January, 2012 Archive

August 29, 2016, 9:32 am

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Dapsone 100mg pills $139.00 Information.

Dapsone 100mg pills $139.00 So much of what I do as an ER nurse involves information.

Dapsone 100mg pills $139.00 As an RN, dapsone 100mg pills $139.00 I am responsible for providing patients with information about their illness/injury, dapsone 100mg pills $139.00 their medications and their follow up instructions.

Dapsone 100mg pills $139.00 Patient education is paramount; I find out what they know, dapsone 100mg pills $139.00 then provide education to fill the gaps.

Dapsone 100mg pills $139.00 If they cannot access medications or follow up care, dapsone 100mg pills $139.00 I provide information on how to access those needs.

Dapsone 100mg pills $139.00 That is called patient advocacy.

Dapsone 100mg pills $139.00 It’s the backbone of nursing, dapsone 100mg pills $139.00 everywhere. Dapsone 100mg pills $139.00 Every hospital, dapsone 100mg pills $139.00 every state, dapsone 100mg pills $139.00 every country.

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So you can imagine how confused I was to find out an Arizona nurse Amanda Trujillo, dapsone 100mg pills $139.00 RN, dapsone 100mg pills $139.00 MSN had been fired by Banner Health Del E. Dapsone 100mg pills $139.00 Webb Medical Center for doing exactly that, dapsone 100mg pills $139.00 advocating for her patient by PROVIDING INFORMATION.

That’s right. Dapsone 100mg pills $139.00 Very simply: during a shift, dapsone 100mg pills $139.00 she discovered a patient knew nothing about the details of a major invasive surgery. Dapsone 100mg pills $139.00 Not what the surgery entailed or what life would be like after the surgery (“complex lifetime daily care”). Dapsone 100mg pills $139.00 They did not know they had the option not have the surgery or that other options were available to them.

The patient requested further information and Ms. Dapsone 100mg pills $139.00 Trujillo provided it, dapsone 100mg pills $139.00 including arranging for a case management consult, dapsone 100mg pills $139.00 and documented all of this to the hilt (even the nurse investigator noted this).

*****

The patient changed her mind, dapsone 100mg pills $139.00 didn’t want the surgery. Dapsone 100mg pills $139.00 The doctor blew a gasket, dapsone 100mg pills $139.00 threw a tantrum in the nurses station (sound familiar, dapsone 100mg pills $139.00 nurses?), dapsone 100mg pills $139.00 demanded Trujillo be fired, dapsone 100mg pills $139.00 and her license revoked.

Bingo! Instead of supporting their nurse, dapsone 100mg pills $139.00 Banner Health fired her.

For providing information and giving the patient the opportunity to learn more about their condition and their options.

For empowering her patient.

Within her scope of practice.

Within the nursing code of ethics.

*****

As I said in my last post, dapsone 100mg pills $139.00 I’m sputtering angry.

But my anger was turned onto the physician – and that is misplaced anger.

Let the doctor throw his anger all over the place, dapsone 100mg pills $139.00 he will do what he will. Dapsone 100mg pills $139.00 If an empowered patient angers him, dapsone 100mg pills $139.00 that’s just sad.

The problem here is Banner Health.

For not supporting patient advocacy.

For not supporting that particular patient’s right to decide.

For not supporting their nurses.

For firing a nurse for doing what she was supposed to be doing.

Her ethical duty.

*****

Next post: this goes viral and how to support registered nurses’ right to advocate for patients.

Because next time, dapsone 100mg pills $139.00 that patient could be you.

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August 29, 2016, 12:15 pm

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Glucophage 500mg pills $140.00 No funny, glucophage 500mg pills $140.00 vintage picture today.

Glucophage 500mg pills $140.00 An Arizona nursing colleague is in danger of losing her license for acting as a patient advocate within her scope of practice.

Glucophage 500mg pills $140.00 Her hearing, glucophage 500mg pills $140.00 initially scheduled for today, glucophage 500mg pills $140.00 has been delayed for two months so this registered nurse can undergo a psychiatric evaluation.

