Nursing & Healthcare Directories on: The Nursefriendly
Nurseup.com, A Nursing Advocacy Organization, #Nurseup
Legal Defense Funds For Nurses, Covering Attorney's Fees, Lawyer Costs

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When you need to mount a legal defense, it can be expensive meaning thousands of dollars in retainers up front, and it can mount up very quickly. The easiest way to prepare for this to have a Malpractice Insurance policy which has a "Board Defense" rider where they will pay your attorney fees up to a certain amount.

Here we'll link to other cases where Legal Defense Funds have been set up for nurses. In Amanda Trujillo's case, we used a service through Paypal which takes major credit cards, etc:

Contribute to Amanda's Legal Defense Fund:
http://apps.facebook.com/fundrazr/activity/99fa97b4502c40939c18ae0da407793c?type=endorsement


In the Case of the Winkler Nurses, the TNA did step in and assist.

Texas Nurses Association Establishes Legal Defense Fund, To Support Nurses Indicted for Being Patient Advocates:"In Winkler County, a small West Texas county adjacent to the southeast corner of New Mexico, two registered nurses are facing criminal indictments because they wanted to advocate for their patients. The felony charge: misuse of official information. Under the Texas Penal Code, misuse of information is a third-degree felony that carries the potential for two-to-ten years’ imprisonment and upwards of a $10,000 fine. It’s a pretty serious situation. Texas Nurses Association recently learned of the accusation that the two nurses – both TNA members – reported a physician at their hospital – a county hospital – to the Texas Medical Board because they had concern that the physician’s practice was below the acceptable standard of care. The nurses were soon thereafter terminated by their hospital employer. And, the physician had also filed a harassment complaint against them with the county sheriff’s department. The criminal charges according to a television news broadcast by KWES NewsWest 9 in Midland, Odessa, Big Spring, were because the nurses “sent patient files to the state medical board in an attempt to harm one of the hospital’s physicians.” Because the two nurses, Vicki Galle, RN and Anne Mitchell, RN, worked for a county hospital – and included medical record numbers of the patients in their report (actually, no patient names were disclosed) – they were charged with the felony crime of misuse of official information. Even though the Texas Medical Board stated in a letter to Winkler County attorneys that disclosing of patient identification numbers is allowed under state and federal law, the nurses must still defend themselves against the criminal charge. And, they are without their jobs."
http://www.texasnurses.org/displaycommon.cfm?an=1&subarticlenbr=509#2


NY nurse threatened, forced to assist in late-term abortion, ADF attorneys file lawsuit against hospital for violating Christian nurse’s rights of conscience:"Alliance Defense Fund attorneys filed a lawsuit Tuesday against Mount Sinai Hospital on behalf of a Catholic nurse who was forced to participate in a late-term abortion under the threat of disciplinary action, including possible termination and loss of her license. The hospital has known of her religious objections to abortion since 2004. Hospital administrators told the nurse that the scheduled abortion was an "emergency," though evidence shows otherwise, and insisted moments before the procedure that she assist doctors despite her repeated objections to the procedure, which dismembered a preborn child in the 22nd week of gestation. By federal law, hospitals that receive federal funds cannot force employees to participate in abortion procedures under any circumstances. "Pro-life nurses shouldn’t be forced to assist in abortions against their beliefs," said ADF Legal Counsel Matt Bowman. "Requiring a devout, Catholic nurse to participate in a late-term abortion in order to remain employed is illegal, unethical, and violates her rights of conscience. Federal law requires that employers who receive funding from tax dollars must not compel employees to violate their sincerely held religious beliefs, but this nurse’s objections fell on deaf ears."
http://www.alliancedefensefund.org/Home/ADFContent?cid=5015


Fathers and Families:"Fathers and Families assisted Captain Christine Brandt of the U.S. Army Nurse Corps with her Colorado Supreme Court case in which she regained custody of her 12-year-old son. Brandt’s ex, George Brandt, tried to take custody of their son away from Christine by using her military service against her. As Brandt’s attorney Stanley G. Lipkin, Esq. explained to the Court, this case is “about an active duty military person who has been deprived of the custody of her child solely by reason of her deployments.” To learn more, click here. Fathers and Families wrote an amicus brief for the Massachusetts Supreme Judicial Court which helped win a precedent-setting case protecting children in joint physical custody from being moved out of state, away from one parent."
Fathers and Families
P.O. Box 270760
Boston, MA 02127
617 542-9300
http://www.fathersandfamilies.org/the-fathers-families-legal-defense-fund/


Nurses: Insuring Your Legal Protection, Posted on October 31, 2011, The Health Law Firm:"Though many nurses pursue a career in nursing hoping that they will never face disciplinary charges, any number of events not in a nurse’s control can lead to an investigation or administrative action. Nurses need to make sure they are covered if this ever occurs, with appropriate insurance. The primary reason that a nurse should purchase a professional liability insurance policy is that this type of insurance usually includes coverage for legal defense of licensing and disciplinary action commenced against a nurse. License defense coverage pays the legal fees and costs associated with defending a nurse when an investigation is initiated that may result in action against her nursing license or disciplinary action against the nurse. Coverage is usually available from the time the nurse receives written notice that an investigation by a state agency has been initiated. It will also cover formal complaints made against the nurse, informal hearings before the Board of Nursing, and formal administrative hearings before an administrative law judge."
1101 Douglas Avenue
Altamonte Springs, FL 32714
Phone: (407) 331-6620
Fax: (407) 331-3030
http://thehealthlawfirmblog.wordpress.com/2011/10/31/nurses-insuring-your-legal-protection/

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Please Note, this bullet list may be freely distributed

Hello Everyone,

My name is Andrew Lopez, RN. I'm from New Jersey. Nurseup.com was created to serve as a resource for nurses who are being faced with difficult situations and need help.

