February, 2012 Archive

September 30, 2016, 11:13 am

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Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I am not a conspiracy theorist.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I am not militant.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I am not a bleeding heart, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I don’t embrace every cause du jour, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 nor do I hop on what someone termed a “clown car of supporters” for whatever happens to run across the blogosphere on a given day.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I am as straight-arrow, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 by-the-book, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 trust-the-Establishment as you will find in this world.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 So when I say that I am reeling; when I say that I would take to the streets about something that has happened…when I say that I am questioning everything I thought I knew about authority, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 power…and nursing…

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I’m not bluffing, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 over-reacting or being hysterical.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 Pardon my unprofessional language, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 but there is some bad s*** going down in Arizona.

**********

The Arizona Board of Nursing has gone from ridiculous to abusive in the Amanda Trujillo case.

It wasn’t bad enough that they felt clicking a box on a computer that would order a case management hospice consult should mean enduring:

(a) a detailed interrogation about every facet of your entire career, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00

(b) or that talking about your situation should lead to a psychiatric evaluation, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 including obtaining signed releases from all your physicians for the last six years and seeing a board appointed PhD. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 Yep, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 clicking that box meant giving up all your protected HIPAA information! I can’t repeat that enough, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 it’s that appalling.

But that’s old news, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 isn’t it?

Here’s the new stuff.

********

Amanda received a letter from her university stating they were informed by the AZBoN that her license was under investigation.

Still, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 old news, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 you say? But wait!

A Board staff member wrote a letter denying it!

At Amanda’s request to keep the name of her university out of the spotlight, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I’ve not listed it here. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I have seen:

(a) the letter from her university stating they were “notified by the AZ Board of Nursing that your license is under investigation” (that’s a direct quote, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 italics mine.) Not that they looked it up, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 not that they deduced, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 but that they were notified.

(b) I’ve seen the BoN letter requesting confirmation of her attendance and, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00

(c) I’ve seen the BoN letter from a staff member who denies reporting it and is “…not aware of any other Board staff member doing so.” (Italics mine.)

So who the hell did?

Amanda’s university was notified by somebody at the Board. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 A request for confirmation of attendance is not a notification that a license is “under investigation.” Nowhere on the letter for confirmation does it say or intimate that the license is “under investigation.”

But it gets better…

********

Amanda is now being charged with using false “academic credentials”!

Yeah, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 this is what you do when (a) the original charges aren’t legitimate, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 (b) you’re angry that someone had the ovaries to not be afraid and stick up for herself, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 (c) they weren’t intimidated by the psychiatric evaluation, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 and (d) you need to ramp up the intimidation factor.

And I’ve seen the letters for this, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 too.

Amanda was accepted into a different university’s Acute Care Nurse Practitioner doctoral nursing program in the Fall of 2010. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 She began using the designation “S” following the professional designation, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 to denote “Student” on the auto sig on her email.

Due to some major health issues that included surgery, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 Amanda was unable to start the program. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 In November of 2010, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 she resigned from her job at the Mountain Vista Medical Center, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 using her personal email.

She had forgotten to take the “DACNP-S” off the “MSN, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 RN, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 DACNP-S” of her personal email auto sig.

********

So they are investigating this, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 per the Nurse Practice Act, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 for deceiving, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 harming or defrauding the public and/or stating or inferring she was a nurse practitioner through the use of the initials.

Boy, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I hope all the public harmed by those six initials on her personal email sought help.

The Board found this terrible, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 egregious action of professional malfeasance during their extremely thorough investigation of Amanda’s career. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 For the record, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 the Arizona Board spends an average of 7 months investigating the average complaint, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 on which they average 17 hours (see this open letter to Arizona’s governor, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 by RN Greg Mercer.)

They must really be gunning for something here. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 If they had anything on the original complaint, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 this would have been over long before now.

What the hell is going on?

********

And let’s remember what brought this all on.

Patient education and a referral for a case management hospice consult.

No injury. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 No death. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 No tort.

An informed patient. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 A change of heart. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 A fuming physician.

And the nursing management at Banner Del E. Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 Webb Medical Center, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 who feels that patient advocacy is something to be punished and reported to the Arizona Board of Nursing.

And apparently the Arizona Board of Nursing doesn’t take kindly to being questioned and operating out in the open.

In the meantime, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 the American Nurses Association is “monitoring closely” and the Arizona Nurses Association is working hard for the nurses of Arizona, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 but can’t support an individual nurse who is under investigation.

********

I’m not here telling anyone they need to support Amanda.

