#DetentionIsDeadly  #FreeThemAll #D4CCQuiltProject


Guest contributor: Jane Hopkins Walsh

Background

 Social justice movements have historically incorporated arts based visual components to amplify their messages by using images and visual art to literally making the invisible more visible. Examples of this include Judy Chicago’s Dinner Party  and the AIDS quilt

As an arts based medium, quilts are powerful semiotic vehicles for protest and memory, and actual representations of comfort and care. Throughout history, suffragettes, abolitionists, enslaved people, Vietnam war protesters, and HIV/AIDS and 911 survivors have used fiber art and the quilt medium to come together in communal spaces for the purpose of grieving, memorializing and honoring others, and for communicating political opinions about important issues of the day.

This week, health care providers from the group called Doctors for Camp Closure, (D4CC) are coordinating a nationwide 24-hour protest vigils outside detention centers to draw attention to the serious risks of infection from CoVid-19 in detention centers and prisons nationwide. In solidarity and collaboration with community groups around the nation, D4CC are incorporating many arts based events including poetry reading, music, story telling, reflective journaling, and the creation of a virtual and actual protest quilt called the #D4CCQuiltProject.

 Using the social media platform Instagram and the use of the project hashtags, the virtual  #D4CCQuiltProject project will “sew” together images from the nationwide protest, banner messages, and other images or words drawing attention to the risks of CoVId-19 infection for detained and incarcerated people. The #D4CCQuiltProject can also spotlight less obvious historical and structural issues of the Capitalocene that are driving refugees to immigrate around the globe including persistent white settler colonialism, neoliberalism, militarization, persistent extraction of living and non living resources around the world by the Global North, and climate related extremes- all factors driving im/migration globally and to the US, and contributing to conditions of extreme poverty, violence, and food and water insecurity throughout the world. Structural violence issues 

MIssion Statement:  The #DetentionIsDeadly  #FreeThemAll Quilt Project messages are intersectional social justice messages and may include these ideas among others :

  • Show healthcare worker support for the Free Them All movement to release people detained by ICE during COVID pandemic, draw media attention to the dangers of incarceration, and increase public support for decarceration
  • Prisons and detention centers are filled with impoverished Black and Indigenous People of Color, and Undocumented People, and they are increasingly the largest sites of COVID-19 infection
  • Social distancing in detention or prison to reduce the risk of COVID-19 is impossible.
  • As health care providers we oppose detention.
  • Many prisons and detention centers in the US are capitalist oppressive for-profit systems that filled with people who have been disadvantaged across generations by the very systems that now hold them prisoner.
  • Migration to the US is driven by intersectional issues for which we as US citizens are complicit including US colonialism, climate injustice, capitalist extractive industries, globalization and neoliberalism (think sugar, palm oil, hydroelectric power, coffee, lumber, beef, global agriculture to name a few).
  • Native American and Indigenous land rights issues in the US are erased within discussions of immigration. (One example among others is: May 2020 The Wampanoag Tribe in in Massachusetts are struggling to retain land rights).
  • LQBTQI issues get erased in the discussion of immigration and detention.

Project Vision   

  • A virtual quilt that “sews” together square virtual images that align with the purpose of the action. and/or 
  •  An actual quilt that has names, images etc on fabric and that can be actually sewn together and/or 
  • An intersectional art project that is open to the greater art community. 

Project Guide: How to Participate 

DIRECTIONS  

There are TWO WAYS TO PARTICIPATE IN THE QUILT PROJECT

VIrtual Quilt 

  • Take a square photo of any message or image that aligns with issues of social justice, examples above, open to interpretation; the only restriction is the photo/image must pass minimum standards for social media, ie) non vulgar non obscene etc
  • Can be poetry, single words or phrases, a photo of a flower, headline in news, anything, names of deceased persons to honor who have been impacted by structural violence, See some image examples below. 
  • You may superimpose a message on a photo you already have. You may superimpose the project hashtags, or a message on a picture of your Protest Banner.
  • A Square image is needed to “fit them together “
  • Upload to Instagram with 3 primary hashtags #DetentionIsDeadly  #FreeThemAll#D4CCQuiltProject
  • Secondary hashtags are fine too but you have to use these 3 so we can “find” the “images” on Instagram you can also Tag @doctorsforcampclosure 
  • Ultimately, the images can be placed on colored squares see below and “sewn” virtually into a virtual quilt. This will happen in the near future after we have a number of images.
  • The quilt will be shared on social media to amplify the messages