Nurses like Amanda Trujillo, RN who was fired from Banner Del E. Webb Medical Center, Sun City, Arizona for being a patient advocate.

Nurses like: Jackson Park Memorial Hospital: Three nurses suing Chicago hospital for allege strip search, March 9, 2012, Wendell Hutson, Chicago City Hall Examiner

Nurses like: Sunrise Nurses: Union sues after Sunrise (Children's Hospital, Nevada) refuses to rehire nurse - News - ReviewJournal

Nurses like the Winkler Nurses in Texas who were retaliated against for reporting a physician to the Texas Medical Board, charged with felonies for misuse of patient information.


For the most recent blogposts, please scroll down to the end of the bullet list :)

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    Articles on Nursing Advocacy



    Articles in reverse order of publication:

    Cover yourself, no one wants to see that, By Guest Post, On April 13, 2012:"A lot has been written across online nursing communities about the case of Amanda Trujillo, a nurse currently defending her license with the Arizona State Board of Nursing. Regardless of your position on the case, it brings up an important question for nurses—how can nurses protect themselves in the event that their license is challenged?"
    http://innovativenurse.com/cover-yourself-malpractice/

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    Sifting through wreckage, April 8, 2012 By nurseinterupted:"The face of PTSD is changing, and changing fast. Once associated with war veterans (I grew up with a father who has had it since returning from VietNam), more attention is now being placed on the silent walking wounded—Nurses. Since my efforts to promote anti nurse retaliation legislation and patient’s rights legislation has taken a rather devastating blow recently, it seems a good time to begin work on writing a grant to gain funding for the healing retreat for nurses I’d like to host each year. I can’t imagine who or what could throw a wrench in that particular goal, but something positive and lasting has to come from injustice, something that even in the smallest way—helps to heal and improve our profession. Focusing my time and skills on introducing something peaceful to the wounded of our profession will also help me to get my mind off of the sad and disgusting things out there that have taken the attention away from the issues I worked so hard to bring attention to in the first place."
    http://nurseinterupted.wordpress.com/2012/04/08/sifting-through-wreckage/

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    Healthcare for People Not for Profit: Transplants and Amanda Trujillo, Center for Health, Media & Policy, April 4, 2012:"Organ transplantation is a complex and challenging undertaking for both the patient and providers. It can offer the appropriate patient opportunities for greatly improved quality and length of life and it can also offer an opportunity for profiteering and conflicted behaviors. As outlined below, transplantation produces significant revenue dollars, even for a "non-profit" hospital. Estimated U.S. Average 2011 Billed Charges Per Transplant: Heart Only - $997,700 Liver – $577,100 Kidney – $262,900 Nurse Amanda Trujillo identified that a patient she cared for at Banner Del E Webb Medical Center of Arizona lacked full information about what a transplant evaluation and post-transplant self-care entailed. She says she referred the patient for a hospice case management consultation. She was then fired for overstepping her scope of practice. Arizona's scope of practice for nurses clearly dictates a nurse's role to promote the client's best interest."
    http://centerforhealthmediapolicy.com/2012/04/04/healthcare-for-people-not-for-profit-transplants-and-amanda-trujillo/

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    Healthcare for People Not for Profit: Transplants and Amanda Trujillo, Center for Health, Media & Policy, April 4, 2012:"Organ transplantation is a complex and challenging undertaking for both the patient and providers. It can offer the appropriate patient opportunities for greatly improved quality and length of life and it can also offer an opportunity for profiteering and conflicted behaviors. As outlined below, transplantation produces significant revenue dollars, even for a "non-profit" hospital. Estimated U.S. Average 2011 Billed Charges Per Transplant: Heart Only - $997,700 Liver – $577,100 Kidney – $262,900 Nurse Amanda Trujillo identified that a patient she cared for at Banner Del E Webb Medical Center of Arizona lacked full information about what a transplant evaluation and post-transplant self-care entailed. She says she referred the patient for a hospice case management consultation. She was then fired for overstepping her scope of practice. Arizona's scope of practice for nurses clearly dictates a nurse's role to promote the client's best interest."
    http://centerforhealthmediapolicy.com/2012/04/04/healthcare-for-people-not-for-profit-transplants-and-amanda-trujillo/

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    Did We Trade Our Nursing Caps for the Invisible Cap of Apathy? April 2012, Carol Gino, RN @hopefulehealer @cgino8 #nurseup:"“Why are you sticking up for Amanda Trujillo?” nurses have asked me. My first response was, ”She fought back with the courage of her beliefs.” But the truth is that I believe she could be any one of us. Whether we find out she did some foolish things, or her judgment wasn’t always perfect, doesn’t mean to me that we should throw out all the other truths that her case has uncovered."
    http://hopefulhealer.com/did-we-trade-our-nursing-caps-for-the-invisible-cap-of-apathy/

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    Arizona BON Keeps Trujillo Under Fire, March 21st, 2012, By Jennifer Olin, BSN, RN:"I have started this blog this way several times in the past. I am an OR nurse. What I don’t usually add here, but do in conversation with other nurses, in job interviews for nursing positions and sometimes even in casual “what do you do?” conversations is say my specialty areas are plastics and head and neck (or ENT). Apparently, if I said this in Arizona I could lose my license. At yesterday’s Arizona Board of Nursing (AZ BON) Regular Meeting Amanda Trujillo, RN, was on the agenda. She is the nurse we have been talking about for weeks now, who was fired and reported to the BON by her former employer who claims she overstepped her scope of practice—despite evidence to the contrary brought out by the BON’s own investigator." http://www.rncentral.com/blog/2012/arizona-bon-keeps-trujillo-under-fire/

