Corinne West
February 2024
Corinne
West
,
ARNP
Deltona PACT
Orlando VA
Orlando
,
FL
United States

 

 

 

Corrine wanted to call herself so she would make warm contact with him directly. She wanted to make sure there wasn’t anything else acutely wrong with him and to make sure this Veteran felt heard, seen, and that his concerns were addressed. 
Recently, I had a patient with passive suicidal ideations due to his unaddressed pain issues. He was frustrated and felt that the VA wasn’t caring for him in a timely manner. I asked Corrine to consult with me. Within minutes, she returned my call and accepted my request for a face to face conversation for warm hand off to discuss our mutual patient on teams. 

The Veteran expressed an inability to access clinic to get help with his pain. He wanted to die because he could no longer live with the pain. 

Corrine immediately pulled up his chart, and she did a comprehensive review, including meds. Past history, labs, X-rays, and prior visits. We discussed together as to how to best serve the patient, whether a VVC or face to face visit, we discussed HBPC, his social, mental health, and medical issues. 

She spent over 40 minutes reviewing his chart. She even admitted she might have missed something at her last visit with him as she reviewed his case. 

I suggested home-based primary care, but she said that would take too long for him to get care, she said she would call him back and have him be seen that very next day. Corrine wanted to call herself so she would make warm contact with him directly. She wanted to make sure there wasn’t anything else acutely wrong with him and to make sure this Veteran felt heard, seen, and that his concerns were addressed. 

Corrine also had an honest and kind discussion with me. She told me she understood I cared and that I was worried about him killing himself. However, he had missed numerous appointments with Mental Health. She reminded me that he has autonomy to make his own decisions, and that includes the decision not to receive care. Corrine said we will do our best to keep him safe and from harm, but it was up to him to engage in Mental Health care. 

I called the Veteran back later that afternoon to give him phone numbers and to give him the plan of care. He said he heard from Corrine and was very grateful he could find someone he could trust. HE said he felt confident that maybe he could feel better. 

Corrinne continuously serves the VA's mission in caring for those who served in our nation’s military and in uniform. Some of our organizational responsibilities are to ensure access to our Veterans, ensure book ability on clinical grids, and to decrease suicide in Veterans. Corrine gave my Veteran an appointment the next day. She addressed his pain issues to decrease his suicide risk. By asking for the time to discuss this patient with me. She demonstrates commitment to our organizational goals. 

I have worked with Corrine for many years. Corrine is always improving clinical practice. She attends ANP council meetings to improve the quality of Advance Practice nursing care. We have had robust discussions about patient care and isn’t afraid to make decisions and contributions to Advance Practice. She is also the first to make corrective actions to charge directions when needed.