Comments for The Nerdy Nurse

Comment on Blog Roll by Sarah Evans

Sarah Evans — Tue, 21 Feb 2012 23:18:56 +0000

Thanks for including Sarah’s Faves! -S.

Comment on Arizona Nurse Has License Threatened By Doctor After Providing Patient Education by Amanda Trujillo – RN fired for being a patient advocate-Pat Iyer.com @patiyer #nurseup #nursefriendly #amandatrujillo | Nurse Up!

Tue, 21 Feb 2012 21:48:42 +0000

[...] 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 and doctorate 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. Read more about the details of what happened here, including Amanda’s description of the even… [...]

Comment on Self-Driving Cars: Putting the Auto on Autopilot [Infographic] by Beth Boynton, RN, MS

Beth Boynton, RN, MS — Tue, 21 Feb 2012 13:17:06 +0000

Fascinating post, Brittney. The stats about distracted driving are so revealing. I’m psyched to learn about cars that drive themselves! OMG….do you see some interesting opportunities in nursing? Hey, home care nurses could document instead of drive!
Beth

Comment on Arizona Nurse Has License Threatened By Doctor After Providing Patient Education by Denise

Denise — Tue, 21 Feb 2012 04:36:50 +0000

I am a hospice nurse and you are very correct about the process for referring a patient. ANYBODY can refer somebody to hospice including the patients themselves. A hospice referral can simply be a name and a phone number. This lets the hospice contact the prospective patient to schedule an education visit to explain what hospice is and what type of services can be provided. From that point the hospice contacts the attending physician of the patients choosing to obtain an order to admit if that physician agrees that the patient is terminal. That is the first certifying physician. The second will be the hospice medical director i he/she agrees that the patient is eligible

The
pool boy, the mwil man, the house keeper

Comment on 18 Patient Identifiers HIPAA Defines as Off Limits by Healthcare Social Media: Say What? | The Personal Journal of Ryan Persaud (Pers J RP)

Tue, 21 Feb 2012 01:55:38 +0000

[...] Nerdy Nurse recently posted a list of patient identifiers that would violate the US HIPPA, which is roughly equivalent to PHIA. I think that her list serves as a good starting point. If [...]

Comment on Arizona Nurse Has License Threatened By Doctor After Providing Patient Education by The Nerdy Nurse

The Nerdy Nurse — Tue, 21 Feb 2012 01:44:16 +0000

That’s why Amanda’s case is so important. At the present time, nurses are afraid to do this because of retaliation from MDs and hospitals.

Comment on Arizona Nurse Has License Threatened By Doctor After Providing Patient Education by Maggy

Maggy — Tue, 21 Feb 2012 01:15:55 +0000

Herein lies the problem, ‘Nurses constantly are working to help COVER THE DOCTOR”. Nurses should not be helping to cover for anyone. If they witness wrong doing they MUST speak up otherwise they are a part of the problem, not the solution

Comment on 18 Patient Identifiers HIPAA Defines as Off Limits by Kat

Kat — Sun, 19 Feb 2012 21:28:24 +0000

This is a great, informative post!

Comment on Nursing Management Hates a Squeaky Wheel by The Nerdy Nurse

The Nerdy Nurse — Sun, 19 Feb 2012 21:16:41 +0000

I’ve actually heard very similar stories from others. It’s unfortunate. Working in IT, where we frequently request nurses to use new things, I have seen slight resistance at times. I am fortunate to work in a health system where innovation and change are most often embraced and welcomed.

When a threat is presented, be it real or perceived, nurses will react in whatever way they feel will best protect them. And often they don’t take into account how that may affect others.

Comment on Nursing Management Hates a Squeaky Wheel by The Nerdy Nurse

The Nerdy Nurse — Sun, 19 Feb 2012 21:12:18 +0000

Not my intent.

I know not all nursing management is like this. I should have mentioned that.

This was what I experienced in corporate, for-profit healthcare.

I know that nurse managers walk a fine line and have a duty to advocate for both their nurses and their patients. They also have to follow the law laid down by their superiors. It’s a difficult and stressful situation. There are some, however, who are so scared of getting fired themselves, they they will do backflips when administration asks it of them, and ignore the needs and requests of their nurses. I’ve seen this first hand.

I have also, however, seen passionate and hands on nurse managers who are inspiring and caring.
I will write a post about those to contrast this one. Just like staff nurses, there are the good and the bad.