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    Amanda Trujillo and Nurse Advocacy, Greg Mercer, MSN, March 21, 2012:"Friends and colleagues, Nurses have a professional duty to advocate on their patients’ behalf. When our working conditions become sufficiently hostile to this mandate, we each have a simple but intimidating choice: abandon our duty out of fear or convenience, or take our advocacy a step further by publicly taking a stand for Nursing autonomy and ethical health care unfettered by corruption. Health care is big business in America: 18% of the economy and growing. I am a Psychiatric Nurse, Nurse Educator and advocate. I and many colleagues have become interested in the growing corruption in health care that degrades the integrity and quality of research, administration, regulation, and clinical practice. Given the tremendous wealth and pervasive conflicts of interest in health care today, the notion of hundreds of billions of dollars lost annually to overcharging, waste, corruption, and unneeded interventions comes as no surprise."
    http://vdutton.posterous.com/ppost-by-greg-mercer-amanda-trujillo-and-nurs

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    Tweet Me No Lies, March, 20, 2012 Author: Mother Jones, RN:"Someone at the ANA needs a nose job. They just told a lie. I hopped onto Twitter yesterday to check out some tweets after I learned that the ANA had mentioned Kim McAllister from Emergiblog and me in one of their messages. Here’s a screen shot"
    http://www.nurseratchedsplace.com/2012/03/tweet-me-no-lies/

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    Amanda Trujillo, RN: The AZ BON Considers Her Case, By Jennifer Olin, BSN, RN, March 16th, 2012:"Amanda Trujillo, RN, may not be a registered nurse by this time next week. For her sake I hope that doesn’t happen. For my sake, for the sake of nursing, I hope that doesn’t happen. Trujillo is the Arizona nurse bloggers across the country have been talking about since the beginning of the year. Writers, who are nurses and physicians and concerned citizens, have taken up her story with zeal. Almost a year ago now, she was fired from her job at an Arizona hospital for, ostensibly, standing up for her patient. To recap, Trujillo advocated for one of her patients, used hospital approved teaching materials, stayed with the scope of practice routinely used at her facility and dictated by the Arizona State Board of Nursing, suggested to her patient that they might want to get information on alternative treatments from the surgery proposed by the patient's physician, and followed through on the patient's request to have a hospice consultation."
    http://www.rncentral.com/blog/2012/amanda-trujillo-rn-the-az-bon-considers-her-case/

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    RN Calls for Boycott on the State of Arizona, March 15th, 2012 by Nurse Talk:"RN Greg Mercer of Arlington, MA has called for a boycott on the State of Arizona in response to the Amanda Trujillo case. He is collecting signatures on change.org, here is the what they say: BOYCOTT ARIZONA FOR NURSES AND PATIENTS: After multiple invitations to a civil dialogue regarding AZ BON, Governor Brewer has not replied or addressed any of the issues raised. In fact, the only response to date hase been an increase in the seeming intimidation and abuses of power directed at a nurse, Amanda Trujillo, whose seemingly frivolous and abusive case before the Board has languished unresolved for a year to date, leaving her unemployed and impoverished." http://nursetalksite.com/2012/03/15/rn-calls-for-boycott-on-the-state-of-arizona/

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    An Open Letter: Dear Future of Nursing, March 11, 2012 Author: Mother Jones, RN:"I choked on my breakfast this morning while I was surfing the web. It all started when I checked out the Future of Nursing: Campaign for Action website. According to the website, “The Future of Nursing:Campaign for Action is an initiative to advance comprehensive health care change. It envisions a health care system where all Americans have access to high-quality, patient-centered care, with nurses contributing to the full extent of their capabilities.” Two of their objectives is to strengthen nurse education and training, and to help enable nurses to practice to the full extent of their education. The campaign is coordinated through the Center to Champion Nursing in America (CCNA), an initiative of AARP, the AARP Foundation and the Robert Wood Johnson Foundation (RWJF)."
    http://www.nurseratchedsplace.com/2012/03/an-open-letter-dear-future-of-nursing/

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    Amanda Trujillo RN – fired for being a patient advocate, Posted on March 2, 2012 by Pat Iyer:"The story of Amanda Trujillo is a horrifying one. Briefly, she is a single mom who fought to get off welfare and fulfilled her dream of becoming a nurse. Not only did she become a nurse, she earned a masters degree in nursing. One night while working at Banner Health in Arizona, she took care of a patient who was being asked to undergo a liver transplant. In talking to the patient, Amanda learned that the patient did not fully understand what was going to occur. Amanda educated the patient. She explained the option of hospice instead. The patient decided against the transplant. Then the physician came in, had a well- witnessed tantrum at the hospital when he found out his patient had decided against surgery, and Amanda was fired by the hospital. Her case came up for review by the Arizona Board of Nursing. The summary of her case written by the attorney representing her is below. Amanda has been devastated in terms of her career and her finances. She is back on welfare, her dream of being a nurse shattered." http://www.medleague.com/blog/2012/03/02/amanda-trujillo-rn-fired-for-being-a-patient-advocate/

