VA Fourth Mission Summary - Veterans Health Administration
Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.
Attention A T users. To access the combo box on this page please perform the following steps. 1. Press the alt key and then the down arrow. 2. Use the up and down arrows to navigate this combo box. 3. Press enter on the item you wish to view. This will take you to the page listed.
Menu
Veterans Health Administration

Quick Links

Veterans Crisis Line Badge
My healthevet badge

Veterans Health Administration

 

VA Fourth Mission Summary

The Fourth Mission: VA’s “Fourth Mission” is to improve the Nation’s preparedness for response to war, terrorism, national emergencies, and natural disasters by developing plans and taking actions to ensure continued service to Veterans, as well as to support national, state, and local emergency management, public health, safety and homeland security efforts. You can learn more about VA’s Fourth Mission at https://www.va.gov/about_va/

The following is a summary of VA Fourth Mission activity as of August 5, 2020 in response to COVID-19. This summary provides updates by state for Mission Assignments, Community Engagement and Outreach: resources provided to the community including personal protective equipment (PPE), other equipment and COVID-19 testing to support VA’s Fourth Mission.

VA has provided Personal Protective Equipment (PPE) of greater than 670,000 pieces including gowns, gloves, masks, face shields, Powered Air Purifying Respirators (PAPR), goggles, and shoe covers in support of the Fourth Mission. In addition, VA has provided other resources including hand sanitizer, hair bouffants, laundry support, test kits and testing support, no touch thermometers, sanitizing wipes, stethoscopes, oxygen concentrators, CARDIOHELP Kits and webcams for use with existing equipment to state and local facilities.

As part of the Fourth Mission humanitarian support, VA has admitted 331 United States non-Veteran citizens for care at VA Medical Centers during COVID-19.

VA’s support to individual states varies daily due to the fluctuation of requirements issued by the state or the facilities we are supporting. The numbers below represent either the request that was initially issued by the requesting government agency, or the rough order of magnitude of the levels of staffing being provided over a given period but may not be exact on a given day. Some entries may be closed and are indicated as such. 

Personnel

VA deploys personnel to support other VA Medical Centers who have been impacted by COVID-19 as well as provide support to state and community nursing homes. To date, VA has deployed personnel to more than 45 states. The state and community support to non-veteran beneficiaries is provided as part of VA’s “Fourth Mission”, to assist the nation in times of emergencies and disasters. The VA has supported these mission assignments with direct patient clinical care, testing, education and training.

The assignments vary in skillsets, geographic locations, and length of time for the support.

State Veterans Home: 525
Community Nursing Homes: 846
VAMCs: 1,055
IHS & Navajo Nation: 185

STATE SUMMARIES

Alabama

Mission Assignment(s):

  • Completed:
    • Provided Staffing Support to the Bill Nichols State Veterans Home (SVH)

Other Support:

  • Equipment/Supplies:
    • Birmingham VA Health Care System (BVAHCS) has provided personal protective equipment (PPE) including gowns, gloves, face shields and goggles.
  • Community Engagement and Outreach:
    • Local facility leadership has been in contact with all 4 SVH to help. BVAHCS is in contact with the Alabama State Veteran Homes, which includes 4 State Veteran Homes and 1 Domiciliary, daily throughout the pandemic to determine the needs of each SVH. One Alabama SVH requested a consultative visit. Six clinical staff members and the Public Affairs Officer travelled to the SVH and provided a written summary with recommendations that could also be helpful for the other SVHs.

Arizona

Mission Assignment(s):

  • Current:
    • Navajo Nation Nursing Support to Chinle, AZ; Crownpoint, NM; Kayenta, AZ; Shiprock, NM; and Gallup, NM. 
    • Providing support to Indian Health Services in Whiteriver, 7 Med Surge Registered Nurses (RNs), 10 ER Nurses and 3 ICU Nurses and 2 Area Emergency Managers
    • Providing Tucson and Phoenix each 10 beds at the Southern Arizona VA Health Care System.
  • Completed:
    • Navajo Nation support—Tuba City: Med/Surg Nurses (RNs), Emergency Room RNs and Intensive Care Unit Nurses (RNs)
    • Provided Arizona hospital staff augmentation
    • Providing Indian Health Services with 5 Med/Surg and 3 ICU beds at the Albuquerque VAMC.

