February, 2012 Archive

July 28, 2016, 11:13 am

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Adhd mentat 60 tablets bottle $202.00 I am not a conspiracy theorist.

Adhd mentat 60 tablets bottle $202.00 I am not militant.

Adhd mentat 60 tablets bottle $202.00 I am not a bleeding heart, adhd mentat 60 tablets bottle $202.00 I don’t embrace every cause du jour, adhd mentat 60 tablets bottle $202.00 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.

Adhd mentat 60 tablets bottle $202.00 I am as straight-arrow, adhd mentat 60 tablets bottle $202.00 by-the-book, adhd mentat 60 tablets bottle $202.00 trust-the-Establishment as you will find in this world.

Adhd mentat 60 tablets bottle $202.00 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, adhd mentat 60 tablets bottle $202.00 power…and nursing…

Adhd mentat 60 tablets bottle $202.00 I’m not bluffing, adhd mentat 60 tablets bottle $202.00 over-reacting or being hysterical.

Adhd mentat 60 tablets bottle $202.00 Pardon my unprofessional language, adhd mentat 60 tablets bottle $202.00 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, adhd mentat 60 tablets bottle $202.00

(b) or that talking about your situation should lead to a psychiatric evaluation, adhd mentat 60 tablets bottle $202.00 including obtaining signed releases from all your physicians for the last six years and seeing a board appointed PhD. Adhd mentat 60 tablets bottle $202.00 Yep, adhd mentat 60 tablets bottle $202.00 clicking that box meant giving up all your protected HIPAA information! I can’t repeat that enough, adhd mentat 60 tablets bottle $202.00 it’s that appalling.

But that’s old news, adhd mentat 60 tablets bottle $202.00 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, adhd mentat 60 tablets bottle $202.00 old news, adhd mentat 60 tablets bottle $202.00 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, adhd mentat 60 tablets bottle $202.00 I’ve not listed it here. Adhd mentat 60 tablets bottle $202.00 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, adhd mentat 60 tablets bottle $202.00 italics mine.) Not that they looked it up, adhd mentat 60 tablets bottle $202.00 not that they deduced, adhd mentat 60 tablets bottle $202.00 but that they were notified.

(b) I’ve seen the BoN letter requesting confirmation of her attendance and, adhd mentat 60 tablets bottle $202.00

(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. Adhd mentat 60 tablets bottle $202.00 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, adhd mentat 60 tablets bottle $202.00 this is what you do when (a) the original charges aren’t legitimate, adhd mentat 60 tablets bottle $202.00 (b) you’re angry that someone had the ovaries to not be afraid and stick up for herself, adhd mentat 60 tablets bottle $202.00 (c) they weren’t intimidated by the psychiatric evaluation, adhd mentat 60 tablets bottle $202.00 and (d) you need to ramp up the intimidation factor.

And I’ve seen the letters for this, adhd mentat 60 tablets bottle $202.00 too.

Amanda was accepted into a different university’s Acute Care Nurse Practitioner doctoral nursing program in the Fall of 2010. Adhd mentat 60 tablets bottle $202.00 She began using the designation “S” following the professional designation, adhd mentat 60 tablets bottle $202.00 to denote “Student” on the auto sig on her email.

Due to some major health issues that included surgery, adhd mentat 60 tablets bottle $202.00 Amanda was unable to start the program. Adhd mentat 60 tablets bottle $202.00 In November of 2010, adhd mentat 60 tablets bottle $202.00 she resigned from her job at the Mountain Vista Medical Center, adhd mentat 60 tablets bottle $202.00 using her personal email.

She had forgotten to take the “DACNP-S” off the “MSN, adhd mentat 60 tablets bottle $202.00 RN, adhd mentat 60 tablets bottle $202.00 DACNP-S” of her personal email auto sig.

********

So they are investigating this, adhd mentat 60 tablets bottle $202.00 per the Nurse Practice Act, adhd mentat 60 tablets bottle $202.00 for deceiving, adhd mentat 60 tablets bottle $202.00 harming or defrauding the public and/or stating or inferring she was a nurse practitioner through the use of the initials.

Boy, adhd mentat 60 tablets bottle $202.00 I hope all the public harmed by those six initials on her personal email sought help.

