August 28, 2016, 3:03 pm

Female Viagra Pills

Female viagra pills I’ve been blogging for 6 1/2 years.

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

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

Female viagra pills You might say I’m into social media.

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

Female viagra pills This week, female viagra pills we’ve seen nurses band together online to support one of our own, female viagra pills 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, female viagra pills to find support and encouragement.

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

The “patient” is you. Female viagra pills And me. Female viagra pills We are all patients.

Knowledge is power. Female viagra pills Knowledge empowers a us to advocate for ourselves.

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

a. Female viagra pills provide the missing information, female viagra pills or the needed education and/or

b. Female viagra pills refer the patient to the appropriate source of information

Female viagra pills There is no choice.

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

Female viagra pills It’s not a case of thinking, female viagra pills “oh well, female viagra pills they need this surgery/procedure anyway.”

Female viagra pills The nurse is mandated by law, female viagra pills 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, female viagra pills as defined by the American Nurses Association, female viagra pills 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, female viagra pills RN, female viagra pills MSN, female viagra pills an experienced transplant RN, female viagra pills by Banner Del E. Female viagra pills Webb Medical Center is so mind-boggling.

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


For the record, female viagra pills to those who have written to say I don’t have both sides, female viagra pills Banner Health isn’t talking. Female viagra pills 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, female viagra pills which should be public record.

I’ll post any response I get from them.

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

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


I am not militant.

I rant now and again, female viagra pills 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, female viagra pills I’d be watching from the sidelines, female viagra pillstoo.

My gut tells me, female viagra pills 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, female viagra pills that means “moneymaker”) got angry at an RN, female viagra pills ergo, female viagra pills she must be punished.

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

God help the nurses at Banner Health, female viagra pills 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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