Arizona Nurse's License Threatened by Doctor After Providing pt education - page 13

by lil miss

46,796 Views | 209 Comments

the email and arizona state board of nursing casethis is a (must read) e-mail that was passed to me from echo heron. @echoheronauthor hello ms. heron, my name is amanda trujillo. iím a registered nurse of six years ,... Read More


  1. 3
    Quote from kcmylorn
    This nurse already has an APN- advanced practice degree. That's what the MSN after her name is for and the RN is for after the MSN.
    What ever her degree level, she is NOT licensed as an APN in her state, she 'only' holds licensure as an RN, that defines her scope where ever she practices.

    Going back and re-reading the original information attributed to Ms. Trujillo she never identifies herself as an APRN, that is an assuption others have made based on the alphabet soup after her name and it's withing those leters she also identifies herself a a student.
    Last edit by kids on Feb 20, '12
    tewdles, Not_A_Hat_Person, and lindarn like this.
  2. 0
    Lahk I sayhd, fallah the money!
    Quote from kcmylorn
    What hospital did Amanda work in? I bet it's a member of the Arizona Hospital and healthcare Association? All states have a hospital association, they are all politically driven, they are usually comprised of the CEO's from all the hospitals that pay a membership to this association. The polical heavyweights in the state- they beg money(funding from the taxpayers aka the govenor) for thier hospitals causes.
  3. 2
    Kids- the woman has an advanced degree in nursing. MSN- Master's degree in Nursing!! She identified herself as a doctoral student not a Masters student. They are 2 different degrees
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  4. 0
    Quote from JustBeachyNurse
    oops, sorry for the double post. I did search if the article had been posted before, but I searched in the wrong forum.
  5. 3
    To morte and everyone else to clarify because I guess I wasn't clear in my second post.

    When I said as an aside there were statements that were concerning me I wasn't speaking about Amanda Trujillo's case specifically I was talking about the posts I was reading. People were writing things like if she's an NP then she is allowed to write orders. That was what was concerning to me. As kids said yes she had and is working on advanced degrees but at this time her license is as an RN. Even if she had completed school and was licensed as an NP if she was working for the hospital as an RN she must work within that capacity. When the hospital brings her on as an NP she can then go on to work in that capacity. Just because you hold a license or degree doesn't mean that applies to you across the board. A nursing student who has gotten through the first 3 months of the first semester should have learned that so it's scary to see that suggested as a defense as to why she should have been able to write an order or do certain thing.
    Sorry if I caused confusion.
    Not_A_Hat_Person, kids, and lindarn like this.
  6. 1
    No confusion here, I realize (and have from the get go) that she was practicing as an RN. Please tell me what she did that was out of that scope.
    Quote from tekgrl33
    To morte and everyone else to clarify because I guess I wasn't clear in my second post.

    When I said as an aside there were statements that were concerning me I wasn't speaking about Amanda Trujillo's case specifically I was talking about the posts I was reading. People were writing things like if she's an NP then she is allowed to write orders. That was what was concerning to me. As kids said yes she had and is working on advanced degrees but at this time her license is as an RN. Even if she had completed school and was licensed as an NP if she was working for the hospital as an RN she must work within that capacity. When the hospital brings her on as an NP she can then go on to work in that capacity. Just because you hold a license or degree doesn't mean that applies to you across the board. A nursing student who has gotten through the first 3 months of the first semester should have learned that so it's scary to see that suggested as a defense as to why she should have been able to write an order or do certain thing.
    Sorry if I caused confusion.
    lindarn likes this.
  7. 3
    There is not enough information for me to be supportive of the nurse in this situation. I question why she would write a letter about being fired and facing a disciplinary hearing to author Echo Heron, it doesn't make sense, she should be contacting a lawyer, not a nursing author. Also, the information, (if it's true) that her case was postponed while she undergoes a psychiatric evaluation, raises more skepticism, a psychiatric evaluation, is usually required if there is evidence of questionable behavior, there is more to this story than we can see.
  8. 2
    psych evals, or the threat of, are also used as intimidation. Just ask my cousin, whose parents had her committed because they didn't like the guy she wanted. (this was in the fifties). This was also suggested in some article i have read, "like in the ussr", using psych commitment to control.
    Quote from dishes
    There is not enough information for me to be supportive of the nurse in this situation. I question why she would write a letter about being fired and facing a disciplinary hearing to author Echo Heron, it doesn't make sense, she should be contacting a lawyer, not a nursing author. Also, the information, (if it's true) that her case was postponed while she undergoes a psychiatric evaluation, raises more skepticism, a psychiatric evaluation, is usually required if there is evidence of questionable behavior, there is more to this story than we can see.
    tewdles and lindarn like this.
  9. 3
    morte-
    You did misunderstand because when I made my post about being concerned about what people I was not talking specifically about Amanda Trujillo. I went back and found the post that I was referring to and I'm sorry for not crediting the poster (I just went back through all the pages and forgot to cut and paste the name and I'm honestly, not going back again). It said "I didn't know a Nurse Practitioner need a doctors permission to write that kind of order."

    My point was that aside from this specifics of this case entirely people need to realize that she was working as an RN and NOT an NP. So to make an argument (and I saw several) that said she was an advanced practice nurse so she could do this or that are not accurate statements. She was not functioning as an advanced practice nurse. Her capacity was as an RN so when determining whether she was working out of her scope you need to look at it with the RN magnifying glass only. It doesn't matter if she was also a surgeon and could do the surgery herself...she was functioning as an RN and her actions should be judged by the guidelines for that scope of practice. So my second post was that it was concerning to me that so many people (who I am assuming are nurses if they are on here) don't get that concept.

    To answer your question as to the specifics of this case. One of the articles I read which was here:
    Nurse says she was fired for educating patient - CBS 5 - KPHO

    stated in it that a RN is not allowed in that facility to order a case management consult. So if that is true then she put in an order that she wasn't allowed to. Do I think it's stupid that they can't put that order in? Yes. But if that's what the policy is in that hospital then unfortunately that's what it is.
    tewdles, Not_A_Hat_Person, and lindarn like this.
  10. 1
    Then this would have earned her a firing, but not a reportong to the board for practice out of her scope. And please, in the future DO NO TELL me when i am confused or not, thank you. To do so is belittling.
    Quote from tekgrl33
    morte-
    You did misunderstand because when I made my post about being concerned about what people I was not talking specifically about Amanda Trujillo. I went back and found the post that I was referring to and I'm sorry for not crediting the poster (I just went back through all the pages and forgot to cut and paste the name and I'm honestly, not going back again). It said "I didn't know a Nurse Practitioner need a doctors permission to write that kind of order."

    My point was that aside from this specifics of this case entirely people need to realize that she was working as an RN and NOT an NP. So to make an argument (and I saw several) that said she was an advanced practice nurse so she could do this or that are not accurate statements. She was not functioning as an advanced practice nurse. Her capacity was as an RN so when determining whether she was working out of her scope you need to look at it with the RN magnifying glass only. It doesn't matter if she was also a surgeon and could do the surgery herself...she was functioning as an RN and her actions should be judged by the guidelines for that scope of practice. So my second post was that it was concerning to me that so many people (who I am assuming are nurses if they are on here) don't get that concept.

    To answer your question as to the specifics of this case. One of the articles I read which was here:
    Nurse says she was fired for educating patient - CBS 5 - KPHO

    stated in it that a RN is not allowed in that facility to order a case management consult. So if that is true then she put in an order that she wasn't allowed to. Do I think it's stupid that they can't put that order in? Yes. But if that's what the policy is in that hospital then unfortunately that's what it is.
    lindarn likes this.


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