Prog Blog’s Flickr Photostream

Those Emergency Blues: Arizona is Where Educating Patients is Bad, Bad, Bad: An Amanda Trujillo Update

Just a few words about Amanda Trujillo. Jennifer Olin at RNCentral.com has detailed at the latest twists and turns of her case. I won’t repeat everything, but I want to comment instead on the Arizona State Board of Nursing’s latest action. The BoN has added a further charge that Trujillo has misrepresented herself as “an end of life” specialist because she counselled and educated patients about end of life care, using the materials provided by her employer, Banner Health.

This is pretty outrageous, and I think, an abuse of process. Let me elaborate from my point of

. . . → Read More: Those Emergency Blues: Arizona is Where Educating Patients is Bad, Bad, Bad: An Amanda Trujillo Update

Those Emergency Blues: Why Physicians Should Care about Amanda Trujillo

[This post appeared last week, in slightly modified form, at KevinMd.com. Nice to see it's generating a huge response and vigorous debate there. TE.]

For the past month, the case of Amanda Trujillo has resonated deeply among nurses, triggering an avalanche of postings on Facebook, Twitter and in the nursing blogosphere. Trujillo is the Arizona nurse who was fired in April 2011 after providing education and making a hospice care consult request for an end-stage liver disease patient. This patient was slotted for pre-transplant evaluation and had poor understanding of the disease process and treatment options. Trujillo filled in

. . . → Read More: Those Emergency Blues: Why Physicians Should Care about Amanda Trujillo

Those Emergency Blues: In Which TorontoEmerg is Famous

OK, not really famous, but published on Kevin Pho’s site, KevinMD.com. Check it out, and Retweet/Like/comment as you will — it’s all in a good cause. I’ll repost it here sometime next week.

I am this morning getting an uptick in visitors from KevinMD.com. Welcome, and free to poke around.

Filed under: Blogging Navel Gazing Tagged: Amanda Trujillo, Kevin Pho, nurse bloggers

Those Emergency Blues: Just Lie Back and Think of Florence — Or Not

Nurse K, possibly the doyenne of nurse bloggers, gives her two cents on Amanda Trujillo. Her advice is to surrender:

Yes, I’m going to say it: Forget advocating. Be humble. Be honest and consistent. Go through the process. Listen to your attorney. Your most important asset as a terminated person is an unrestricted nursing license and lack of bitterness. Get advice from your attorney and mentors about what to say in job interviews about your termination. Rehearse your answers to the question of “why were you terminated from Banner Health.” Don’t decide that you’re never

. . . → Read More: Those Emergency Blues: Just Lie Back and Think of Florence — Or Not

Those Emergency Blues: Nurses are Like Howler Monkeys, Poo and All

When I was a young, inexperienced nurse, I quickly learned one lesson: the cliché that Emergency nurses are fabulously assertive, mouthy, in-your-face pitbulls is absolutely true. I don’t mean ED nurses are bitchy or backstabbing eat-their-own-young types, though this was true also, at least for some of them. I mean this: the Emergency department is a ballet of constrained chaos most days, with many competing claims for attention for the physician, the charge nurse, and your colleagues; if your patient is sick, you need to be assertive, walk right up to the physician and say, “Doctor, this patient is sick. You

. . . → Read More: Those Emergency Blues: Nurses are Like Howler Monkeys, Poo and All

Those Emergency Blues: Observations and Assessments

Notions to small for a blog post, all in one place, a.k.a. the periodic link dump.

Giving all aid short of actual help. First, some words from the American Nurses Association on Amanda Trujillo. The ANA finallyissued a news release, in which they absolutely avoided, like nervous grannies dithering over an icy stretch of sidewalk, any position at all. However, they are watching the case “closely.” They advise “nurses and the public not to rush to judgments about complex cases based on social media postings or other media coverage.” They tell nurses in trouble to avail

. . . → Read More: Those Emergency Blues: Observations and Assessments

Those Emergency Blues: Why Nurses are Furious about the Amanda Trujillo Case

The case of Amanda Trujillo has generated a great deal of passionate commentary across the nursing blogosphere. Trujillo, as you may well know, is the nurse who was fired by Banner Health Del E. Webb Medical Center for requesting multi-disciplinary hospice care case management consult for a pre-transplant patient with end-stage liver disease. The request angered the patient’s physician — not the transplant surgeon, incidentally, nor someone with any knowledge of transplant surgery — who complained to Trujillo’s manager. After her termination, the hospital subsequently reported her to the Arizona State Board of Nursing for exceeding her scope of practice. If

. . . → Read More: Those Emergency Blues: Why Nurses are Furious about the Amanda Trujillo Case

Those Emergency Blues: A Little Nurse Bashing to Start Your Day

For breakfast, how about some outrageous libel from physician-blogger Terry Simpson (Twitter: @DocSimpson). File this under how not to blog about a serious issue in health care:

The Arizona State Nursing board has asked that this nurse [Amanda Trujillo] undergo a psychiatric evaluation. The board is charged with protecting the public. The public needs to be protected from “angels of death,” and needs to know if this is the act of an illiterate nurse, or someone who will tend to rogue behavior beyond the bounds of the profession.

Screen shot of yourdoctorsorders.com. Note the gratuitous "psychiatric evaluation" reference.

. . . → Read More: Those Emergency Blues: A Little Nurse Bashing to Start Your Day

Those Emergency Blues: 10 Questions for Banner Health

Lo, a Tweet from Banner Health on the Amanda Trujillo incident, and possibly the most content-free in the history of Twitter:

Uh, huh. “Listening” and “hearing” rather imply, in this context, some sort of follow-up action (though I think Banner Health SM guru is advising the appearance of action, rather than any actual action, to fool the rubes, i.e. us.)

Given that for reasons of confidentiality employee matters won’t be discussed, there are still plenty of things Banner Health might talk about.

To wit, ten questions for Banner Health:

1. Does Banner Health have a written zero tolerance

. . . → Read More: Those Emergency Blues: 10 Questions for Banner Health

Those Emergency Blues: What the Amanda Trujillo Case Tells Me About Nurses Behaving Badly

Amanda Trujillo can take cold comfort that her situation is not unique. In the two years and odd months I have posted on this blog, I have written about six other cases where nurses (or nursing students) have been bullied and hounded:

the nurse whose hospital fired her for mouthing off to the police the Seattle nurse who committed suicide after a fatal med error the nursing student expelled from her school for posting a photograph of a placenta on Facebook the Texas nurses arrested for reporting a physician’s negligence University of Manitoba nursing students victimized because nursing faculty failed . . . → Read More: Those Emergency Blues: What the Amanda Trujillo Case Tells Me About Nurses Behaving Badly

Those Emergency Blues: Voices For Amanda Trujillo

Each of them eloquently speaks to the heart of what we do as nurses — and why nurses find how Amanda Trujillo was fired and subsequently reported to the Arizona State Board of Nursing so troubling. (Via The Innovative Nurse.)

The first is from Andrew Lopez (Twitter: @nursefriendly.)

Kevin Ross is next (Twitter: @innovativenurse ~ Webpage: Innovative Nurse)

Michael Pergrim (Twitter: @CoachPerg)

Lastly Carol Gino. “The statement nurses eat their young — we’re not doing that. There’s a group of us who are going to stand with her. we’re not going to be powerless any

. . . → Read More: Those Emergency Blues: Voices For Amanda Trujillo