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    Amanda Trujillo, RN: Single Mother Fighting for Her Integrity, March 02, 2012, dhoffman2, Blogher.com:"Everyone is a patient...either now or in the future. That's a fact. Another fact is that we all die. Sometimes our deaths can be made easier. Sometimes not. Amanda Trujillo is a nurse who tried to make a dying patient's life and dying easier. She worked in Arizona and was fired in April 2011 after providing education and making a hospice care consult request for a patient with end-stage liver disease. The patient had been in the hospital for 7 days and was supposed to get a pre-transplant evaluation. Unfortunately, the patient did not know anything about his/her liver disease, liver transplant or choices about treatment."
    http://www.blogher.com/amanda-trujillo-rn-single-mother-fighting-her-integrity

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    The Nurse Who Helped Too Much, Amy Tenderich, DiabetesMine:"It might be hard to believe in this day and age of “participatory medicine” and empowered patients — or in any day and age, really — but the fact is that an Arizona-based nurse was fired from her job recently for simply providing a patient too much information on his treatment options. The nurse’s name is Amanda Trujillo, a single mother living in Phoenix, and licensed nurse in Arizona since 2006. She specializes in cardiology, geriatrics, and end of life/palliative care. The sin she supposedly committed was setting up a consultation on hospice care for a patient suffering from end-stage liver disease, who was scheduled for surgery. This “interference” angered the patient’s physician, who then had Amanda fired and reported her to the Arizona State Board of Nursing, where she is now in danger of losing her nursing license. Fellow health care professionals and patient advocates are flooding the blogosphere in support of her cause!" https://www.diabetesmine.com/2012/03/the-nurse-who-helped-too-much.html

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    Amanda Trujillo, part 2, Saturday, February 25, 2012, End of Shift Report - Stories From an Operating Room:"It gets much worse: the Arizona State Nursing Board has ordered Nurse Trujillo to undergo a mental health evaluation in retaliation for her going public with the matter.With the Boards paid psychiatrist to boot, not a disinterested third party. Whats more, they have also ordered her to turn over records from all the physicians she has ever seen for any reason. What happened to her rights of privacy? There seems to be nothing that this outrageous order could contribute to an investigation of the matter. And it turns out that the President of the board of Nursing is also in a position of authority at the hospital that fired Nurse Trujillo. Can anybody spell "conflict of interest"? This order for a mental health evaluation stinks of authoritarian excess reminding one of the KGB or Gestapo."
    http://endofshiftreport.blogspot.com/2012/02/amanda-trujillo-part-2.html

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    Why physicians should care about Amanda Trujillo-KevinMD by @jaydoe February 25, 2012:"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 the gaps for this patient. Trujillo then requested, at the patient's own wish, a hospice team consult, documented her actions appropriately, and left a note (it was night shift) for the primary physician."

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    Why physicians should care about Amanda Trujillo, by J. Doe, RN in Patient, February 25, 2012:"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 the gaps for this patient. Trujillo then requested, at the patient’s own wish, a hospice team consult, documented her actions appropriately, and left a note (it was night shift) for the primary physician. These actions — the education and the hospice team consult — drew the wrath of both the primary physician, who demanded her dismissal and her license, and also her nursing director, who told Trujillo she had ”messed up all the doctors’ hard work and planning for the surgery.” The patient-requested hospice care consult was cancelled. Trujillo’s employer subsequently fired her, and reported her to the Arizona State Board of Nursing for exceeding nursing scope of practice, though in fact, nurses previously had ordered a hospice care consult without consequence. In short, many nurses believe Trujillo was fired for educating and advocating for her patient."
    http://www.kevinmd.com/blog/2012/02/physicians-care-amanda-trujillo.html

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    Arizona’s attack on nurses: the Amanda Trujillo case goes viral, by DA Morales on Feb. 23, 2012:"From KPHO (Phoenix CBS), Nurse says she was fired for educating patient. Inside Banner Del Webb Hospital in Sun City West, nurses are constantly tending to sick patients. That’s what Amanda Trujillo said she was doing last April when she spoke with a patient on the eve of their surgery. “I discovered that they had a very big misunderstanding about what they were about to participate in,” Trujillo told CBS 5 News. Trujillo, a licensed nurse in Arizona since 2006, said she advised the patient of possible complications. The patient decided to delay the surgery and reconsider his or her options. Trujillo said she also ordered a case management consult for the patient to be educated about hospice care. “The doctor, ultimately, is the focal point that directs care for patients,” said Banner spokesman Bill Byron, who said company policy prevents nurses from ordering a case management consult. “This is what we go to school to do. We are licensed to teach our patients, we are licensed to advocate,” said Trujillo." http://threesonorans.com/2012/02/23/arizonas-attack-on-nurses-the-amanda-trujillo-case-goes-viral/

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    Matthew Browning in support of Amanda Trujillo deleted by American Journal of Nursing, February 21, 2012:"THEN THE AJN BANNED BOTH OF US FROM THEIR FACEBOOK PAGE. Matthew Browning posted the following on the American Journal of Nursing Facebook page. The implication that she somehow "broke the law" here, by the AJN's "editor" , is as grievous an injury as the BON asking for a mental health eval- maybe she was dressed like she was asking for itLegal Defense Funds For Nurses, Covering Attorney's Fees, Lawyer Costs I am saddened that THIS rubbish is considered the voice of American Nursing. The time is right for a new voice for American Nurses. Nurses who advocate for their patients, their fellow nurses and their profession DESERVE a strong voice of support- not this BS waffling by some editor."
    http://vdutton.posterous.com/post-by-matthew-browning-in-support-of-amanda

