Liberian nurses licenses suspended.

Liberia nurses are striking after having money deducted from their pay checks by the government without any prior notification.  This happened simultaneously with teachers being given a 40% pay increase.  The United States State Department has reported Liberia for the most serious human rights abuses related to lack of justice and official corruption.
Twenty two people have been dismissed and the Minister of Health has instructed the Nursing & Midwifery Board to suspend the licenses of those dismissed related to professional code of conduct.
I believe these nurses deserve support rather than having their licenses being suspended.  I suggest sending your comments and messages of support to www.allafrica.com and any other ways that you feel is appropriate i.e. express your thoughts and feelings about this issue to your local politician.

I believe as nurses support each other during these times of heightened stress and crisis we will overcome such measures as dictated by the Government of Liberia to silence nurses.
Please inform your friends about this issue for nurses in Liberia.  I believe that if we want a fair and just world, we have to be fair and just to those who are struggling to see justice served.
Warm Wishes, Rita

Negligence is a risk in nursing.

http://www.extensionhealthcare.com/studying-alarm-safety/  The Joint Commission has set a goal for patient safety on alarm management.  After listening to the course which is the second in a series you can earn 1 free CEU.  Also go the the LinkedIn.com group - Health care Technology Safety Institute to ask questions regarding the topics presented.  There are many different kinds of patient alarms that eventually become tuned out by the nurses, thus it is necessary to gather data about the various types of alarms and categorize them according to level of urgency.

When the environment is charged with stress and noise it becomes important for nurses to recognize how their own behavior adds to the affray http://legal-dictionary.thefreedictionary.com/affray which means a verbal altercation or row.  Working in an environment where there is tension and lack of civility makes everybody anxious and issues should be addressed in a constructive manner.  First by talking with the person  with whom you are upset, directly with a courteous tone of voice and manner.  If you cannot talk about the issue then it has to be taken to a supervisor for guidance and documentation.  Hoping that the situation will get better on its own won't work.  Cynthia Clark RN, PhD of Boise State University defines civility as 'an authentic respect for others that requires time, presence, willingness to engage in genuine discourse, and intention to seek common ground.'  She asks why does so much incivility exist in the nursing profession?  You have a choice to respond to others in a way that produces a civil conversation or not.  This is part of the professional role.  Incivility can be conveyed through covert means such as eye rolling, sarcastic comments, intimidation and physical violence.  http://nurseinterupted.wordpress.com/2012/04/12/the-downward-spiral-does-it-apply-to-cyberspace/  Please read the full article 'The Downward Spiral: Incivility in Nursing,' by Cynthia Clark, RN, PhD, and Sara Ahten MSN.  

http://www.gofundme.com/RNneedsachancetowin  Amanda Trujillo RN needs your support with her legal fund as she defends her license.  Amanda is a strong patient advocate and if you go to the site and read her story you will most likely share the same feelings as many others - Amanda did the right thing for her patient.

Eileen M. Croke EdD;, ANP, LNC-C, Nurses, Negligence and Malpractice is an article which educates nurses about the kinds of situations where errors can occur leading to charges.  The following failures are listed from the article to highlight the importance of using this information.

'Standards of care: failure to adhere to standardized protocols or institutional policies (e.g. improper IM site;) follow physician verbal or written orders.

Equipment:  failure to follow the manufactures recommendations for operating the equipment or to check the equipment for safety; place equipment properly during treatment and learn how equipment functions.

Communication:  failure to notify a physician in a timely manner when conditions warrant it; listen to complaints and act upon them; communicate effectively with a patient (e.g. inadequate or ineffective communication of discharge instructions; seek higher medical authorization for a treatment.  

Documentation: failure to document a patients progress and response to treatment; patient injury; pertinent nursing assessment information (e.g. drug allergies;) physician medical orders; information on telephone conversations with physicians, including time, content of communication between nurse and physician, and actions taken.

Assess and Monitor: failure to complete shift assessment; implement plan of care; observe patients ongoing progress; interpret patients signs and symptoms.

Patient Advocate: failure to question discharge orders when a patients condition warrants it; question incomplete or illegible medical orders; provide a safe environment.'