Other Support:

  • Equipment/Supplies:
    • PPE including gowns, gloves, masks, and swab kits for testing.

Arkansas

Other Support:

  • Testing Support:
    • 7298 tests performed for Arkansas Department of Health as of August 3, 2020 (Active Mission)
    • 501 tests performed for State Veterans Home.
    • Conduct COVID-19 screening daily for State Veterans Home.

California

Mission Assignment(s):

  • Current:
    • Providing the state of California with short term acute care (Med/Surg) and/or intensive care (ICU) beds, in support of FEMA response operations.
    • Providing necessary staff and support with processing of biological samples for COVID testing and analysis for patients and staff of California State Veterans Homes (SVHs) up to 200 tests per week.
  • Completed:
    • Nursing Home Staff: Four (4) 6-person teams to provide nursing consultation support to long term care (nursing home) facilities in Los Angeles County region.

Other Support:

  • Equipment/Supplies:
    • PPE including gloves, sanitizing wipes, and hand sanitizer.
    • Test kits
  • Testing Support:
    • Testing support to State Veterans Home

Colorado

Other Support:

  • Equipment/Supplies:
    • Provided PPE including masks, gowns and hand sanitizer.
    • Provided 40 Nasopharyngeal Swabs to Mesa County.
    • CARDIOHELP Kits for treatment at community site.
    • Cloth face masks to community homeless shelters
  • Outreach and Engagement:
    • 7/14/20: Participation in Tri County Health and North Central Health Coalitions and Anschutz Medical Campus Security Council.
    • Community Blood Drive scheduled for 7/23/20
    • June 28 through July 3 VA personnel visited the Utah Navajo, Mountain Ute, and Veterans group to discuss how VA can support their COVID-19 efforts through the VA 4th Mission.
  • Testing Support:
    • Provided testing kits and testing support SVHs in CO.
    • Communication with the Ute tribe regarding request for COVID-19 testing and staff support to perform the testing

Connecticut

Mission Assignment(s):

  • Completed:
    • New Haven Homeless Outreach: 3 clinicians

Other Support:

  • Equipment/Supplies:
    • Webcams for use with existing equipment
  • Community Engagement and Outreach:
    • Homeless Veteran outreach

Delaware

Mission Assignment(s):

  • Completed:
    • 10 nurses supported 78 Community Nursing Homes in Delaware.

Florida

Mission Assignment(s):

  • Current:
    • Florida Nursing Home Augmentation: Fifteen 6-person clinical Support Teams. VHA Teams have assisted at 72 LTC facilities in the State of Florida with an estimated 7,864 patients.
    • Providing up to 37 short term acute care (Med/Surg) and/or intensive care (ICU) beds for the state of Florida for non-COVID and COVID-positive patients who are not eligible for such benefits.

Other Support:

  • Equipment/Supplies:
    • Truck drivers and bulk trailer support to Pensacola, FL
    • 3,486 Testing kits
  • Testing Support:
    • 4, 757 tests processed for SVHs, CNHs and domiciliary
    • Tests processed for a Regional Medical Center
  • Community Engagement and Outreach:
    • Held a Director’s Veterans Engagement Board
    • Monthly Community Veterans Engagement Board
    • Bi-Monthly Director's Veterans Advisory Board 
    • Ongoing communication with Congressional stakeholders
    • Weekly communication with SVH staff about COVID status within their facilities

Georgia

Other Support:

  • Equipment/Supplies:
    • Provided PPE including masks, surgical gowns and boot covers to State Veterans Home in Milledgeville.
  • Community Engagement and Outreach:
    • Augusta CNH support: Georgia War Veterans Home admissions
    • 120 pounds of groceries distributed to 250 Veteran families on a monthly basis during our Mobile Food Distributions (MFDs) at the Atlanta VA Clinic (AVC)
    • 75 pounds of groceries delivered to 150 Home Bound and HUDVASH Veterans on a monthly basis. The groceries were donated to VA Voluntary Service (VAVS) from several organizations and delivered to the Veteran families following safe distancing/no contact drop-offs.
    • In support of the American Red Cross, Atlanta is hosting a blood drive on July 23. 

