Nurse of the Week: Wheelchair-Bound Disability Advocate Andrea Dalzell Receives $1 Million Award on GMA

Nurse of the Week: Wheelchair-Bound Disability Advocate Andrea Dalzell Receives $1 Million Award on GMA

Nurse of the Week Andrea Dalzell was just 5 years old when she was diagnosed with transverse myelitis, a neurological disorder caused by inflammation in the spinal cord. Before long, she needed a wheelchair to get around, but that simply meant she would move forward on wheels instead of on her feet—and she hasn’t stopped moving since.

As she grew up, Dalzell became deeply involved in advocacy for the disabled and received a number of awards in recognition for her work, including the Cindy Loo Disability Rights Advocate Award in 2015. In 2018, the Brooklynite became New York City’s only wheelchair-bound RN and attained her bachelor’s degree. In a special interview on the September 10 broadcast of Good Morning America (GMA), Dalzell made it clear that her mission is to bring more disabled people into nursing and other healthcare professions. She told GMA, “You have to have people with these disabilities, these diagnoses, being in healthcare.”

Easily navigating hospital corridors in her wheelchair, Dalzell became a dedicated nurse, and threw herself into work on the NYC frontline when the city was stricken by the pandemic in Spring 2020. Now, she’s a nurse and department head at the Manhattan Quad school for gifted children with disabilities, where “the kids absolutely love her,” according to school founder Kim Busi.

Sitting in her wheelchair on the GMA stage, Dalzell said that she is trying to spread a message of hope and aspiration: “People with disabilities aren’t living a death sentence. They’re living life, and I get to prove every day that I’m going to do that. I need to be able to change that narrative for others so if they know that they’re diagnosed with something… that life doesn’t stop there. Life still happens, and it’s up to them to decide if they want to live it.”

At the conclusion of her interview, GMA host TJ Holmes awarded a teary-eyed Dalzell a $1 million dollar Visionary Prize from the Craig H. Neilsen Foundation in honor of the “extraordinary determination, inexhaustible passion, and ability to inspire” the wheelchair-bound RN has displayed in her advocacy for the disabled.

Dalzell wants to put some of the money toward advancing her education, but she is devoting most of the award to advocacy: “I want to start a whole program for people with disabilities to get into health care. They should be given a chance,” she told GMA.

Visit this page to see the full Good Morning America feature on Andrea Dalzell.

WHO Issues 5-Point Charter on Health Worker Safety

WHO Issues 5-Point Charter on Health Worker Safety

Although health workers constitute about 3% of the population in most countries, they comprise 14% of COVID-19 cases reported to the World Health Organization (WHO), and in some countries account for up to 35% of COVID cases. WHO Director-General Tedros Adhanom Ghebreyesus noted this in a September 17 statement and added, “The COVID-19 pandemic has reminded all of us of the vital role health workers play to relieve suffering and save lives.” As “one of the keys to keeping patients safe is keeping health workers safe,” on Thursday the Director-General issued a 5-point charter on healthcare worker safety in conjunction with Patient Safety Day.

The 5-point WHO charter urges its partner countries to:

1. Develop and implement national programs for the occupational health and safety of health workers

WHO recommends that education and training programs for health workers at all levels include health and safety skills in personal and patient safety and that healthcare licensing and accreditation standards incorporate requirements for staff and patient safety. Member countries should also review and upgrade national regulations and laws for occupational health and safety to ensure that all staff members have regulatory protection of their health and safety at work.

2. Protect health workers from violence in the workplace

Promote a culture of zero tolerance to violence against health workers. Labor laws, policies, and regulations need to be strengthened, and all healthcare workers should have access to ombudspersons and helplines to enable free and confidential reporting and support for any health worker facing violence.

3. Improve the mental health and psychological well-being of healthcare workers

Healthcare facilities must establish and maintain safe staffing levels, and ensure fair duration of deployments, working hours, and rest breaks. Mental and social support services, including advice on work-life balance, risk assessment, and mitigation should be readily available to all staff.

4. Protect healthcare staff from physical and biological hazards

Health care systems must implement patient safety, infection prevention and control, and occupational safety standards in all health care facilities. Facilities need to ensure availability of personal protective equipment (PPE), adequate quantity, appropriate fit, and acceptable quality. All facilities should maintain an adequate, locally held, buffer stock of PPE and provide workers with adequate training on appropriate use and safety precautions. Further, at-risk healthcare staff should receive vaccinations against all vaccine-preventable infections, and in the context of emergency response, be given priority access to newly licensed and available vaccines.

