January, 2012 Archive

September 26, 2016, 9:32 am

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So you can imagine how confused I was to find out an Arizona nurse Amanda Trujillo, tadalafil 50mg pills $131.00 RN, tadalafil 50mg pills $131.00 MSN had been fired by Banner Health Del E. Tadalafil 50mg pills $131.00 Webb Medical Center for doing exactly that, tadalafil 50mg pills $131.00 advocating for her patient by PROVIDING INFORMATION.

That’s right. Tadalafil 50mg pills $131.00 Very simply: during a shift, tadalafil 50mg pills $131.00 she discovered a patient knew nothing about the details of a major invasive surgery. Tadalafil 50mg pills $131.00 Not what the surgery entailed or what life would be like after the surgery (“complex lifetime daily care”). Tadalafil 50mg pills $131.00 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. Tadalafil 50mg pills $131.00 Trujillo provided it, tadalafil 50mg pills $131.00 including arranging for a case management consult, tadalafil 50mg pills $131.00 and documented all of this to the hilt (even the nurse investigator noted this).


The patient changed her mind, tadalafil 50mg pills $131.00 didn’t want the surgery. Tadalafil 50mg pills $131.00 The doctor blew a gasket, tadalafil 50mg pills $131.00 threw a tantrum in the nurses station (sound familiar, tadalafil 50mg pills $131.00 nurses?), tadalafil 50mg pills $131.00 demanded Trujillo be fired, tadalafil 50mg pills $131.00 and her license revoked.

Bingo! Instead of supporting their nurse, tadalafil 50mg pills $131.00 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, tadalafil 50mg pills $131.00 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, tadalafil 50mg pills $131.00 he will do what he will. Tadalafil 50mg pills $131.00 If an empowered patient angers him, tadalafil 50mg pills $131.00 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, tadalafil 50mg pills $131.00 that patient could be you.

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September 26, 2016, 12:15 pm

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Arava 20mg pills $183.00 An Arizona nursing colleague is in danger of losing her license for acting as a patient advocate within her scope of practice.

Arava 20mg pills $183.00 Her hearing, arava 20mg pills $183.00 initially scheduled for today, arava 20mg pills $183.00 has been delayed for two months so this registered nurse can undergo a psychiatric evaluation.


Arava 20mg pills $183.00 Yes, arava 20mg pills $183.00 that is correct.

Arava 20mg pills $183.00 Providing appropriate patient education in the face of a major knowledge deficit, arava 20mg pills $183.00 and obtaining information for the patient, arava 20mg pills $183.00 at the patient’s request, arava 20mg pills $183.00 is now grounds for a sanity check.

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Arava 20mg pills $183.00 The nurse is Amanda Trujillo. Arava 20mg pills $183.00 Her story, arava 20mg pills $183.00 Arizona Nurse Has License Threatened By Doctor After Providing Patient Education is at The Nerdy Nurse, arava 20mg pills $183.00 complete with original email and brief.

Arava 20mg pills $183.00 The psych eval is beyond belief. Arava 20mg pills $183.00 If you can’t bring ’em down on practice issues, arava 20mg pills $183.00 intimate that they are mentally ill and delay the process.

Arava 20mg pills $183.00 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, arava 20mg pills $183.00 please define what it is we ARE all about!

Arava 20mg pills $183.00 The Arizona Nurses Association has done nothing, arava 20mg pills $183.00 and this has gone on for almost a year (in fact, arava 20mg pills $183.00 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, arava 20mg pills $183.00 hit the link and look at their Mission Statement.

Arava 20mg pills $183.00 I’m not very proud of my profession right now.

Arava 20mg pills $183.00 Nurses not only eat their young, arava 20mg pills $183.00 but God help you if the almighty Medical Establishment gets ticked off.

Arava 20mg pills $183.00 Nurses talk a great game. Arava 20mg pills $183.00 In the Halls of Academia and the Ivory Towers of Those Who Claim to Advance The Profession, arava 20mg pills $183.00 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”.

Arava 20mg pills $183.00 Unless you’re down in the trenches doing patient care every day and someone gets angry that you have dared to advocate. Arava 20mg pills $183.00 And if that Someone is a Doctor, arava 20mg pills $183.00 well, arava 20mg pills $183.00 the bigwigs scatter to the four corners of the ring.

Arava 20mg pills $183.00 Musn’t create controversy.

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Arava 20mg pills $183.00 I guess all that support for the Texas nurses was a fluke.

Arava 20mg pills $183.00 Hope we enjoyed it while it lasted.

Arava 20mg pills $183.00 I salute my fellow nurses who are able to blog about this with clear heads and calm words.

Arava 20mg pills $183.00 I guess I’ve been doing this for too long, arava 20mg pills $183.00 seen too much and just cannot believe this is happening in the 21st century.

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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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