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    In the Footsteps of Rosa Parks, Mother Jones, RN, February 20, 2012:"You must never be fearful about what you are doing when it is right." Rosa Parks. Nurse K, the proprietor of Crass-Pollination: An ER Blog just wrote a post about the Amanda Trujillo case. She and I have very different opinions about Amanda's case, but I encourage you to read her post because she reflects the opinion of many nurses about Amanda's situation. Nurse K gives an accurate blow by blow description on how corporate nurse leaders wage war against their nursing staff. She explains how nurse managers orchestrate the demise of nursing careers. Make management angry and you get the axe, and there isn't a nurse alive that hasn't witnessed or experienced the wrath of hospital management. Nurses scatter and go underground when someone gets in trouble, and conventional wisdom states that a nurse should be contrite and take their punishment when they are abused by those who hold power. Many people are wondering why Amanda didn't follow the same path. Some, like Nurse K, are suggesting that Amanda is committing career suicide. Other's have told Amanda to "shut up." The American Nurses Association and the Arizona Nurses Association won't support an individual nurse who is "under investigation." Egregious comments and actions are coming from the Arizona Board of Nursing. Kim McAllister from Emergiblog writes about the board's actions here." http://www.nurseratchedsplace.com/2012/02/in-the-footsteps-of-rosa-parks/

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    Amanda Trujillo: An Unfortunate Case of Career Suicide, Friday, February 17, 2012, Crass Pollination:"I used to be really poor back in the day. I'm not talking "I had a five-year-old computer and sometimes I had to go to Subway instead of somewhere that was Zagat rated." I'm talking no heat outside of a single space heater in below-freezing temps, a food budget of $10/week for three people, no functioning toilet (sh*tting outside in the snow sucks, take note), a leaky roof, and neighbors stopping by to give me and my son meat. Really, being poor sucks. I got straight As in college with all this going on." http://crasspollination.blogspot.com/2012/02/amanda-trujillo-unfortunate-case-of.html

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    Boards of Nursing and the Amanda Trujillo Case, February 17, 2012, By Shawn Kennedy, MA, RN, AJN editor-in-chief:"Our prior post on the Amanda Trujillo case elicited many comments, on a variety of themes. There were also referrals and crosslinks to other sites supporting, analyzing, and weighing in on the situation, including statements from the Arizona Nurses Association and the ANA, and a post on a physician blog, "White Coat's Call Room," which has vowed to carry all the details once the case is decided." http://ajnoffthecharts.com/2012/02/17/boards-of-nursing-and-the-amanda-trujillo-case/

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    Here's What You Think About RN Amanda Trujillo's Story, February 15th, 2012, By Jennifer Olin, BSN, RN:"I rarely worry about losing my job as a nurse. I'm generally professional, mostly on time, anal retentive about patient safety and for the most part people seem to like me. I am bossy, but I am a nurse (specifically an OR nurse so that comes with the territory). I am demanding on my patient's behalf (but sometimes that slips over into my personal life) and I hate charting (which is hard on my chart reviewers and why I love medical mission work). I share all this because I am human; just like every nurse. Most of us don't consider we will lose our jobs for doing our jobs, sometimes no matter how difficult we are to work alongside. Arizona nurse Amanda Trujillo never considered she would lose her job and possibly her license for being safety conscious and demanding on her patient's behalf." http://www.rncentral.com/blog/2012/heres-what-you-think-about-rn-amanda-trujillos-story/

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    Amanda Trujillo RN, Monday, February 13, 2012, End of Shift Report - Stories From an Operating Room:"I am breaking into my usual fiction to tell you about a real travesty taking place in Arizona. Amanda Trujillo RN advised a patient who was up for a liver transplant about other options at the patients request. This is a normal and expected duty of an RN. As a result, the patient and his family decided against the liver transplant. The Surgeon involved went ballistic, threw a well documented temper tantrum, went to the Hospital administration and demanded Nurse Trujillo's termination, which they did. He then went and filed a complaint with the Arizona State Nursing Board who have placed Nurse Trujillo under investigation. The American Nurses Association, who supposedly represent nurses has issued a fatuous, self serving masterpiece of administrative-do-nothing statement that if anything, supports the hospital, the surgeon and the state board. The Arizona State Nurses Association also has done nothing.The leadership of the state board and the state association have been seen schmoozing with other powers that be. Am I surprised? No. Am I outraged? Yes. Over the years I have seen many, many instances of Nurses having to put up with abusive behavior if not outright assault and battery by Physicians. I have yet to see any Physician receive appropriate discipline, and in most instances no discipline."
    http://endofshiftreport.blogspot.com/2012/02/amanda-trujillo-rn.html

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    Healthcare Providers Strive For Excellence, February 8th, 2012, By Jennifer Olin, BSN, RN, @JOlin2 :"Hospitals and other healthcare facilities that earn Magnet Recognition are examples of how nurses and nursing care can influence patient outcomes. It is a great honor and it is one healthcare providers spend a lot of time and money to achieve. However, there are only about 400 Magnet hospitals around the world and thousands of fine healthcare institutions employing nurses everywhere you look."
    http://www.rncentral.com/blog/2012/healthcare-providers-strive-for-excellence/