 After you read this article 2 CEU hours are available to take on line.

www.bbc.com/news/uk-england-essex-25091938  Nurses as part of the team involved in the management of a patient who had a massive hemorrhage following the birth of a baby girl.  The team was unaware of a condition that the patient had that prevented her blood from clotting.  The registar, Dr. James Pennington told a hearing there was  'no discussion about getting more blood more quickly.'  The patient subsequently suffered a cardiac arrest and died.  If you look at the areas that a nurse will be held accountable, it is probably the case that negligence can be found in all of those listed above.  Communication is key and if the registar says that there was 'no discussion' about the need for more blood he is saying that he was not fully appraised of the patients clinical condition at the time.  

I am not a lawyer and hope that nurses will learn from this tragedy and read more about the legal aspects of nursing and how to respond in such a manner that provides safe patient care even if you have to seek higher authorization for treatment as patient advocate you are responsible for taking this step.

When it comes to Money - Money is important!  

Lenders for Student Loans can be switched on this site https://www.credible.com/ to help pay off student debt.  According to Suze Orman, current law states that student loans cannot be dissolved or written off in a bankruptcy.   Organizing your debts under one umbrella can help you become debt free.  https://www.readyforzero.com/auth#logout  Ready for zero is an online system for tracking your payments to creditors and your credit score.  Bankruptcy peaked in 2008 due to the recession.   Nurses who have had issues with their licenses have probably found it hard to get work and Suze Orman says it is better to file for bankruptcy and face the issue head on http://suzeorman.com/blog/the-good-thing-about-bankruptcy/  It is a difficult decision but will help you to move forward with your life and start your business. 

http://www.slatergordon.co.uk/media-centre/blog/2014/02/advice-on-how-to-approach-difficult-performance-reviews-at-work/  Performance reviews are given to document the goals that have been set by your employer with you and should not be a time for bringing up the unexpected.  In case you have problems with your annual review consult with a lawyer who specializes in employment law such as Caroline Phillips.  Nurses can benefit from being proactive and making sure that you get fair and appropriate treatment from your employer.

I encourage nurses to read and share information that will help you to deliver safe care.  If you do encounter a situation in which you end up with charges find a lawyer who specializes in license law and defend your license.  Stay tuned in to this on line community for support and join with others to meet in person so that you can network and share resources.  Follow your lawyers guidance and do not discuss your particular case with anyone as this information is solely between you and your lawyer.  Do let others know if you can recommend a particular lawyer and any other information that will help others adapt.

My very best wishes are with you as you defend your license and move forward with your life in business and earn the money you deserve.

Rita.

Paying attention to equipment and checking it's safety is essential.

Defensive driving is instilled in the learner and in much the same way the approach for nurses has to be defensive.  Your license is your investment.  It has taken your time and money and only you know the sacrifices you put into your career and credentials and it's worth protecting.  http://www.scribd.com/doc/193017586/Nurses-Negligence-and-MalpracticeEileen M. Croke EdD writes in the American Journal of Nursing that there has been an increase in the number of practice lawsuits reported by the National Practice Data Bank (NPDB.)  Between 1998-2001 the number rose from 253 to 413.  Two legal definitions given by The Joint Commission on Accreditation of Health care Organizations (JCAHO)  I recommend that you read this article and take 2 CEUs.
Negligence - 'Failure to use such care as a reasonably prudent and careful person would use under similar circumstances.'
Malpractice - 'Improper or unethical conduct or unreasonable lack of skill by a holder of a professional or official position; ...to denote negligent or unskillful performance of duties when professional skills are obligatory.  Malpractice is a course of action for which damages are allowed.'
The following factors related to malpractice are listed by the author:
delegation - due to cost containment in hospitals and HMOs there has been an increase in the number of unlicensed care providers that can put the nurses at risk for negligence as care may not be given according to hospital standards of care or according to the state nurse practice act.
early discharge - patients who are discharged in the early stages of recovery or with conditions requiring more nursing care.  The suit will be related to not providing care or not making referrals appropriate to the patent's condition.
nursing shortage - hospitals are downsizing and have increased workloads resulting in increased risk for error.  Courts hold advanced practice nurses to a medical standard of care.
technology - specialty areas have high tech equipment and the nurse is required to have the skill and capability  to operate equipment and know the limitations and safety features.
autonomy and responsibility hospital nurses with advanced skill are put at risk for error.
better informed consumers recognize insufficient or inappropriate care.
A 1997 study published the most common categories of nursing that led to legal actions:
Failure to communicate adequate information to the physician.
Inadequate patient assessment.
Nursing interventions.
Nursing care.
Medication errors.
Inadequate infection control.
Unsafe or improper use of equipment.
Also mentioned in studies by (Campazzi [1980] Smith [1989] Mayberry and Croke [1996] Smith-Pittman [1998.]
This article offers valuable information which I will share with you next time.
With the increasing number of hospital mergers and unlicensed staffing mix nurses should be ever aware of the risk to the their licenses as investigations hold the nurse accountable regardless of the setting.  They may ask the nurse why he or she chose to work there but ultimately the nurses license is on the line when an error occurs.  R. Bryant, Royal College of Nursing, Act, Australia has compassion for nurses and sees errors from a systems perspective and calls for Nursing Boards to investigate inadequacies in the system.  The title of the article is 'Nursing culpability: a proposal for change in nursing regulation.'  

