@doctor_jeff asked me to hook him on Evernote recently,
@not_ratched Hook me! What's great about Evernote?
— Doctor Jeff (@doctor_jeff) February 8, 2012
but I got caught up in (meaning pissed off about) this Amanda Trujillo crap. Yes, blogosphere, I said CRAP. Also STFU. Which I know hurt. Recommendations about big-girl panties come to mind, but I guess I should keep those to myself lest I be personally bullied by nurses who are pissed off about me being a bully. I discovered through various Twitter interactions that I am young (that actually perked me up), have no experience, and went against my dad's wishes regarding his cancer treatment---impressive given that none of it was based on fact. I had planned to drop it because it's so wearing to refute things like the following illiterate scrawlings, sadly posted on The Best in Nurse Blogs ("sadly" because if this is the best we have, frankly, we should probably keep it to ourselves), but hell, I pay for this domain, so I figure I can write on it:
"She also stated on twitter that she doesn’t feel nurse should support other nurses, just because they are nurse."
What do I even say? Learn English and then try again? Capitals and plurals aside, commas make a difference. If you're going to play spokesperson, please learn to, you know, speak. What I said was nurses shouldn't support other nurses just because they are nurses. That quote says something entirely different. The opposite, in fact. The quote above, as written, means I wouldn't support nurses by virtue of the fact that they're nurses. Which also is ridiculous ("You're a nurse? Well, screw you then").
My coworkers and I sat around debating this case the other night, which by the way is what nurses should be doing with this (talking about it and not just being all emotional and sentimental about this sad single mom being treated unfairly), and none of them are online. I find it interesting that they watched the video/phone interviews with Amanda and all said she needs to be shut down. One said, "She's a wingnut" (after commentary about how hospitals are doing this because nurses are COSTING THEM MONEY). Do you see doctors making idiots of themselves like we are when they screw up? Not generally. We may have something to learn there.
And spare me the "we must speak up" speech...I am the most outspoken irritating person most of my real-life acquaintances know. If it weren't for me, actually, we as a field would not have a published position in a national nursing journal on our right to discuss this as we are in social media. OK? God, I love irony.
Anyway, the point is, there are good nurses and bad nurses. Just because someone says, "Hey, I'm a nurse!" doesn't mean I'm going to say, "Groovy! You're so right about everything you say and do!"
As for the compassionate nurses who attacked me over my dad, here's my stance. I fought with my family for 6 months to support what he wanted. Not what they wanted. I'm his DPOA. He, his partner, I, and his physicians agreed on a course of treatment, which made him damn sick, as he knew it was going in, as a result of informed consent. If a nurse had waltzed in at the point he was puking sick before his transplantation and jacked all that up, you'd better believe I would have her ass. He probably met criteria for hospice care and would have opted out of the transplantation at some points despite his original and eventual wishes. Opting out of it would have killed him. Now he's doing really well. Someone said this was a sophomoric anecdote, and it is anecdotal, although not, I think, sophomoric; still, it shows only one of a possible multitude of "other sides." The anecdotal argument can be applied to Amanda herself, actually. I could stand in front of a camera and say whatever I wanted. Doesn't mean it's true or the whole story.
We don't know whether a family member complained about Amanda. We don't know anything about the other side. This is the point I was originally trying to make, and I'm unsure why it's so incendiary. I don't know that the case was like my dad's. I don't know that it wasn't. I am just saying that there are a million possible explanations about why things are happening the way they are and that open minds are seeing that. Let us not bash physicians because we assume they are against "us," the nursing profession. I've read physician blogs about this issue and think they make some good points. Do I want nurses' scope of practice limited? NO. Do I think nursing education and knowledge is vital? YES. Do I think Amanda Trujillo acted appropriately? I have no basis to make that determination, nor does anyone else who knows only her side. Do I think she's acting appropriately now? Well, we know the answer to that. (It seems based on my use of STFU...sorry folks, I do say "fuck," regularly, I mean I usually don't even abbreviate it as F, and Amanda, if you don't want your daughter seeing you questioned or seeing abbreviations such as STFU, perhaps you should not have made your life so public or let her on Twitter...just a thought.)
I'm trying to avoid being overly defensive because the people having a field day bashing me on Twitter don't know anything about me, but it is irritating. And yes, I know it's a fraction of what Amanda is going through. She's choosing to be defensive, I'm choosing to be defensive. Got it. Anyway, I do however show up for this field. I work hard at my paid job, and I'm damned good at it. I take patient advocacy to the wall. I take evidence-based practice seriously. I look up policies and shit. I took the time to get board certified. Why? Because I care about nursing and showing that we know what the fuck---yes, fuck (deal with it)---we're doing. I serve as a board member on our local ANA chapter. Is this fun and jolly? No! Again: I care about our profession. I write for a national journal. I have not been a nurse for 100 years, but I know a thing or two, and more to the point I have a few careers under my belt and can spot potential bullshit for what it is.
I also do more than simply bitch on Twitter about the state of our profession. I, like, serve on boards of nursing organizations and write articles in actual journals to change it. OK? Supporters of this case may find themselves badly bitten if it backfires on our profession, which it has a high potential to do. Think again before jumping on the bandwagon. Nurses who are all, "OMG, this single mom got totally HOSED by Banner Health! Let's cry real tears and join her conspiracy theories!" may be glad they can disappear when it blows up. I hope that doesn't happen. I hope the Arizona BoN says she did everything right and that nurses are smart cookies who can do what their patients ask. But it's too early to get this riled up about it.
So sorry, @doctor_jeff, I'll talk up Evernote shortly!