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    Why Nurses are Furious about the Amanda Trujillo Case, February 7, 2012, Those Emergency Blues:"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 the Board finds against Trujillo, she may well face the loss of her license or other sanctions; in the event, her nursing career would be finished. Superficially, at least, an open and shut case, or least this is how Banner Health would like to project the controversy. Scratch the surface a little and matters change considerably. So why are nurses so furious? Part of it is the apparent coincidence of any number of other, seemingly random bits of information outside the direct narrative of Trujillo's story. The fact that the Arizona State Board of Nursing chose to deem Trujillo's attempt to defend herself publicly as "retaliatory behavior" just as her story was becoming part of the general conversation, and then ordered a psychiatric evaluation is one of those seemingly random bits. This struck me particularly. Suspicious minds might see a pattern to punish Trujillo for speaking up by publicly labelling her mentally disturbed (and in health care, as any nurse will tell you, acquiring that label is doubly damning.) For myself, I will be content to note that throughout history calling people crazy is a traditional means of discrediting those challenging authority and marginalizing dissent."
    http://torontoemerg.wordpress.com/2012/02/07/why-nurses-are-furious-about-the-amanda-trujillo-case/

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    Amanda Trujillo, Whitecoat, Emergency Physicians Monthly, February 6, 2012:"I finally took the time to read some other blogs today. One of the issues that I found disturbing was the case of Amanda Trujillo. There are a lot of bits and pieces out there about what actually happened in this case. This blog post was reportedly an e-mail from Amanda describing the events. A summary of the post follows. Amanda was a registered nurse of six years , specializing in cardiology, geriatrics, and end of life/palliative care. In April 2011, she was caring for a dying patient at Banner Del E. Webb Medical Center who had agreed to a major invasive surgery recommended by a staff surgeon. Amanda used materials from her hospital to educate the patient about the details of the surgery and the aftercare. The patient became upset, stating that the surgeon never explained details of the surgery or what had to be done after the surgery (complex lifetime daily self care). Amanda also discovered that the patient "had no idea" that surgery could be refused or that the patient could enroll in hospice care. She educated the patient on those options as well." http://www.epmonthly.com/whitecoat/2012/02/amanda-trujillo/

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    The Nurse: The Swiss Army Knife of Healthcare, by carol-gino on February 5, 2012:"Okay so, after reading a ton of books trying to find a definition of nursing that matched my experience, I fell asleep with no clear cut answer to my question, "What is a nurse?" I mean it's not that I haven't been pondering that for a very long time, it's just that nothing so far has satisfied me. I've seen brilliant bedside nurses–and I don't mean nurses who only cared for patients with superb care and compassion– I mean smart, really smart diagnosticians. Nurses who doctors asked, "What do you think is going on with this patient?" And when they answered, there was true appreciation and respect from the doctor to that nurse. They were colleagues, no question there. I've seen ICU nurses, who both doctors and patients trusted to look at a monitor, administer meds — both stat and with standing orders — who saved patients lives time and time again, before a doctor ever could get to the Unit.
    http://hopefulhealer.com/the-nurse-the-swiss-army-knife-of-healthcare/

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    #NurseUp and Educate On!! Support Each Other! ER Nurses Care, Thursday, February 2, 2012:"Nurses all over the US are upset and simply can't understand how on earth a nurse could be fired for being a patient advocate, educating her patient on all aspects of their care and explaining in detail treatment plans, which led to a greater understanding by her patient and subsequent change in plans. Amanda Trujillo is an advocate for her patients, she did what we all do every shift that we work, make sure our patients understand what is wrong with them, the plan of care, which includes educating them on any treatments, procedures, medications, surgeries, activities or anything else the patient or family asks of us. http://ernursescare.blogspot.com/2012/02/nurseup-and-educate-on-support-each.html

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    Tsunami: A Conversation with Amanda Trujillo (Part 3 of 3), by Nursetopia on February 2, 2012:"Amanda nailed this situation during our call when she said, "This is bigger than me." She explained her actions – reaching out to colleagues via emails and social media – is not about revenge or getting even with any organization. She understands the Arizona Board of Nursing must investigate her because she was reported, however, the reason she was reported – a case management consult construed as a medical order – is the bothersome part. "We all make mistakes, realize them, use them to change, give thanks for them, and move on. If I had done something wrong, I could take it. If I had done something wrong." Amanda's story is a ripple culminating in a tsunami of change and ideas and discussions. When asked what she'd like other nurses to know, she provided three thoughts:" http://nursetopia.net/2012/02/02/tsunami-a-conversation-with-amanda-trujillo-part-3-of-3/

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    A Letter From the Arizona Nurses Association,February 1, 2012, Author: Mother Jones, RN, @motherjonesrn:"I wrote a letter to the Arizona Nurses Association when I learned that the association was not coming to the aid of Amanda Trujillo. If you haven't heard, Amanda was fired from Banner Del E. Webb Medical Center after she educated one of her patients about their upcoming liver transplant. I wrote about it here and here. I couldn't understand why the association was twiddling its thumbs until I learned that Teri Hill, the president of AzNA is also the Director of Professional Practice at Banner Del E. Webb Medical Center. This is what I wrote: "I've been a registered nurse for 35 years and I had thought I had seen everything until I read about the persecution of Amanda Trujillo. I wondered why the Arizona Nurses Association wasn't backing her until I learned that you are affiliated with the hospital that fired Ms. Trujillo. Shame on you for throwing a nurse under the bus just to appease a doctor that obviously has an anger management issue. Sorry the hospital lost out on a billable procedure, but the patient had a right to know about all of their treatment options. I hope your membership throws you all out of office for not backing Ms. Trujillo. You are a disgrace to the nursing profession.""
    http://www.nurseratchedsplace.com/2012/02/a-letter-from-the-arizona-nurses-association/

