Comments for Off the Charts

Comment on The Case of Amanda Trujillo by Amanda Trujillo: Fired for doing what a nurse is suppose to do @kdhoffman2 #hchlitss #nurseup #nursefriendly #amandatrujillo | Nurse Up!

Thu, 23 Feb 2012 03:44:37 +0000

[...] read the recent article in the American Journal of Nursing Off the Charts blog (http://ajnoffthecharts.com/2012/02/02/the-case-of-amanda-trujillo/) as well as an article on [...]

Comment on Remembering the Big Picture, Hypothermia, Nursing Books of the Year by Remembering the Big Picture, Hypothermia, Nursing Books of the … | Groovax

Wed, 22 Feb 2012 18:52:25 +0000

[...] view of health. What we eat, the environments in which we work and live, our social … Read More… Posts Related to Remembering the Big Picture, Hypothermia, Nursing Books of the …Nursing [...]

Comment on States Easing Up, Pediatricians Buckling Down on Childhood Immunizations by Matthew Gatheringwater

Matthew Gatheringwater — Wed, 22 Feb 2012 17:31:32 +0000

This is an issue with currency for me, as 8 cases of pertussis have just been confirmed in the small town in which I live. This is bad enough, but I’m really frustrated that some local “holistic” nurses and a naturopath are using the outbreak to spread their wacky anti-vax views. I’m for educating, rather than “firing” families who don’t vaccinate, but I think healthcare workers should be held to a higher standard.

Comment on Boards of Nursing and the Amanda Trujillo Case by Kim McAllisterk

Kim McAllisterk — Wed, 22 Feb 2012 17:16:37 +0000

RJ – Exactly!!! You ask perfectly legitimate questions. What WAS the policy of Banner? Why were previous orders for the same thing (case management hospice consult), placed by Amanda, not met with disciplinary action?

Why was there a box for “Nurse Order” by that very thing?

Why has something so cut-and-dried taken almost a year to adjudicate? Either she was out of her scope of practice or she was not. Why does this entail a microscopic examination of her entire career and a psychiatric evaluation?

The Arizona Board of Nursing spends an average of 7 months and 17 hours of time on a case. No patient was harmed, no patient died as a result of Amanda’s actions.

So why is this taking so long and why is she being put through so much?

She must have made someone very powerful very angry. Or as she was told when she was fired (and I’m paraphrasing), she messed up all the doctor’s “hard work”.

Seriously.

Comment on The Case of Amanda Trujillo by jm

jm — Wed, 22 Feb 2012 13:49:39 +0000

Andrew, thanks for the comment. We hope that helps make as clear as possible what we meant and did not mean. Blog posts are written and edited somewhat more quickly than our journal material, points are elided, and sometimes meanings that we assume readers will understand are not as clear as we’d have liked. We hope in the future people will simply ask us what we mean before assuming the worst! Peace.-Jacob

Comment on The Case of Amanda Trujillo by Andrew Lopez

Andrew Lopez — Wed, 22 Feb 2012 13:26:06 +0000

Thank you Shawn and Jacob for changing the wording of the article. We will reflect the changes that have made in our blog posts.

http://ajnoffthecharts.com/2012/02/02/the-case-of-amanda-trujillo/

This issue is too important for nurses to let potentially confusing messages go without clarification.

With thanks,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com @nursefriendly
856-415-9617, (fax) 415-9618

Comment on Boards of Nursing and the Amanda Trujillo Case by jm

jm — Wed, 22 Feb 2012 13:02:13 +0000

Amanda, while we never intended to suggest that you had directly sought to obtain informed consent from the patient yourself, we understand your vigilance on this legal point, and have added this fact as clearly as possible in parentheses in the first paragraph of our original post.

Comment on Boards of Nursing and the Amanda Trujillo Case by Amanda Trujillo

Amanda Trujillo — Wed, 22 Feb 2012 07:10:39 +0000

i turned in the policies i had printed out and submitted them to the board via my previous attorney to show proof there was no specific policy in place and in addition to that highlighted where in the nurse practice act my actions fell under….this wasnt an issue of informed consent, there was no discussion of risks benefits or surgical jargon. it was a conversation, my learning assessment of the patient, that clued me in to the big knowledge deficit. the consult was for a hospice case manager to come and answer questions the patient had. patients do not need permission to access hospice for education to help them make decisions. they do, however, require the physicians lead and involvement in signing up for hospice care. the night nurse manager was consulted by myself regarding the concerns i had as well as my care plan.

Comment on Boards of Nursing and the Amanda Trujillo Case by Rj

Rj — Wed, 22 Feb 2012 04:57:32 +0000

Why isn’t anyone asking what the institutional policy of Amanda’s former employer was regarding who can order hospice consults?

As a surgical nurse, I know that it is the surgeon’s responsibility to discuss with risks, benefits, and alternatives to treatment with patients–this constitutes informed consent. Nurses may teach, advocate, and assess a patient’s understanding of procedures.

As a side note, nurse practice acts (which define scope of practice) vary greatly from state to state. Has anyone looked to see what exactly is permitted in Arizona?

Comment on Boards of Nursing and the Amanda Trujillo Case by Shawn Kennedy

Shawn Kennedy — Tue, 21 Feb 2012 22:52:41 +0000

Well said, Sallie.