I could never say this better than
@blaqueerflow
. This applies to me too. This is my page, my views, and my words. I do not speak for or represent my employers or affiliates.
🧵I want to remind you all. This is my personal twitter, as noted in my bio. My tweets are my own do and not indicate or imply any endorsement, knowledge or awareness from my employer or any affiliated organizations. My voice is my own. My thoughts are my own. My politics, ever
Please do not misuse hydroxychloroquine. This med is critical for people who have SLE, like me. I was told today that my prescription cannot be filled because the suppliers are completely out. Now I do not have the meds I actually need for an incurable disease I actually have. 🤬
I will not prepare student nurses to be resilient. I will prepare them to self aware, bold, and unwilling to be abused. I will teach them that they deserve healthy and safe practice settings. I will teach them to establish boundaries. I will do this because no one did it for me.
My Dad stopped using drugs and alcohol 24 years ago today. He has been in sustained recovery since that day. I am so proud of him and grateful for his presence and love. Congratulations on another year Pop. I love you ❤️.
Thoughts on racism for nurses...
Note: I am not saying only nurses need this information. I teach nurses. This is my lane.
In my DEI work, I hear the same statements from nurses repeatedly. I want to share a few and discuss why they are problematic.
Words matter.
As a
#DisabledNurse
I often deal with
#ableism
in my professional life. Today I was attending a national meeting and want to share what happened. It is not my intent to embarrass or call anyone out. I want to share my perspective with hope it helps ppl.
"I have been a nurse for XX years, and I have never seen racism in healthcare."
This is a good indicator that your privilege is working. You are likely not experiencing racism and do not recognize it because you are unaffected and have not invested time trying to learn.
"Increasing diversity in nursing means lowering standards."
This statement is racist. Period. Assuming that someone who is racialized as "non-white" is less qualified, educated, or capable is a clear example of racist biases.
So, during nursing week, when nurses have experienced profound grief and disrespect in the past 2 yes, the
#MedTwitter
discourse is about how nurses are bullies? There are bullies in all professions and MDs are not exempt. This is hurtful and does not improve relationships.
"What about the reverse racism I experience as a white person?"
Reverse racism does not exist. Racism is about systemic power, privilege, and oppression. People might not like you because you are white, but that is not racism. It is a personal bias.
It’s okay to not be okay - unless you are nurse. Nurses are expected to keep showing up in unsafe work settings where they are understaffed and unprotected. This is unacceptable. How many nurses have to be broken and leave the profession before we collectively demand change?
@sublimepilgrim
My recommendation - Tell her you believe her and take her to the doctor. My granddaughter had the same issue and she had ADHD. If the doctor finds nothing wrong at least you demonstrated you believe her and will take her seriously.
What if we replaced the narrative about nurse “burnout” and “compassion fatigue” with “moral distress” and “exploitation”? Burnout infers that the nurse has a personal problem they need to fix. Hence, the individual level recommendations for “mindfulness” and “self-care”. 🧵
I am in shock. I came home to a letter saying my
#studentdebt
has been forgiven. ALL OF IT. I have prayed for relief and truly thought I would die with this debt. I have worked at least two jobs for over 20 years to pay for my education. My debt never went down.
I am a
#firstgen
college grad. When I was 16, I dropped out of HS because I was pregnant and was not allowed in school. I ended up going to a community college a few months after turning 17 and having my daughter. I did not have anyone to help me navigate my education. 🧵
Can we normalize giving womxn full professional introductions? I am over being introduced as Anna right after Dr. XYZ or Professor XYZ. I am a Dr./Prof. too. I don't mind being called Anna if you know me/have permission, AND you call everyone else present by their 1st name too.
"I am color blind."
No, you're not (at least not in this context). You see skin tones. Saying you are color blind invalidates the humanity and experiences of people who deal with racism and oppression because of their skin color. It closes the door to dismantling racism.
"I/we treat everyone the same."
No, you do not. No one does. There are decades of research demonstrating health inequities resulting from racism and bias. We are evidence-based, right? Why do nurses choose to ignore the evidence? Admitting racism exists requires action.
Dear nurses and future nurses, you deserve safe and healthy work environments. You deserve breaks and time off. You are not required to fix staffing issues you did not create. You deserve respect and dignity. You do not have to sacrifice your health and joy to be a nurse.