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    Waves: A Conversation with Amanda Trujillo (Part 2 of 3), by Nursetopia on February 1, 2012:"Nurses throughout the U.S. and Canada are standing beside Amanda Trujillo, RN, MSN. We're talking about this everywhere – in blogs, social media, our offices, you name it. Admittedly, Amanda is a shy person; she's not accustomed to this attention. Yet, she says, "For the first time, I feel safe; for the first time, I don't feel alone." Why does Amanda's story resonate with so many of us? Because the majority of us have faced a sliver of Amanda's story. We've each felt alone in our careers – in certain situations – at one point or another, and we don't think anyone should have to do that. Despite what most believe, there is a strong cohort of nurses who don't eat our profession's young; rather, we take them under our wings and mentor them. It's unfortunate so many nurses do not get to see this amazing group of nurses because they typically find one another, encourage one another, and make their organizations great. The same is true for the bullies – those nurses that really should never provide care for people because they are constantly tearing down everyone they meet. They find one another, too, creating hostile and toxic environments, driving nurses away from the profession and making them think they are failures."
    http://nursetopia.net/2012/02/01/waves-a-conversation-with-amanda-trujillo-part-2-of-3/

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    An Update on AZ Nurse Amanda Trujillo Case, Submitted by Mech on Wednesday, 1 February 2012:"Amanda Trujillo, a registered nurse in Arizona, has been scuffling with her case on patient advocacy for several months already. On January 24, 2012, her case was supposedly to be heard. But unfortunately, it has been postponed and rescheduled on March. And what is reason for delaying it? The AZ BON don't like Amanda's online activity and feel she threatened a former boss. Thus, they are requiring her to undergo first a psychiatric evaluation. With the popularity that Amanda Trujillo's case is receiving online, it made me realized then how important social media is in healthcare industry. They are not only beneficial in promoting health awareness but also allow people in nursing scrubs to share their experiences. Additionally, social media makes it possible for nurses to extend their support to fellow professionals in nursing scrubs like AZ nurse Amanda Trujillo who is currently in a dilemma.
    http://www.scrubpoint.com/2012/02/01/an-update-on-az-nurse-amanda-trujillo-case/

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    Ripples: A Conversation with Amanda Trujillo (Part 1 of 3), by Nursetopia on January 31, 2012:"I know there are people who have read and read and read about Amanda Trujillo. In fact, there are so many great posts, I don't know who to link to so you can see them all. Be sure to check out The Nerdy Nurse, Those Emergency Blues, Emergiblog, iCoachNurses, Nurse Ratched's Place, and Vern Dutton's page. There are a plethora of links between those fabulous blogs. Still, there are many who have no idea what is happening in Arizona. You can read Amanda's story in her own words; please, do. I spoke with Amanda via telephone for over an hour, listening to her tell her story and asking questions. The many subsequent posts are for Amanda as well as inspired by her. I thank her for sharing her time and story with me so I can share it with you in hopes you will share it with others. This must stop."
    http://nursetopia.net/2012/01/31/ripples-a-conversation-with-amanda-trujillo-part-1-of-3/

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    Arizona Nurse Has License Threatened By Doctor After Providing Patient Education, January 22, 2012 By The Nerdy Nurse:"There are times in my nursing career when I am so very proud of how far we have come in advancing our profession. Unfortunately, there are also times where I am reminded that this is still very much an uphill climb we must make in order to legitimately participate in truly collaborative healthcare. Today is one of those days in which I am reminded we still have battles to win. The following blog post is related to an email that was originally sent to @EchoHeronAuthor. It was then posted on Vernon Dutton's Posterous, Amanda Trujillo case will go before the Arizona State Board of Nursing on January 24th, 2012. Her story is one of an archaic medical model in which the doctor's word is supreme and we are all just nurse maids here to do their bidding. This is an indication that there are many who do not wish to continue to advance toward collaborative healthcare in which we work as a team to provide patients with the best care possible. This is also an example of persons who may not be in medicine for the right reasons."
    http://thenerdynurse.com/2012/01/arizona-nurse-has-license-threatened-by-doctor-after-providing-patient-education.html

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    http://nursetopia.net/2012/01/31/ripples-a-conversation-with-amanda-trujillo-part-1-of-3/

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    Amanda Trujillo – Nurse fired for being a patient advocate, Pat Iyer, January 30, 2012:"The story of Amanda Trujillo is a horrifying one. Briefly, she is a single mom who fought to get off welfare and fulfilled her dream of becoming a nurse. Not only did she become a nurse, she earned a masters degree in nursing. One night while working a Banner Health in Arizona, she took care of a patient who was being asked to undergo a liver transplant. In talking to the patient, Amanda learned that the patient did not fully understand what was going to occur. Amanda educated the patient. She explained the option of hospice instead. The patient decided against the transplant. Then the physician came in, had a well- witnessed tantrum at the hospital when he found out his patient had decided against surgery, and Amanda was fired by the hospital. Her case came up for review by the Arizona Board of Nursing. The summary of her case written by the attorney representing her is below. Amanda has been devastated in terms of her career and her finances. She is back on welfare, her dream of being a nurse shattered."
    http://www.avoidmedicalerrors.com/2012/01/amanda-trujillo-nurse-fired-for-being-a-patient-advocate/

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    Banner Health, Arizona Board of @Nursing: A Personal Vendetta? Emergiblog:"Sorry, no. This is the problem. There is a huge injustice being perpetrated against a nurse right this moment. It's getting worse. And the ones who got the party started aren't happy that it isn't quiet. That their moves, and their motives, are under public scrutiny. That nurses are talking. Because if you are quiet, it means they've got you frightened. If you are quiet, it's harder for the next nurse to speak out. If you are quiet, it is easier to intimidate and retaliate against nurses with impunity. I received a call from the Arizona Board of Nursing this morning. I am not able to obtain a copy of the Banner Del E. Webb Medical Center complaint against Amanda Trujillo, RN, MSN."
    http://www.emergiblog.com/2012/01/banner-health-arizona-board-of-nursing-a-personal-vendetta.html