Whether you are for her or against her or couldn’t care less one way or the other, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 so be it.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 This is a damn scary story.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 What is scarier to me is the idea that Amanda should have shut up, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 kept her head down and just tried to get another job.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 Is that what nursing is about? Are we so whipped by needing our paychecks that we don’t dare speak out about anything, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 anywhere, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 anytime?

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 The nurses in Texas spoke out and there was support from all over the country.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 Does a nurse need to be arrested before anyone cares?

*********

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 Something bad is happening in Arizona.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 From the halls of Banner Health, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 to the inner workings of the Arizona Board of Nursing, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 something is wrong.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 You can ignore it, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 vilify Amanda, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 write her off as “oh there must be something else”, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 or make fun of those of us who do support her, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 but the fact is this is not right.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 If I’m wrong, ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 then I’m wrong and I’ll be the first to post it.

Ovral norgestrel 50mcg + ethinyl estradiol 250mcg pills $182.00 I’m not wrong.

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September 30, 2016, 2:26 am

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Famvir 250mg pills $158.00 Back in the days before budget cuts, famvir 250mg pills $158.00 and long before the rise of the Internet, famvir 250mg pills $158.00 the California Board of Registered Nurses would publish a regular newsletter/report.

Famvir 250mg pills $158.00 Every registered nurse in the state received a copy.

Famvir 250mg pills $158.00 In the back, famvir 250mg pills $158.00 they would list the names of the nurses who had received a disciplinary decision on their license.

Famvir 250mg pills $158.00 I used to read that, famvir 250mg pills $158.00 seeing if I recognized anyone I knew.

Famvir 250mg pills $158.00 I never did.

Famvir 250mg pills $158.00 But I would look and see just what it took to get dinged by the BRN.

Famvir 250mg pills $158.00 Felonies and/or drug associated activities were about 99.9% of the cases.

Famvir 250mg pills $158.00 It takes pretty serious stuff for the CA BRN to hit your license.

*****

The thing that bothers me most about the Amanda Trujillo case; the thing that makes me furious when I stop and think of everything surrounding it, famvir 250mg pills $158.00 is this belief that a nurse accused is required to, famvir 250mg pills $158.00 pardon my bluntness, famvir 250mg pills $158.00 keep their mouth shut.

Now, famvir 250mg pills $158.00 let me try and work this out…

Anyone can place a complaint with a Board of Nursing.

Anyone.

For any reason, famvir 250mg pills $158.00 any motive. Famvir 250mg pills $158.00 In this case it was Banner Del E. Famvir 250mg pills $158.00 Webb Medical Center who filed the complaint with the Arizona Board of Nursing.

This complaint is public record. Famvir 250mg pills $158.00 The fact that you have a complaint on file with the Arizona BON, famvir 250mg pills $158.00 and the date it is filed is public record.

But…ask the Arizona Board of Nursing for a copy, famvir 250mg pills $158.00 and you are told you cannot disclose what the complaint says. Famvir 250mg pills $158.00 Can’t fax it. Famvir 250mg pills $158.00 Can’t copy it. Famvir 250mg pills $158.00 Can’t quote it.

Keep your mouth shut.

*****

So, famvir 250mg pills $158.00 ten months pass, famvir 250mg pills $158.00 during which the nurse investigator assigned to the case tells you your charting, famvir 250mg pills $158.00 care plan, famvir 250mg pills $158.00 nursing diagnosis, famvir 250mg pills $158.00 and nursing care are above and beyond the call of duty and recommends that your case be dismissed as this is no danger to the public.

The Board says no, famvir 250mg pills $158.00 and proceeds to investigate/interrogate your entire career up to that point, famvir 250mg pills $158.00 with a fine tooth comb.

They don’t find anything.

So, famvir 250mg pills $158.00 this nurse reaches out to an author she admires (Echo Heron) and the story makes the Internet via the nursing blogs and all hell supposedly breaks loose.

Keep your mouth shut!

The Board isn’t happy she is speaking out.

She posts her response to the complaint with the patient information redacted.

Her attorney is mad! She’s a bad nurse! Bad, famvir 250mg pills $158.00 bad nurse!

Keep your mouth SHUT!

You are accused. Famvir 250mg pills $158.00 We will tell you if you are relevant. Famvir 250mg pills $158.00 We will tell you when and if you may speak.

Stand back and shut up, famvir 250mg pills $158.00 for you are the accused.

*****

When you speak up, famvir 250mg pills $158.00 or have others speak up on your behalf, famvir 250mg pills $158.00 you are considered to be “retaliating“.