I am not opposed to resiliency. It is very important and has helped me tremendously. I am opposed to teaching nurses that they need to be more resilient so they don’t burnout and leave the workforce due to unhealthy and unsafe practice environments. Resiliency is not the problem.
When someone is brave enough to speak up when they feel offended or harmed by language this is a great opportunity to learn. Becoming defensive does not help anyone. A simple, thank you for telling me is all that is needed.
My daughter, Mia, became a certified nursing assistant today. She worked so hard in her certificate program and helped teach her peers. I am so proud of her. Welcome to nursing baby girl. You have a bright future.
#CNA
#ProudMom
#youcandoanything
I start my new position as Professor and Chair of Nursing tomorrow. It has been a long and rewarding journey getting to this place. I plan to use the privilege that comes with tenure to dismantle racism, bias, and oppression in nursing. I am grateful for this opportunity.
🧵There are some critical societal lessons to be learned by the missing
#Titan
group. *This post won't be for everyone.* First, I sincerely hope everyone on the
#TitanicTour
survives, and I empathize with their loved ones.
I am getting my second COVID19 vaccine tomorrow. It will be administered by a student nurse. A student I helped teach how to be a nurse is going to help save my life. Also, I arranged for the nurse who taught me how to be a nurse to get her vaccine tomorrow too. ❤️
On the positive side of life - I am delighted to share that I will be a tenured professor and chair of nursing at Sonoma State University in fall 2020.
I took a full week off from work. All work. I did not go any where. I slept, read, and watched movies. I have not done that in many years and it shows. This year I am going to keep strengthening my boundaries and keep learning from
@TheNapMinistry
. I will rest.
Unpopular opinion - I do not feel sorry for Dr. Birx. No one is forcing her to be there. Her silence in complicity. She had a duty to speak out.
#FirstDoNoHarm
Here is Dr. Birx's reaction when President Trump asks his science advisor to study using UV light on the human body and injecting disinfectant to fight the coronavirus.
This week I taught my class of nursing students that the term ”frequent flyer” has no place in healthcare. Period. If a person keeps coming back for care it means they have unmet needs. Instead of labeling patients listen to them - learn from them - help them.
#NurseTwitter
@DisabledDoctor
Yep for being messy and not having her edges laid rather than celebrating her excellence as an athlete. She is literally flying based solely on her physical strength and mental determination. WTAF?
Telling me to let it go and that I am inappropriate for sharing my harm is tone policing. It is a key strategy used to make people afraid to speak up. Saying someone is unprofessional or inappropriate is meant to keep ppl quiet when they are outside of dominant group norms.
So here is my ask: 1) If someone tells you word(s) are harmful say thank you and do some learning. 2) Do not tone police ppl who show courage in speaking up. Keep in mind it is scary to speak up because folks have the ability to affect opportunities and professional success.
I received some painful and scary news today that I am working through and trying to process. I would be grateful for photos of kids, pets, or anything that brings you joy. Also, I would be grateful for prayers if you pray or can send positive energy my way.
Today is my 30-yr anniversary as a nurse. Becoming a nurse was one of the best decisions I have ever made. It has been rewarding and allowed me to grow professionally and personally. I love nursing, which is why I speak up about changes that are needed. I want us to be our best.
This is my Mom and Dad, still grieving the loss of my brother 4 years after he died. Our family will never be the same. People who use drugs and alcohol are human beings. They are loved and they deserve evidence-based compassionate care. We can and must do better.
#harmprevention
Nurses, please restore my faith in humanity by telling me you scrub that hub. Like all the time and for PIVs too. These nurses on Instagram have me in shambles. Thankfully my good friend
@NursePatMacRN
is schooling them on the evidence.
Being a
#disabled
#nurse
is hard - a 🧵 I might delete because this is uncomfortable to share.
I have had
#Lupus
and several other autoimmune disorders for 20 years and it is frustrating, painful, and at times debilitating.
Dear nurses, appropriate language services must be used for all patients who need language translation. I know it takes more time but it is legally and ethically required. Patients are harmed when nurses skip using a qualified interpreter or language line.
One of the reasons ppl don’t speak up in these situations is fear. The dominant response is often to defend the person causing harm especially when they are harming someone who is historically marginalized, is “othered” or is an “only” in the space.
If we want to increase the number of graduating nurses we must compensate nursing faculty fairly. New grads make more than the average doctorally prepared tenure track faculty member. In the past 10 years I have had several failed recruitments d/t inadequate salary.