https://www.youtube.com/watch?v=MQt0dMoPw_8  Representative Renee Ellmers (R-NC) questions a FDA official over three vendors for IV infusions that have had quality manufacturing issues and this could present a problem if you are not aware that the issue exists.  Rep. Ellmers also asks questions about the shortage of drug therapies - (85% of Rx drugs are generic) - and again be aware that these are issues that are currently being addressed.  It is important to bring any defective equipment to your supervisor's attention and fill out incident reports.  Check your hospital policy about reporting on defective equipment.  You will be held accountable if you do not check equipment for safety issues prior to use.
 http://www.ethicalhealthpartnerships.org/nurseresources.html  Be sure to read the articles on this link.  7 tips for avoiding malpractice claims by Edith Ann Brous RN, MPH, MSN, JD and Nursing malpractice: Understanding the risks.  There is no charge for articles from this site and you can take CEUs after reading one article at a reasonable cost.

When it comes to Money - Money is important.  Getting your business known in your local area can be done through a platform like this one http://www.singleplatform.com/?utm_source=Bing&utm_medium=cpc&utm_term=small+business+listing+Broad&utm_campaign=Listing&utm_content=Small+
Probably your biggest worries are around debt if you are unable to work.  http://www.huffingtonpost.com/steve-rhode/im-a-registered-nurse-but_b_3762856.html  Steve Rhode 'the get out of debt guy' offers some advise that will help you to see the light at the end of the tunnel.  Take time to gather the information that you need and meet with an attorney about your options.
I recommend Network Marketing because you can start with very little capital, and there is a marketing support component to teach, mentor and support you as you learn how to grow your business.  https://www.youtube.com/watch?v=08qGjZwj914  Robert Kiyosaki's video will walk you through some of the reasons people make the choices they do regarding the way they earn money.  Robert's book 'Rich Dad, Poor Dad,' is a must for your reading for personal and professional development.  I hope you will find this video as motivating as I do because I truly believe that nurses are natural entrepreneurs who can help people in their lives through selling products that are beneficial for the individual and the environment.
I wish you every possible success in your new business and earning the money you deserve.  This on line community is here to serve you and to encourage you to move forward with your life and have the respect and esteem that the group holds for you.  You are not alone with your situation and many nurses are today turning their lives around.
I will just share that the red lines saying that the work cannot be saved started to show up again after many weeks and I feel that there is nothing that is not of benefit to nurses on this blog and it is written with my best intentions for your future success.
Warm Wishes, Rita.

Charges against nurses should be resolved within 9 months per MPs.

http://www.good.is/posts/the-science-of-character-shaping-you-and-your-community-s-strengths#access_token=CAAAAHKFdD50BAAgf7rmOXMGZAuPfQt5a4LtDd   The kind of changes that can occur as a result of the challenges faced by nurses who encounter an investigation can be profound.  Through our pain we can wake ourselves up out of a slumber about what life is about and decide to engage with our true nature, our true self, our true worth and GROW.  We have all experienced different life styles and beliefs that carry some of its baggage with us that can result in chronic stress and toxicity.  Take this time and the opportunity that it offers to stretch beyond the margins of who you know yourself to be or assumed about yourself.  Become inspired and ready to embrace a challenge that does not neglect the necessity of attending to the legal issues required for defending your license but at the same time becoming aware of your emotions and learning to become detached.  I have posted certain links to sites that I hope will be helpful such as Meditation which I recommend from my own experience.  Other methods such as tapping can help clear negativity which is like a jailer to our true self.  Be free from the turbulence of emotions such as anger by writing about your feelings and choosing always to not engage in negative behaviors.  What I am saying is not to ruminate on your situation as what you see as a failure but instead focus on your strengths and how you can problem solve and continue to achieve.
Through the Internet nurses can develop world wide empathy for others in similar circumstances.  As you shape your own character by tapping into some of the self discovery links you can also inspire others whom you connect with in your community to grow.  I highly encourage you to connect in your own communities and develop the support and friendship you need to get through the difficult times of defending your license and perhaps not having an income to pay bills and support your family.

