On the Carpet:

Show Some Nurse Power! LET THEM HEAR OUR ROAR!!!


Hello fellow Nurses,

Looking at your experience & tenacity, at all you do every day for patients everywhere, I’m always impressed.
We on this project need a little help, especially from that of open-minded take-charge Nurses like yourself –
I’m a nurse, and I take Nursing very seriously.
Well, folks, there’s another Nurse, a fine example from all I’ve researched (which I have done at some length).
She is Amanda Trujillo of Arizona.  If unfamiliar with her situation, see a summary at the end of this post.  Also, others have done her more justice: see FB page ” Nurse Up for Amanda Trujillo “
We have a plan – a tactic that has worked in the past to quickly convince a corporation to reverse an important decision. If it works now, such unfavorable public scrutiny of the facts of this situation will accrue that Banner, Inc. will seek to resolve the situation.  Banner appears the central driver behind Amanda’s plight.  Any Banner influence used against her could readily be reversed in her favor: all that is required is sufficient motivation.  Amanda could then go on with her life as a Nurse.   We don’t require much of any individual, but we do need numbers.  We need only a few minutes of your time, an envelope and stamp, an inexpensive prop, and your voice: recruit others, spread the word.  With Social Media tools, the word can spread exponentially & rapidly, with little individual effort.
THE PLAN:
Nurses educate.  Banner Health, as it turns out, needs some timely education about Nurses and health care reality:
1) Nurses have power,
2) Nurse are NOT optional,
3) Nurses are ESSENTIAL and must be treated as such, or there will be an intolerable price to pay,
4) Nurses are not cogs to be thrown out whenever inconvenient to the big corporate machine or to any prima donna Surgeon, and
5) Nurses are to be respected like any other professionals.  While any hospital can persist for some time without its management, it can function NOT A DAY without its nurses.
We need to convince Banner Health that it is in their best interest for Amanda to keep her license and continue to work as a Nurse.  To do so, we need to make it unpleasant and embarrassing otherwise.  Given this incentive, Banner does the rest.  AZ BON will hardly persecute a woman when her corporate ex-employer comes to her defense.  Don’t believe me?  Think of the recent events with Komen and Planned Parenthood: united voices can move mountains in today’s new Social Media reality.
How to apply pressure?  We could sign a petition like the one currently on ” Nurse Up for Amanda Trujillo:” I did, and that just might work.  But I want to try something else in addition: something with a stronger track record: we each send Banner a prop protest gift.  What, you may ask?  Send gifts?  As it turns out, it can make for a potent and useful spectacle: as gifts pile up, they become an embarrassing spectacle.  Soon we can interest the traditional press: turn the ever-hungry 24/7 news media to our advantage.  No threats, no violence, no labor actions that require being there and surmounting lots of legal hurdles.  It would be something no hospital would soon forget, and Banner likely never.  In this way it would serve the interests of Nurses everywhere.
But first we need a prop.  So far we have three ideas:
1) Caryl J. Carver came up with this one: send “Cracker Jacks: popcorn, peanuts AND a prize”  Not bad: cute, cheap and easy with snail mail.  It costs just enough to show commitment (VERY important in this tactic), but is still quite cheap.
2) My original proposal: Power Mix.  See below
3) Write a letter.  I’d much prefer one of the other options, as they bring an element of theater, symbolism, and novelty that would greatly help to attract the traditional press and really get the pressure fires stoked hot.  While less of a powerful symbol, a letter still helps: snail mail offers thousands of times more impact per unit than any e-mail or e-post – see others of my blog posts as to why this is true, but I didn’t come up with the idea myself, it comes from a respected author who published a book on Social Media tools and their use.
As my prop, I’ve picked a mixed fruit/nut product called the POWER MIX – nice suggestive title, I thought.  Regardless of the prop you choose, I suggest we  include a note (free) with each package, e.g.:
