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, firstname.lastname@example.org, @nursefriendly