Idaho

Mission Assignment(s):

  • Current:
    • VHA supporting State lab testing

Other Support:

  • Equipment/Supplies:
    • 2400 test kits provided
    • As of August 3, 2020, tested 4,240 external tests for Infectious Disease (ID)
  • Testing Support:
    • Processed 4,064 tests to date

Illinois

Mission Assignment(s):

  • Completed:
    • Provided Mobile Pharmacy Unit and staff
    • Provided IL Nursing Home up to 60 skilled nursing care (nursing home) beds at the Edward J. Hines VAH, Illiana HCS (Danville)
    • Illinois Beds: 45 Med/Surg and 15 ICU beds

Other Support:

  • Equipment/Supplies:
    • PPE including gowns to SVH
  • Community Engagement and Outreach:
    • Community NH support
    • Virtual Town Halls conducted via Facebook
    • Communication to Veteran community about telehealth
    • Media: COVID-19 pandemic accelerated shift toward telehealth, Hines VA Hospital doctor says: https://abc7chicago.com/hines-va-hospital-veterans-covid-19-dr-jeffery-oken-health/6318841/

Iowa

Mission Assignment(s):

  • Current:
    • Providing Iowa State Veteran Home (Marshalltown) up to twenty-one (21) Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR any combination thereof, per day.
  • Completed:
    • Des Moines/Iowa City Beds: 20 ICU or Med/Surg beds
    • Marshalltown SVH Staff: RN (4); LPN (16); NA (27)

Other Support:

  • Equipment/Supplies:
    • PPE including gowns
  • Community Engagement and Outreach:
    • Iowa City held a Townhall 4/16/2020 via Zoom
    • Iowa City held a Town Hall via Zoom with several Representatives and Veterans Service Organizations
    • Central Iowa held a Tele Townhall 4/29/2020
    • Central Iowa held a Tele Townhall 5/5/2020
    • Iowa City held a Zoom Townhall 6/23/2020 Representative Ernst and Secretary of Veterans Affairs Robert Wilkie attended.

Kansas

Mission Assignment(s):

  • Completed:
    • Four ventilators provided for support of inpatients at Southwest Medical Center in Liberal, KS.

Kentucky

Mission Assignment(s):

  • Current:
  • Providing staff and resources to assist the Kentucky Department of Veterans Affairs with process of biological samples for COVID testing and analysis for patients and staff for the Radcliff Veterans Center and Eastern Kentucky Veterans Center.

Other Support:

  • Equipment/Supplies:
    • PPE including gowns and masks, including support to SVH in MS
    • Test kits
  • Testing Support:
    • Testing of Veterans and staff in CNH
  • Community Engagement and Outreach:
    • CNH support

Louisiana

Mission Assignment(s):

  • Current:
    • Providing 7 registered nurses to support vulnerable residents/patients at the Iberia Medical Center in New Iberia, Louisiana.
    • Providing New Orleans - 5 beds (3 Med/Surg and 2 ICU), Alexandria - 5 Med/Surg Beds and Shreveport - 4 Med/Surg beds
  • Completed:
    • Shreveport, LA beds: 2 ICU and 20 Med/Surg beds
    • Providing 4 Certified Nursing Assistants, 4 Licensed Practical Nurses, 2 Registered Nurses at the Southwest LA State Veterans Home

Other Support:

  • Equipment/Supplies:
    • PPE to include gowns and face masks sent to the Southeast Louisiana War Veterans Home in Reserve in Louisiana.
    • PPE including isolation gowns, gloves, surgical masks, N95 masks, face shields, shoe covers, thermometers, hand sanitizer, and disposable stethoscopes in support of SVH.
    • Thermometers provided to Barksdale AFB
    • Loaned 20 ventilator circuits to a hospital, which will be returned when supply arrives.
  • Testing Support:
    • Processed test kits as needed
  • Community Engagement and Outreach:
    • Four Town Halls via Facebook Live

Maine

Other Support:

  • Equipment/Supplies:
    • iPads to support telehealth

Maryland

Mission Assignment(s):

  • Completed:
    • Provided up to 45 nursing staff to support the Charlotte Hall State Veterans Home.