“Nurses have power, and we offer this Power Mix to help you attend fairly to Amanda Trujillo’s case, important to Nurses with power across the globe.
We hope and expect this Mix will fuel a fair and appropriate outcome to this unfortunate matter: without Nurses like Amanda, there simply is no health care.”
As for target, I suggest the head of the hospital that fired Amanda:
John Harrington, CEO
Del E. Webb Medical Center [where Amanda worked until fired]
14502 W. Meeker Blvd.
Sun City West, AZ 85375-5299
(623) 214-4001
I have already sent my package, as have some others: a growing number – not at all sure just how many at this point.
I can see why others have suggested the AZ BON as a target, but I think it likely that the BON has only Banner’s influence to explain its otherwise very unusual handling of Amanda’s case.  If Banner decides it wants Amanda’s pain to end, I believe it will be so.   Banner also needs a lesson in the consequences of rash HR decisions involving Nurses, and I would rather avoid attacking any Nursing organization if possible: such infighting would be unseemly, it may actually distract from the cause, and falls into the stereotypical destructive pattern of Nurses turning on each other instead of their common adversary.  But do as you see fit, of course.
As for delivery, there is always the mail.  I’d prefer UPS of Fed Ex : all those delivery guys add to the spectacle.
Personally, I used Nuts.com, the very same company that protesters used in a similar protest to successfully convince CBS to change a major business decision (see other recent posts).  They managed to send CBS TWENTY TONS of peanuts, and it created a stir CBS could not ignore.  Picture lots of reporters and delivery guys in brown amidst a mountain of nuts.
Nuts.com conveniently offers product samples for $2.50 a unit – enough to show commitment, but not so much that any individual has to spend much – other recent posts include background information from an expert about using Social Media to maximum effect – some cost, even small, greatly enhances message impact by showing real commitment to the cause.  Shipping is $7-9 for one unit, BUT if we bundle orders, its only $10.29 or so for 50 units, and the per unit price keeps dropping as you go up: with even relatively small numbers, the total per participant cost becomes under three dollars, shipping included. You don’t even have to leave your home to participate.  Detailed instructions listed below, although it’s not very complicated (after all, I figured it out).
Choose a prop as you will: the details don’t matter.
What matters is numbers: once we get the ball rolling,  recruiting gets easier, and the whole thing takes off: it takes on a life of its own and explodes into a dramatic Pile of Power, so to speak: so much public scrutiny and scandal that Banner will more than happily ensure that things turn out OK for Amanda – just as they initially ensured the trouble she’s now in.   A great precedent for Nursing labor relations: approve unreasonable or unfair actions, HR Departments everywhere, and Nurses will make sure the price is high, and paid in full public view.
We can have a little fun, and produce our very own MOUNTAIN OF UNIFIED POWER!!!!
Let’s show Banner what we sound like when we’re angry: LET THEM HEAR OUR ROAR!!!
No longer lambs but lions.
No longer victims but equals.
Will YOU help Amanda and Nurses everywhere, NOW?
It would cost you a few dollars and a few minutes, and perhaps your voice to recruit others.
You can Amanda continue her important work, and help all Nurses everywhere protect vulnerable Nurses and patients from greedy abuses of power.
What do you say?
Please let me know – OR, if you want to take action yourself, GREAT!!!
Thanks for your time and consideration:
Greg Mercer, MSN
Spokesman, Nurse Power For Amanda
P.S. : ordering with Nuts.com:
1) Got to http://nuts.com/samples.html,
2) Click on the Power Mix,
3) Set the number of units ordered,
4) Click the green button, “Check Out Now,”
5) Click the white button,  (unless you already have an account),
6) Enter the Shipping Address:
John Harrington, CEO
Del E. Webb Medical Center
14502 W. Meeker Blvd.
Sun City West, AZ 85375-5299
(623) 214-4001
7) On the same page, to the right, click the dot : “Message on the packing slip. (free)”

