Wednesday, November 21, 2012

Facing a Crossroads, #AmandaTrujillo, MSN, RN & the Arizona State Board of Nursing. #nurseup #nursefriendly

Facing a Crossroads, Amanda Trujillo, MSN, RN & the Arizona State Board of ursing.

By Andrew Lopez, RN

 

At Amanda's (Attorney Gag Order) request, we have been silent for the past few months on her complaint filed by Del E. Webb Medical Center.  The case has continued, legal maneuvering has occurred and a Settlement Conference was held recently - no decision yet.

 

At the heart of Amanda's case is Patient Advocacy.  Her patient was having second thoughts about a Liver Transplant evaluation, and Amanda helped fill in the gaps.  The doctor, who had only offered the liver transplant, went ballistic when the patient asked for Hospice info instead. He demanded the hospital server Amanda's head up on a platter and that the Arizona State Board of Nursing be contacted.

 

The complaint states Amanda went out of her "scope of practice" by ordering a case management consult coded under "Nurses Orders" in the hospitals Cerner hospital information system.  The question comes up, how can it have been out of scope, if it was pre-coded and approved for nurses to initiate?

 

The actions of this one doctor have made Amanda very difficult to employ. In speaking to other nurses with AZBON complaints, it seems there is a Black Listing in effect.  Anecdotal evidence suggests that if you have an active State Board complaint, you will not be hired as a nurse in AZ.

 

Is it a conspiracy among Arizona Hospitals & the Arizona State Board of Nursing?  Are they fully aware that if they have "problem" employees that advocate for their patients, or threaten corporate profits (Del E. Webb was in the midst of a major expansion of their liver transplant program) they can "fix" the problem by filing a bogus complaint?

 

By filing a complaint, they do two very important things.

 

1.  They make it very difficult for a nurse to work.  It drains them financially and can quickly put them in a desperate situation.

 

2.  It puts them on the defensive; suddenly they are fighting against a State Board of Nursing who on closer inspection has financial (Consultant) ties to the hospitals that filed the complaints in the first place.

 

Last thing a nurse in that situation is going to do is try to sue their hospital for their job back.  This especially true in a Right To Work State.

 

After almost two years of this, Amanda must now make a decision. Sign a negotiated settlement which is far from benign, or take the issue to a public hearing. For the hearing she will subpoena all the parties who have provided "evidence" & "testimony" against her.

 

It is not a pleasant place to be, it is a most difficult decision to make.  We will keep you posted. You can read the latest at http://www.nurseup.com or join us on Facebook.

 

Andrew Lopez, RN

Nursefriendly National Directories

38 Tattersall Drive

West Deptford, New Jersey 08051

856-415-9617, Fax: 856-415-9618, info@nursefriendly.com, @nursefriendly

 

Some background:

 

 


    • 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 it?? 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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      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, 1 Feb, 2012, Author: Mother Jones, RN:"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."
      http://www.nurseratchedsplace.com/2012/02/a-letter-from-the-arizona-nurses-association/

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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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      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/

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      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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