In the West we have great value for justice and people's right to work and yet I see a trend with nurses who go through the investigation and disciplinary system with the Board of Nursing unable to get these rights met. People often prejudge nurses who are put under investigation resulting in being marginalized in their personal as well as professional lives. Rep. Lynn Jenkins (R-KS) has recently posted information regarding how the system works for most people who are ten times more likely to be tried by an agency than a court. The rules are different as information is withheld from the person who is accused. Many nurses are unable to pay the fees for legal representation or are unaware that they can and surrender their licenses. The fear factor plays an enormous part and if they are unused to being approached in a manner which is forceful from my own experience they succumb to their fear.
I have a more positive vision for how this process can be done if nurses will stand up for themselves and their right to protect their license and ability to work. Rep. Tony Shipley (R-TN) has recognized that there is a need to protect licenses and he passed a law to have the SBRN report to a committee within 74 hours of any suspension or revocation. This means that the agency has then to explain and provide grounds for this level of intervention. I will be interested to see if there are changes in the number of licenses that are suspended or revoked since this law was passed. He also introduced a law which has the SBRN report any fines over $1,000. For most people this is a lot of money especially during a time of crisis and not being able to earn income. Most of the state board of nursing websites do not report fines but ones which I have visited have fines ranging from a few hundred dollars to ten thousand!
I advise any nurse to contact his/her MP or State Representative to disclose the charges and how you were approached. All details are important for politicians to learn how the process is handled and the impact it has had on the individual nurse. Many I think are in fear and are shamed by being on a list that is mailed out to all license holders statewide. For most people this type of public humiliation is overwhelming and degrading. I encourage nurses to come out of the corner and be strong and confident in his/her ability to go through the process and stand tall. Florence Nightingale shone a light and I want you to keep shining yours. Florence Nightingale is considered the Mother of Nursing and in fact did not want licensing bodies. Perhaps seeing a powerful establishment that is removed from the realities of nursing practice which would not have been the case if those responsible who were closer to the nurse and environment in which he/she worked were decision makers. The trend for revocations has increased over the past five years and with the present care setting it is unlikely to reverse.
Some practical and supportive advice for nurses undergoing state board discipline:
1. I always have to make it clear that I have great faith in One Creator and to turn to the One you know and call Him by name to assist and guide you through the process. Sometimes it is during times of stress and personal challenge that we become clearer about our relationship with God and rely totally on Him to help us through a crisis. This is your time to learn that and accept who you are and trust in your ability to draw upon this inner strength and power. Don't let go and give up but know each day you will go a little further and deeper because the Power that you are drawing from is far greater than any human factor.
2. On the metaphysical level see the situation as being of equal size or smaller than yourself and breath deeply to abate any fear. Learn to enjoy life with this hanging over your head because you will learn to trust your ability to move forward.
3. Fear is about as negative an experience as we can experience and it doesn't serve us at all. We are far removed from the evolution of man when the fight or flight mode of response reacted as quickly as our knee jerk response does today. We have a higher brain and if we retrain our thoughts to pause and train our mind to think positive thoughts we shall be less likely to continue to feel fear. Write down what you think and if that is true. Ask yourself what your Higher Power's teachings are for the content of your thinking and what he/she would do in the same situation. Pray and write down what comes up from your inner intuition about the situation and rest assured that you are being guided.
4. I highly recommend that nurses connect by way of www.meetup.com Mother Teresa said that it is better to connect person to person than to wait for leaders. Studies have shown that supporting others improves well being through increasing certain hormones. Once you befriend someone you can share the experience being mindful to make sure that you don't disclose details that should be kept between yourself and your lawyer. Perhaps small groups will be able to help stabilize any nurses who are more vulnerable because of the investigation period being prolonged for instance. It will be interesting to hear from nurses and share stories about how lives are changed and uplifted because of this experience. Transcendence is always possible despite how tragic and stressful the situation is.
5. Make sure that you do the very practical things that will help you survive the process. Legal advice and representation is a must and researching for a lawyer who is specialized in license law is essential. Keep a notebook with you to got down any information where ever you are is helpful to your case.
6. Rest and relaxation are important. I recommend that you meditate daily. There are instructions on the website that I follow that I find works very well www.TonySamara.org Attend Church or any other type of spiritual meetings you are draw to. Take up yoga which helps to relax the body and gain an inner equilibrium. Walk in nature and enjoy time in solitude. Perhaps you have been used to being around people everyday and now find that you are alone. Turn the experience into a positive on by viewing it as a time for self contemplation and journaling. Keep a daily journal and note thoughts and feelings that arise. When a negative thought arises jot it down and the feeling that you experienced. You will then become aware of how negative thoughts bring you down and start to have positive thoughts. It's a choice we have and we can either be unhappy and feel bad or work on ourselves until we get it right.
7. Sleep is necessary and I recommend that you don't turn to pills to make you sleep but rather set up a routine such as bathing before bed and drinking hot milk which has a natural sedative. Daily exercise should help make the body tired and ready for rest also. You can meditate as you are going to sleep and that helps focus the mind and let it calm down. Repeat the name of God inside and focus your attention between the eyes. You will find the instructions on the above website.
8. Don't worry, be happy should become your motto. Repeat it as you walk around. Feel and believe that you don't have to worry and feel the difference when you choose to be happy!
My thoughts are with each and everyone of you are you learn to adjust and stand up for your right to defend your license and work.
Please feel free to contact me lawrencerita511@gmail.com as I am always happy to hear from those who are undergoing state board discipline. Always in my heart and prayers.
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