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Department of Veterans Affairs Office of Inspector General Healthcare
Department of Veterans Affairs Office of Inspector General Healthcare Inspection Post-Operative Paralysis Overton Brooks VA Medical Center Shreveport, Louisiana Report No. 10-03462-190 June 8, 2011 VA Office of Inspector General Washington, DC 20420 To Report Suspected Wrongdoing in VA Programs and Operations: Telephone: 1-800-488-8244 E-Mail: [email protected] (Hotline Information: http://www.va.gov/oig/contacts/hotline.asp) Post-Operative Paralysis, Overton Brooks VA Medical Center, Shreveport, Louisiana Executive Summary The VA Office of Inspector General Office of Healthcare Inspections conducted an inspection to determine the validity of an allegation regarding post-operative paralysis at the Overton Brooks VA Medical Center (the medical center), Shreveport, LA. A complainant alleged that a patient could not move his lower extremities after the insertion of an epidural catheter (small hollow tube used to inject anesthetic between the spinal canal and spinal cord). The complainant believed that the catheter caused the patient’s paralysis. We did not substantiate the allegation. However, we found that the patient’s paralysis may have resulted from a prolonged period of hypotension (low blood pressure) in the intensive care unit (ICU). We concluded that the hypotension was poorly monitored and should have been treated more aggressively. During our review, we found that ICU nursing staff did not document required patient assessments. There was no documentation of the mean arterial pressures needed to adjust medications prescribed for low blood pressure, no documentation of the epidural catheter or of neurological assessments, and inconsistent documentation of verbal orders and administered medications. In addition, we found that the medical center’s system of reporting and evaluating adverse events needed improvement. -
Rep. Gerry Connolly (D-VA-11)
Rep. Gerry Connolly (D-VA-11) Official Photo NLUS Advocates in District 99 Previous Contacts 28 Grassroots Actions Since July 2020 1 Navy League Caucuses Sea Service Installations in District: Congressional Navy and Marine Corps Caucus Congressional Shipbuilding Caucus Address Room 2238 Rayburn House Office Building Washington, DC 20515-4611 Elected Next Election Term Before Politics 2008 2020 6th term Business, Business Education Education Harvard University (MA) M.P.A. 1979 Maryknoll College (IL) B.A. 1971 Past Military Service Washington Office Phone None (202) 225-1492 Bio Rep. Gerry Connolly is a 6th term Representative in the US Congress who represents Virginia's 11th district and received 71.1% of the vote in his last election. He is a member of the Foreign Affairs and Oversight committees.He works most frequently on Government employee pay, benefits, personnel management (55 bills), Armed Forces and National Security (28 bills), Government information and archives (26 bills), Labor and Employment (25 bills), and Science, Technology, Communications (22 bills). He has sponsored 152 bills in his last eleven year(s) in office, voting with his party 93.6% of the Powered by Quorum Rep. Gerry Connolly (D-VA-11) Co-Sponsored Bills We Support No bills for this official. Committees House Committee on Foreign Affairs Chairs: Rep. Eliot Engel (D-NY-16) | Ranking Members: Rep. Michael McCaul (R-TX-10) House Committee on Oversight and Reform Chairs: Rep. Carolyn Maloney (D-NY-12) | Ranking Members: Rep. James Comer (R-KY-1) Subcommittees House Subcommittee on Asia, the Pacific, and House Subcommittee on Economic and Consumer House Subcommittee on Government Operations House Subcommittee on Middle East, North Africa, and Committees House Committee on Foreign Affairs Chairs: Rep. -