http://www.bbc.com/news/health-18685455  Harry Cayton, Council for Healthcare Regulatory Excellence in the UK issued a final warning to the Nursing and Midwifery Council (NMC) 'to put its house in order,' in July 2012 when it was revealed that there were 4,000 cases on the books that had not been resolved over a 5-6 year period.  This is obviously distressing for the nurses involved who may have restrictions.  http://www.bbc.com/news/health-21672969  In March 2013 a cross-party group of MPs sited the NMC for the regulators 'poor record of having decisions overturned on appeal.'  The NMCs backlog of cases dating back more than two years was 570, and the goal was to process cases within 18 months although MPs said it should be half this.  It is important that legislature realize the urgency involved for nurses and the need to be able to work.

http://nursing.advanceweb.com/Article/Raising-Legal-Awareness.aspx  As the title of the article 'Raising Legal Awareness' suggests is something nurses can use to protect their licenses.  Follow changes in legislature regarding nursing practice for your state and read current protocols and best practices for your hospital and specialty.  Ask yourself what new thing(s) I have to learn.  I know how difficult it must be to face your dilemma while at the same time work through emotions and move forward with your life.  I just want you to know that you are not alone.  There is an online community of nurses who are supporting you and will continue to grow by your commitment to being there for another nurse in similar circumstances.  http://www.thetappingsolution.com/2014tappingworldsummit/upgrade.html   These free workshops are there for you to break through the emotional barriers that stand between you and the future that you are now in the process of creating.  I have read online posts from nurses who vent about their feelings and there is a place for that but most of all I want you to be exposed to the teachers who can show you the importance of positive thoughts, feelings and behaviors and how to let go of the past and let it be a learning experience.

When it comes to Money - Money is important.  I encourage nurses to form a small business start-up as a means for earning the money you need to care for yourself and your family.  http://www.psmag.com/navigation/business-economics/crowd-funding-gets-creative-kickstarters-2014-75426/?curator=MediaREDEF  This article gives information about crowd funding as a means of getting the money you need to build your business on line.  If you want to rent space and start a small coffee shop for instance that could be a good business for you.  I usually talk about the online platform because it allows for greater access to a growing population of people who can use your service or buy products.  

I wish you the best as you move forward with your personal and professional development as you learn the skills necessary to become an entrepreneur.  Be creative and be free to make some mistakes.  Your greatest opportunities lie ahead of you and I highly encourage you to write out your goals and objectives that are measurable for your business start-up - but know how to adjust and adapt and become flexible.

Warm Wishes, Rita

Nurses can gain from a better understanding of legal matters all over the globe.

http://www.jcdr.net/articles/PDF/3657/7737_E(C)_F(H)_PF1(PP)_PFA(H)_OLF.pdf  Dr. Hermant Kumar et. al., has published a report online called 'Legal awareness and responsibilities of nursing staff in administration of patient care in a trust hospital.'  New legislation has driven this study such as the Consumer Protection Act, Right to Information Act as well the standardization of procedures and practices.  The study points to a 'need for a program on specific areas of legal aspects such as legal terms, basic rights, legal control, taking physicians' orders on the telephone, legal obligations and patient rights as well as the legal obligations of the nurse towards them.'  I have noticed quite a number of readers from India and would encourage nurses to take online CEU courses that specifically address legal and ethical issues in nursing and read books.  Go to your library and keep current with journals such as the Journal of Law Medicine.  Meet in groups and learn together.  The main thing is to support one another and spread the word that you are forming study groups.
'...the level of legal awareness amidst nursing staff in India is abysmally low. Even in developed
countries like USA, the number of adverse actions reported to NPDB, related to nurses in 2011, was nearly double of that which was seen in 2002 (21,586 vs. 11,029 respectively) [3].
However, of late, nurses in India have been in the limelight for negligence and cases of criminal medical negligence against nurses are also being registered in courts.'  The article states that most errors involving nurses are dealt with in-house and are not referred to The State Nursing Council.  Please make sure that you support any nurses who do encounter difficulties and prepare to become more informed about legal and ethical aspects of nursing.
http://timesofindia.indiatimes.com/india/After-2-years-and-no-changes-Whistleblowers-Bill-cleared/articleshow/30815449.cms  Whistle blowers have recently been given protection in India and nurses should be aware of this and read the Public Concern At Work website.  There is a great deal of support for nurses on line these days and I recommend that you share this kind of information with your friends and colleagues.
Nurses can learn from others mistakes and it is my hope that through these postings that you will be more aware of the interventions that are necessary for instance, before discharging a patient for instance and protect your license as well as patient lives.  It is sad for all involved when an error occurs especially when it involves the death of a child.  My concern is that we don't judge the nurses involved because it is my belief that we can all find ourselves in a situation where we could be involved in an investigation when working with patients.
EMTALA: dehydrated pediatric patient dies, nurse neglected E.R. screening procedure.

