Special Counsel: “It is unconscionable that after serving his country, a veteran lost his limb not on the battlefield, but because of mistakes ...'
A botched change in the way home-care visits were scheduled for patients released from the Veterans Affairs Medical Center in Indianapolis resulted in a veteran losing part of his leg, according to a copy of an investigative report and letter to the president.
The letter explained the VA investigation determined the man's wound"became infected and required below-the knee amputation due to the delay in receiving dressing changes" from a home health care provider. The problem began in March 2017, according to the report, when the chief of social work services"directed that social workers should no longer enter" orders for home care into the patient records system because the process required the inclusion of medical information that is outside the scope of practice for social workers.
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