8) Type in the window:

“Nurses have power.
We offer this Power Mix to help you attend fairly to Amanda Trujillo’s case, important to Nurses with power across the globe.
We hope and expect this Mix helps fuel a fair and appropriate outcome to this unfortunate matter: without Nurses like Amanda, there simply is no health care.”
9) Click Continue
Or ad-lib as you see fit, but nothing unprofessional, nothing threatening, nothing derogatory or inflammatory: we don’t want to give anyone at Banner means to distract folks from the main issue.
10) Fill out the billing stuff and some Power is on its way via UPS.   I picture lots of guys in brown, delivering Mr Harrington reminders that Nurses have Power.
P.S.S.:
Background re  Amanda’s case:
For Social Media protest background, see
She did the right thing for a vulnerable patient,  in a system that apparently would have rather she’d done the most profitable and convenient thing.  Likely with no idea of the danger she faced (what reasonable person could?), she gave a vulnerable and inadequately informed patient some education about their treatment options.  As it turned out, the response to this information happened to inconvenience a rather profitable, perhaps not so ethical, professional, or personable Surgeon – of course we have no way to know for certain, but keep reading – use the available facts as your guide.   Once informed of all the options available, the patient decided to consider hospice – their right, of course, regardless of anyone else’s opinion – as an alternative to Surgery.  Providing additional time as needed in their professional judgement for proper informed consent counseling was quite certainly a professional right and obligation for both Amanda and this Surgeon.  Of course, such counseling would have paid him and his hospital nothing, quite unlike the surgery he proposed.  It may be unfair, but in light of his presumed income, his response to these circumstances  may well be interpreted to suggest suboptimal ethics and professionalism.  I can only judge from the information available, and if any one has relevant data to offer, I remain interested.
Amanda, in doing as both of them are required to do in every case, thus indirectly inconvenienced this surgeon, perhaps hurt his ego, risked his income and position in his hospital in reduced productivity and ‘face’: imagine a Surgeon publicly exposed to the dissent of a mere Nurse?  An unfair assessment?   Consider his response: in his professional judgement,  he decided the proper course of action was to publicly tirade in open areas on an inpatient unit, and to make war on this nurse, demanding not only her job but her license – her livelihood and career, a single mother at that.  Who, I may ask, is being unfair here?  Yet he succeeded – whoever else may have been involved in the decision – she was fired, which to me reflects rather poorly on hospital management as a whole.  The justification, once one found (created?), was that Amanda acted outside of her Scope of Practice by ordering a treatment planning consultation.  If this were true, one might ask why the order simply did not take effect – I know of no institution that allows employees to enter unauthorized orders into its systems, later remedying the situation by firing them.  It would be a very dangerously sloppy way of running a hospital, wouldn’t it?  I must admit I find the idea implausible.  Keep in mind, with all the resources at its disposal, this was reportedly the best justification for its actions this institution’s HR Department could muster: a weak argument indeed.
Now her Nursing License is in doubt, a surprisingly aggressive regulatory approach in light of circumstances.   This same BON has also publicly questioned her psychological health by ordering a formal assessment: another unusual step, apparently in response to her voicing a public opinion regarding her own experience.  I can think of only one other context in which such a chain of events might surprise no one:  China and the former Soviet Union, where questioning one’s superiors has often been framed as evidence of dangerous mental instability, where the rule of law has generally been weaker than one’s connections, and where management and government approaches have been more heavy-handed than those we expect in a Constitutional Democracy.  I am in no way suggesting that Arizona might have a Communist government: I am suggesting that this collection of facts best fits a pattern of the abuse of power.  Conflicts of interest may help explain: the AZ State Board of Nursing (BON)  happens to have some perhaps questionable connections with the corporate owner of this Nurse’s now ex-employer, Banner Health.  It may also be relevant that Amanda is Latino, in the state of Arizona.
What is the state of the rule of law and civil rights in Arizona?  Does the law matter more than one’s power, connections, and wealth, or not?   Of course this very issue has been prominent in Arizona for some time.  A very interesting case indeed, and equally troubling.   I’m a Nurse, so a story like this one is not acceptable in numerous ways.    I see evidence suggesting that both a Nurse and a patients’ rights, at least in one case, have been threatened: entirely unacceptable.
Whatever you do TAKE ACTION NOW – inaction means approval for Amanda’s firing and loss of license.  You’re taking a side either way, so take the right one!
About Big Red Carpet Nurse (1750 Articles)
Along with other stuff I enjoy that pays the bills (a plus!), I'm a budding nurse comic. I plan, like fake Opthomologist Rand Paul, to create my own professional organization solely so it will grant me a Doctorate. In my case, the org will be something like the AANC (American Association of Nurse Comics), and it will (trust me on this point) agree to make me the first ever DNC: Doctor of Nurse Comedy. I'll keep you posted!

14 Comments on Show Some Nurse Power! LET THEM HEAR OUR ROAR!!!

  1. Writing to Brewer is a joke, her son works for Joey Ridenour husband.
    NOW DUCEY is in office , write him encourage him to please NOT reappoint this aging board , again !!! Everyone write him now to clean house at the BON . The state cannot take anymore corruptioin !! And Nikki Austin , Valerie Smith is NOT a good choice either. they are sociopaths who talk “pubic safety” scarry . SHame on the sinister make up of the BON> !!!

    Like

  2. Ashamed to be a nurse in AZ // July 11, 2012 at 1:17 am // Reply

    The state board of nursing , in Arizona has been exposed. Thank you greg. I will join in the fight , the evil works of these career detroyers, under the guise ‘public safety” is a JOKE. Gov Brewer you are responsible , take action and fire them all.

