June 25, 2016, 2:26 am

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Generic viagra Back in the days before budget cuts, generic viagra and long before the rise of the Internet, generic viagra the California Board of Registered Nurses would publish a regular newsletter/report.

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Generic viagra I used to read that, generic viagra seeing if I recognized anyone I knew.

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Generic viagra But I would look and see just what it took to get dinged by the BRN.

Generic viagra Felonies and/or drug associated activities were about 99.9% of the cases.

Generic viagra It takes pretty serious stuff for the CA BRN to hit your license.

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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, generic viagra is this belief that a nurse accused is required to, generic viagra pardon my bluntness, generic viagra keep their mouth shut.

Now, generic viagra let me try and work this out…

Anyone can place a complaint with a Board of Nursing.

Anyone.

For any reason, generic viagra any motive. Generic viagra In this case it was Banner Del E. Generic viagra Webb Medical Center who filed the complaint with the Arizona Board of Nursing.

This complaint is public record. Generic viagra The fact that you have a complaint on file with the Arizona BON, generic viagra and the date it is filed is public record.

But…ask the Arizona Board of Nursing for a copy, generic viagra and you are told you cannot disclose what the complaint says. Generic viagra Can’t fax it. Generic viagra Can’t copy it. Generic viagra Can’t quote it.

Keep your mouth shut.

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

They don’t find anything.

So, generic viagra 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, generic viagra bad nurse!

Keep your mouth SHUT!

You are accused. Generic viagra We will tell you if you are relevant. Generic viagra We will tell you when and if you may speak.

Stand back and shut up, generic viagra for you are the accused.

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When you speak up, generic viagra or have others speak up on your behalf, generic viagra you are considered to be “retaliating“.

This buys you a psychiatric evaluation, generic viagra courtesy of the Board.

For that, generic viagra 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. Generic viagra You comfortable with that in the hands of a state Board of Nursing, generic viagra 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, generic viagra after ten months, generic viagra 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. Generic viagra All the time.

Because they are afraid. Generic viagra Isolated.

Fear of retribution by their employers. Generic viagra Doctors. Generic viagra Corporations who wave HIPAA like it’s the national flag.

And I’m sorry, generic viagra 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, generic viagra PEOPLE. Generic viagra To fire a nurse for allegedly not following your policy is one thing. Generic viagra 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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June 25, 2016, 1:34 pm

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Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 But, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 bottom line, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 they were for nursing, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 and I was a nurse, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 so they were there for me.

Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 And while I most definitely took advantage of the online benefits, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 I never really needed the ANA for any personal, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 professional help or support.

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*****

When Amanda Trujillo was first fired and then reported to the Arizona Board of Nursing by Banner Del E. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 Webb Medical Center for patient advocacy, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 she reached out to both the Arizona Nurses Association and the American Nurses Association for help and support.

She heard nothing.

But lately, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 lo and behold, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 there have been statements.

Here is the statement from the American Nurses Association, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 taken from their Facebook page:

“The American Nurses Association (ANA) is closely monitoring the case of Amanda Trujillo, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 MSN, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 RN, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 and has been in contact with her attorney. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 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. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 To be clear, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 ANA expects the Arizona Board of Nursing to follow its standard procedure, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 to render an unbiased judgment in this case, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 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. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 It is the role of legal counsel to represent the nurse during the process. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 In addition, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 ANA cautions nurses and the public not to rush to judgments about complex cases based on social media postings or other media coverage.”

So, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 let me get this straight.

The ANA is “closely monitoring” the case. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 And they strongly support nurses…etc. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 BUT, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 if you are an RN who is under investigation they aren’t going to back you as an individual for one second.

Then again, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 if you are exonerated, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 their support is no longer needed!

What a win/win for the ANA! They can give lip service to your right to practice, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 but if you are being dragged through the mud by your state board, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 their lips are sealed. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 If you aren’t guilty of anything, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 well, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 hey! Great! Now you don’t need their support anyway!

Oh, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 but they appreciate the difficulty!

Ah, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 but they don’t have all the facts, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 you say.

Please. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 Nobody died in the Banner case. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 Nobody was harmed in the Banner case. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 A box was checked on a computer that sent an order for a case management hospice consult. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 Didn’t sign a patient up for hospice, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 just arranged for a nurse to talk to a patient.

For that, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 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. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 EVER.

She never gave them permission to contact her attorney. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 Never got a note or a call saying, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 “Hi Amanda, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 legally, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 we can’t speak with you about the case directly, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 but we would like to call your attorney, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 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, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 I just bet they do.

Well, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 folks, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 this is a social media posting.

You aren’t going to get the story from the Arizona Board of Nursing. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 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. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 No story from them.

You aren’t going to get the story from Banner Health. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 Remember, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 they fired a nurse for patient advocacy. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 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. Mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 Webb Medical Center, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 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, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 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, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 at RN Central.com writes about this topic here, mental health > eldepryl 5mg pills (generic) > 90 pills > $143.00 at ANA Finally Acknowledges Amanda Trujillo.

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June 25, 2016, 11:37 am

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**********

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**********

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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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