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    Nurses associations, my very own arcade claw machine by Kevin Ross, January 29, 2012:"It seems that there isn't any shortage of things to write about here at Innovative Nurse when it comes to fellow nurse Amanda Trujillo. Search Twitter for #NurseUp, and all of the amazing nurse bloggers out there (links below), that have kept you somewhat up to speed on the case of Amanda. So, I was on Tweetchat this past Sunday with some of these amazing nurse bloggers, leaders, and entrepreneurs out there and the support is just off the hook (save that hook reference for a sec). I know we're here for a bigger cause than Amanda. I just can't believe it took something like this to bring us together. We're here for the nursing profession, and in support of our ability to work collaboratively and to advocate for our patients. There are nursing professionals I've never even met that are pouring themselves into this cause with great vigor. Watch out because the energy behind this is unstoppable."
    http://innovativenurse.com/nurses-association-arcade-claw-machine/

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    Voices For Amanda Trujillo, Jay Doe, Those Emergency Blues, January 28, 2012:"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.)"
    Facebook: http://www.facebook.com/people/Jay-Doe/100000771416457
    Twitter: http://twitter.com/#!/TorontoEmerg
    http://torontoemerg.wordpress.com/2012/01/28/voices-for-amanda-trujillo/

    ******************************************************

    Arizona Nurse Has License Threatened By Doctor After Providing Patient Education January 22, 2012 By The Nerdy Nurse:"There are times in my nursing career when I am so very proud of how far we have come in advancing our profession. Unfortunately, there are also times where I am reminded that this is still very much an uphill climb we must make in order to legitimately participate in truly collaborative healthcare. Today is one of those days in which I am reminded we still have battles to win. The following blog post is related to an email that was originally sent to @EchoHeronAuthor. It was then posted on Vernon Dutton's Posterous, Amanda Trujillo case will go before the Arizona State Board of Nursing on January 24th, 2012. Her story is one of an archaic medical model in which the doctor's word is supreme and we are all just nurse maids here to do their bidding. This is an indication that there are many who do not wish to continue to advance toward collaborative healthcare in which we work as a team to provide patients with the best care possible. This is also an example of persons who may not be in medicine for the right reasons."
    http://thenerdynurse.com/2012/01/arizona-nurse-has-license-threatened-by-doctor-after-providing-patient-education.html

    ******************************************************

    Advocating for a fellow Nurse: Amanda Trujillo, MSN, RN, DNSc-NP(s), Kevin Ross, January 22, 2012, #RN, @innovativenurse #nurseup #nursefriendly:"An open letter to the Arizona State Board of Nursing. Disclaimer, I have not been directly contacted by Amanda Trujillo, nor do I know her personally or professionally. I am also writing to you based on the information that I have available to me. To the Arizona State Board of Nursing: To whom it may concern, I am writing to you on behalf of Amanda Trujillo, MSN, RN, DNSc-NP(s) regarding the case attached below. I have not been contacted directly by Amanda Trujillo, and I have neither a personal or professional relationship other than that she is a fellow nurse in need of my support. http://innovativenurse.com/advocating-fellow-nurse/

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    Del E. Webb Medical Center, Sun City Arizona AKA Banner Health Nurse Incident @BannerHealth, January 15, 2012:"This is the original post which prompted us to mobilize and form the "Nurseup" movement. It reprints an email Amanda Trujillo, RN sent to Echo Heron, RN http://www.echoheron.com/ We are deeply grateful to Vernon Dutton, RN @nursingpins for bringing this issue to our attention and continuing to support it tirelessly."

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    Being A Naive Nurse Will Get You Thrown To The Wolves, @jaydoe, 11/07/10. #Nurseup:"In matters related to practice, errors, or sentinel events, are nurses far too naïve when it comes to dealing with their employers, regulatory bodies, or police? Nurses falsely assume that all of these authorities will act in, or at least be mindful of, their best interests. The thought that any of them might act solely in their own self-interest (at best) or in bad faith (at worst), is probably beyond most of us. The fact is none of them have a nurse's interest as their top priority, if in fact they consider it all. Aside from a duty to ensure patient safety, hospitals have a legal, fiduciary obligation to protect themselves from liability issues and legal action." http://nurseup.com/wordpress/2012/03/being-a-naive-nurse-will-get-you-thrown-to-the-wolves/

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  • Nurseup.com Homepage, What's New!

    Who Is Censoring Amanda Trujillo, Nurseup


    Who Is Discussing Amanda Trujillo
    Amanda Lucia Trujillo Verdict
    Banner Health Bullies
    Boards of Nursing (State)
    Bullying, Lateral, Horizontal Violence In Nursing & Healthcare
    Legal Defense Funds For Nurses

    Blog Roll, Honor Roll, Supporters (With Gratitude)


    Avoid Medical Errors


    Coach Perg, Michael Pergrem, LPN
    Emergiblog
    Hopeful Healer
    Innovativenurse
    Nurse Ratched's Place
    Nursehealers
    NurseTalkSite.com
    Nursetopia
    Penelope Rock
    Small Business Nurse
    The Nerdy Nurse
    RNCentral.com
    ThroughLifeAndDeath.com
    Vernon Dutton, RN
    And Many More :)

    See also:

    JustAnswers.com, Do You Have Medical Questions? Talk to A Doctor, Nurse Now!



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