Actual Quilt

  • During the vigil, before or up to two- four weeks after vigil,  people can mail me 12 by 12 inch squares of actual fabric with messages hand written or sewn , and I will sew them together and make them onto a physical quilt. 
  • Any fabric is acceptable but dimensions should be 12 inches by 12 inches
  • This is a way to get the public, friends, kids,  and family members involved in this cause.
  • People can include the creation of a physical square as a way of reflecting during the 24 hour vigil. Think child art, spontaneous, no pressure to have any “art” or sewing skills. Just has to be about 12 by 12 fabric based no rules on type of fabric.
  • People can invite local community groups to participate in the creation of squares.
  • PM Jane Hopkins Walsh for address where to send fabric.
  •  Fabric must reach me by +- June 15th 2020. 
  • The actual quilt could be part of a larger traveling protest quilt that gets added on to in other future protests. 
  • Ultimately the actual and the virtual quilt could be part of larger intersections with the art community to amplify and intersect our messages. For example we could have sew-ins in protest in NYC or other places, intersecting with other protests, or the quilt could travel to other cities and immigrant groups to include diverse social movements and groups all over. This is fluid and open to discussion as it unfolds.

EXAMPLES OF IMAGES BELOW- PLEASE IF YOU SHARE THESE IMAGES  GIVE CREDIT  AS LISTED BELOW.

Credit these 4 tags for this image above please
@voxpopuliprintcollective @shimartnetwork #voxpopuliprintcollective
#shimartnetwork

Credit for this image: from Twitter user@denimfemme Lou Murrey

Credit for the quilt images are
Instagram @janewalsh357 #BorderQuiltProject

Credit for the two quilt images above are
Instagram @janewalsh357 #BorderQuiltProject

Credit for this image
@voxpopuliprintcollective @shimartnetwork #voxpopuliprintcollective
#shimartnetwork

 

About Jane Hopkins Walsh

Protest Opinions in this document are My own
Pronouns She / Her
Jane Hopkins Walsh MSN, PNPC
Pediatric Nurse Practitioner
Primary Care at Longwood
Boston Children’s Hospital
300 Longwood Ave
Boston, MA  02466
jane.hopkins-walsh@childrens.harvard.edu

Volunteer and Board Member
Cape CARES
Central American Relief Efforts
www.capecares.org

PhD Candidate and Research Fellow
Boston College
William F. Connell School of Nursing
Enrolled: Center for Human Rights and International Justice
Lynch School of Education
Jonas-Blaustein Scholar Cohort 2018-2020
walshjm@bc.edu

 

 

Nurses’ Concerns with COVID19: Update May 2, 2020


I find that nothing is more powerful than hearing the stories of our nurses during this pandemic crisis. This website has some of these powerful stories from nurses around the globe, sharing their experiences of caring for COVID19 patients: Nursespeak.com

PPE: Nurses continue to lack Personal Protective Equipment: A recent survey showed that 75% of staff in home-care settings are lacking in PPE. Home Care Survey. 86% of healthcare systems are also concerned with having adequate PPE available: PPE shortages

Political unrest emerges even as nurses remain on the front lines of providing care for patients during the pandemic. Nurses rose to the occasion to stand their ground in the face of protestors. Nurses Urge Protestors to Stay Homeimage.png

National Nurses United organized a nation-wide May-Day protest about lack of PPE: https://www.cbsnews.com/news/may-day-protest-nurses-ppe/

image.png Nurses also took  action by protesting outside of the Whitehouse on April 21 and reading aloud the names of nurses who died from contracting COVID19 in the workplace: Nurses Whitehouse Protest

And nurses are still speaking up, even if it puts their jobs at risk: Hospitals fire and suspend staff for speaking out

 

Nurses deaths: The virus continues to take its toll on nurses and other professionals. Issues around post-trauma recovery are now coming to light. Healthcare workers may be feeling hopeless or helpless or suffering clear PTSD symptoms. Sadly we have lost some professionals to suicide: NYPost tragic deaths.

If you need help please reach out. National Suicide Prevention Lifeline: 1-800-273-8255

A Missouri nurse, Celia Yap Banago, who raised concern about lack of PPE died of COVID19. Nurse Banago had worked as a nurse for 40 years and was literally days away from retirement.Nurse Banago

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New York State Nurses Association houses a memoriam page to nurses lost to COVID 19. NYSNA memoriam page The retired executive director of the National Student Nurses Association is counted in the losses: Rest in Peace Robert V. Piemonte, EdD, RN, FAAN. image.png

To all of the nurses taking action, thank you for stepping up.