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Glucophage 500mg pills $140.00 Yes, glucophage 500mg pills $140.00 that is correct.

Glucophage 500mg pills $140.00 Providing appropriate patient education in the face of a major knowledge deficit, glucophage 500mg pills $140.00 and obtaining information for the patient, glucophage 500mg pills $140.00 at the patient’s request, glucophage 500mg pills $140.00 is now grounds for a sanity check.

Glucophage 500mg pills $140.00 Especially if you piss off a doctor.

Glucophage 500mg pills $140.00 <Taking a breath. Glucophage 500mg pills $140.00 Centering. Glucophage 500mg pills $140.00 Doubling up on BP medication>

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Glucophage 500mg pills $140.00 The nurse is Amanda Trujillo. Glucophage 500mg pills $140.00 Her story, glucophage 500mg pills $140.00 Arizona Nurse Has License Threatened By Doctor After Providing Patient Education is at The Nerdy Nurse, glucophage 500mg pills $140.00 complete with original email and brief.

Glucophage 500mg pills $140.00 The psych eval is beyond belief. Glucophage 500mg pills $140.00 If you can’t bring ’em down on practice issues, glucophage 500mg pills $140.00 intimate that they are mentally ill and delay the process.

Glucophage 500mg pills $140.00 Where is the American Nurses Association? What on earth are you there for if not to support the practice of nursing? If this isn’t a hit to the heart of what we do every day, glucophage 500mg pills $140.00 please define what it is we ARE all about!

Glucophage 500mg pills $140.00 The Arizona Nurses Association has done nothing, glucophage 500mg pills $140.00 and this has gone on for almost a year (in fact, glucophage 500mg pills $140.00 Amanda notes in a comment that the President of the Arizona association is a Director at the hospital she was fired from!) By the way, glucophage 500mg pills $140.00 hit the link and look at their Mission Statement.

Glucophage 500mg pills $140.00 I’m not very proud of my profession right now.

Glucophage 500mg pills $140.00 Nurses not only eat their young, glucophage 500mg pills $140.00 but God help you if the almighty Medical Establishment gets ticked off.

Glucophage 500mg pills $140.00 Nurses talk a great game. Glucophage 500mg pills $140.00 In the Halls of Academia and the Ivory Towers of Those Who Claim to Advance The Profession, glucophage 500mg pills $140.00 it’s all “Nursing Is An Independent Profession” and we tirelessly “Fight For Our Right To Practice To The Full Extent Of Our Education And Training”.

Glucophage 500mg pills $140.00 Unless you’re down in the trenches doing patient care every day and someone gets angry that you have dared to advocate. Glucophage 500mg pills $140.00 And if that Someone is a Doctor, glucophage 500mg pills $140.00 well, glucophage 500mg pills $140.00 the bigwigs scatter to the four corners of the ring.

Glucophage 500mg pills $140.00 Musn’t create controversy.

Glucophage 500mg pills $140.00 Hell, glucophage 500mg pills $140.00 they aren’t even standing on your side of the arena.

*****

Glucophage 500mg pills $140.00 I guess all that support for the Texas nurses was a fluke.

Glucophage 500mg pills $140.00 Hope we enjoyed it while it lasted.

Glucophage 500mg pills $140.00 I salute my fellow nurses who are able to blog about this with clear heads and calm words.

Glucophage 500mg pills $140.00 I guess I’ve been doing this for too long, glucophage 500mg pills $140.00 seen too much and just cannot believe this is happening in the 21st century.

Glucophage 500mg pills $140.00 To realize once and for all, glucophage 500mg pills $140.00 bottom line, glucophage 500mg pills $140.00 that if you are a staff nurse, glucophage 500mg pills $140.00 no one has your back.

Glucophage 500mg pills $140.00 Even if you do the right thing by your patient. Glucophage 500mg pills $140.00 The right thing by the nurse practice act. Glucophage 500mg pills $140.00 The right thing by hospital policy.

Glucophage 500mg pills $140.00 One temper-tantrum throwing physician can derail your career!

Glucophage 500mg pills $140.00 Un.Freaking.Believable.

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9:18 am

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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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