Other Support:

  • Equipment/Supplies:
    • PPE including masks distributed to McVets Veteran Home in Baltimore
    • VAMHCS provided 15,600 gowns, 3600 gloves, 136 masks, and 5 Air Mate PAPRs setups to Charlotte Hall SVH
  • Community Engagement and Outreach:
    • The VA Maryland Health Care System has held four (4) Veterans Service Organization & Congressional Staff Meetings about COVID-19 since February 2020.
    • Regularly post content on the VA Maryland Health Care System’s Facebook and Twitter pages reiterating operational messaging to external stakeholders.
    • Post good news stories, and suicide prevention, PTSD and virtual care videos recorded by VA Maryland HCS subject matter experts with the VA Maryland Health Care System.
    • Host monthly VSO and Congressional Stakeholder meetings to discuss the VA Maryland HCS’s response to COVID-19 with the stakeholders. Provide information they can share with their constituents.
    • Recorded and posted six video messages from the Director of the VA Maryland HCS, to patients and employees informing them about safeguards in place throughout the health care system during the COVID-19 pandemic, including operational changes and important telephone numbers and websites.

Massachusetts

Mission Assignment(s):

  • Current:
    • 30 beds for residents/patients of Chelsea and Holyoke Soldiers’ Homes
  • Completed:
    • Provided 5 RNs and 5 CNAs at both Hunt Nursing Home in Danvers and Charlwell Nursing Home in Norwood.
    • Testing at the Chelsea Soldiers Home

Other Support:

  • Community Engagement and Outreach:
    • Congressional updates with Boston and Bedford
    • Daily calls with Town of Bedford
    • CLC Family Town Halls
    • CLC Family Hotline held daily for 2 months
    • Mini Management Advisory Council participation
    • VSO update calls
    • Weekly Newsletter to families
    • Operation Mail Drop to encourage the community to support our Veterans and staff

Michigan

Mission Assignment(s):

  • Completed:
  • Provided Ann Arbor/Detroit beds: 35 Med/Surg and 15 ICU.
  • Provided Mobile Pharmacy Unit

Other Support:

  • Equipment/Supplies:
    • PPE including gowns

Minnesota

Mission Assignment(s):

  • Current:
    • Providing 5 ICU and 5 Med Surge beds in the Minneapolis VA Medical Center for COVID-19.
  • Completed:
    • Long Term Care Facilities Support: up to 50 Nurses.
    • Beds: approximately 8 ICU and 10 Med/Surg beds at the Minneapolis VAMC

Other Support:

  • Equipment/Supplies:
    • Test kits to SVH in Minneapolis
  • Community Engagement and Outreach:
    • Cloud held a tele town hall for the Brainerd CBOC. Network Director participated on 5/11/2020
    • Minneapolis held a tele town hall for congressional/CVSO/CAB 5/14/2020.

Mississippi

Mission Assignment(s):

  • Current:
    • Providing 1 Physician,1 NP, 1 RN, 1 LPN, and 1 PAO to assist the Mississippi Band of Choctaw Indians (MBCI) to support the Choctaw Health Center, various mobile testing sites (*swabbing only) at tribal locations across Mississippi (10 rural counties), and case management of COVID patients. Additionally, providing one public affairs officer to support public awareness communication assistance to target the MBCI veterans and community vulnerable populations.
    • Providing SVH Staff Support: registered nurses, 2 licensed practical nurses and 2 certified nursing assistants (or similar).
  • Completed:
    • SVH Training Support: PPE training and infection control measures for COVID patients and staff for all five Mississippi State Veteran’s Homes (SVHs).