This buys you a psychiatric evaluation, famvir 250mg pills $158.00 courtesy of the Board.

For that, famvir 250mg pills $158.00 they want releases from every single physician you have seen for the past six years.

All your HIPAA stuff? They’ll own it.

Now step back and think of everything you have asked your physician about in the last six years. Famvir 250mg pills $158.00 You comfortable with that in the hands of a state Board of Nursing, famvir 250mg pills $158.00 with ties to national nursing organizations and a member who works for Banner Health? You comfortable with that in the hands of a Board appointed psychiatrist?

That’s what you get for not keeping your mouth shut.

And to top it off, famvir 250mg pills $158.00 after ten months, famvir 250mg pills $158.00 someone on the Board will call your university directly and inform them you are under investigation.

Keep your mouth shut.

*****

Even nursing colleagues have doubts.

“She must have done something else.”

“No one gets fired for just one thing.”

“We don’t know all the facts.”

“There’s two sides to every story.”

And…

“She ought to keep her mouth shut.”

Does anyone even think for one minute how gutsy it was to go public…

and NOT keep your mouth shut?

*****

That’s the problem.

Nurses do keep their mouths shut. Famvir 250mg pills $158.00 All the time.

Because they are afraid. Famvir 250mg pills $158.00 Isolated.

Fear of retribution by their employers. Famvir 250mg pills $158.00 Doctors. Famvir 250mg pills $158.00 Corporations who wave HIPAA like it’s the national flag.

And I’m sorry, famvir 250mg pills $158.00 but hospital corporations like Banner Health and state Boards of Nursing do NOT work in secrecy and isolation.

A nurse was FIRED and her LICENSE put up for investigation by an employer. THIS IS HUGE, famvir 250mg pills $158.00 PEOPLE. Famvir 250mg pills $158.00 To fire a nurse for allegedly not following your policy is one thing. Famvir 250mg pills $158.00 To go after her license is quite another.

You say you want the whole story?

The only way you are going to get the whole story is to get it out of the secrecy of corporate hallways and state boardrooms and start talking about it.

Stop keeping your mouth shut.

Average Rating: 4.8 out of 5 based on 205 user reviews.

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September 30, 2016, 1:34 pm

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Zovirax cream 5% $107.00 I have always considered the American Nurses Association my professional organization.

Zovirax cream 5% $107.00 And I mean “my” organization.

Zovirax cream 5% $107.00 I didn’t always agree with the political candidates they backed, zovirax cream 5% $107.00 the health care legislation they promoted, zovirax cream 5% $107.00 or the fact that my dues paid for political lobbying I might not agree with.

Zovirax cream 5% $107.00 They didn’t support the National Nurse for Public Health, zovirax cream 5% $107.00 a very grass roots movement started by staff nurses and a cause very near and dear to my heart.

Zovirax cream 5% $107.00 But, zovirax cream 5% $107.00 bottom line, zovirax cream 5% $107.00 they were for nursing, zovirax cream 5% $107.00 and I was a nurse, zovirax cream 5% $107.00 so they were there for me.

Zovirax cream 5% $107.00 And while I most definitely took advantage of the online benefits, zovirax cream 5% $107.00 I never really needed the ANA for any personal, zovirax cream 5% $107.00 professional help or support.

Zovirax cream 5% $107.00 Which was good.

Zovirax cream 5% $107.00 Because it won’t be there if I do.

*****

When Amanda Trujillo was first fired and then reported to the Arizona Board of Nursing by Banner Del E. Zovirax cream 5% $107.00 Webb Medical Center for patient advocacy, zovirax cream 5% $107.00 she reached out to both the Arizona Nurses Association and the American Nurses Association for help and support.

She heard nothing.

But lately, zovirax cream 5% $107.00 lo and behold, zovirax cream 5% $107.00 there have been statements.

Here is the statement from the American Nurses Association, zovirax cream 5% $107.00 taken from their Facebook page:

“The American Nurses Association (ANA) is closely monitoring the case of Amanda Trujillo, zovirax cream 5% $107.00 MSN, zovirax cream 5% $107.00 RN, zovirax cream 5% $107.00 and has been in contact with her attorney. Zovirax cream 5% $107.00 ANA strongly supports nurses and their right and responsibility to engage in patient education and advocacy.

ANA appreciates how difficult it is for a nurse to undergo an investigation of his or her practice by the state board of nursing. Zovirax cream 5% $107.00 To be clear, zovirax cream 5% $107.00 ANA expects the Arizona Board of Nursing to follow its standard procedure, zovirax cream 5% $107.00 to render an unbiased judgment in this case, zovirax cream 5% $107.00 and to be fully transparent in its findings.