5. Connect the dots between policies on patient safety and healthcare worker safety

Institutions should integrate staff safety and patient safety incident reporting and learning systems, and define the linkages between occupational health and safety, patient safety, quality improvement, and infection prevention and control programs.

Regarding the latter point, the charter states that “No country, hospital or clinic can keep its patients safe unless it keeps its health workers safe.”

For more details on the charter see the WHO announcement, “Keep Health Workers Safe to Keep Patients Safe.”

Iconic Nurse Biddy Mason Enters Spotlight During WPA Mural Debate

Iconic Nurse Biddy Mason Enters Spotlight During WPA Mural Debate

Who was Biddy Mason? After her portrait was found in a group of Works Project Administration (WPA)-era murals slated for destruction, a flurry of media reports has fostered a growing curiosity about Mason’s place in the pages of Black history and the history of nursing.

Historic Black nurse Biddy Mason is among the figures depicted in the WPA mural series "History of Medicine in California."
Detail from “History of Medicine in California”

Biddy Mason is among the figures depicted in the “History of Medicine in California,” a 10-mural series completed by Bernard Zakheim in 1938. The murals, which have long been on display at the University of California, San Francisco, are housed in a building that is going to be demolished in 2022 to make way for a new medical center. The family of the artist was told that they would need to furnish the funds required for the preservation of the murals. As UCSF and the Zakheim family battled over the cost of preserving the murals, the conflict gathered a varied group of interested parties, including Mason’s descendants Cheryl and Robynn Cox. In June, the General Services Administration entered the fray. The GSA countered UCSF’s ownership claim, insisted that the paintings be preserved and stated that “ownership of the murals resides with G.S.A., on behalf of the United States.”

The debate over the fate of the murals continues, but one happy result is that Biddy Mason’s story has emerged from obscurity. And her story is a classic American journey. Mason began life as a slave in the Deep South. She toiled in slavery on the pioneer trail before gaining her freedom. Finally, after working as a free nurse and midwife, she became a wealthy (and charitable) community leader who improved the lives of her contemporaries and later generations as well.

Born enslaved in Mississippi, Mason ultimately became the property of a Mormon convert. As she traveled west in a caravan with her owner, his family, and their enslaved laborers, she performed midwife duties, herded cattle, and cooked. The caravan ultimately made its way to California. In 1856, five years after her arrival, Nelson successfully petitioned for freedom for herself and 13 members of her family. She then moved to Los Angeles, where she worked for $2.50 a day as a midwife and nurse for Dr. John Strother Griffin, one of the first formally trained doctors in Southern California. Eventually, she set up her own business.

She never learned to read, but Mason was canny with money. She invested her earnings in property in various locations around Los Angeles and became a wealthy woman. By the time she died in 1891, Mason was a prominent philanthropist, and left her heirs an estate worth 3 million dollars. In addition to donating time and money to relieve prisoners and the impoverished, Nelson founded LA’s oldest Black church, the First African Methodist Episcopal Church, a daycare for the children of poor working mothers, and a Traveler’s Aid center. She lived until 1891.

Visit here to see a more detailed history of Biddy Mason and her place in history. For an account of the debate over the UCSF WPA murals, see this article in the New York Times.

COVID Exacts High Toll Among Filipino Nurses

COVID Exacts High Toll Among Filipino Nurses

Data from National Nurses United (NNU) suggests that while only 4% of US nurses are Filipinos, some 30% of the nearly 200 RNs who have died from COVID-19 are Filipino Americans. NNU believes that overall, nurses are primarily endangered by PPE shortages and restrictive guidelines limiting access to tests, but Filipino nurses tend to face additional risks.