Other Support:

  • Testing Support:
    • Test processing support at a State Veterans Home in Florida
  • Equipment/Supplies:
    • PPE including gowns to Biloxi for 4th Mission support in Pensacola, FL
    • PPE including masks and fit testing for SVH in MS
    • Laundry support to Department of Defense Naval Operations:
      • Seabee Base
      • USS Tripoli
      • Eglin Hospital
  • Community Engagement and Outreach:
    • Media: VA providing COVID-19 resources and training to Pensacola nursing homes. https://www.pnj.com/story/news/2020/05/07/va-providing-resources-and-training-pensacola-nursing-homes/3085178001/

Missouri

Other Support:

  • Community Engagement and Outreach:
    • PPE fit testing, education and training support to several State Veterans Homes.

Montana

Other Support:

  • Community Engagement and Outreach:
    • Staff Deployed from VISN 19 to several locations through Disaster Emergency Medical Personnel (DEMPS).
    • Fort Harrison and Billings held state sponsored surveillance clinics held June 26.

Nebraska

Mission Assignment(s):

  • Completed:
    • Provided Omaha Lab with testing support.

Other Support:

  • Equipment/Supplies:
    • PPE including gowns to several State Veterans Homes
    • Test kits to Kearney SVH
  • Testing Support:
    • Test processing support
  • Community Engagement and Outreach:
    • NWI Held Tele Townhalls 3/31/2020 and 4/22/2020

Nevada 

Mission Assignment(s):

  • Current:
    • Providing the State of Nevada Department of Veterans Affairs with collection of biological samples for COVID-19 testing of patients and staff of Northern Nevada State Veterans Home. Reno VAMC is providing three trained staff members to perform testing at the Northern Nevada State Veteran Home.

Other Support:

  • Equipment/Supplies:
    • PPE including masks and powered air-purifying respirators (PAPR) to Las Vegas SVH.
  • Testing Support:
    • Staffing support for testing residents and staff at SVH.
    • Reno VAMC providing 3 trained staff members to perform testing (swabbing only, approximately 150-200) at the Northern Nevada SVH

New Hampshire

Mission Assignment(s):

  • Completed:
    • Nursing Home Support- up to 29 Registered Nurses

Other Support:

  • Equipment/Supplies:
    • Test kits
  • Testing Support:
    • Processed tests for staff and residents of SVH
  • Community Engagement and Outreach:
    • Manchester VAMC staff deployed from VISN 1 in support of DEMPS.
    • Homeless Outreach, VIST, and HBPC continue to engage veterans. Service lines engagement through telephone, Vet Text, for information about appointments.

New Jersey

Mission Assignment(s):

  • Completed:
    • Provided NJ Veterans Homes Assistance: Nurses/Aides/testing supplies + services/telehealth
    • Provided 4 Licensed Social Workers
    • NJ Nursing Home Teams: Nursing home augmentation and training teams
    • NJ Beds: VHA provided 5 ICU and 15 Med/Surg at the East Orange VAMC.
    • NJ Nursing Staff: 1 Nurse Educator and 1 Infection Disease Control Nurse for support of Paramus and Menlo Park Veteran Homes as needed

Other Support:

  • Equipment/Supplies:
    • PPE including gowns, gloves, masks, and face shields
    • Oxygen concentrators
    • Vital sign machines
    • Testing kits
    • Nasopharyngeal transport media
  • Testing Support:
    • Processed tests as needed

New Mexico

Mission Assignment(s): None

Note that Navajo Nation HQ is in Arizona, therefore FEMA lists all Navajo Nation support in Arizona.

