June 25, 2016, 3:03 pm

Generic Viagra India

Generic viagra india I’ve been blogging for 6 1/2 years.

Generic viagra india I have a twitter account and although I went to Facebook kicking and screaming, generic viagra india I’m firmly ensconced in the world of status updates, generic viagra india messages, generic viagra india and the occasional “poke.”

Generic viagra india I never miss BlogWorld New Media Expo, generic viagra india and if I can make it to BlogHer, generic viagra india I will be at the party (can you say “swag”?)

Generic viagra india You might say I’m into social media.

Generic viagra india The best thing about social media? It enhances the ability of people to band together, generic viagra india to support causes, generic viagra india and each other.

Generic viagra india This week, generic viagra india we’ve seen nurses band together online to support one of our own, generic viagra india fired and in danger of losing her license for acting as a patient advocate and providing patient education.


Patients use social media to band together with others who share the same challenges, generic viagra india to find support and encouragement.

They use the internet and social media to gather information; to be able to decide, generic viagra india in discussions with their healthcare provider, generic viagra india the best treatment to pursue.

The “patient” is you. Generic viagra india And me. Generic viagra india We are all patients.

Knowledge is power. Generic viagra india Knowledge empowers a us to advocate for ourselves.

But what happens when you are sick, generic viagra india lying in a hospital bed with new information flying fast and furious, generic viagra india with no time (or access) to “look it up”. Generic viagra india No time to find an “online support group”.

What if the quality of the rest of your life depends on the decision you make with the information you get, generic viagra india now.

Who advocates for you/us then?


The entire healthcare team advocates for you.

Nurses and physicians advocate for you.

They advocate for you by making sure you have all the information you need to make an informed decision on any plan of care.

They advocate for you by telling you all of the options open to you, generic viagra india including no treatment.

They advocate for you by making sure you understand all of the information and education provided.

They advocate for you by respecting the fact that you are able to advocate for yourself and respecting the decisions you make.

Doing all these things is the right thing to do.

It’s also the law.


When a nurse assesses that a patient does not have the information needed to make an informed decision about their care, generic viagra india either because they have not been informed, generic viagra india or because they did not understand the information provided, generic viagra india the nurse has a duty to:

a. Generic viagra india provide the missing information, generic viagra india or the needed education and/or

b. Generic viagra india refer the patient to the appropriate source of information

Generic viagra india There is no choice.

Generic viagra india It’s not a case of making a note and hoping the next shift deals with it.

Generic viagra india It’s not a case of thinking, generic viagra india “oh well, generic viagra india they need this surgery/procedure anyway.”

Generic viagra india The nurse is mandated by law, generic viagra india and obligated ethically to act if they discover a patient does not have the information they need to make an informed decision about their care.


Here’s the ethical principle in operation here, generic viagra india as defined by the American Nurses Association, generic viagra india who have a great website on nursing ethics:

Autonomy: agreement to respect another’s right to self-determine a course of action; support of independent decision making.

This is why the firing of Amanda Trujillo, generic viagra india RN, generic viagra india MSN, generic viagra india an experienced transplant RN, generic viagra india by Banner Del E. Generic viagra india Webb Medical Center is so mind-boggling.

She was doing exactly what she was supposed to do as a registered nurse, generic viagra india for a patient with a knowledge deficit regarding an upcoming transplant.


For the record, generic viagra india to those who have written to say I don’t have both sides, generic viagra india Banner Health isn’t talking. Generic viagra india They made a statement on their Facebook page to that effect.

I have written to the Arizona Board of Nursing for a copy of the original complaint, generic viagra india which should be public record.

I’ll post any response I get from them.

In the meantime, generic viagra india Amanda’s legal response to the original complaint, generic viagra india which answers the complaint point-by-point, generic viagra india can be found at vdutton’s posterous.

I encourage you to read the comments, generic viagra india as there is some interesting dialog there, generic viagra india as well


I am not militant.

I rant now and again, generic viagra india but I am very happy in my corner of the couch with my trusty old MacBookPro.

But I would take to the street for this.

I am that angry.

If I thought for one minute that there was more to this case, generic viagra india I’d be watching from the sidelines, generic viagra indiatoo.

My gut tells me, generic viagra india there is not.

My nursing instinct tells me there is not.

My nursing instinct tells me that a hospital corporation got upset because a “rainmaker” (in the legal world, generic viagra india that means “moneymaker”) got angry at an RN, generic viagra india ergo, generic viagra india she must be punished.

Most hospitals just fire people, generic viagra india Banner Health reports them to the Arizona Board of Nurses.

God help the nurses at Banner Health, generic viagra india because I’d be watching my derriere 24/7 if I worked there.

Corporate healthcare at it’s finest.

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  • Michele Roberts
    Michele Roberts

    January 29, 2012 at 4:32 pm

    As usual Kim, you are dead on right – and you are an inspiration to all of us out there in cyberspace –
    I can’t imagine how Ms. Trujillo must feel, but I know from my experience that she must wake up every day raging mad at the absurdity of her situation. Having worked in an institution that rewarded those who “obeyed” the desires of the hospital, in essennce those who came in, punched the clock and made no waves (even if the care they gave was sub standard) and who came down with a heavy hand on anyone who tried to give their patients, units or co-workers a voice, how frustrating remaining true to oneself must be.
    I have written to the Arizona board of nursing, and I anxiously await their decision –

  • […] the blogosphere, this past week or so, terms like patient advocacy, patient education, and informed consent have […]

  • […] Mandated By Law, Obligated By Ethics […]

  • […] Mandated By Law, Obligated By Ethics […]

  • […] patients and their families. Kim McAllister, an ER nurse in California, also emphasized the legal and moral obligation of nurses to educate […]

About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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