The six year-old patient was sent home with his parents from the emergency department 9:30 p.m.

Early the next morning his mother could not wake him and called paramedics to the home. They brought the child to the hospital at 6:46 a.m. Resuscitative efforts were stopped at 7:04 a.m.

The cause of death was established later that morning after his stool sample came back from the lab: dehydration from vomiting and diarrhea from C. difficile.

Emergency Room Nurse Did Not Take Initial or Follow-Up Blood Pressures 

http://www.thefreelibrary.com/EMTALA.....-a0199465251
I encourage nurses who are going through a State Board investigation to meet together in person in groups and keep in touch on line and by phone.  Your priority is to find a lawyer who is specialized in license law and to keep the details of your case confidential between your attorney and yourself.  Do share information about lawyers you can refer to another nurse.  Share information and resources as much as possible.

When it comes to Money - Money is important!

http://www.consumer.ftc.gov/articles/0065-multilevel-marketing  I recommend that nurses start an online business when they encounter difficulties with their licenses because of the high unemployment rates in the job market.  One of the positive aspects of multilevel marketing is that you generally don't have to invest a large amount of capital.  However with that said the FTC has issued some cautions related to this type of business.
http://www.learnvest.com/knowledge-center/checklist-i-lost-my-job/  This article has some useful steps to follow to help you gather information and access needed resources if you are unable to work due to job loss. Nurses are innovators and goal oriented and that is why nurses will succeed in business.  www.nurse-entrepreneur-network.com   Feel empowered and be part of an online nursing network that will help you grow your business.
The mind will always doubt and if you follow your mind and not the endless possibilities of your heart you may never find out how to be a successful business entrepreneur.
My very best wishes are with you as you work through the legal issues with your license and start the business that will bring you the income that you deserve.  As always, I wish to extend our heartfelt gratitude to those Google guys who make this blog possible.  Let our community keep growing and support nurses in the quest to defend their licenses and discover the world of business and financial independence.
Warm Wishes, Rita

Living through the toughest of times.

http://intellihub.com/20-tips-soldiering-economic-meltdown/  Only a nurse who has faced charges and has been unable to work knows the economic hardship involved.  I am positive about the future because I believe that we can adapt and use resources wisely and not solely because there will be a strong economy for workers.  I mentioned Glen Beck interviewing Google executives yesterday and they spoke about robots that they are working on which means that the human labor force will be reduced in the future.  You can actually go to Youtube.com and watch videos of robots that are already in the making to replace humans in various capacities.  The Intellihub article outlines some practical ways of living that reduces consumption of products and resources in your life as you move forward.

I encourage you to keep connected with one another in person and regularly by phone and on line.  Use the about article to help inspire you to make it through times of change and financial hardship.  If you can share accommodation with another nurse in a similar situation that would benefit you both.  Live as simply as possible.  You are worthy of respect - honor- and support.

http://www.medscape.com/viewarticle/820842?nlid=50143_785&src=wnl_edit_medp_nurs&spon=24  If you have to defend your license it is important that you are represented by a lawyer who specializes in license law.  Read and increase your knowledge about current practice and outcome data for your specialty and use this knowledge to defend your actions.  www.courtnews.co.uk describes a situation with a midwife resulting in the death of the baby and the Mid Wife loosing her license.  

