I am not militant.
I am not a bleeding heart, I don’t embrace every cause du jour, 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.
I am as straight-arrow, by-the-book, trust-the-Establishment as you will find in this world.
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, power…and nursing…
I’m not bluffing, over-reacting or being hysterical.
Pardon my unprofessional language, 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,
(b) or that talking about your situation should lead to a psychiatric evaluation, including obtaining signed releases from all your physicians for the last six years and seeing a board appointed PhD. Yep, clicking that box meant giving up all your protected HIPAA information! I can’t repeat that enough, it’s that appalling.
But that’s old news, 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, old news, 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, I’ve not listed it here. 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, italics mine.) Not that they looked it up, not that they deduced, but that they were notified.
(b) I’ve seen the BoN letter requesting confirmation of her attendance and,
(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. 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, this is what you do when (a) the original charges aren’t legitimate, (b) you’re angry that someone had the ovaries to not be afraid and stick up for herself, (c) they weren’t intimidated by the psychiatric evaluation, and (d) you need to ramp up the intimidation factor.
And I’ve seen the letters for this, too.
Amanda was accepted into a different university’s Acute Care Nurse Practitioner doctoral nursing program in the Fall of 2010. She began using the designation “S” following the professional designation, to denote “Student” on the auto sig on her email.
Due to some major health issues that included surgery, Amanda was unable to start the program. In November of 2010, she resigned from her job at the Mountain Vista Medical Center, using her personal email.
She had forgotten to take the “DACNP-S” off the “MSN, RN, DACNP-S” of her personal email auto sig.
So they are investigating this, per the Nurse Practice Act, for deceiving, harming or defrauding the public and/or stating or inferring she was a nurse practitioner through the use of the initials.
Boy, I hope all the public harmed by those six initials on her personal email sought help.
The Board found this terrible, egregious action of professional malfeasance during their extremely thorough investigation of Amanda’s career. For the record, the Arizona Board spends an average of 7 months investigating the average complaint, on which they average 17 hours (see this open letter to Arizona’s governor, by RN Greg Mercer.)
They must really be gunning for something here. If they had anything on the original complaint, 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. No death. No tort.
An informed patient. A change of heart. A fuming physician.
And apparently the Arizona Board of Nursing doesn’t take kindly to being questioned and operating out in the open.
In the meantime, the American Nurses Association is “monitoring closely” and the Arizona Nurses Association is working hard for the nurses of Arizona, 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, so be it.
This is a damn scary story.
What is scarier to me is the idea that Amanda should have shut up, kept her head down and just tried to get another job.
Is that what nursing is about? Are we so whipped by needing our paychecks that we don’t dare speak out about anything, anywhere, anytime?
The nurses in Texas spoke out and there was support from all over the country.
Does a nurse need to be arrested before anyone cares?
Something bad is happening in Arizona.
From the halls of Banner Health, to the inner workings of the Arizona Board of Nursing, something is wrong.
You can ignore it, vilify Amanda, write her off as “oh there must be something else”, or make fun of those of us who do support her, but the fact is this is not right.
If I’m wrong, then I’m wrong and I’ll be the first to post it.
I’m not wrong.
- Banner Health, Arizona Board of Nursing: A Personal Vendetta? (emergiblog.com)
- Hush, Hush…Keep It Down Now, Voices Carry (emergiblog.com)
- Everybody Look What’s Goin’ Down… (emergiblog.com)
- American Nurses Association: Supporting Nurses, Until You Need It (emergiblog.com)
- Banner Health Strikes Blow Against Patient Advocacy, Fires RN (emergiblog.com)
- The Nurse Stands Alone… (emergiblog.com)
- Mandated by Law, Obligated by Ethics… (emergiblog.com)
- Tsunami: A Conversation with Amanda Trujillo (Part 3 of 3) (nursetopia.net)
- Amanda Trujillo: A Fellow Nurse on the Ropes (digitaldoorway.blogspot.com)