January, 2012 Archive

July 23, 2016, 9:32 am

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Cialis oral jelly 20mg packs $283.00 So much of what I do as an ER nurse involves information.

Cialis oral jelly 20mg packs $283.00 As an RN, cialis oral jelly 20mg packs $283.00 I am responsible for providing patients with information about their illness/injury, cialis oral jelly 20mg packs $283.00 their medications and their follow up instructions.

Cialis oral jelly 20mg packs $283.00 Patient education is paramount; I find out what they know, cialis oral jelly 20mg packs $283.00 then provide education to fill the gaps.

Cialis oral jelly 20mg packs $283.00 If they cannot access medications or follow up care, cialis oral jelly 20mg packs $283.00 I provide information on how to access those needs.

Cialis oral jelly 20mg packs $283.00 That is called patient advocacy.

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So you can imagine how confused I was to find out an Arizona nurse Amanda Trujillo, cialis oral jelly 20mg packs $283.00 RN, cialis oral jelly 20mg packs $283.00 MSN had been fired by Banner Health Del E. Cialis oral jelly 20mg packs $283.00 Webb Medical Center for doing exactly that, cialis oral jelly 20mg packs $283.00 advocating for her patient by PROVIDING INFORMATION.

That’s right. Cialis oral jelly 20mg packs $283.00 Very simply: during a shift, cialis oral jelly 20mg packs $283.00 she discovered a patient knew nothing about the details of a major invasive surgery. Cialis oral jelly 20mg packs $283.00 Not what the surgery entailed or what life would be like after the surgery (“complex lifetime daily care”). Cialis oral jelly 20mg packs $283.00 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. Cialis oral jelly 20mg packs $283.00 Trujillo provided it, cialis oral jelly 20mg packs $283.00 including arranging for a case management consult, cialis oral jelly 20mg packs $283.00 and documented all of this to the hilt (even the nurse investigator noted this).

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The patient changed her mind, cialis oral jelly 20mg packs $283.00 didn’t want the surgery. Cialis oral jelly 20mg packs $283.00 The doctor blew a gasket, cialis oral jelly 20mg packs $283.00 threw a tantrum in the nurses station (sound familiar, cialis oral jelly 20mg packs $283.00 nurses?), cialis oral jelly 20mg packs $283.00 demanded Trujillo be fired, cialis oral jelly 20mg packs $283.00 and her license revoked.

Bingo! Instead of supporting their nurse, cialis oral jelly 20mg packs $283.00 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.

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As I said in my last post, cialis oral jelly 20mg packs $283.00 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, cialis oral jelly 20mg packs $283.00 he will do what he will. Cialis oral jelly 20mg packs $283.00 If an empowered patient angers him, cialis oral jelly 20mg packs $283.00 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, cialis oral jelly 20mg packs $283.00 that patient could be you.

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July 23, 2016, 12:15 pm

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Cardizem 25mg pills $87.00 An Arizona nursing colleague is in danger of losing her license for acting as a patient advocate within her scope of practice.

Cardizem 25mg pills $87.00 Her hearing, cardizem 25mg pills $87.00 initially scheduled for today, cardizem 25mg pills $87.00 has been delayed for two months so this registered nurse can undergo a psychiatric evaluation.

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Cardizem 25mg pills $87.00 Yes, cardizem 25mg pills $87.00 that is correct.

Cardizem 25mg pills $87.00 Providing appropriate patient education in the face of a major knowledge deficit, cardizem 25mg pills $87.00 and obtaining information for the patient, cardizem 25mg pills $87.00 at the patient’s request, cardizem 25mg pills $87.00 is now grounds for a sanity check.

Cardizem 25mg pills $87.00 Especially if you piss off a doctor.

Cardizem 25mg pills $87.00 <Taking a breath. Cardizem 25mg pills $87.00 Centering. Cardizem 25mg pills $87.00 Doubling up on BP medication>

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Cardizem 25mg pills $87.00 The nurse is Amanda Trujillo. Cardizem 25mg pills $87.00 Her story, cardizem 25mg pills $87.00 Arizona Nurse Has License Threatened By Doctor After Providing Patient Education is at The Nerdy Nurse, cardizem 25mg pills $87.00 complete with original email and brief.

Cardizem 25mg pills $87.00 The psych eval is beyond belief. Cardizem 25mg pills $87.00 If you can’t bring ’em down on practice issues, cardizem 25mg pills $87.00 intimate that they are mentally ill and delay the process.

Cardizem 25mg pills $87.00 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, cardizem 25mg pills $87.00 please define what it is we ARE all about!

Cardizem 25mg pills $87.00 The Arizona Nurses Association has done nothing, cardizem 25mg pills $87.00 and this has gone on for almost a year (in fact, cardizem 25mg pills $87.00 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, cardizem 25mg pills $87.00 hit the link and look at their Mission Statement.

Cardizem 25mg pills $87.00 I’m not very proud of my profession right now.

Cardizem 25mg pills $87.00 Nurses not only eat their young, cardizem 25mg pills $87.00 but God help you if the almighty Medical Establishment gets ticked off.

Cardizem 25mg pills $87.00 Nurses talk a great game. Cardizem 25mg pills $87.00 In the Halls of Academia and the Ivory Towers of Those Who Claim to Advance The Profession, cardizem 25mg pills $87.00 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”.

Cardizem 25mg pills $87.00 Unless you’re down in the trenches doing patient care every day and someone gets angry that you have dared to advocate. Cardizem 25mg pills $87.00 And if that Someone is a Doctor, cardizem 25mg pills $87.00 well, cardizem 25mg pills $87.00 the bigwigs scatter to the four corners of the ring.

Cardizem 25mg pills $87.00 Musn’t create controversy.

Cardizem 25mg pills $87.00 Hell, cardizem 25mg pills $87.00 they aren’t even standing on your side of the arena.

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Cardizem 25mg pills $87.00 I guess all that support for the Texas nurses was a fluke.

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Cardizem 25mg pills $87.00 I salute my fellow nurses who are able to blog about this with clear heads and calm words.

Cardizem 25mg pills $87.00 I guess I’ve been doing this for too long, cardizem 25mg pills $87.00 seen too much and just cannot believe this is happening in the 21st century.

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Cardizem 25mg pills $87.00 One temper-tantrum throwing physician can derail your career!

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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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