February 21, 2014 

WILES: MIDWIFE STRUCK OFF OVER BABY ERRORS

HELSTON, CORNWALL A midwife who made a series of errors during the birth of a baby who died just five days later was struck off today (Fri). Elizabeth Wiles was given the care of first-time mother Gemma Bosworth at the Helston Birthing Centre, Helston, Cornwall. The birth was complicated, but Wiles chose to record only a fifth of the observations required by industry guidelines and waited over an hour to call for help. Baby Zac was born in the back of an ambulance on the way to the Royal Cornwall Hospital, Truro, and died just five days later. - See more at: http://www.courtnewsuk.co.uk/online_archive/?name=midwife&sa=Search#results

If you happen to be a minority and feel that you were discriminated against be sure to consult with your lawyer.  http://www.exaronews.com/articles/4874/nearly-two-thirds-of-london-nhs-midwives-disciplined-were-black   

If anyone saw the move 'The Butler' you will appreciate how individuals can get into positions of power who have racial prejudice.  Through their position of power they can oppress others like the character who hired the Butler in the White House.  As much as we want to include all people as brothers and sisters not everyone is going to have the same world view and they can only continue to exist if we tolerate their ways of oppressing others.  Nurses are apparently experiencing this kind of oppression in the UK and I would not doubt if it exists in other geographical locations.

http://www.sacbee.com/2012/11/02/4956042/nurse-enters-plea-in-elder-abuse.html  The LPN in this case was facing criminal charges related to maltreatment of a patient.  A settlement was reached for not having enough staff coverage 'Don Esco was more blunt in his assessment of Donna Palmer and Horizon West management, whom he blamed for his wife's death. Esco's civil suit, which was settled in 2010 for nearly $3 million, accused the company of under staffing the facility to maximize profits.'  If you are working in a facility where there is a shortage of staff do not put yourself at risk because when patients are harmed you will be held accountable.  Enough studies have been published to confirm that patients are at risk when there are not enough patients and this equivocates to your license being in jeopardy in those situations.

Read more here: http://www.sacbee.com/2012/11/02/4956042/nurse-enters-plea-in-elder-abuse.html#storylink=cpy

http://www.nursesdefenceservice.com/urgent-legal-advice-for-nurses/  Nurses Defence Service is based in the UK and offers legal services for all areas affecting nurses who have to defend their licenses.  Be proactive and share this kind of information with nurses you know and always be prepared to contact a lawyer in the event that you have any suspicion that you will be investigated.

http://m.cjonline.com/news/state/2014-02-22/doctors-x-ray-postings-unsettling  Face book is a place where lives can be ruined and if you use face book to keep in touch with friends be formal in any of your communications.  Unfortunately the physician in this report will most probably have to defend his license before the Board of Healing Arts and say goodbye to his bid for a Senate seat in Kansas.  

When it comes to Money - Money is important!  I encourage nurses to start earning money as soon as possible and to at the same time defend their license through a lawyer specialized in license law.  Looking for a job is always worth while and one industry that is hiring are the railroads https://www.aar.org/jobs/Pages/default.aspx#.Uw5gl-N_s5g   

Nurses have the background and experience to become investigative journalists and one pool to tap into is the social media.  Nurses are experienced with research and have strong analytical skills to write stories about health care topics.  

My very best wishes are with you as your case is defended by a competent and experienced license lawyer and as you find your own path to a future of abundance and prosperity.  Napoleon Hill said that most people feel that they didn't have a chance of success because they never took the chance to succeed.  I encourage you to meet in person and to keep in contact on line and by phone.  Share information and resources with your group and be the support for someone else that you need for yourself.  

Warm Wishes, Rita

You have an umbrella of opportunity to protect you from the worst imagings.

My intention in writing this blog is to support nurses who have encountered an investigation by the State Board of Nursing and need to defend their license.  When you feel supported by an online community my hope is that you will feel empowered - honored - respected as a nurse with value.  Being a part of a community allows you to know that you are not alone as many others are experiencing similar circumstances and changes in their lives as yourself.  I encourage you to make contact with each other and to bring to the table a willingness to lend emotional support and any other types of resources that you can share.  This can be a difficult time financially with legal fees and perhaps time off work.  It is important to remember not to discuss your personal case details although you can help each other in sharing information about lawyers who specialize in license law that you have researched.  Your attorney can advise you about this.

