July 24, 2016, 12:38 am

Viagra By Mail

Viagra by mail I love my co-workers.

Viagra by mail When things get absurd and all I want to do is smack my head, viagra by mail they make me laugh.

Viagra by mail Case-in-point:

Viagra by mail We were informed that Half-and-Half would no longer be provided to staff or patients. Viagra by mail Those choosing to use creamer in their coffee would be offered Coffee-Mate, viagra by mail or could choose to “BYOH&H.”

Viagra by mail “Corporate” decided this would make a good cost-cutting measure.


Viagra by mail “Corporate” is like the “Not Me” character in the “Family Circus” comic. Viagra by mail Blamed for everything, viagra by mail but never actually seen.

Viagra by mail

Viagra by mail Normally, viagra by mail this would have engendered an eye-rolling, viagra by mail how-much-money-do-they-think-they-will-save, viagra by mail 5-minute conversation and that would have been that.

Viagra by mail However, viagra by mail the email noted:

Viagra by mail Half-and-Half would be available for all physicians and administrators!

Viagra by mail Say what?


But, viagra by mail no.

This was legit.

And I was pissed.

Not at the loss of the half-and-half, viagra by mail but the principle of the thing.

Surely the idea that physicians and administrators were more important than staff or patients, viagra by mail or were superior groups to be coddled and pampered was a remnant of the 1950s, viagra by mail something to be looked back on as a relic of a less enlightened time!

Er, viagra by mail no.


This was such a slap in the face to the staff, viagra by mail and in writing, viagra by mail no less!

Combined with everything “Corporate” has done (or been blamed for) over the last year, viagra by mail it was just too much.

Then one day, viagra by mail I walk in and see the “Will Work for Half-and-Half” jar. Viagra by mail

With donations in it!

I LOL’s until I had chest pain.

That’s the kind of humor that permeates my department.

And that is why I work where I work.

Working with colleagues who have a great collective sense of humor is worth its weight in…well, viagra by mail Half-and-Half!!!!

And right now, viagra by mail that stuff is like gold in my ER….

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July 24, 2016, 2:21 pm

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Levitra 20mg pills $198.00 Fortunately, levitra 20mg pills $198.00 they all now have homes and I will be saying good-bye by the end of the week.


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July 24, 2016, 11:13 am

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Metformin 1000mg pills $139.00 I’m not bluffing, metformin 1000mg pills $139.00 over-reacting or being hysterical.

Metformin 1000mg pills $139.00 Pardon my unprofessional language, metformin 1000mg pills $139.00 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, metformin 1000mg pills $139.00

(b) or that talking about your situation should lead to a psychiatric evaluation, metformin 1000mg pills $139.00 including obtaining signed releases from all your physicians for the last six years and seeing a board appointed PhD. Metformin 1000mg pills $139.00 Yep, metformin 1000mg pills $139.00 clicking that box meant giving up all your protected HIPAA information! I can’t repeat that enough, metformin 1000mg pills $139.00 it’s that appalling.

But that’s old news, metformin 1000mg pills $139.00 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, metformin 1000mg pills $139.00 old news, metformin 1000mg pills $139.00 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, metformin 1000mg pills $139.00 I’ve not listed it here. Metformin 1000mg pills $139.00 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, metformin 1000mg pills $139.00 italics mine.) Not that they looked it up, metformin 1000mg pills $139.00 not that they deduced, metformin 1000mg pills $139.00 but that they were notified.

(b) I’ve seen the BoN letter requesting confirmation of her attendance and, metformin 1000mg pills $139.00

(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. Metformin 1000mg pills $139.00 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, metformin 1000mg pills $139.00 this is what you do when (a) the original charges aren’t legitimate, metformin 1000mg pills $139.00 (b) you’re angry that someone had the ovaries to not be afraid and stick up for herself, metformin 1000mg pills $139.00 (c) they weren’t intimidated by the psychiatric evaluation, metformin 1000mg pills $139.00 and (d) you need to ramp up the intimidation factor.