Nurses’ Concerns with COVID19: Update April 17, 2020


The COVID19 pandemic continues to be quite an issue in New York, with over 14,000 deaths reported. I found this link to the New York Times to be helpful in assessing where we are with official numbers of reported testing and deaths (NYTimes CVOID19), though in many states we know that testing remains very limited and accuracy of tests is still only at about 67-70%.

PPE: Nurses are still without proper PPE. While the federal government claims to have distributed millions of masks and gowns, frontline workers are still faced with shortages and putting themselves at risk. Now we are seeing surges in the cost of PPE, with costs going up over 1000%, according to a report published last week by the Society for Healthcare Organization Procurement Professionals. Competitive bidding for these supplies both internationally and within our own county has compounded the issue, and if we had federal government oversight and processes in place, it is likely these issues could be addressed in ways that would help to prevent price inflation ( CNN review of the inflation of PPE cost).

This video that appeared on CBS’s 60 minutes made it clear that nuses like New York nurse Kelley Cabrera are beginning to speak out. Nurse Cabrera works at Jacobi medical center in the Bronx. She makes the point that when nurses are required to reuse N95masks for up to 5 days, they are literally being provided with medical waste to be used as PPE. Nurse Kelley Cabrera 60 minute’s interview

Nurses Stories: Meanwhile, I have heard the stories of nurses continuing to work without proper PPE and we reultantly have high numbers of nurses testing positive in areas like Ohio.

Nurses have started to reject the idea that they be considered to be angels or heroes. They didn’t become nurses to die, and they don’t want to be martyrs. While the 7 pm clapping and cheering ritual in New York City seems to have built a community spirit, some nurses experience this differently. One New York City nurse wrote: ” I ask that you do not pity me, that you do not call me a hero. I do not wish to be made into a martyr….Clap for me and other healthcare workers at seven o’clock if it makes this pandemic feel more bearable. I concede, your cheers help us trudge on. Just know that cheers and hollering don’t change the outcome. This is my fervent plea – that we change what we can after all this is over”.

Fallen Nurses: The loss of nurses becomes hard to track as the numbers increase. NYSNA has set up a memoriam page: Fallen Nurses Memoriam

A 28-year-old pregnant nurse in the UK passed away on 4/12, RIP nurse Mary Agyeiwaa Agyapong. Her father passed away two weeks before she died. Mary’s baby daughter was delivered via cesarean section before Mary died.

27236508-8226319-Mary_Agyeiwaa_Agyapong_28_pictured_died_on_Sunday-m-13_1587050953040

Many other nurses and hospital staff in the UK have also died (daily mail review of nurse and staff COVID19 deaths).

Two nurses in Palmetto, Florida have also died from work related exposure to COVID19. Nurse Danielle Dicensio leaves behind a 4 year old son and hubsand. Nurse Earl Bailey also worked at the same hospital, Plametto General Hospital, and he passed away from CVOID19 a few weeks ago. Both nurses complained about not having access to proper PPE, which the hospital denies (two nurses die of COVID19 ). 

A colleague of Nurse Cabrera’s (mentioned above), Freda Orcan,  who worked at Jacobihospital in the Bronx passed away March 28.

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ANA’s response to COVID19:

The Ameican Nurses Association has issued a statement that nurses should be reporting when then experience retaliation around their raising concerns regarding their personal safety in the workplace, as these are OSHA violations (OSHA and retaliation issues). While hundreds of complaints have been filed, it’s difficult to determine specifically how OSHA is responding to reports made. There is a plethora of information on their website regarding COVID19 issues (https://www.osha.gov/SLTC/covid-19/),

The ANA has created a page of resouces for nurses (ANA COVID19 page). There have developed a corona virus response fund for nurses. There is also a section about ethical guidelines for nurses that may help some in their decision making process and calls forward the bigger ethical issues that nurses are facing, and  links that show all of the steps that ANA is taking in advocating for nurses.

The latest ANA/ AHA/AMA letter witten calls for the government to address the issue of minorities and the disparities they experience with receiving adequate care for their COVID19 issues. (ANA letter to the Secretary, US Department of Health and Human Services). The letter in part reads:

“As organizations that are deeply committed to equity in health status and health care, we have long recognized differences in the incidence and prevalence of certain chronic conditions, such as diabetes, asthma, and hypertension — conditions that are now known to exacerbate symptoms of COVID-19. We also recognize that other factors, including but not limited to socioeconomic status, bias and mistrust of America’s health care system, may be resulting in higher rates of infection in communities of color. Lack of access to timely testing and treatment will inevitably lead to worse outcomes for these patients.