Lesson 4: Some lives are valued more than others. So many humans are suffering with no relief in sight. Yet, we mobilize every resource at unimaginable cost to search for rich people even when they made bad choices to cause their situation.
Lesson 3: The insistence on exploring spaces that are not meant to be accessible to us is colonizer behavior. (I said this is not for everyone). Some folks think every space is for them. It is not. This should be included in your home training.
Nurses are definitely in crisis and exhausted,but simply adding more nurses will not fix the root cause of this crisis. In addition to more nurses we need a health system that prioritizes the well being of nurses. Nurses deserve healthy work places, not more resiliency training.
Someone complained that I talk about my family too much
#onhere
. So, here is an update. My Mom and all of my aunties have been vaccinated for COVID-19. We are working on my Uncle now. I still love them with my whole heart. Will keep you posted if things change 😜.
Of note, one person responded to me that I very nicely called the speaker in. Thank you, and next time please say that publicly. I appreciate the PM but if we want change we have to speak up as allies. The reason ppl do this privately is fear or being excluded too.
When ppl respond defending the speaker with an explanation of why it is ok to use a derogatory or stigmatizing word in response to someone sharing their harm it invalidates that human’s experiences. It causes further harm. It is a way of upholding oppression and marginalization.
This is a tool to keep ppl silent. It happens to Black and brown ppl all of the time when they share their experiences with racism. Someone has to jump in and say, “that happens to me too so it is not racism or I don’t think that is racism”. Don’t do that.
The message is be quiet or we will exclude you. Your presence in this space can be removed. The weaponization of Eurocentric colonial ideals about professionalism is a significant factor in why we are not seeing meaningful progress in the diversity of the nursing profession.
I am reading a lot of tweets saying to assume you have COVID and not test if you have symptoms. I disagree. I know testing is challenging now (which is ridiculous after 2 years), but you need a record of testing positive.
Let’s unpack this a little. Yes, there are words that are harmful and stigmatizing that have more than one meaning. In most cases though it is easy to use a synonym to convey the message without harming anyone. (I.e. boring or dull vs. lame).
3) If someone is brave enough to speak up about harm and you are an ally speak up to reinforce the message and show support. A simple “Thank you for sharing. I did not know that” or “I agree” is helpful.
Here is the CMS report for the patient death that occurred at Vanderbilt. I encourage all nurses to read it and reflect on how to prevent these types of errors and ensure safe patient care. Hiding errors is not the answer.
New pin...tolerating racism is racism.
“One either allows racial inequities to persevere, as a racist, or confronts racial inequities, as an antiracist. There is no in-between safe space of “not racist.” The claim of “not racist” neutrality is a mask for racism.”
@DrIbram
I am not saying we should not search. I am just saying that we turn our backs on people who folks deem as less important. There are so many examples I could share here of how we prioritize rich white folks in this country and how the lives of the global majority are disregarded.
I asked Chat GPT to tell me about a nurse named Dr. Anna Valdez. It was confused and said that nurses are not generally doctors unless they are also MDs.
I fully support nurses advancing their education beyond licensure. I do not agree with the hierarchy that is perpetuated in nsg. LVNs and ADN grads are nurses. They are knowledgeable and skilled. And. they are saving our arses right now. Show some respect.
#Solidarity
Lesson 2: Some people have too much money. The experience of having access to anything you want makes folks feel invincible and unaccountable for their actions. This leads to not having strong risk assessment skills and making dangerous decisions.
After several times saying it, I posted in the chat to please not use that word.
The speaker was talking and did not see the comment. Someone was reading questions and comments to them and skipped my comment while addressing all of the other comments.
Lesson 1: We have a societal problem where some people think they are experts in areas that require extensive training and experience. The result is often other people being harmed.
Language is evolving and mistakes happen. I have used harmful language because I did not know it was harmful until someone told me. I am grateful to learn when someone kindly informs me I used harmful language.
Real talk: As a disabled and immune compromised nurse, I am already terrified of going to the hospital because of infection risks. Now I can add having ppl care for me who are COVID +. Not only is this abusive for HCPs, it is ableist and is giving “I don’t care if you die” vibes.
I will continue to speak up. That is how we address systematic racism, discrimination, and oppression. I understand that ppl may call me unprofessional or divisive. I get that I may be excluded. I understand the cost. I will continue. Change requires courage and I am not afraid.
