1/I saw some tweets first thing this morning that really questioned & judged #DawnWooten for working at an ICE detention center, so let's start with nursing. She is currently a licensed practical nurse (LPN) not a registered nurse. Not a judgment, statement of fact.
2/White nurses teamed up with physicians when they were attempting to professionalize obstetrics and discredited the grand midwives. That's an entire other thread that @iamn0tthe1 can link here if you want to read abt that. It provides a good exemplar for RN/LVN/LPN situation
3/As an aside, any nursing student or faculty should be assigning #ClarissaThreat book for deeper insights into Black & queer nurses & our unique contributions specific to the public health and army nurse corps.
4/Back to the professionalization of nursing. There has always been a push to standardize nursing education & to provide licensure to individuals who use the term nurse. You can read about distinctions among and between RNs & LVNs/LPNs here: nln.org/docs/default-s…
5/"The diversity of practical/vocational nurses is significant, especially compared to their RN colleagues. Currently, approximately one-quarter (23.6 percent) of the LPN/LVN workforce is African American as compared to 9.9 percent of the RN workforce (HRSA, 2013)."
6/"The number of Hispanic/Latino nurses in the LPN/LVN workforce is almost double that of the RN workforce
(7.5 percent vs. 4.8 percent)." There are many factors at play as to why a Black LPN would be working at an ICE detention facility during a pandemic. More in a few mins...
7/So there have been multiple discussions about nursing education and for folx who don't know there remain many paths: most hospital based programs have been phased out, community college programs, BSN, MSN, DNP and PhD programs exist.
8/Laying out this history matters because if you are asking why a Black LVN/LPN is working in a carceral setting or long term care facilities that are surging COVID-19 hotspots, blame the structural factors that relegate them to those settings and not amplifying their unique role
END/There are ton of ways to think about our current situation, but to judge a whistleblower for trying to make a living during a pandemic when structural racism limits her options for jobs needs to be rethought & we all need to have a different conversation about what's possible

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More from @mclemoremr

20 Aug
RANT THREAD/Okay, so I've had it. This about tagging Black women in tweets, determining if you have standing (or the range) to apply scientific principles & interpretation of our work & why I'm really not a fan of non-Black people of color who are super casual about these issues
2/So, I got tagged into a tweet thread about a colleague's recent work that I was not involved in, nor did I peer review. However, I have read the paper and concur with the methods, results, and discussion of the findings.
3/The person who tagged me was in a long discussion that in my opinion should have been an email to the first author (which happened), w/2 faculty that are problematic & novice in their understanding of racism in healthcare based on multiple tweets I've seen from both of them
Read 8 tweets
15 Jul
1/My EXACT comments from today's @PublicHealth webinar, since folx steal ideas and words on here: "COVID19 has laid bare for all to see, so many of the flaws that need a do-over, a reimagining, and reconceptualization. I say this to you in the midst of a pandemic that ironically
2/hit us during the World Health Organizations designation of 2020 being the year of the nurse and the midwife. These are odd times indeed. Before we begin our panel, I’d like to set the stage of how we got here, where we are and where we are going.
3/First, any suggestion of returning to a past normal that didn’t work for everyone is disingenuous and short sighted. I will call anyone out for manifesting this perspective.
Read 8 tweets
2 Jul
1/Really glad to see this out today to with my co-authors @RheaBoydMD @EdwinLindo @Lachelle_Dawn I have many favorite quotes in this piece and will thread them below, but first some history about how this piece came to be.
2/I got an embargoed copy of original paper from Azar & colleagues, then spent an hour annotating pdf w/comments & suggestions that I would have made, were I peer reviewing the paper.
3/When I finished, I realized I had one of many exemplars of why I find a theoretical big data problematic. So, my first fave quote from this blog is: “These harms include the creation and maintenance of an elaborate economy of suffering used to advance science.”
Read 8 tweets
17 Jun
1/So, who ever is trolling my account or @psychohighrep from #CampusReform & fixed their fingers to send me an email last night to comment abt what is wrong w/this statement, let’s do this in light of day & truth. I’m going doing this here & preping a call to action for nurses
2/Since my #MacBookAir is updating, I have time. Can we admit that most folx who are attempting to lead right now, don’t have range to be doing so? The silence, racism, & inaction on our watch should be one of many indicators that listening & following the lead of others is good.
3/Now, onto the email. These acts are not specific to “people of color” Black folx are dying from COVID19, from racism, from our divestment from essential public health infrastructure & our stifled imaginations about what makes someone worthy to serve in the health professions.
Read 11 tweets
26 Mar
RANT/THREAD. 1/I have been a licensed nurse since 1993. I started nursing school in 1988 and took an extra year to complete my BSN because I got a C- in human anatomy & physiology. So, I used that as an opportunity to get minor degrees in psychology and sociology.
2/It was height of the Reagan 80s and the AIDS epidemic. I grew up in New Jersey, not my beloved California where I have lived longer than I ever did in NJ. The first patients I cared for were suspected HIV/AIDS. It was a weird time to be an early nursing student.
3/The faculty were adamant that we work side by side w/them. Both with concern for our health, concern for theirs & concern for the people we serve. A preceptor told me, hopefully if you survive, I can receive good care from you once I'm sick, & patients can still get good care.
Read 9 tweets

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