I hope that wherever you are located that life is manageable as you make the necessary adjustments and changes that you need to in order to move forward.  There are different layers.  First you have to search for a license lawyer who can represent you before the State Board of Nursing.  Spend time researching on line and contact organizations such as http://www.nationalprobonocentre.org.uk/about-the-centre/  Ask for help when you need it and ask for referrals if they are unable to assist you.  Keep following leads until you are given the help you need.
Medscape.com/viewarticle/705800_3   Randall Hudspeth MS APRN CNS/NP FRE FAANP published an article 'Understanding Discipline of Nurse Practitioners by Boards of Nursing' in which he outlines four of the most common complaints made against NP's that result in an investigation.  The most common complaint was related to unprofessional conduct.
The following cases represent cases that most people I believe would feel empathy for the nurse.  I hope more nurses receive a fair outcome as the nurse who exposed her breasts received (second case.)  The behavior shows a psychological problem in the nurse that will hopefully be addressed but I agree this kind of incident should not result in the revocation of a license.  http://courtnewsuk.co.uk/newsgallery/?page=15  You can read about cases involving nurses that are reported on this link.
Another case to ponder because it is not hard to read between the lines and the couple wanted the baby as their own.  It would be in the best interest of the nursing profession if such cases could be treated with compassion and not through striking off the registry.
 February 14, 2014 

EFFA-HEAP: NURSE TRIED TO SMUGGLE IN NIGERIAN BABY

HEADINGTON, OXFORDSHIRE; NIGERIA A deceitful nurse who attempted to smuggle a Nigerian baby into the UK is facing the end of her career today (Fri). Gladys Effa-Heap and her academic husband Dr Simon Heap pretended the nurse unexpectedly gave birth just days after arriving for a holiday in Nigeria. But DNA tests conducted after authorities grew suspicious proved the tot was not biologically related to the Oxford couple, the Nursing and Midwifery Council heard. When Effa-Heap was convicted of breaching immigration law at Isleworth Crown Court last year she lied and said she had already been struck off to try and reduce her sentence, it was said.

- See more at: http://courtnewsuk.co.uk/newsgallery/?page=13#sthash.QKWjWm8C.dpufFebruary 24, 2014 

CHADWICK: FLASHING NURSE LET OFF WITH CAUTION

BLACKPOOL A senior nurse who flashed her breasts in front of a teenage boy at a Children's Hospice escaped with a caution today (Mon). Judith Chadwick sauntered into the lounge with her top undone and joked it was 'how to get fired'. The boy had a tracheotomy and was unable to communicate or move, the Nursing and Midwifery Council heard. Staff nurse Alison Jones said she was shocked to witness Chadwick's bizarre behaviour at the Brian House Children's Hospice in Bispham, Blackpool, the tribunal heard.

- See more at: http://courtnewsuk.co.uk/newsgallery/?page=3#sthash.vA7JbyFm.dpuf

http://www.sba.gov/sites/default/files/Issue%20Brief%202,%20Business%20Owner%20Demographics.pdf   When it comes to Money - Money is important.  The SBA statistics show an increase in minorities owning their own business's as well as women who own 36%.  Goggles Eric Schmidt and Jared Cohen were recent guests on the Glen Beck program and had a positive vision for the Internet as a means for creating entrepreneurs who use the web to sell or promote their services.  You are always going to have other views i.e. likelihood of failure. It is up to you whether you wish to overcome your own inner obstacles and fears through linking with some of the teachers I have shared on this blog to move forward and earn the money you deserve.  Especially when you have to make changes to earn money in business you will be all the more motivated to put your effort into securing your future.  Successful people quite often talk about having made mistakes but they re-frame the experience into a positive experience from which they will learn and that empowers them to move forward again and to keep trying until eventually success is achieved.
http://entrepreneurs.about.com/b/2014/01/23/lessons-from-the-women-entrepreneurs-festival.htm?nl=1  Amanda McCormick writes a feature article about the entrepreneurs festival that will be beneficial to both men and women.  Although this event was geared to women it is appropriate for both men and women.  Reading about topics that others face will help you identify some of the barriers that most entrepreneurs face when starting a business.

I will be blogging as usual and hope that you find the support you need.  It has taken me some time to travel and get back to writing this blog.  I have great hopes that our community will continue to grow and establish a presence as a place where nurses can find answers and support.  My very best wishes are with you as you gather the resources you need to defend your license and earn money through business.
Warm Wishes, Rita