As America’s hospitals and health systems, physicians and nurses continue to battle COVID-19, we need the federal government to identify areas where disparities exist and help us immediately address these gaps.”

While ANA has been interacting at the national level, my perception from the nurses directly working with patients on the frontlines is that they feel under-represented and that ANA is not providing them with the voice they need. One time letters to federal authorities seem to make little measurable immediate impact. around what matters for nurses being able to practice safely. They also feel that many of the practicing nurses don’t belong to ANA exactly for this reason: that there is somehow a gap between the reality of nursing practice and the work and publications of the ANA. The crisis is far from over.

May all nurses and all beings know some peace and ease.

Nurses’ Concerns with COVID19: Update April 7, 2020


At this point, things are so disheartening for so many people. The range of nurses’ stories is so wide and varied, from OR nurses being essentially laid off due to no elective surgeries happening, to nurses being offered a lot of money to come to New York City to work.

New York State has taken the unprecedented step of merging all of its 200 hospitals into one system (New York State hospital system consolidation ). 

There’s a lot of death. One nurse told a story of how she had 10 patients in one shift and 7  of them died. In some hospitals, there is a different kind of rapid response team called, specifically for CVOID19 patients, and they are being called sometimes just minutes apart on different units throughout the hospital.

Also, nurses are working with their colleagues who end up being patients in their same units; one nurse told of their nursing supervisor being hospitalized in their own ICU, and they conjectured the supervisor most likely would pass away there.

There’s a lot of understaffing and over-working, including on the medical-surgical units. Part of this is because nurses themselves are becoming ill and unable to come to work.

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Some nurses are actually more frightened to work in the medical-surgical units because they have a lack of PPE, and all patients are presumed to be COVID19 negative. Of course, when tests come back days later, the nurses discover that they worked with these COVID19 positive patients without proper PPE. There are also many issues around HIPPA and staff not being able to find out the COVID19 status of the patients they worked with previously.

Another nurse relayed this story: he works twelve-hour shifts on a medical-surgical floor, and their usual patient load now runs from 12-15 patients, the only real charting they really do is vital signs and meds. This is possible because NYC has suspended a lot of normal operations when it comes to providing care as per the governor’s laws:

“A massive section of regulations on the “minimum standards” governing hospitals — dealing with everything from patients’ rights to the maintaining of records — has been suspended ‘to the extent necessary to maintain the public health with respect to treatment or containment of individuals with or suspected to have COVID-19’.” (read about all of the laws suspended) .

This nurse cries after every shift, and he stated his tears are so different from before, in part due to his utter exhaustion. His family and friends want him to quit, they are worried about his health, but he stated he can’t quit now, they need him too much.

Nurses are asking about ramifications of quitting their jobs; some claim that they have been threatened that they will be reported to their board of nursing for disciplinary action (this is not the reportable offense of walking out and abandoning patients, rather for resigning their position). While these threats are likely idle, some nurses are still fearful of losing their licenses.

One nurse states that she works in a COVID19 only ICU unit. She says it’s mostly completely staffed by RNs: they have no NPs, PAs, Residents, Techs, or Housekeepers. Nurses and ICU Attending and Intensivists care for the patients. Med Surg nurses act as techs and assist the ICU nurses.

Recruiting: There is still a lot of recruiting going to bring nurses to NYC. One new graduate nurse (recently licensed, with no work experience) posted on social media about being offered to be “trained” to work in the ICU in NYC. All of her travel and lodging would be covered. She would be required to work 21 days, 12-hour shifts, with no days off.  The majority of the experienced nurses tried to set her straight about why this was a really bad idea, but we have no idea if she proceeded or not.

It’s not just NYC: We now have a 54-year-old nurse in Michigan who died, Lisa Ewald.

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Unfortunately, nurse Ewald may have had some issues with initially being tested by her workplace, Herny Ford Health System in Detroit, Michigan. She was likely exposed on March 24, received her positive test on March 30, and passed away on April 3. She died alone in her home. (Lisa Ewald’s story).

Rest in Peace Nurse Ewald.