The Board found this terrible, adhd mentat 60 tablets bottle $202.00 egregious action of professional malfeasance during their extremely thorough investigation of Amanda’s career. Adhd mentat 60 tablets bottle $202.00 For the record, adhd mentat 60 tablets bottle $202.00 the Arizona Board spends an average of 7 months investigating the average complaint, adhd mentat 60 tablets bottle $202.00 on which they average 17 hours (see this open letter to Arizona’s governor, adhd mentat 60 tablets bottle $202.00 by RN Greg Mercer.)

They must really be gunning for something here. Adhd mentat 60 tablets bottle $202.00 If they had anything on the original complaint, adhd mentat 60 tablets bottle $202.00 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. Adhd mentat 60 tablets bottle $202.00 No death. Adhd mentat 60 tablets bottle $202.00 No tort.

An informed patient. Adhd mentat 60 tablets bottle $202.00 A change of heart. Adhd mentat 60 tablets bottle $202.00 A fuming physician.

And the nursing management at Banner Del E. Adhd mentat 60 tablets bottle $202.00 Webb Medical Center, adhd mentat 60 tablets bottle $202.00 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, adhd mentat 60 tablets bottle $202.00 the American Nurses Association is “monitoring closely” and the Arizona Nurses Association is working hard for the nurses of Arizona, adhd mentat 60 tablets bottle $202.00 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, adhd mentat 60 tablets bottle $202.00 so be it.

Adhd mentat 60 tablets bottle $202.00 This is a damn scary story.

Adhd mentat 60 tablets bottle $202.00 What is scarier to me is the idea that Amanda should have shut up, adhd mentat 60 tablets bottle $202.00 kept her head down and just tried to get another job.

Adhd mentat 60 tablets bottle $202.00 Is that what nursing is about? Are we so whipped by needing our paychecks that we don’t dare speak out about anything, adhd mentat 60 tablets bottle $202.00 anywhere, adhd mentat 60 tablets bottle $202.00 anytime?

Adhd mentat 60 tablets bottle $202.00 The nurses in Texas spoke out and there was support from all over the country.

Adhd mentat 60 tablets bottle $202.00 Does a nurse need to be arrested before anyone cares?

*********

Adhd mentat 60 tablets bottle $202.00 Something bad is happening in Arizona.

Adhd mentat 60 tablets bottle $202.00 From the halls of Banner Health, adhd mentat 60 tablets bottle $202.00 to the inner workings of the Arizona Board of Nursing, adhd mentat 60 tablets bottle $202.00 something is wrong.

Adhd mentat 60 tablets bottle $202.00 You can ignore it, adhd mentat 60 tablets bottle $202.00 vilify Amanda, adhd mentat 60 tablets bottle $202.00 write her off as “oh there must be something else”, adhd mentat 60 tablets bottle $202.00 or make fun of those of us who do support her, adhd mentat 60 tablets bottle $202.00 but the fact is this is not right.

Adhd mentat 60 tablets bottle $202.00 If I’m wrong, adhd mentat 60 tablets bottle $202.00 then I’m wrong and I’ll be the first to post it.

Adhd mentat 60 tablets bottle $202.00 I’m not wrong.

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July 28, 2016, 2:26 am

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Zithromax 500mg pills $114.00 Back in the days before budget cuts, zithromax 500mg pills $114.00 and long before the rise of the Internet, zithromax 500mg pills $114.00 the California Board of Registered Nurses would publish a regular newsletter/report.

Zithromax 500mg pills $114.00 Every registered nurse in the state received a copy.

Zithromax 500mg pills $114.00 In the back, zithromax 500mg pills $114.00 they would list the names of the nurses who had received a disciplinary decision on their license.

Zithromax 500mg pills $114.00 I used to read that, zithromax 500mg pills $114.00 seeing if I recognized anyone I knew.

Zithromax 500mg pills $114.00 I never did.

Zithromax 500mg pills $114.00 But I would look and see just what it took to get dinged by the BRN.

Zithromax 500mg pills $114.00 Felonies and/or drug associated activities were about 99.9% of the cases.

Zithromax 500mg pills $114.00 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, zithromax 500mg pills $114.00 is this belief that a nurse accused is required to, zithromax 500mg pills $114.00 pardon my bluntness, zithromax 500mg pills $114.00 keep their mouth shut.

Now, zithromax 500mg pills $114.00 let me try and work this out…

Anyone can place a complaint with a Board of Nursing.

Anyone.

