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Old 03-22-2012, 09:17 PM
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Default Nurse says she was fired for educating patient

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.

Right after that conversation, Trujillo said she was let go and a complaint was filed against her with the Arizona Board of Nursing. Now, Trujillo said she is fighting to clear her name - not just for herself, but so other nurses aren't afraid to do their jobs.

"What this hospital is doing is establishing a culture of fear, and what the board is doing by supporting that is they're setting that example that the education of a nurse is not valued," said Trujillo.

The Arizona Board of Nursing said they will discuss Trujillo's case at their next meeting in March".

More: Nurse says she was fired for educating patient - CBS 5 - KPHO
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Old 03-22-2012, 09:31 PM
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Default Fast Forward

Fast Forward: March 21, 2012

“At the meeting today, March 21, 2012, the BON decided to issue a notice of charges, so Amanda's case will be set for an evidentiary hearing,”

“The board read all the ‘allegations’ in open meeting. They also stated that Amanda is representing to the public that she is an end-of-life specialist, for which she has no certification.”

"Trujillo may be interested in end-of-life issues, she admitted herself that she had provided such information to patients previous to the one involved in this incident with no objections from physicians or hospital management. In fact, that evening, she even cleared her plan of care with the clinical manager".

"We are nurses. We are expected to know quite a bit and, more importantly, how to find information for our clients and ourselves. The information Trujillo provided was pulled straight from the information banks of the hospital’s own computer system".

More: Arizona BON Keeps Trujillo Under Fire | Notes from the Nurses' Station

I think we have posted this before but I sure can't find it. Very interesting. Seems she did nothing wrong and the doctor was upset because the surgery was cancelled $$$.
I'm curious how this case will turn out. If we don't educate the patients and advocate for them, who will?
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Old 03-23-2012, 03:51 AM
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I had posted this a few weeks ago, but it bears repeating.
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Old 04-14-2012, 10:46 AM
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The problem I have with this is not that she provided education, but that she presented herself as an "end-of-life specialist." It doesn't sound like she was a certified hospice nurse or a certified life care planner. If she did misrepresent herself, that's just flat-out wrong.

You can't claim to be something you are not. It's one thing to provide patient ed.; it's quite another to claim to be a specialist when you aren't.
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Old 04-14-2012, 02:58 PM
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Originally Posted by OCNRN63 View Post
The problem I have with this is not that she provided education, but that she presented herself as an "end-of-life specialist." It doesn't sound like she was a certified hospice nurse or a certified life care planner. If she did misrepresent herself, that's just flat-out wrong.

You can't claim to be something you are not. It's one thing to provide patient ed.; it's quite another to claim to be a specialist when you aren't.
Thanks OCNRN63 for your take on this case. That makes a lot of sense. Something that I did not know. It just didn't make sense to me why she would get fired. Now it makes sense. Just as some people misrepresent themselves as "licensed" nurses. It's just wrong.
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Old 04-14-2012, 03:04 PM
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Yep, kinda reminds me of an aide I used to work with, who had NO problem telling patients all about their meds, what they should and shouldn't take, etc. She figured since she was a nursing student, she would be allowed to "discuss" this with patients....NOT!

I was furious when I found a fluid-overloaded patient who REALLY needed to take his Lasix NOT taking his Lasix because "that other nurse" (read: the aide/student) said "he'd just be up peeing all night, it was ok to wait until morning". Argh.

Anyway, I think that's the trouble with so much of what makes the news....we get parts of the story, but not the rest. Remember the woman who took photos of a patient's excoriated, decubed bottom and put them on Facebook? It was all over the place that she "lost her nursing license", over and over about the "horrible nurse" when in fact she wasn't a nurse at all. Not knocking aides, don't get me wrong, but it sure didn't help our cause any as 'protectors of the public' when crap like that goes out on the news.
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Old 04-14-2012, 04:44 PM
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Yeah, it's like any random female in scrubs is automatically a "nurse." Half the time they're CNAs or CMAs. Don't reporters check their facts anymore?
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Old 04-15-2012, 09:10 AM
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Totally! There's dental assistants (and I'm talking people who don't even work WITH patients, but they work in the office!) who wear them, and vet techs. How about the clerical girls in my office (the extended medical offices, not MY section) who wear them to sit at a computer all day?

They go out at lunchtime or after work, and the assumption is they're nurses.

And don't get me started on the ones who already SAY they are "office nurses". GRRRRrrrr.
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Old 04-15-2012, 10:19 AM
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Totally! There's dental assistants (and I'm talking people who don't even work WITH patients, but they work in the office!) who wear them, and vet techs. How about the clerical girls in my office (the extended medical offices, not MY section) who wear them to sit at a computer all day?

They go out at lunchtime or after work, and the assumption is they're nurses.

And don't get me started on the ones who already SAY they are "office nurses". GRRRRrrrr.
I know. I was boiling mad when TSTSNBN (The Site That Shall Not Be Named) created a forum for CNAs/CMAs. Really? Medical assistants? On a nursing site? I have nothing against them, but when they try to pass themselves off as knowing more than nurses or at least being the equivalent of nurses, I get steamed.

One time I was at the doctor's office and the CMA tried to give me "patient education." Now, mind you, just because I'm a nurse doesn't mean I don't need patient education; I don't know everything. But when it comes from a CMA, I don't think so.
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Old 04-25-2012, 05:42 PM
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Hello Everyone, Andrew Lopez, RN from Nurseup.com we've been following Amanda's case since January, feel free to ask me any questions. If it is ok, I'll post new blog articles here as they are published.

Red Flags & Questions I See in the Amanda Trujillo, ARNP Case, April 25, 2012 By Beth Boynton:"Amanda Trujillo is an ARNP yet was practicing as an RN. Now maybe there is a perfectly good explanation for this. Third shift is typically tough to staff and given our economy and the financial needs and family commitments, perhaps this was a perfect job opportunity for Amanda. But, honestly, I wonder why she wasn’t practicing as an ARNP rather than an RN? Scope of practice is an important issue in the case and quite different for RNs and ARNPs. Banner health could face serious liability issues if their RNs on duty are practicing out of scope."
http://www.confidentvoices.com/2012/...llo-arnp-case/
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Newest Sections and Additions to the Nursefriendly This thread Refback 06-09-2012 12:06 PM
Nursefriendly Nursing Directories, Nursefriendly.com: Just Us Nurses, is discussing #AmandaTrujillo, RN, #nursefriendly #nurseup #healthcare This thread Refback 05-19-2012 01:28 AM
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Who Is Discussing Amanda's Case? Amanda Trujillo, RN, Arizona Patient Advocate, #Nurseup #AmandaTrujillo This thread Refback 04-25-2012 05:36 PM
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