Meanwhile, more than 700 Henry Ford employees have tested positive for COVID19; 500 of the positive tests are nurses. (Henry Ford COVID19)

The field of nursing will be forever changed by this.

Nurses’ Concerns with COVID19: Update April 1, 2020


Ongoing Issues: By now, most of us know the obvious: nurses and other healthcare professionals do not have the PPE that they need to practice safely. Nurses are testing positive for COVID19. The Defense Production Act has not been activated to produce more PPE and ventilators, and nurses and other providers are even fired for speaking out about it or organizing ways to access more PPE (Doctors and Nurses Fired for Speaking Out ).

Nurses’ Skill Level: Nurses are worried about being asked to do work they aren’t prepared to do. A former student of mine, who has been in more of an administrative role, is extremely concerned with being asked to go back into a hands-on medical surgical or even ICU in a supportive role. Practicing beyond one’s skill level or expertise is just one area of concern that is likely to grow as more nurses become ill, or refuse to work, or are otherwise unable to work. 

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Volunteer calls: From California to NYC to Maine, nurses are being asked to submit their names to volunteer to work. Most of these nurses will be paid, and it is an effort to organize our resources.

Nurses on the Front Line: The stories I am hearing from nurses are war-time hell-like, maybe even worse then you have heard of if you don’t have direct contact with nurses on the front line.

An example is a story a friend of mine posted from his friend in NYC: in the ER, there may be 7-10 COVID+ vented patients waiting for ICU placement. Some patients are lying on the floor in the ER because there are no beds. People are being taken to rooms on the floors and passing away before they even get seen by a nurse on that floor. Medications like propofol, ketamine, versed, and fentanyl are being run without pumps because there are no more pumps. Supplies are running out. Med Surg nurses are being forced to run drips and vents that they have not been trained on.

Pay Issues: In Utah, nurses and doctors are being asked to take pay cuts, and there is concern that this will create a great deficit of providers in this state when professionals go elsewhere to work (Utah’s largest medical provider announces pay cuts). Meanwhile, note this lovely NYC serene skyline shot, with pay that must recognize the obvious inherent hazard pay for these positions.

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(nurses recruitment add, contact information removed)

Populations and Outcomes:

Much preventative and maintenance care for those with chronic and even acute illnesses is now taking a back seat. A positive note is that telemedicine and telehealth are being used much more widely, and this may have a favorable effect on how we care for populations in the future.

Dr. Chinn forwarded a first-hand account to me of a nurse who is working in Brooklyn. She is concerned about how this illness is impacting Latinx populations, as they are often members of “essential worker” populations, and they also live in large households. This nurse states that these patients are at higher risk for death, and often experience death with less dignity. She also sees all staff getting sick, from direct care providers to janitors, and patient care technicians.

Anecdotally, in one social media group, I heard the nurses estimating that survival rate once a patient is ventilated is only around 14-20%. This is devastating to be surrounded around so much futile care and facilitating so much end of life care without perhaps the time and space it requires to do this well. (Edited: national statistics show a recovery rate of about 50% post ventilator initiation).

Heartbreak:  I am hearing heartbreaking stories of nurses sending off their children to grandparents or ex-spouses, so they won’t be exposed in the household should the nurse become sick themselves or accidentally contaminate the household. Nurses who can’t hug or hold their loved ones are aching inside every day. Nurses dying. Nurses looking around at their colleagues and they might wonder, who will be the next to not be at work, which one of us might end up in the ICU? Nurses may know that much of the care they are providing is futile or palliative, which creates moral distress. I am very concerned when I hear of nurses working multiple shifts, with one nurse posting that she had worked 13 shifts in a row, another posting about minimal sleep, and losing 10 pounds already. They don’t have time to eat and when they go shopping, the stores are lacking in supplies. There is no question in my mind that nurses are being put at greater risk not only due to exposure, but also due to physical, mental, emotional, and spiritual stressors.

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Post-Traumatic Stress: We could say nurses are stressed, or maybe we should just be truthful and say that nurses are being traumatized. I have great fears of nurses leaving the profession after this, and I also have great fears about the health of the population in general. I am fearful for those on the front lines without access to proper PPE. This sort of chaos we are experiencing may lead to positive change eventually, but for now, it’s extremely uncomfortable, painful, confusing, infuriating, and even disorienting.

We need to take good care of ourselves and take good care of one another.

I am reaching out with loving-kindness to all nurses:

May all nurses be safe

May all nurses be at ease

May all nurses be loved

May all nurses know personal healing

Namaste

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