For any reason, zithromax 500mg pills $114.00 any motive. Zithromax 500mg pills $114.00 In this case it was Banner Del E. Zithromax 500mg pills $114.00 Webb Medical Center who filed the complaint with the Arizona Board of Nursing.

This complaint is public record. Zithromax 500mg pills $114.00 The fact that you have a complaint on file with the Arizona BON, zithromax 500mg pills $114.00 and the date it is filed is public record.

But…ask the Arizona Board of Nursing for a copy, zithromax 500mg pills $114.00 and you are told you cannot disclose what the complaint says. Zithromax 500mg pills $114.00 Can’t fax it. Zithromax 500mg pills $114.00 Can’t copy it. Zithromax 500mg pills $114.00 Can’t quote it.

Keep your mouth shut.

*****

So, zithromax 500mg pills $114.00 ten months pass, zithromax 500mg pills $114.00 during which the nurse investigator assigned to the case tells you your charting, zithromax 500mg pills $114.00 care plan, zithromax 500mg pills $114.00 nursing diagnosis, zithromax 500mg pills $114.00 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, zithromax 500mg pills $114.00 and proceeds to investigate/interrogate your entire career up to that point, zithromax 500mg pills $114.00 with a fine tooth comb.

They don’t find anything.

So, zithromax 500mg pills $114.00 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, zithromax 500mg pills $114.00 bad nurse!

Keep your mouth SHUT!

You are accused. Zithromax 500mg pills $114.00 We will tell you if you are relevant. Zithromax 500mg pills $114.00 We will tell you when and if you may speak.

Stand back and shut up, zithromax 500mg pills $114.00 for you are the accused.

*****

When you speak up, zithromax 500mg pills $114.00 or have others speak up on your behalf, zithromax 500mg pills $114.00 you are considered to be “retaliating“.

This buys you a psychiatric evaluation, zithromax 500mg pills $114.00 courtesy of the Board.

For that, zithromax 500mg pills $114.00 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. Zithromax 500mg pills $114.00 You comfortable with that in the hands of a state Board of Nursing, zithromax 500mg pills $114.00 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, zithromax 500mg pills $114.00 after ten months, zithromax 500mg pills $114.00 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. Zithromax 500mg pills $114.00 All the time.

Because they are afraid. Zithromax 500mg pills $114.00 Isolated.

Fear of retribution by their employers. Zithromax 500mg pills $114.00 Doctors. Zithromax 500mg pills $114.00 Corporations who wave HIPAA like it’s the national flag.

And I’m sorry, zithromax 500mg pills $114.00 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, zithromax 500mg pills $114.00 PEOPLE. Zithromax 500mg pills $114.00 To fire a nurse for allegedly not following your policy is one thing. Zithromax 500mg pills $114.00 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.

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July 28, 2016, 1:34 pm

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Suhagra 100mg pills (brand) $136.00 I have always considered the American Nurses Association my professional organization.

Suhagra 100mg pills (brand) $136.00 And I mean “my” organization.

Suhagra 100mg pills (brand) $136.00 I didn’t always agree with the political candidates they backed, suhagra 100mg pills (brand) $136.00 the health care legislation they promoted, suhagra 100mg pills (brand) $136.00 or the fact that my dues paid for political lobbying I might not agree with.

Suhagra 100mg pills (brand) $136.00 They didn’t support the National Nurse for Public Health, suhagra 100mg pills (brand) $136.00 a very grass roots movement started by staff nurses and a cause very near and dear to my heart.

Suhagra 100mg pills (brand) $136.00 But, suhagra 100mg pills (brand) $136.00 bottom line, suhagra 100mg pills (brand) $136.00 they were for nursing, suhagra 100mg pills (brand) $136.00 and I was a nurse, suhagra 100mg pills (brand) $136.00 so they were there for me.

Suhagra 100mg pills (brand) $136.00 And while I most definitely took advantage of the online benefits, suhagra 100mg pills (brand) $136.00 I never really needed the ANA for any personal, suhagra 100mg pills (brand) $136.00 professional help or support.

Suhagra 100mg pills (brand) $136.00 Which was good.

Suhagra 100mg pills (brand) $136.00 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. Suhagra 100mg pills (brand) $136.00 Webb Medical Center for patient advocacy, suhagra 100mg pills (brand) $136.00 she reached out to both the Arizona Nurses Association and the American Nurses Association for help and support.

She heard nothing.

But lately, suhagra 100mg pills (brand) $136.00 lo and behold, suhagra 100mg pills (brand) $136.00 there have been statements.