New York

Mission Assignment(s):

  • Completed:
    • NYC Beds: provided 15 ICU and 35 Med/Surg beds at the Manhattan/Brooklyn VAMC

North Carolina

Mission Assignment(s):

  • Current:
    • NC Testing: Assistance Requested: NC LTC Testing
    • NC Staff Support: provided 1 van driver, 3 Community Living Center nurses, 2 infection control nurses, 1 social work, 1 public affairs officer, 4 nurse screeners, 1 Administrative lead, 4 RNs, and 4 LPNs

Other Support:

  • Equipment/Supplies:
    • PPE including gloves, gowns and masks.
    • Respiratory Protection/Fit Testing in accordance with Current: State Veterans Home policies by Fayetteville IH to three SVH staff that included infection Prevention/Control SVH staff. SVH requested COVID-19 specific Don/Doffing training from Fayetteville VAMC & sharing of Fayetteville VAMC COVID-19 protocols/processes for SVH review-modification-implementation.
    • Cepheid Xpert Viral Transport Medium swabs (SWAB/B-100) to the State Veterans Home in Black Mountain, NC and 4 swabs have been processed at the medical center.
    • XENEX Machine was provided for use for two shifts on May 11 and returned same day.
    • Test kits
  • Testing Support:
    • Tested 100% of an SVH
    • Provided transportation using GOVs for staff to conduct the testing
  • Community Engagement and Outreach:
    • PAO conducts weekly meetings with Chairman of the Buncombe County Veterans Council and shares information on what the WNC VA HCS is doing in relation to COVID-19. Medical Center Director conducts calls with VSOs for plans about facility plans related of COVID-19 and the Moving Forward plan.
    • On June 22, 2020, Epidemiologist, Infectious Disease and Acting Chief Nurse Manager of the Community Living Center (CLC) will be engaging the members of the Durham Rotary Club in a virtual meeting to discuss their work performed to contain COVID-19 in the CLC.
    • The Durham VA Health Care System Quick Response teams have partnered with the NCDHSS to perform COVID-19 testing in Wilson, N.C., the North Carolina Veterans Home in Kinston, N.C., and Murdoch Center in Butner, North Carolina.
    • Since Feb 2020 - 9 Veteran Town Halls and 7 Stakeholder Calls with VSO/Congressional Reps and a list of internal and external communication through our communication media

North Dakota

Other Support:

  • Community Engagement and Outreach:
    • Community support to Fargo. VA staff delivered meals from a community not-for-profit to homeless Veterans and non-Veterans throughout the community through an agreement with MN.
    • Virtual Townhall and stakeholder calls

Ohio 

Other Support:

  • Equipment/Supplies:
    • PPE including 3000 gowns
    • COVID-19 test swabs.
  • Testing Support:
    • Georgetown State Veterans Home: the local health department worked with the state health department for all testing
    • Georgetown State Veterans Home: Provided COVID swabs and Completed: N95 respirator testing for 30 employees.
  • Community Engagement and Outreach:
    • Supported effort of Greater Cincinnati Health Collaborative for transformation of Duke Energy Convention Center to hospital

Oklahoma

Other Support:

  • Equipment/Supplies:
    • Fit testing kits and fit testing provided to 2 SVHs in catchment area.
    • Provided 652 test kits to support two SVHs and 1 CNH in the EOVAHCS catchment area. Sent to local lab for processing.
    • Test kits and swabs to State Veteran Center
  • Testing Support:
    • Processed the provided test kits
  • Community Engagement and Outreach:
    • OKC VA Emergency Manager participates in OK Gov. Kevin Stitt's COVID 19 teleECHO and State Emergency Operations Center meetings.
    • OSU-CHS has launched a new ECHO program to keep healthcare providers updated as the situation changes.
    • Emergency Management
    • Information sharing conference call: daily at 11 am. COVID-19 briefing: Liaisons Preparedness Meeting

Oregon

Mission Assignment(s):

  • Current:
    • Roseburg VAMC Beds: providing 25 Med/Surg beds
    • Roseburg PPE Decontamination: 50 filtered face masks decontaminated daily
    • Portland Oregon Beds: providing 25 Med/Surg and 5 ICU beds at the Portland VAMC for non-COVID-19 and COVID-19-positive patients.
    • OR LTC Teams: LTC Support Teams

Other Support:

  • Equipment/Supplies:
    • PPE including gowns, gloves, masks, face shields, and goggles
    • N95 mask decontamination for Mercy Medical Center
    • Virtual assessment and education at 72 facilities

Pennsylvania

Mission Assignment(s):

  • Current:
    • 10 Med Surge nurses to the Southwestern Veterans Center (SWVC) Pittsburgh, Pennsylvania
  • Completed:
    • Spring City Nursing Home Staff: 20 RN/LPN

Other Support:

  • Equipment/Supplies:
    • PPE including gowns, gloves, masks, hand sanitizer, hair covers, shoe covers, face shields, and PAPRs
    • PPE including gloves, gowns, masks, surgical masks, face shields and hand sanitizer to support Arizona and San Antonio.
    • 15 Oxygen Concentrators to SE PA Veterans Home in Spring City, PA.

