September 27, 2016, 2:26 am

Where Did Viagra Come From

Where did viagra come from Back in the days before budget cuts, where did viagra come from and long before the rise of the Internet, where did viagra come from the California Board of Registered Nurses would publish a regular newsletter/report.

Where did viagra come from Every registered nurse in the state received a copy.

Where did viagra come from In the back, where did viagra come from they would list the names of the nurses who had received a disciplinary decision on their license.

Where did viagra come from I used to read that, where did viagra come from seeing if I recognized anyone I knew.

Where did viagra come from I never did.

Where did viagra come from But I would look and see just what it took to get dinged by the BRN.

Where did viagra come from Felonies and/or drug associated activities were about 99.9% of the cases.

Where did viagra come from 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, where did viagra come from is this belief that a nurse accused is required to, where did viagra come from pardon my bluntness, where did viagra come from keep their mouth shut.

Now, where did viagra come from let me try and work this out…

Anyone can place a complaint with a Board of Nursing.

Anyone.

For any reason, where did viagra come from any motive. Where did viagra come from In this case it was Banner Del E. Where did viagra come from Webb Medical Center who filed the complaint with the Arizona Board of Nursing.

This complaint is public record. Where did viagra come from The fact that you have a complaint on file with the Arizona BON, where did viagra come from and the date it is filed is public record.

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

Keep your mouth shut.

*****

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

They don’t find anything.

So, where did viagra come from 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, where did viagra come from bad nurse!

Keep your mouth SHUT!

You are accused. Where did viagra come from We will tell you if you are relevant. Where did viagra come from We will tell you when and if you may speak.

Stand back and shut up, where did viagra come from for you are the accused.

*****

When you speak up, where did viagra come from or have others speak up on your behalf, where did viagra come from you are considered to be “retaliating“.

This buys you a psychiatric evaluation, where did viagra come from courtesy of the Board.

For that, where did viagra come from 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. Where did viagra come from You comfortable with that in the hands of a state Board of Nursing, where did viagra come from 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, where did viagra come from after ten months, where did viagra come from 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. Where did viagra come from All the time.

Because they are afraid. Where did viagra come from Isolated.

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

And I’m sorry, where did viagra come from 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, where did viagra come from PEOPLE. Where did viagra come from To fire a nurse for allegedly not following your policy is one thing. Where did viagra come from 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: 4.6 out of 5 based on 225 user reviews.

September 27, 2016, 1:34 pm

Where Did Viagra Come From

Where did viagra come from I have always considered the American Nurses Association my professional organization.

Where did viagra come from And I mean “my” organization.

Where did viagra come from I didn’t always agree with the political candidates they backed, where did viagra come from the health care legislation they promoted, where did viagra come from or the fact that my dues paid for political lobbying I might not agree with.

Where did viagra come from They didn’t support the National Nurse for Public Health, where did viagra come from a very grass roots movement started by staff nurses and a cause very near and dear to my heart.

Where did viagra come from But, where did viagra come from bottom line, where did viagra come from they were for nursing, where did viagra come from and I was a nurse, where did viagra come from so they were there for me.

Where did viagra come from And while I most definitely took advantage of the online benefits, where did viagra come from I never really needed the ANA for any personal, where did viagra come from professional help or support.

Where did viagra come from Which was good.

Where did viagra come from 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. Where did viagra come from Webb Medical Center for patient advocacy, where did viagra come from she reached out to both the Arizona Nurses Association and the American Nurses Association for help and support.

She heard nothing.

But lately, where did viagra come from lo and behold, where did viagra come from there have been statements.

Here is the statement from the American Nurses Association, where did viagra come from taken from their Facebook page:

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

So, where did viagra come from let me get this straight.

The ANA is “closely monitoring” the case. Where did viagra come from And they strongly support nurses…etc. Where did viagra come from BUT, where did viagra come from if you are an RN who is under investigation they aren’t going to back you as an individual for one second.

Then again, where did viagra come from if you are exonerated, where did viagra come from their support is no longer needed!

What a win/win for the ANA! They can give lip service to your right to practice, where did viagra come from but if you are being dragged through the mud by your state board, where did viagra come from their lips are sealed. Where did viagra come from If you aren’t guilty of anything, where did viagra come from well, where did viagra come from hey! Great! Now you don’t need their support anyway!

Oh, where did viagra come from but they appreciate the difficulty!

Ah, where did viagra come from but they don’t have all the facts, where did viagra come from you say.

Please. Where did viagra come from Nobody died in the Banner case. Where did viagra come from Nobody was harmed in the Banner case. Where did viagra come from A box was checked on a computer that sent an order for a case management hospice consult. Where did viagra come from Didn’t sign a patient up for hospice, where did viagra come from just arranged for a nurse to talk to a patient.

For that, where did viagra come from 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. Where did viagra come from EVER.

She never gave them permission to contact her attorney. Where did viagra come from Never got a note or a call saying, where did viagra come from “Hi Amanda, where did viagra come from legally, where did viagra come from we can’t speak with you about the case directly, where did viagra come from but we would like to call your attorney, where did viagra come from 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, where did viagra come from I just bet they do.

Well, where did viagra come from folks, where did viagra come from this is a social media posting.

You aren’t going to get the story from the Arizona Board of Nursing. Where did viagra come from 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. Where did viagra come from No story from them.