Comment on Nursing Management Hates a Squeaky Wheel by Erik Garrison

Erik Garrison — Sun, 19 Feb 2012 13:44:30 +0000

I knew a grad student that introduced a few ideas on workflow management (while working as a CNA) on a busy unit. She loved that place and everyone working there, including the managers. Although befriended by the working nurses whom she was writing about in her masters thesis, an imagined threat to the status quo caused her to “separate” from the hospital. Managing nurses are so shell-shocked, having been forced to use systems that they did not design that a new idea suggested by one of their sisters was perceived as a threat. She could not work anywhere in that town due to the false rumors about HIPAA violations that were spread by her former supervisors. True story.

Comment on Nursing Management Hates a Squeaky Wheel by BossNurse

BossNurse — Sun, 19 Feb 2012 12:31:57 +0000

Not to put too fine a point on it, but bashing nursing management is just more lateral violence. Sure, there are evil nurse managers/directors/what have you out there, but in my experience, most nurse managers genuinely are trying to do what’s right for staff and patients.

Comment on Being an Advocate Means Being a Target by Nursing Management Hates a Squeaky Wheel | The Nerdy Nurse

Nursing Management Hates a Squeaky Wheel | The Nerdy Nurse — Sun, 19 Feb 2012 06:46:55 +0000

[...] clear that being and advocate automatically makes you a target, but does it make you un-hirable? Nurse K at Crass Pollination gives an interesting and valid [...]

Comment on Arizona Nurse Amanda Trujillo’s State Board of Nursing Hearing Delayed for a Psychiatric Evaluation by The Nerdy Nurse

The Nerdy Nurse — Sun, 19 Feb 2012 05:06:47 +0000

Gerri,

I have found in nursing that many do not advocate for their patients in all fronts. They pick their battles because in many cases the “doctor wins.”

It is very unfortunate that we should fear o livelihood so that we can do the right thing for our patients. This is why Amanda’s case is so important discuss. We should be able to advocate for the best interest of the patients we serve without fearing for or license.

Comment on 18 Patient Identifiers HIPAA Defines as Off Limits by Social Media and Nursing

Social Media and Nursing — Sun, 19 Feb 2012 03:25:42 +0000

[...] == "undefined"){ addthis_share = [];}Share|The Nerdy Nurse wrote a great post called 18 patient identifiers hippa defines as off limits. Head over to her site and read what those 18 identifiers are and see if you are using any of them. [...]

Comment on 18 Patient Identifiers HIPAA Defines as Off Limits by The Nerdy Nurse

The Nerdy Nurse — Sun, 19 Feb 2012 00:07:32 +0000

Thank you! I don’t want nurses and other medical professionals to feat blogging. We just need to be aware and smart about it.

Comment on Arizona Nurse Amanda Trujillo’s State Board of Nursing Hearing Delayed for a Psychiatric Evaluation by Gerri

Gerri — Sat, 18 Feb 2012 23:40:12 +0000

I have to say, being a nurse and just since yesterday I am feeling on edge because I advocated for my patient, and then spent 6 hours of my shift going back and forth with risk management over the issue, I can see where Ms. Trujillo may welcome a psych eval. At this point I want one for myself. Situations like hers and mine make me wonder who is out of their minds when nurses are mandated to advocate and then the hospital that employs them, hang them out to dry. With my situation I had nurse collegues telling me “to let the issue go, the doctor always wins.” I am beginning to believe that. Best of luck to Amanda

Comment on 18 Patient Identifiers HIPAA Defines as Off Limits by Something old, Something new | Innovative Nurse

Something old, Something new | Innovative Nurse — Fri, 17 Feb 2012 22:04:55 +0000

[...] The Nerdy Nurse [...]

Comment on You’ve Figured Me Out: I Blogged About Nurse Amanda Trujillo’s Cause for Personal Gain by Greg Mercer, MSN

Greg Mercer, MSN — Fri, 17 Feb 2012 06:02:12 +0000

Sarcasm’s tough – I’ve experienced it many times – some folks get it, some just don’t

Comment on 18 Patient Identifiers HIPAA Defines as Off Limits by Aaron Biebert (@Biebert)

Aaron Biebert (@Biebert) — Fri, 17 Feb 2012 04:30:34 +0000

Nice one!

Just shared this all over the Clear Medical Network.

Aaron