Rhode Island

Mission Assignment(s):

  • Completed:
    • Provided RI Group Home Support: 6 RNs and 9 NAs
    • RI State Veterans Home Staff: 12 Certified Nursing Assistants

Other Support:

  • Equipment/Supplies:
    • PPE including gowns
    • Testing Kits
    • Provided a clinical access cart on site for telehealth
  • Testing Support
    • Testing support provided to South Carolina SVH
  • Community Engagement and Outreach:
    • COVID-19 Outreach Team created and comprised of GEC SW and CNH Program RN - Team effort designed for outreach to Veterans and families as an added layer of support and resource in the face of restricted visits and reduced staffing. Addressed psychosocial stressors related to the pandemic, provided active listening, education and communication bridge.

South Carolina

Mission Assignment(s):

  • Completed:
    • 4 registered nurses, 2 licensed practical nurses and 2 certified nursing assistants or similar to support State Veteran Homes

Other Support:

  • Equipment/Supplies:
    • To date, PPE of more than 173,500 pieces including gowns, gloves, face shields, and masks to SVH in South Carolina and Alabama
    • Provided 4,000 test kits to three State Veterans Homes in South Carolina and four State Veterans Homes in Alabama
    • Provided test kits to State Veterans Home in Florida
  • Testing Support:
    • Processed 4,000 tests for three State Veterans Homes in South Carolina and four State Veterans Homes in Alabama
    • Testing support provided to State Veterans Homes in Florida as needed
  • Community Engagement and Outreach:
    • Partnering with community to host 3 blood drives
    • Consultative services to contract community nursing home

South Dakota

Other Support:

  • Equipment/Supplies:
    • PPE including masks. Black Hills VAMC distributed 50 masks to Tribal Veterans on the Standing Rock Reservation and 50 masks to Tribal Veterans on the Cheyenne Reservation.
  • Community Engagement and Outreach:
    • Sioux Falls and Black Hills partnered in a tele town hall with Senator Rounds 5/5/2020
    • John Deere manufactured and donated 5,000 face shields to Sioux Falls VA Medical Center

Tennessee

Other Support:

  • Equipment/Supplies:
    • Disposable isolation gowns to CNH
    • 45 Test kits
  • Testing Support:
    • Test kits and testing support. Nine total staff supporting 4 CNHs for testing. VAMC processing tests for CNHs of resident Veterans.
  • Community Engagement and Outreach:
    • Assisted CNH to outreach with County Taskforce for future PPE. April 2020: Assisted 3 CNHs to obtain gowns, gloves and mask from Community Taskforce Stockpile
    • Outreach to 16 CNH/SVH
    • VHA admission liaisons, strategically placed at contracted homes coordinate admissions and placement determinations for Veterans in need of Long-term Care and sub-acute rehabilitation. Have conducted proactive outreach to CNHs to identify COVID-19 positive Veterans and provide supports, services, and needs to ensure safe care of patients.

Texas

Mission Assignment(s):

  • Current:
    • Providing the Texas Veterans Land Board State Veterans Homes with collection and processing of biological samples for COVID testing and analysis for patients and staff
    • Providing acute care (Med/Surg) and/or Intensive Care Unit (ICU) beds at multiple locations for immediate and short-term medical treatment for non-COVID and COVID-positive patients

Other Support:

  • Equipment/Supplies:
    • PPE including gowns, gloves, shoe covers to State Veterans Home
    • Hand sanitizer and stethoscopes
    • Test kits
    • Transport media for sample collection
  • Testing Support:
    • Processed tests kits as needed

Utah 

Other Support:

  • Equipment/Supplies:
    • PPE including masks
    • VA Salt Lake City Health Care System performed fit testing of staff at 10 community nursing homes
  • Community Engagement and Outreach:
    • AEM deployed to Utah Division of Emergency Management to assist with the creation of their Alternate Care Site in Salt Lake County.
    • Town Hall hosted

Virginia

Mission Assignment(s):

  • Completed:
    • Providing VHA Medical Task Forces to assist in the assessment of infection control procedures in 852 long-term care, skilled nursing and assisted living facilities.

