Nurse II Proficiency

Nurse II Proficiency
Your Name
Subject and Section
Professor’s Name
September 7, 2023
PRACTICE:
Ms. Bridges is an exceptional healthcare professional dedicated to ensuring the safety and well-being of veterans in the domiciliary. She builds trust with everyone she interacts with, and her knowledge in assessing and evaluating specific needs is vital to delivering exceptional care. Ms. Bridges' initiative-taking approach to identifying and assessing resource utilization and safety issues is fundamental in providing outstanding care and support to veterans.
Problem:
Veteran #1 he was experiencing increased anxiety, hearing voices, and having difficulty sleeping. It is a problem when life stressors negatively impact your ability to get a good night's rest, as can poorly sleep hygiene, both can contribute to non-restorative sleep.
What was done:
Ms. Bridges assessed the veteran, checked for PRN medications, none. Contacted provider received an order for inpatient hydroxyzine 50 mg tab by mouth every six hours as needed for anxiety, contacted pharmacy to activate order to dispense via Omnicell. While waiting Ms. Bridges utilized active listening skills with veteran before administering, checked allergy profile, clarified information with veteran, and dispensed per the "5 rights". Monitored veteran for effectiveness, educated to incorporate relaxation techniques. Veteran educated to take medication as directed.
Outcome and Sustainability:
V#1 clinic visits have decreased by 90%. V#1 utilizes relaxation techniques, constructive thinking, incorporates healthy lifestyle habits, and taking medication as needed was beneficial in managing symptoms and improving overall well-being.
Veteran #1 outcome he continues to make progress in managing his anxiety and finds meaning in the resources available to him.
Ms. Bridges was recognized by Veteran #1 with a certificate for Integrity during veteran's stay in the domiciliary!,
ETHICS
Problem:
V#2 is a male who is transitioning to a female, and requested domiciliary staff address her by her female name. It appears she is experiencing gender dysphoria as evidenced by dressing as a man and as a woman. During her stay in the Dom the veteran came into the clinic to request family planning services.
What was done:
Ms. Bridges utilized resources and designed a care plan for family services. A note was placed to the provider requesting a consultation. The provider wrote the consult and urology is to schedule an appointment. V#2 continued to struggle with her identity.
Outcome:
Ms Bridges encouraged V#2 to join a transgender support group. At time of discharge, V#2 states, "I am happier, more content and have made many friends that I identify with. It has provided me with a peace of mind for my family planning needs and a future.
Statistics:
The National Center for Transgender Equality estimates there are more than 134,000 transgender veterans in America today, and another 15,000 transgender individuals serving in the armed forces.
John R. Blosnich, George R. Brown, Jillian C. Shipherd, PhD, Michael Kauth, Rebecca I. Piegari, Robert M. Bossarte, "Prevalence of Gender Identity Disorder and Suicide Risk Among Transgender Veterans Utilizing V...