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	<title>Comments on: What Threatens One Arizona RN Threatens Us All</title>
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	<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/</link>
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		<title>By: Richard Willner</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-26078</link>
		<dc:creator>Richard Willner</dc:creator>
		<pubDate>Wed, 21 Mar 2012 22:49:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-26078</guid>
		<description>Nurses,

If one thinks one is in trouble with a Hospital or with a State Board, get some sound advice.  

I invite anyone to give us a call.  Maybe we can point one in a good direction


Richard Willner,   CEO, Founder
The Center for Peer Review Justice
&gt;&gt;&gt; NoNurseLeftBehind&lt;&lt;&lt;

www.PeerReview.org
info@PeerReview.org

Celebrating our 12th year!!!</description>
		<content:encoded><![CDATA[<p>Nurses,</p>
<p>If one thinks one is in trouble with a Hospital or with a State Board, get some sound advice.  </p>
<p>I invite anyone to give us a call.  Maybe we can point one in a good direction</p>
<p>Richard Willner,   CEO, Founder<br />
The Center for Peer Review Justice<br />
&gt;&gt;&gt; NoNurseLeftBehind&lt;&lt;&lt;</p>
<p><a href="http://www.PeerReview.org" rel="nofollow">http://www.PeerReview.org</a><br />
<a href="mailto:info@PeerReview.org">info@PeerReview.org</a></p>
<p>Celebrating our 12th year!!!</p>
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		<title>By: Tenzing</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-24537</link>
		<dc:creator>Tenzing</dc:creator>
		<pubDate>Fri, 02 Mar 2012 04:19:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-24537</guid>
		<description>We were discussing this case in class today. It is bad enough that Amanda has to go through such a trying experience but it is a call for nurses everywhere to stand their ground. I don&#039;t understand how one physician who had a fit could make a whole institution dance to his tune. Whatever happened to the notion of healthcare team and I really don&#039;t understand how her colleagues and nursing administration dropped her like a hot potato instead of supporting her, especially when she did nothing wrong. Maybe she popped the ego of one physician but I doubt that calls for such harsh action.</description>
		<content:encoded><![CDATA[<p>We were discussing this case in class today. It is bad enough that Amanda has to go through such a trying experience but it is a call for nurses everywhere to stand their ground. I don&#8217;t understand how one physician who had a fit could make a whole institution dance to his tune. Whatever happened to the notion of healthcare team and I really don&#8217;t understand how her colleagues and nursing administration dropped her like a hot potato instead of supporting her, especially when she did nothing wrong. Maybe she popped the ego of one physician but I doubt that calls for such harsh action.</p>
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		<title>By: tlh</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-22796</link>
		<dc:creator>tlh</dc:creator>
		<pubDate>Sun, 19 Feb 2012 20:05:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-22796</guid>
		<description>This nurse did nothing wrong by ordering a case management consult. Case management should have been ordered immediately upon arrival to the facility on a potential transplant patient. Nurses routinely order case management, nutrition, and social work consults. Telling the physian in the middle of the night was unnecessary and by no means required. It is clear the physician has been out of line from the beginning. Banner should be ashamed.......</description>
		<content:encoded><![CDATA[<p>This nurse did nothing wrong by ordering a case management consult. Case management should have been ordered immediately upon arrival to the facility on a potential transplant patient. Nurses routinely order case management, nutrition, and social work consults. Telling the physian in the middle of the night was unnecessary and by no means required. It is clear the physician has been out of line from the beginning. Banner should be ashamed&#8230;&#8230;.</p>
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		<title>By: David Hammond</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-22683</link>
		<dc:creator>David Hammond</dc:creator>
		<pubDate>Sun, 19 Feb 2012 01:09:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-22683</guid>
		<description>Banner is a horrible company, and the surgeon...well, he&#039;s just a your typical (deleted) doctor.  There should be a mass protest at this hospital...I don&#039;t even know how the nurses that continue to work there put up with this.</description>
		<content:encoded><![CDATA[<p>Banner is a horrible company, and the surgeon&#8230;well, he&#8217;s just a your typical (deleted) doctor.  There should be a mass protest at this hospital&#8230;I don&#8217;t even know how the nurses that continue to work there put up with this.</p>
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		<title>By: Penelope Rock</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-20964</link>
		<dc:creator>Penelope Rock</dc:creator>
		<pubDate>Mon, 06 Feb 2012 07:25:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-20964</guid>
		<description>Indeed, the case against Amanda Trujillo is not just a case against her but a case against the nursing community. The threat against her is a threat against our licenses too if we in any case will practice patient advocacy. And above all her case is against our patients who deeply need knowledge, eh.