And I’ve seen the letters for this, metformin 1000mg pills $139.00 too.

Amanda was accepted into a different university’s Acute Care Nurse Practitioner doctoral nursing program in the Fall of 2010. Metformin 1000mg pills $139.00 She began using the designation “S” following the professional designation, metformin 1000mg pills $139.00 to denote “Student” on the auto sig on her email.

Due to some major health issues that included surgery, metformin 1000mg pills $139.00 Amanda was unable to start the program. Metformin 1000mg pills $139.00 In November of 2010, metformin 1000mg pills $139.00 she resigned from her job at the Mountain Vista Medical Center, metformin 1000mg pills $139.00 using her personal email.

She had forgotten to take the “DACNP-S” off the “MSN, metformin 1000mg pills $139.00 RN, metformin 1000mg pills $139.00 DACNP-S” of her personal email auto sig.


So they are investigating this, metformin 1000mg pills $139.00 per the Nurse Practice Act, metformin 1000mg pills $139.00 for deceiving, metformin 1000mg pills $139.00 harming or defrauding the public and/or stating or inferring she was a nurse practitioner through the use of the initials.

Boy, metformin 1000mg pills $139.00 I hope all the public harmed by those six initials on her personal email sought help.

The Board found this terrible, metformin 1000mg pills $139.00 egregious action of professional malfeasance during their extremely thorough investigation of Amanda’s career. Metformin 1000mg pills $139.00 For the record, metformin 1000mg pills $139.00 the Arizona Board spends an average of 7 months investigating the average complaint, metformin 1000mg pills $139.00 on which they average 17 hours (see this open letter to Arizona’s governor, metformin 1000mg pills $139.00 by RN Greg Mercer.)

They must really be gunning for something here. Metformin 1000mg pills $139.00 If they had anything on the original complaint, metformin 1000mg pills $139.00 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. Metformin 1000mg pills $139.00 No death. Metformin 1000mg pills $139.00 No tort.

An informed patient. Metformin 1000mg pills $139.00 A change of heart. Metformin 1000mg pills $139.00 A fuming physician.

And the nursing management at Banner Del E. Metformin 1000mg pills $139.00 Webb Medical Center, metformin 1000mg pills $139.00 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, metformin 1000mg pills $139.00 the American Nurses Association is “monitoring closely” and the Arizona Nurses Association is working hard for the nurses of Arizona, metformin 1000mg pills $139.00 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, metformin 1000mg pills $139.00 so be it.

Metformin 1000mg pills $139.00 This is a damn scary story.

Metformin 1000mg pills $139.00 What is scarier to me is the idea that Amanda should have shut up, metformin 1000mg pills $139.00 kept her head down and just tried to get another job.

Metformin 1000mg pills $139.00 Is that what nursing is about? Are we so whipped by needing our paychecks that we don’t dare speak out about anything, metformin 1000mg pills $139.00 anywhere, metformin 1000mg pills $139.00 anytime?

Metformin 1000mg pills $139.00 The nurses in Texas spoke out and there was support from all over the country.

Metformin 1000mg pills $139.00 Does a nurse need to be arrested before anyone cares?


Metformin 1000mg pills $139.00 Something bad is happening in Arizona.

Metformin 1000mg pills $139.00 From the halls of Banner Health, metformin 1000mg pills $139.00 to the inner workings of the Arizona Board of Nursing, metformin 1000mg pills $139.00 something is wrong.

Metformin 1000mg pills $139.00 You can ignore it, metformin 1000mg pills $139.00 vilify Amanda, metformin 1000mg pills $139.00 write her off as “oh there must be something else”, metformin 1000mg pills $139.00 or make fun of those of us who do support her, metformin 1000mg pills $139.00 but the fact is this is not right.

Metformin 1000mg pills $139.00 If I’m wrong, metformin 1000mg pills $139.00 then I’m wrong and I’ll be the first to post it.

Metformin 1000mg pills $139.00 I’m not wrong.

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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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