You aren’t going to get the story from Banner Health. Where did viagra come from Remember, where did viagra come from they fired a nurse for patient advocacy. Where did viagra come from 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. Where did viagra come from Webb Medical Center, where did viagra come from 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, where did viagra come from 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, where did viagra come from at RN Central.com writes about this topic here, where did viagra come from at ANA Finally Acknowledges Amanda Trujillo.

Average Rating: 4.6 out of 5 based on 239 user reviews.

September 27, 2016, 11:37 am

Triphala 60 Tablet Bottle $313.00

Triphala 60 tablet bottle $313.00 Looks like someone has some explaining to do.

Triphala 60 tablet bottle $313.00 This photo has a very “Twilight Zone” feel to it.

Triphala 60 tablet bottle $313.00 The only thing missing is Mr. Triphala 60 tablet bottle $313.00 Serling.

Triphala 60 tablet bottle $313.00 Unless he’s standing at the other end of the table…

Triphala 60 tablet bottle $313.00 <cue theme music…>

**********

Triphala 60 tablet bottle $313.00 The nursing blogosphere is on fire with the Amanda Trujillo story, triphala 60 tablet bottle $313.00 but there haven’t been too many comments from our physician blogger colleagues.

Triphala 60 tablet bottle $313.00 Dr. Triphala 60 tablet bottle $313.00 Dean over at the Millionaire Nurse Blog, triphala 60 tablet bottle $313.00 dedicated one of his The Best in Nurse Blogs: Amanda Trujillo Edition to the topic, triphala 60 tablet bottle $313.00 and followed it with a discussion of nurse/physician/healthcare team communication.

Triphala 60 tablet bottle $313.00 Today, triphala 60 tablet bottle $313.00 I found this post by Dr. Triphala 60 tablet bottle $313.00 Terry Simpson at Your Doctor’s Orders, triphala 60 tablet bottle $313.00 entitled Transplant or Hospice. Triphala 60 tablet bottle $313.00 Dr. Triphala 60 tablet bottle $313.00 Simpson has some valid opinions as a physician.

Triphala 60 tablet bottle $313.00 Unfortunately, triphala 60 tablet bottle $313.00 they are buried in a lack of understanding of a registered nurse’s scope of practice, triphala 60 tablet bottle $313.00 overwhelming arrogance and the use of an image of the book “Angel of Death” to make his point.

Triphala 60 tablet bottle $313.00 Everyone needs to go read this post.

Triphala 60 tablet bottle $313.00 Go ahead. Triphala 60 tablet bottle $313.00 I’ll wait.

Triphala 60 tablet bottle $313.00 This is what nurses are up against on a daily basis.

Triphala 60 tablet bottle $313.00 Not all physicians.

Triphala 60 tablet bottle $313.00 Not most physicians.

Triphala 60 tablet bottle $313.00 But enough physicians.

**********

The idea that nurses are supposed to just “take care” of the patient and defer all questions and education to the physician is mind-boggling.

Dr. Triphala 60 tablet bottle $313.00 Simpson posits that there is a time and a place to discuss end-of-life care.

And that the doctor is the one who makes that decision.

Triphala 60 tablet bottle $313.00 Seriously?

Triphala 60 tablet bottle $313.00 What happens when the patient asks about it?

Triphala 60 tablet bottle $313.00 “There, triphala 60 tablet bottle $313.00 there Mrs. Triphala 60 tablet bottle $313.00 Smith, triphala 60 tablet bottle $313.00 don’t worry your pretty little head about stuff like that. Triphala 60 tablet bottle $313.00 Doctor Welby will be in first thing in the morning and he’ll take care of everything. Triphala 60 tablet bottle $313.00 You just get some rest.”

Triphala 60 tablet bottle $313.00 Don’t worry that you will be transferred. Triphala 60 tablet bottle $313.00 Don’t worry that you will be undergoing extensive testing. Triphala 60 tablet bottle $313.00 Don’t worry about what a transplant entails or what it means for your life. Triphala 60 tablet bottle $313.00 Don’t worry about how old you might be or how involved your care might be or what resources you have.

Triphala 60 tablet bottle $313.00 We know what’s best.

Triphala 60 tablet bottle $313.00 Well, triphala 60 tablet bottle $313.00 the doctor knows what’s best.

Triphala 60 tablet bottle $313.00 In your depressed, triphala 60 tablet bottle $313.00 ill state, triphala 60 tablet bottle $313.00 you can’t possibly know what you want or understand what it all means, triphala 60 tablet bottle $313.00 or have the strength to make the right decision.

Triphala 60 tablet bottle $313.00 The doctor will decide when it’s time for you to know what you need to know.

Triphala 60 tablet bottle $313.00 Some doctors call that autonomy.

Triphala 60 tablet bottle $313.00 Whose autonomy?

**********

So, triphala 60 tablet bottle $313.00 I guess as patients, triphala 60 tablet bottle $313.00 we have a choice.

We can wait, triphala 60 tablet bottle $313.00 and only ask questions of our physician, triphala 60 tablet bottle $313.00 who may, triphala 60 tablet bottle $313.00 like Dr. Triphala 60 tablet bottle $313.00 Simpson, triphala 60 tablet bottle $313.00 tell us what we need to know when we need to know it based on their professional judgement.

Or, triphala 60 tablet bottle $313.00 we can ask questions of the entire healthcare team, triphala 60 tablet bottle $313.00 including our registered nurse, triphala 60 tablet bottle $313.00 and receive information and education that will enable us to have a discussion with our physician about our health and what we should do.

You know, triphala 60 tablet bottle $313.00 exercise our autonomy.

Average Rating: 4.7 out of 5 based on 271 user reviews.

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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