The odds of being exposed to the virus tend to be higher for Filipino nurses and healthcare workers. One reason for their vulnerability is based on sheer numbers, particularly in California and New York. One fifth of California nurses are Filipino, and according to a ProPublica analysis of 2017 US Census data, 25% of the Filipinos living in New York work in the health care industry. The types of jobs they take also increase the likelihood of exposure. A 2018 Philippine Nurses Association of America survey (cited by ProPublica) found a large proportion of respondents working in bedside and critical care, and a StatNews report noted that “because they are most likely to work in acute care, medical/surgical, and ICU nursing, many ‘FilAms’ are on the front lines of care for Covid-19 patients.” The StatNews story added that Filipino frontliners often “work extra shifts to support their families and send money back to relatives in the Philippines. Those extra hours, and extra exposure to patients, mean higher risk.”

Roy Taggueg, of the Bulosan Center for Filipino Studies at University of California, Davis recently told NBC News that in addition to the low rates of testing in their communities, Filipino nurses are also more likely to reside in multi-generational households, which makes them and their families more vulnerable to the virus. He explained, “One person might be going out, but they definitely are bringing everything back with them when they come home from work, because they’re forced to work out there on the front line. We’re talking about their parents, their kids, all of that. It’s a very particular position to be in, and it’s one that I think is unique to the Filipino and Filipino American community.”

While many nurses have been speaking out about the lack of tests and inadequate PPE, Filipino nurses usually find it more comfortable to remain silent. Cris Escarrilla at the San Diego chapter of the Philippine Nurses Association of America remarked, “We don’t really complain that much. We are able to adapt and we just want to get things done.” Zenei Cortez, president of National Nurses United and the California Nurses Association acknowledged this, saying “Culturally, we don’t complain. We do not question authority. We are so passionate about our profession and what we do, sometimes to the point of forgetting about our own welfare.” However, Cortez thinks that the younger generation of Filipino nurses seem to be finding their voices: “What I am seeing now is that my colleagues who are of Filipino descent are starting to speak out. We love our jobs, but we love our families too.”

LPN Says Immigrant Detention Center Endangers Detainees and Staff

LPN Says Immigrant Detention Center Endangers Detainees and Staff

Immigrant women receive dubious hysterectomies and staffers openly neglect even basic COVID precautions at Georgia’s Irwin County Detention Center, says LPN Dawn Wooten in a complaint filed by four non-governmental organizations.

According to Wooten, the private immigrant detention facility has refused to test symptomatic inmates, has not been isolating those suspected of having the virus, and is disregarding mandatory CDC social distancing practices. Wooten’s complaint also notes that she and other nurses have been alarmed by the inordinate number of hysterectomy operations performed at the Center. In reference to the frequent and questionable hysterectomies one detainee described the detention center as “an experimental concentration camp.”

COVID-19 safety and treatment are given short shrift at the center, and Wooten says that even before the pandemic the facility was often dilatory in providing medical care for detained immigrants. Since the pandemic, the complaint alleges, the center has made almost no use of its two rapid-response COVID testing machines, and has instead sent swabs to be tested at a local hospital. Wooten was told she should not be “wasting tests” on people she suspected of being infected, and when she inquired about testing one detainee, a co-worker responded, “He ain’t got no damn corona, Wooten.”

In addition to failing to provide PPE for staff working directly with confirmed cases of COVID-19, Wooten’s complaint states that the facility forced symptomatic staff to continue to work in the facility and threatened them with discipline if they refused to work in dangerous conditions. Because she spoke out against such practices, Wooten says that she was transferred from her full-time position to a part-time job in which her shifts consisted of a few hours a month.

On Tuesday, September 15, House Speaker Nancy Pelosi called for an investigation. Regarding the alleged misuse of hysterectomies on immigrant women detainees, Pelosi said “The DHS Inspector General must immediately investigate the allegations detailed in this complaint. Congress and the American people need to know why and under what conditions so many women, reportedly without their informed consent, were pushed to undergo this extremely invasive and life-altering procedure.” She also called attention to the neglect of COVID safety measures and proper treatment, and referred to “ICE’s egregious handling of the coronavirus pandemic, in light of reports of their refusal to test detainees including those who are symptomatic, the destruction of medical requests submitted by immigrants and the fabrication of medical records.”

Project South, one of the organizations filing the complaint, states that “ICDC (Irwin County Detention Center) has a long track record of human rights violations.”

For more details on this story and quotes from Dawn Wooten, see the article in The Intecept.

Listen to the Chapter Podcasts for Jonas and Kovner's Health Care Delivery in the United States

Gain a better understanding of the current state of the US health care system and how it might impact your work and life.

You have Successfully Subscribed!