Other Support:

  • Equipment/Supplies:
    • Face shields and fit testing kit to Roanoke SVH (Virginia Veterans Care Center)
    • Ventilator to New Orleans
    • Provide test kits and ensure 5 test kits are on hand at all times at SVH
  • Testing Support:
    • Processed tests for SVH in Roanoke.
    • Processed tests for CNH
  • Community Engagement and Outreach:
    • CNH support
    • Hampton: Two virtual town halls weekly since March 2020
    • Richmond: VSO: 2 virtual town halls since March 2020.
    • Congressional: 2 virtual town halls since March 2020. The facility has accepted two donations of banners made by Veterans to thank staff members for their work during the pandemic.
    • Use Social Media to inform the public about current facility status

Washington State

Mission Assignment(s):

  • Current:
    • SVH Testing Support: Testing and SVH Support
    • Spokane Beds: 25 Med/Surg and/or 5 ICU beds at the Spokane VAMC

Other Support:

  • Testing Support:
    • 268 test kits sent to Palo Alto
    • Testing support in Seattle via Mission Assignment
    • Provided 325,320 pieces of PPE to include gloves (over 300K), gowns, masks, face shields, and shoe covers.
  • Community Engagement and Outreach:
    • Consultative support to State Veterans Home

West Virginia

Other Support:

  • Equipment/Supplies:
    • Medical Surge shelter provided to Berkley Medical (Community Hospital)
    • PPE and other equipment including gowns, gloves, masks, face shields, shoe covers, disposable stethoscopes and hand sanitizer

Wisconsin

Mission Assignment(s):

  • Completed:
    • Provided Alternate Care Site Staff: 2 RTs and 2 Pharmacists

Other Support:

  • Equipment/Supplies:
    • No touch thermometers

Wyoming

Other Support:

  • Equipment/Supplies:
    • PPE to include masks and face shields donated to SVH
  • Community Engagement and Outreach:
    • Communication with local hospital regarding any need for mental health assistance.
    • 1 Veteran Town hall
    • Continued partnership with State and County Operations Centers
    • Outreach to VSO and other stakeholders
    • Meetings with Congressional office representatives
    • Veteran Update Newsletter

DISTRICT AND NATIONAL

District of Columbia

Other Support:

  • Equipment/Supplies:
    • DC VAMC processed the loan of 5 no touch thermometers
  • Testing Support:
    • Testing support to residents and staff of a CNH
    • Tested Veterans and staff at the US Vets Grant & Per Diem housing facility
  • Community Engagement and Outreach:
    • Tiger team site visit (11 through 12 June)
    • 8 Member Tiger team established to assist State Home as consultants (Logistics, Infection Control, Safety and Nurse Management). The team will assess current status, risks, and stress points. Team will present recommendations after two-day visit to facility.

Puerto Rico (Territory)

Other Support:

  • Community Engagement and Outreach:
    • VAHCS staff is participating in weekly virtual meetings with USVI Department of Health as well as daily PR Public Health Interagency calls. The VAHCS IMT receives daily COVID-19 status reports from PR and USVI.

National

Mission Assignment(s):

  • Current:
    • NRCC LNOs: National Level Activation – Activate VA to NRCC/RRCC and other locations identified by FEMA
  • Completed:
    • VA National Acquisition Center provided operational management of pharmaceuticals nationwide

Connect with VHA

  • Facebook
  • Twitter
  • Instagram
  • Blog
  • Youtube
  • Flickr
Subscribe to Receive
Email Updates