I am not going to share names or the event. I do not believe the speaker intended to harm anyone. The other person messaged me privately and I will maintain that confidentiality. I am sharing because I learn from historically marginalized scholars here and want to give back.
The Disability Language Style Guide is helpful too.
If you know of other sources that are useful please share them. I welcome the opportunity to learn.
The person who is responsible for my brother’s death will finally be sentenced on Tuesday morning. I am working on an impact statement and I am a mess. I hope this deep pain diminishes some day. Forgive me if I am not myself this week. It is a tough one for me and my family.
@AdrianaaPerez
I am sorry. My only advice is to advocate for appropriate translation and perhaps show them where they can access these services. I once had a surgeon make a formal complaint about me because I refused to do an informed consent translation for emergency surgery. This was after I
I was 11-years-old in this picture working with my Mom in the ED. I started going with her at 8-years-old. Nursing has always been the biggest love of my life.
I am so grateful for my Mom’s (
@drannamvaldez
) guidance on what a good nurse looks like and does for her patients.
There is no scarcity of nurses or people who want to be nurses. Hospitals being understaffed is a choice. Treat nurses with respect, staff safely, and pay appropriately.
Also, nurses have an ethical duty to get vaccinated if they do not have medical contraindications. Period.
Here's the elephant in the room with mandating the vaccine for healthcare workers: Employees will leave. Like it or not, that's reality. We're are already short, not just nurses but ancillary staff. What if we've got 100 openings, and then 10% of staff leave?
When I know better I do better and I try to share my learnings. I was listening to an excellent webinar by a person who clearly had mastery of the topic today. During the presentation, that I paid to attend, they used the term “lame” several times to mean boring or not creative.
This lesson has been prominent in managing COVID-19, where people with no expertise claim they know more than actual experts in the field. This false belief system is dangerous and leads to dangerous outcomes.
I am excited to share that I have been selected as a Subject Matter Expert (SME) for the Education Workgroup of the National Commission on Racism in Nursing. I am committed to doing this critical work and bringing about meaningful change in nursing.
When I was in nursing school in my final yr my car broke down. It was going to cost $150 to fix it but I did not have $. My instructor told me to drop and come back next year when I was “more stable”. I did drop and return. Imagine if they had just helped me like
@NursePatMacRN
Hey
#NurseTwitter
, If you have the capacity to contribute, there’s another nursing student that needs help w/gas $ to get back & forth until they get paid in Dec. Venmo/Cashapp are PatMacRN/$PatMacRN. Please be careful & DON’T send your $ to any other accounts on another post.
@AP
To be clear, I appreciate physicians but they cannot just start being nurses anymore than I can just become a physician. We have adifferent education and practice. Nurses are licensed and being a physician does not override the need for nursing education. Our work is not easier.
@LittleMissFlint
As y’all respond please remember that Mari is a child who has spent most of her childhood fighting for clean water in the richest country in the world. Be kind. She is a real human being with feelings who is trying to help her community.
Nurses acting like an extension of the law is not a new thing. The same nurses who say we should be neutral on political and human rights issues are quick to cross the line in alliance with law enforcement. This is morally and ethically unacceptable.
#NurseTwitter
My Mommy (yes, I am grown) got her second vaccine today! Daddy is in two weeks. I am going home next month and spending a week just loving on my parents. ❤️
Health care professionals, please don’t talk in a derogatory way about people you are supposed to accompany in care. If you cannot control your bias and ugly statements at least don’t say them in spaces where they can hear you. It is violent and harmful.
@BerniceKing
I am joining you in embracing and lifting Mrs. Vanessa Bryant. My heart is breaking for her. I agree that love travels and is transcendent. May she find peace and strength.
This is a reminder that pulse and B/P are not reliable measures of whether someone is in pain or not. I am in so much pain I can barely focus and my vital signs are perfect 👍🏼. Why? My body and mind are conditioned to having pain everyday.
A participant who does not know me sent me a private message with the definition of “lame”. Like perhaps I did not learn how to look up word meanings during my 14 years of college.
I have spoken up publicly in two spaces in the past couple months and in both cases I was not supported. Everyone was either silent or defending the person who used harmful language. In both cases I was accused of being unprofessional and there is a practice to pay. However…
@jbullockruns
Reasonable accommodations? People get so stuck on their rules and how things have always been. People can be great physicians and also not be able to work nights. This is ableist AF.