    Like

  3. I just happened across this site and wow! I am not surprised to discover it is a facility called BANNER DEL WEBB. Sneaky place, I tell you. They (management) would turn on their own grandmother if they needed to. I am so not suprised to read how they treated a nurse for doing their job. They need to be scrutinized. I have long been suspicious of the fact that BDWMC has “someone” going to bat for them at the AzState Board of Nursing. I know scores of good credible nurses BDWMC has reported to the Board for fictitous reasons. Why? If they realize a nurse is a true patient advocate……………you are a threat to them. Banner needs to wake up to what a nightmare this facility truly is. I just don’t think they really want such a sly underhanded company in their midst. They don’t need it. As for Amanda, she is one of the few nurses that has been tossed under the bus. We as patient advocates need to step up to the plate not only for Amanda and nurses like her; but also for the patient. In the end it is the patient that we are all trying to help.

    Like

    • They have three Board members on their payroll confirmed, and we have not yet looked very hard, so there may well be more – see my letters to AZ Governor Brewer, as I lack the links at the moment

      Like

  4. Cheryl Waskiewicz, APRN // February 12, 2012 at 2:04 pm // Reply

    Thanks, Greg, for your efforts to inform us.

    I have just written a letter to Harrington and the AZ Bd of Nursing. Ignoring this issue is unacceptable!

    Like

  5. haha. Great post about Nurse Amanda. This is the right time that Ms. Trujillo is really in need of the help of her fellow nurses. The voices of nurses is a loud one and we can make a way for the justice of the case of Nurse Amanda. Patient advocacy is never a crime in fact it is a responsibility and a right of every nurses out there.

    Thanks for sharing,
    Peny@Nurse Up for Nurse Amanda!

    Like

    • Advocacy is a large part of our mission and responsibility, and for many issues, the only effective advocacy will be at a level higher and braoder than individual practice. Our current health care system is bloated, corrupt and slowly dying – it only persists with cost increases that will not much longer be sustainable. When we hit our national health care budget’s inevitable outer limit, then the rationing built into the system will become increasingly apparent, as it requires an increasing level of wealth to obtain the standards of care most of us have come to expect. Don’t believe me? – find a graph over time of the percentage of out GDP devoted to health care and project it into the future. Put a graph of our national debt next to it, again as a percentage of GDP. It becomes painfully obvious that while this crisis is moving slowly, it will certainly become completely untenable soon. At present, our Congress can barely, and only intermittently, produce a Federal budget. That task will become sharply more difficult and contentious over time, and unless we begin to face facts and unite for positive change, the health care system and all government programs will begin to fail, soon. Actually, it has already started, at the state and local level in many places. Biding time, waiting and seeing, is a recipe for catastrophe. America needs Nurses’ voice now: we have great things to offer, and we reamin the most trusted professional group in America.

      Like

      • ok how do we start? The time is now. We all need to get involved. I am tired of seeing my fellow nurses kicked in the gut then coworkers avoiding them like they have the plague. ENOUGH IS ENOUGH. Nurses we have power in numbers. If you want to hide your head and take abuse………………..please do not call yourself a nurse. You are not doing this career any favor. Do you care about your patients? Do you care about healthcare? Do you care about how your fellow nurses are treated? If you don’t then get out of the way! If you do, then stand up and do the right thing.

        Like

      • Wow, I like your enthusiasm! Try out nurse up for Amanda Trujillo on FB, and see my post re the Power Mix plan. Also email @ grchealthcare@hotmail.com – I’m on vacation lacking a computer, and I have links but not by the pool! Let’s let the world hear Nurses today!

        Like

      • One way to help is described at wp.me/s278fi-178

        Letters help – snail mail much preferred as it carries much more weight per unit.
        Contact information: see the above link, and for the
        AZ BON, see: wp.me/s278fi-535

        I can also introduce you to a group of dedicated, talented (and entertaining!) Nurses who have been gathering on-line for support and collaboration. As our rapidly growing group is in the process of a necessary reorganization at the moment, if interested, contact me at grchealthcare@hotmail.com, and I’ll introduce you to the others. My blog is a rather small part of the whole, as I am by far the newest blogger among us.

        THanks so much for your enthusiasm and motivation.

        Nursing is great now, but also can become much more, take another big step forward, if we so decide and act intelligently and in harmony.

        Like

  6. i LOVE this idea, I watched the Komen plan fall apart, and I really believe in Amanda….the NEED is to stimulate nurses to join the cause. This is a great plan. Thanks…I’ll send a package, maybe two !!

    Like

3 Trackbacks / Pingbacks

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