Shine your light & stand tall.

Tuesday, September 4, 2012

Why nurses and doctors are exiting stage left!

I had written on WordPress then could not publish it from their site so I've done with that system that was recommended to me and back to eBlogger where it works 100% of the time instead of wasting my time!
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Reported by Florida Today August 15th 2012 from a survey conducted by Asst. Professor of Nursing, University of Nevada, Lisa Black (2009) which asked whether it was a trend or crisis related to the 4% out of 35,635 RNs from 50 states and DC who did not work in the profession and the 12% who did not work at all.
I have read many alarming comments by medical professionals about outsourcing prescreening to Indian and Philipino nurses when the evidence shows that patients felt more satisfied with phone prescreening, particularly the elderly who didn't have to make travel arrangements for this service and the insurance company had a 30% cost savings as reported by a Kaiser study.  In fact I believe that outsourcing is going to be a great patient service if the plan is constructed with the patient at the center of care.  The model should be directed from patient need at the center who can choose the country and language of the nurse they wish to link with.  A white American may for instance rather link with an Irish nurse who works for an outsourcing company who would relate to culture and religion.  Similarly an African patient may wish to speak with a nurse from Kenya who can speak Swahili or Arabic and will understand the patients religious and cultural needs and build trust and rapport more rapidly when giving the right referral service for the patients needs.
In the UK Whistle Blowers have had a leader at the forefront to help other professionals who come under the licensing and regulatory authorities.  Dr. Kim Holt was suspended from working for four years while she fought for her license and complied with their request to take a psychiatric examination following her disclosure about unsafe working conditions that jeopardized patient safety.  She was given a phone psychiatric examination and told she was a schizophrenic.  To cut a long story short, they then tried to bribe her.  A bus driver I told this story to said "These people!  Bribing a schizophrenic!"  It's really rather laughable but very real and very tragic for those who are put through these ordeals by the regulatory agencies.  Dr. Holt has transcended this episode and now reaches out to others through an organization called Patients First.www.patientsfirst.com
ProjectCamelot.com is a US based organization that has TV and radio media coverage about Whistle Blower issues and I recommend that people join the above organizations and share your experiences in the workplace.
Some other web sites to contact are:
http://whistleblowers.org/index.html  The National Whistle Blower Center
http://freedomcare.org/contents.htm#healthcare  A site focused on the UK and links with an International Association for Nursing Ethics and Information on ethical issues in whistle blowing.
Michael Hirst of the Hirst Law Group, Davis, CA offers legal services throughout the US for Whistle blowers and there is a questionnaire on the website to contact him about your case www.hirst-chanler.com
Vicki Lackman, PhD, MBE, APRN, Clinical Associate Professor, Drexel University, Philidelphia, PA supports whistle blowing by the nursing profession who quotes Peter Nelji-Taylor, (2003) "...moral courage is needed for nurses who risk their own well-being for the sake of the patient," in an article entitled "Whistle blowers: Trouble Makers or Virtuous Nurses?
Expanding the Moral Distress Scale developed by Corley & Elswick (2001)
Professor Lackman gives a framework for nurses to use when confronted with moral distress in the workplace using the acronym CODE.  C for Courage and then goes on to define what the steps are: O is for Obligation to do the right thing; D is for danger when thinking what is the outcome you fear in the situation and E is for the action(s) to take to maintain your professional and personal integrity.
Another catch twenty two is peer review that has been discussed by Karen M. Cheung Fiercehealthcare in an article about doctors who are gotten rid of by hospitals who find them to be "inconvenient," due to reasons such as lawsuits.  Dr. William K. Summers, psychiatrist, NM is quoted as saying there is an "open season" on doctors.  I see the same thing happening with nurses like Amanda Trujillo who advocated for her patient who was going to have a liver transplant but instead opted for hospice.  The difference between Dr. Kim Holt's outcome and Amanda Trujillo is that the British Medical Association stood behind Dr. Holt and there has been no such stance from the American Nurses Association who publish information about Nursing Ethics on their site.  It seems that they talk the talk but don't walk the walk.
Richard Wilmer, Attorney at The Innocence Project of the Center for Peer Review who will help you through the process of negative peer reviews if you are reported to the National Practitioners Data Bank (NPDB) which happens to nurses and doctors who become "inconvenient" to the hospital or profession as a result of an incident or law suit.  Contact www.peerreview.org
Ask your State Representative or MP to connect with Rep. Tony Shipley (R-TN) who wrote two laws to oversee the SBRN a) to report to a committee within 74 hours any license suspension/revocation and b) any fine over $1,000.00.  Julian Smith MP recently met with Senator King, NJ to discuss whistle blowing and these two will be sympathetic I believe to your situation if you are a Whistle blower  although in the UK I am told nurses are not fined by their licensing body.
I hope you relate to the quote from Mystic, Kahlil Gibran:
They deem me mad
because I will not sell
my days for gold;
and I deem them mad
because they think
my days
have a price.
As The Beatles song says "You can't buy love!" and you can't bribe people with moral and ethical principles and tell us in the same breath that you hold us to the standards of professionalism.  Please Louise!
Please contact me via email for help and support: lawrencerita511@gmail.com



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