July 30, 2016, 3:03 pm

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Augmentin 500mg pills $114.00 I’ve been blogging for 6 1/2 years.

Augmentin 500mg pills $114.00 I have a twitter account and although I went to Facebook kicking and screaming, augmentin 500mg pills $114.00 I’m firmly ensconced in the world of status updates, augmentin 500mg pills $114.00 messages, augmentin 500mg pills $114.00 and the occasional “poke.”

Augmentin 500mg pills $114.00 I never miss BlogWorld New Media Expo, augmentin 500mg pills $114.00 and if I can make it to BlogHer, augmentin 500mg pills $114.00 I will be at the party (can you say “swag”?)

Augmentin 500mg pills $114.00 You might say I’m into social media.

Augmentin 500mg pills $114.00 The best thing about social media? It enhances the ability of people to band together, augmentin 500mg pills $114.00 to support causes, augmentin 500mg pills $114.00 and each other.

Augmentin 500mg pills $114.00 This week, augmentin 500mg pills $114.00 we’ve seen nurses band together online to support one of our own, augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 to find support and encouragement.

They use the internet and social media to gather information; to be able to decide, augmentin 500mg pills $114.00 in discussions with their healthcare provider, augmentin 500mg pills $114.00 the best treatment to pursue.

The “patient” is you. Augmentin 500mg pills $114.00 And me. Augmentin 500mg pills $114.00 We are all patients.

Knowledge is power. Augmentin 500mg pills $114.00 Knowledge empowers a us to advocate for ourselves.

But what happens when you are sick, augmentin 500mg pills $114.00 lying in a hospital bed with new information flying fast and furious, augmentin 500mg pills $114.00 with no time (or access) to “look it up”. Augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 either because they have not been informed, augmentin 500mg pills $114.00 or because they did not understand the information provided, augmentin 500mg pills $114.00 the nurse has a duty to:

a. Augmentin 500mg pills $114.00 provide the missing information, augmentin 500mg pills $114.00 or the needed education and/or

b. Augmentin 500mg pills $114.00 refer the patient to the appropriate source of information

Augmentin 500mg pills $114.00 There is no choice.

Augmentin 500mg pills $114.00 It’s not a case of making a note and hoping the next shift deals with it.

Augmentin 500mg pills $114.00 It’s not a case of thinking, augmentin 500mg pills $114.00 “oh well, augmentin 500mg pills $114.00 they need this surgery/procedure anyway.”

Augmentin 500mg pills $114.00 The nurse is mandated by law, augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 as defined by the American Nurses Association, augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 RN, augmentin 500mg pills $114.00 MSN, augmentin 500mg pills $114.00 an experienced transplant RN, augmentin 500mg pills $114.00 by Banner Del E. Augmentin 500mg pills $114.00 Webb Medical Center is so mind-boggling.

She was doing exactly what she was supposed to do as a registered nurse, augmentin 500mg pills $114.00 for a patient with a knowledge deficit regarding an upcoming transplant.


For the record, augmentin 500mg pills $114.00 to those who have written to say I don’t have both sides, augmentin 500mg pills $114.00 Banner Health isn’t talking. Augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 which should be public record.

I’ll post any response I get from them.

In the meantime, augmentin 500mg pills $114.00 Amanda’s legal response to the original complaint, augmentin 500mg pills $114.00 which answers the complaint point-by-point, augmentin 500mg pills $114.00 can be found at vdutton’s posterous.

I encourage you to read the comments, augmentin 500mg pills $114.00 as there is some interesting dialog there, augmentin 500mg pills $114.00 as well


I am not militant.

I rant now and again, augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 I’d be watching from the sidelines, augmentin 500mg pills $114.00too.

My gut tells me, augmentin 500mg pills $114.00 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, augmentin 500mg pills $114.00 that means “moneymaker”) got angry at an RN, augmentin 500mg pills $114.00 ergo, augmentin 500mg pills $114.00 she must be punished.

Most hospitals just fire people, augmentin 500mg pills $114.00 Banner Health reports them to the Arizona Board of Nurses.

God help the nurses at Banner Health, augmentin 500mg pills $114.00 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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