Arizona Nurse's License Threatened by Doctor After Providing pt education - page 3

by lil miss 49,753 Views | 212 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. i’m a registered nurse of six years ,... Read More


  1. 3
    Quote from Not_A_Hat_Person
    I'm very skeptical of circulating e-mails and online petitions. Is there a news story connected to this?
    I thought the same thing. There are no hits for this person's name on Google News and the only source I can find for this is the blog the OP posted.
    friggasdistaff, ProArizona, and kids like this.
  2. 2
    Quote from Not_A_Hat_Person
    I'm very skeptical of circulating e-mails and online petitions. Is there a news story connected to this?
    This isn't like texas, there is no news story here. Unless she manages to make it one. Which is what she is doing.
    VICEDRN and lindarn like this.
  3. 6
    I posted this on another forum and haven't been flamed yet, and I hope to encourage some objective discussion here. I have no relationship with this case but I think everyone needs to review the facts and try to be objective as possible instead of this mother duck sticking up for her baby ducks mentality while ignoring the facts. With that said, the events are quite tragic and it's a shame it has come to this.

    While I do sympathize with Ms. Trujillo’s situation and truly believe she thought she was doing the right thing, does anybody think this nurse should’ve WORKED WITH the doctor instead of taking matters into her own hands? Perhaps she should’ve dropped a quick phone call to the MD and requested he explain the procedure and the patient’s options more thoroughly to her. I will 100% guarantee you the MD knows more about the intricacies of a liver transplant and post transplant care than this nurse did, despite her googling. You are all so quick to defend the “i-must-advocate-for-my-patient- nurses” and jump down the “big bad MD’s” throat, but this is supposed to be team work – not nurses against doctors. If you see a wrong medication dose or questionable treatments, the first thing you do is go to the MD and ask him/her what their line of thinking is. If you are dissatisfied with his/her answer, THEN you escalate to a supervisor. Not every liver transplant is the same, not every patient’s condition is the same. Googling and printing out material is not a substitute for medical school and residency. Based on the story, we don't know what this patient's overall prognosis was, comorbidities were, or social status was. It sounds like the nurse painted a much more grim picture for the patient than the physician did and nobody here knows the true details of the case. The fact that Ms. Trujillo worked so hard to get where she is, is a single mother, etc.. is irrelivant to this case. Facts should be examined here, and the fact that she took matters into her own hands instead of discussing the case with the physician first is the issue I have.
    Last edit by Hampter320 on Jan 25, '12 : Reason: added something
    friggasdistaff, tekgrl33, Sarah G, and 3 others like this.
  4. 5
    The longer and more frequent the delays, the easier it will be to permanently destroy her nursing career and ability to support her family. Justified or not, there is a great lesson here for others who might be moved to act in a similar manner.
    tewdles, CCL RN, Esme12, and 2 others like this.
  5. 6
    Quote from Hampter320
    I posted this on another forum and haven't been flamed yet, and I hope to encourage some objective discussion here. I have no relationship with this case but I think everyone needs to review the facts and try to be objective as possible instead of this mother duck sticking up for her baby ducks mentality while ignoring the facts. With that said, the events are quite tragic and it's a shame it has come to this.

    While I do sympathize with Ms. Trujillo’s situation and truly believe she thought she was doing the right thing, does anybody think this nurse should’ve WORKED WITH the doctor instead of taking matters into her own hands? Perhaps she should’ve dropped a quick phone call to the MD and requested he explain the procedure and the patient’s options more thoroughly to her. I will 100% guarantee you the MD knows more about the intricacies of a liver transplant and post transplant care than this nurse did, despite her googling. You are all so quick to defend the “i-must-advocate-for-my-patient- nurses” and jump down the “big bad MD’s” throat, but this is supposed to be team work – not nurses against doctors. If you see a wrong medication dose or questionable treatments, the first thing you do is go to the MD and ask him/her what their line of thinking is. If you are dissatisfied with his/her answer, THEN you escalate to a supervisor. Not every liver transplant is the same, not every patient’s condition is the same. Googling and printing out material is not a substitute for medical school and residency. Based on the story, we don't know what this patient's overall prognosis was, comorbidities were, or social status was. It sounds like the nurse painted a much more grim picture for the patient than the physician did and nobody here knows the true details of the case. The fact that Ms. Trujillo worked so hard to get where she is, is a single mother, etc.. is irrelivant to this case. Facts should be examined here, and the fact that she took matters into her own hands instead of discussing the case with the physician first is the issue I have.

    So in summary... Ms. Trujillo, RN MSN entered a facility-approved nursing order into the computer without a doctor's order giving her permission to enter a nursing order?

    Hang her. Hang her high, I say ( insert roll-eyes emoticon here).



    But yes, optimally she would have contacted the appropriate physician stating to the effect, "the patient is requesting education consult from Case Management exploring end of life care. Case Management notified and request entered."

    She was not, however, required to do so.

    We don't know her whole story, and quite possibly they were looking for a way to get rid of her anyway.

    Regardless, if they want you gone, they will find a way to get it done.

    If she is without fault in this matter, I hope she lives a long and happy life on a big fat settlement.
    Last edit by Guttercat on Jan 25, '12
    tewdles, Hoozdo, CCL RN, and 3 others like this.
  6. 3
    It sounds like some seriously dirty politics involved, and the BON, as usual, appear to be helping build the gallows to hang her. But...didn't she go way overboard in her "patient education"? I feel that she should have spoken with the physician about this case and gotten his input also prior to going crazy on the education. I believe she did what she thought was the right thing to do, and I respect that. Of course, hospital admin is going to side with a money-making physician, but that's not a shock or unexpected either. Also, don't NPs have a legal right to prescribe or order a case management consult? Guess not. Sounds like she wasn't working in the role as an NP or perhaps Arizona's rules are wacky.
    Fixit, Esme12, and lindarn like this.
  7. 5
    I hope this poor woman has one hell of a lawyer
    CCL RN, Bella'sMyBaby, Esme12, and 2 others like this.
  8. 6
    Quote from bobbyzr7
    Also, don't NPs have a legal right to prescribe or order a case management consult?
    I'll say it...again.

    This is the whole point.

    Given what we know about this facility's protocol (based on the legal letter from her atty)...this. was. a. faciltity-protocol. NURSING ORDER.

    An LPN could've entered this without an MD order.
    Last edit by Guttercat on Jan 26, '12
    cindjo717, CCL RN, Fixit, and 3 others like this.
  9. 7
    I am so all over this.....
    To those who are skeptical, I have found a tremendous amount of info on the internets. Just follow the links man. Mostly blogosphere stuff, but I actually found a few (local) interview broadcasts. She is trying to get her story out to national outlets but they haven't picked it up yet. They wont, either until we make a lot of noise. Which I am in the process or doing right now.
    Last edit by gypsyd8 on Jan 26, '12 : Reason: additional info
    chevyv, CCL RN, anotherone, and 4 others like this.
  10. 4
    Reply to Hampter 320 (not intended as a flame) As I said on another forum....She is an APRN, a primary care provider in her own right. She doesn't need to ask the physicians permission
    Last edit by gypsyd8 on Jan 26, '12 : Reason: clarification
    tewdles, CCL RN, Fixit, and 1 other like this.


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