Thanks for sharing,
Peny@&lt;a href=&quot;http://penrocks123.typepad.com/blog/2012/01/nurse-up-for-nurse-amanda.html&quot; rel=&quot;nofollow&quot;&gt;Nurse Up for Nurse Amanda!&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Indeed, the case against Amanda Trujillo is not just a case against her but a case against the nursing community. The threat against her is a threat against our licenses too if we in any case will practice patient advocacy. And above all her case is against our patients who deeply need knowledge, eh.</p>
<p>Thanks for sharing,<br />
Peny@<a href="http://penrocks123.typepad.com/blog/2012/01/nurse-up-for-nurse-amanda.html" rel="nofollow">Nurse Up for Nurse Amanda!</a></p>
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		<title>By: Kerri RN</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-19857</link>
		<dc:creator>Kerri RN</dc:creator>
		<pubDate>Sun, 29 Jan 2012 16:38:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-19857</guid>
		<description>She did the right thing to advocate for her patient.  The whole issue is that she made a hospice consult without notifying the physician. If i had a patient who decided to hold off on surgery to get more information, I would have called the physician and informed him first and then suggested a case management consult. If the physician refused, then administration and the ethics committee would have been notified to protect the patient. The bottom line here is that we be advocates and protect our patients just as Amanda Trujillo did. The error lies in the order of actions that she took.  We all know that nurses act with autonomy in certain situations and then let the physician know.  However, when it happens with the wrong physician, it can be disastrous for the nurse&#039;s career.  I&#039;ve seen similar situations occur where nurses were fired over it. In the case of this physician, I would bet that he wasn&#039;t notified immediately because he&#039;s likely one of those physicians who verbally abuses nurses when they call for orders. 
This is one of those moments where it&#039;s become obvious that there is a  serious discrepancy between what is expected of nurses and what they can actually do. It&#039;s time for physicians and hospitals to be clear on what the nursing scope of practice is because Amanda Trujillo acted within hers.</description>
		<content:encoded><![CDATA[<p>She did the right thing to advocate for her patient.  The whole issue is that she made a hospice consult without notifying the physician. If i had a patient who decided to hold off on surgery to get more information, I would have called the physician and informed him first and then suggested a case management consult. If the physician refused, then administration and the ethics committee would have been notified to protect the patient. The bottom line here is that we be advocates and protect our patients just as Amanda Trujillo did. The error lies in the order of actions that she took.  We all know that nurses act with autonomy in certain situations and then let the physician know.  However, when it happens with the wrong physician, it can be disastrous for the nurse&#8217;s career.  I&#8217;ve seen similar situations occur where nurses were fired over it. In the case of this physician, I would bet that he wasn&#8217;t notified immediately because he&#8217;s likely one of those physicians who verbally abuses nurses when they call for orders.<br />
This is one of those moments where it&#8217;s become obvious that there is a  serious discrepancy between what is expected of nurses and what they can actually do. It&#8217;s time for physicians and hospitals to be clear on what the nursing scope of practice is because Amanda Trujillo acted within hers.</p>
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		<title>By: Gail Gabel</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-19353</link>
		<dc:creator>Gail Gabel</dc:creator>
		<pubDate>Thu, 26 Jan 2012 02:27:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-19353</guid>
		<description>What happened to this nurse can happen at anytime to any of us.  I am appalled at the surgeon, the hospital that fired her and Arizona State Board for suspending her license &quot;pending investigation&quot; AND they send her for a psych eval.  

Since when are nurses &quot;crazy&quot; for educating their patients?  Are we all nuts?  To strip her of everything she has worked for the sake of a surgeon&#039;s ego?  

This is tragic and should not be happening, this is the 21st Century afterall.</description>
		<content:encoded><![CDATA[<p>What happened to this nurse can happen at anytime to any of us.  I am appalled at the surgeon, the hospital that fired her and Arizona State Board for suspending her license &#8220;pending investigation&#8221; AND they send her for a psych eval.  </p>
<p>Since when are nurses &#8220;crazy&#8221; for educating their patients?  Are we all nuts?  To strip her of everything she has worked for the sake of a surgeon&#8217;s ego?  </p>
<p>This is tragic and should not be happening, this is the 21st Century afterall.</p>
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		<title>By: How to Support Amanda Tujillo (Arizona Nurse Fired for Patient Advocacy) &#124; The Nerdy Nurse</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-19342</link>
		<dc:creator>How to Support Amanda Tujillo (Arizona Nurse Fired for Patient Advocacy) &#124; The Nerdy Nurse</dc:creator>
		<pubDate>Thu, 26 Jan 2012 01:13:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-19342</guid>
		<description>[...] RNcentral &#8211; What Threatens One Arizona RN Threatens Us All [...]</description>
		<content:encoded><![CDATA[<p>[...] RNcentral &#8211; What Threatens One Arizona RN Threatens Us All [...]</p>
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		<title>By: amanda trujillo</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-19213</link>
		<dc:creator>amanda trujillo</dc:creator>
		<pubDate>Wed, 25 Jan 2012 07:24:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-19213</guid>
		<description>this is the first ive learned of this. im absolutely humiliated. no one told me this was going to be changed, i wasnt warned or even updated. im devastated, im feeling hopeless now, i feel so ashamed. how can this happen? I cant stop crying. people all over the country and arizona can see this. ill never work again</description>
		<content:encoded><![CDATA[<p>this is the first ive learned of this. im absolutely humiliated. no one told me this was going to be changed, i wasnt warned or even updated. im devastated, im feeling hopeless now, i feel so ashamed. how can this happen? I cant stop crying. people all over the country and arizona can see this. ill never work again</p>
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		<title>By: Vernon Dutton</title>
		<link>http://www.rncentral.com/blog/2012/what-threatens-one-arizona-rn-threatens-us-all/#comment-19207</link>
		<dc:creator>Vernon Dutton</dc:creator>
		<pubDate>Wed, 25 Jan 2012 06:44:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.rncentral.com/blog/?p=1992#comment-19207</guid>
		<description>A Facebook page has been created so you can provide support and follow the case. ALL nurses should follow, you could be next.

 Nurse Up for Amanda Trujillo https://www.facebook.com/pages/Nurse-Up-for-Amanda-Trujillo/291370237585717</description>
		<content:encoded><![CDATA[<p>A Facebook page has been created so you can provide support and follow the case. ALL nurses should follow, you could be next.</p>
<p> Nurse Up for Amanda Trujillo <a href="https://www.facebook.com/pages/Nurse-Up-for-Amanda-Trujillo/291370237585717" rel="nofollow">https://www.facebook.com/pages/Nurse-Up-for-Amanda-Trujillo/291370237585717</a></p>
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