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COS Incident Report


Sent 08OCT05
Dear Mr. XXX,

I am not sure as to the correct procedures to file an incident report with your VA location so I’m going to list general information and let your office determine what should be done in the following event.

On June 30, 2005 I was requested to come in for a series of x-rays to make a determination on the correct viewing method on my back after a fall. I have shrapnel in my neck and needed to have either a MRI or a CT-scan to see what type of damage I have done to the T-10 vertebrate.

I am filing this incident report not necessary for me but for the X-ray tech. After completing 3 of 4 x-rays, she was repositioning me for the final shot. She turned and fell over a chair. When she did so, I made an attempt to prevent or break her fall. In the process, we both fell to the floor.

The outcome for me was a bruised knee, a crunching sound in my back and increase in pain level. We finished the last x-ray and I reported to the “Red Team” check-in desk and advised them of the fall. I also asked for Jay XXXX, doctor XXX’s nurse, to come out and be advised of what happened.

The pain levels were getting close to the limit for me and all I wanted to do was go home! I am normally on 15mg of Morphine (X3 per-day) but had not taken the dose because I had to drive myself to Colorado Springs.

I would like to make two points in the report:

  1. Someone with a back injury and falls should not be allowed to leave the clinic for at least 15-30 minutes. The pain because very severe prior to my arriving home because of the normal bouncing of the car on the road. If this was to happen to me again I would wait. My destination would not have been home but to the hospital for pain management.
  2. When a fall accrues with an employee, someone should have gone and investigated the person’s condition.
I believe I was more concerned than anyone that I talked to at the team desk.

Sincerely Yours,


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