ANA advises that any nurse who has been alerted by the board of a complaint and an impending investigation retain legal counsel. Zovirax cream 5% $107.00 It is the role of legal counsel to represent the nurse during the process. Zovirax cream 5% $107.00 In addition, zovirax cream 5% $107.00 ANA cautions nurses and the public not to rush to judgments about complex cases based on social media postings or other media coverage.”

So, zovirax cream 5% $107.00 let me get this straight.

The ANA is “closely monitoring” the case. Zovirax cream 5% $107.00 And they strongly support nurses…etc. Zovirax cream 5% $107.00 BUT, zovirax cream 5% $107.00 if you are an RN who is under investigation they aren’t going to back you as an individual for one second.

Then again, zovirax cream 5% $107.00 if you are exonerated, zovirax cream 5% $107.00 their support is no longer needed!

What a win/win for the ANA! They can give lip service to your right to practice, zovirax cream 5% $107.00 but if you are being dragged through the mud by your state board, zovirax cream 5% $107.00 their lips are sealed. Zovirax cream 5% $107.00 If you aren’t guilty of anything, zovirax cream 5% $107.00 well, zovirax cream 5% $107.00 hey! Great! Now you don’t need their support anyway!

Oh, zovirax cream 5% $107.00 but they appreciate the difficulty!

Ah, zovirax cream 5% $107.00 but they don’t have all the facts, zovirax cream 5% $107.00 you say.

Please. Zovirax cream 5% $107.00 Nobody died in the Banner case. Zovirax cream 5% $107.00 Nobody was harmed in the Banner case. Zovirax cream 5% $107.00 A box was checked on a computer that sent an order for a case management hospice consult. Zovirax cream 5% $107.00 Didn’t sign a patient up for hospice, zovirax cream 5% $107.00 just arranged for a nurse to talk to a patient.

For that, zovirax cream 5% $107.00 a one sentence complaint accusing an RN of practicing outside her scope gets sent to the Arizona Board of Nursing.

And the ANA can’t find it within themselves to commit to supporting the individual nurse.

They sure had no problem ramping up the support for the RNs in Texas! And that was BEFORE all the facts were in!

*****

The next part should send chills up your spine.

“…and has been in contact with her attorney.”

The American Nurses Association has never contacted Amanda Trujillo about this at all. Zovirax cream 5% $107.00 EVER.

She never gave them permission to contact her attorney. Zovirax cream 5% $107.00 Never got a note or a call saying, zovirax cream 5% $107.00 “Hi Amanda, zovirax cream 5% $107.00 legally, zovirax cream 5% $107.00 we can’t speak with you about the case directly, zovirax cream 5% $107.00 but we would like to call your attorney, zovirax cream 5% $107.00 can we have his number?”

How did they get his contact information? Wasn’t from Amanda.

And the contact? Whatever it was had nothing to do with supporting her through this ordeal.

That’s a given.

*****

And finally:

“…ANA cautions nurses and the public not to rush to judgments about complex cases based on social media postings or other media coverage.”

Yeah, zovirax cream 5% $107.00 I just bet they do.

Well, zovirax cream 5% $107.00 folks, zovirax cream 5% $107.00 this is a social media posting.

You aren’t going to get the story from the Arizona Board of Nursing. Zovirax cream 5% $107.00 All they do is threaten you if you speak out and ask for your entire medical history for the last five years so they can do a psychiatric evaluation because of retaliatory behavior. Zovirax cream 5% $107.00 No story from them.

You aren’t going to get the story from Banner Health. Zovirax cream 5% $107.00 Remember, zovirax cream 5% $107.00 they fired a nurse for patient advocacy. Zovirax cream 5% $107.00 Not something you want to shout from the roof tops.

You aren’t going to get the story from the Arizona Nurses Association because their President happens to be the Director of Professional Practice at Banner Del E. Zovirax cream 5% $107.00 Webb Medical Center, zovirax cream 5% $107.00 and they are connected to the ANA.

You aren’t going to get the story from the American Nurses Association because Amanda is under investigation, zovirax cream 5% $107.00 so they aren’t taking a stand.

So it looks like social media postings for now.

I apologize for my shortcomings.

Look for “other media coverage” to be hitting soon.

*******************

Jennifer Olin, zovirax cream 5% $107.00 at RN Central.com writes about this topic here, zovirax cream 5% $107.00 at ANA Finally Acknowledges Amanda Trujillo.

Average Rating: 4.5 out of 5 based on 183 user reviews.

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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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