Here is the statement from the American Nurses Association, suhagra 100mg pills (brand) $136.00 taken from their Facebook page:

“The American Nurses Association (ANA) is closely monitoring the case of Amanda Trujillo, suhagra 100mg pills (brand) $136.00 MSN, suhagra 100mg pills (brand) $136.00 RN, suhagra 100mg pills (brand) $136.00 and has been in contact with her attorney. Suhagra 100mg pills (brand) $136.00 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. Suhagra 100mg pills (brand) $136.00 To be clear, suhagra 100mg pills (brand) $136.00 ANA expects the Arizona Board of Nursing to follow its standard procedure, suhagra 100mg pills (brand) $136.00 to render an unbiased judgment in this case, suhagra 100mg pills (brand) $136.00 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. Suhagra 100mg pills (brand) $136.00 It is the role of legal counsel to represent the nurse during the process. Suhagra 100mg pills (brand) $136.00 In addition, suhagra 100mg pills (brand) $136.00 ANA cautions nurses and the public not to rush to judgments about complex cases based on social media postings or other media coverage.”

So, suhagra 100mg pills (brand) $136.00 let me get this straight.

The ANA is “closely monitoring” the case. Suhagra 100mg pills (brand) $136.00 And they strongly support nurses…etc. Suhagra 100mg pills (brand) $136.00 BUT, suhagra 100mg pills (brand) $136.00 if you are an RN who is under investigation they aren’t going to back you as an individual for one second.

Then again, suhagra 100mg pills (brand) $136.00 if you are exonerated, suhagra 100mg pills (brand) $136.00 their support is no longer needed!

What a win/win for the ANA! They can give lip service to your right to practice, suhagra 100mg pills (brand) $136.00 but if you are being dragged through the mud by your state board, suhagra 100mg pills (brand) $136.00 their lips are sealed. Suhagra 100mg pills (brand) $136.00 If you aren’t guilty of anything, suhagra 100mg pills (brand) $136.00 well, suhagra 100mg pills (brand) $136.00 hey! Great! Now you don’t need their support anyway!

Oh, suhagra 100mg pills (brand) $136.00 but they appreciate the difficulty!

Ah, suhagra 100mg pills (brand) $136.00 but they don’t have all the facts, suhagra 100mg pills (brand) $136.00 you say.

Please. Suhagra 100mg pills (brand) $136.00 Nobody died in the Banner case. Suhagra 100mg pills (brand) $136.00 Nobody was harmed in the Banner case. Suhagra 100mg pills (brand) $136.00 A box was checked on a computer that sent an order for a case management hospice consult. Suhagra 100mg pills (brand) $136.00 Didn’t sign a patient up for hospice, suhagra 100mg pills (brand) $136.00 just arranged for a nurse to talk to a patient.

For that, suhagra 100mg pills (brand) $136.00 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. Suhagra 100mg pills (brand) $136.00 EVER.

She never gave them permission to contact her attorney. Suhagra 100mg pills (brand) $136.00 Never got a note or a call saying, suhagra 100mg pills (brand) $136.00 “Hi Amanda, suhagra 100mg pills (brand) $136.00 legally, suhagra 100mg pills (brand) $136.00 we can’t speak with you about the case directly, suhagra 100mg pills (brand) $136.00 but we would like to call your attorney, suhagra 100mg pills (brand) $136.00 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, suhagra 100mg pills (brand) $136.00 I just bet they do.

Well, suhagra 100mg pills (brand) $136.00 folks, suhagra 100mg pills (brand) $136.00 this is a social media posting.

You aren’t going to get the story from the Arizona Board of Nursing. Suhagra 100mg pills (brand) $136.00 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. Suhagra 100mg pills (brand) $136.00 No story from them.

You aren’t going to get the story from Banner Health. Suhagra 100mg pills (brand) $136.00 Remember, suhagra 100mg pills (brand) $136.00 they fired a nurse for patient advocacy. Suhagra 100mg pills (brand) $136.00 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. Suhagra 100mg pills (brand) $136.00 Webb Medical Center, suhagra 100mg pills (brand) $136.00 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, suhagra 100mg pills (brand) $136.00 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, suhagra 100mg pills (brand) $136.00 at RN Central.com writes about this topic here, suhagra 100mg pills (brand) $136.00 at ANA Finally Acknowledges Amanda Trujillo.

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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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