’s inflation made us broke
They're proposing it for 100% tdiu. Think they're navigating the permanent and total part